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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Prevalence of victimization, posttraumatic stress disorder and violent behaviour in the seriously mentally ill.
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Prevalence of victimization, posttraumatic stress disorder and violent behaviour in the seriously mentally ill.

机译：重度精神病患者的受害率，创伤后应激障碍和暴力行为的患病率。

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AIMS: There is evidence that individuals with a mental illness are more likely to report a history of victimization and to be at an increased risk for future victimization. The aims of the current study are to determine lifetime rates of different types of victimization in a population of psychiatric inpatients and to examine the associations between a history of victimization and measures of adverse outcome and rates of posttraumatic stress disorder (PTSD). METHOD: A total of 130 psychiatric inpatients with a range of psychiatric diagnoses were surveyed. Information collected included history of victimization, aggression and violence levels, suicidal ideation, PTSD symptomatology, rates of hospitalization and pension status. RESULTS: A lifetime history of victimization was reported in 87.7% of patients with 46% having lifetime and 32% current PTSD. Most clinicians did not identify the high rates of comorbid PTSD in these patients. Victimization was associated significantly with receipt of the disability support pension and number of previous psychiatric hospitalizations, both measures of more adverse outcome. CONCLUSION: Victimization may have a negative impact on outcome and may further disadvantage an already vulnerable population. These findings have both clinical and policy implications for the long-term management of people with mental illness.
机译：目的：有证据表明患有精神疾病的人更有可能报告受害的历史，并且将来受害的风险增加。本研究的目的是确定精神病患者群体中不同类型的受害情况的终生发生率，并研究受害史与不良后果测量值和创伤后应激障碍（PTSD）发生率之间的关联。方法：对130名精神科住院病人进行了一系列精神病学调查。收集的信息包括受害史，侵略和暴力程度，自杀意念，PTSD症状，住院率和退休金状况。结果：据报告，一生中有87.7％的患者经历了受害史，其中46％的患者有终生史，而32％的当前PTSD。大多数临床医生并未发现这些患者合并PTSD的发生率很高。受害与残疾抚恤金的领取和以前的精神科住院治疗的次数显着相关，这两种措施均导致不良后果。结论：受害可能会对结果产生负面影响，并可能进一步使本已脆弱的人群处于不利地位。这些发现对精神疾病患者的长期管理具有临床和政策意义。

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