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Subtypes of aggression in patients with schizophrenia: the role of psychopathy

机译:精神分裂症患者攻击性的亚型:精神病的作用

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Psychopathy is strongly related to aggression in community, forensic psychiatric and offender samples, including in patients with schizophrenia. However, most studies have failed to distinguish between impulsive or premeditated aggression. In a cross-sectional study of 108 patients with schizophrenia and comorbid psychopathy, we investigated if psychopathy measured with the total Psychopathy Checklist-Revised (PCL-R) score and the factors described in the two-factor model and the facets described in the four-factor model are associated with type of aggression in schizophrenia and to explore if the three- and four-factor models are associated with premeditated aggression. Results revealed that PCL-R total score, Factor 1 and 2 of the two-factor model and Facets 1-4 of the four-factor model were related to premeditated aggression and that the four-factor model was better related to premeditated aggression than the three-factor model. These findings delineate the role of psychopathy including antisocial features in the understanding of premeditated aggression in schizophrenia.
机译:精神病与社区,法医精神病和犯罪者样本(包括精神分裂症患者)中的攻击行为密切相关。但是,大多数研究未能区分冲动性攻击或预谋性侵略。在一项针对108位精神分裂症和合并症的精神病患者的横断面研究中,我们调查了是否使用总精神病学检查清单修订(PCL-R)评分以及两因素模型中描述的因素和四个方面中描述的方面来衡量精神病因子模型与精神分裂症的侵略类型相关,并探讨三因子模型和四因子模型是否与预谋侵略相关。结果显示,PCL-R总分,两因素模型的因子1和2以及四因素模型的Facets 1-4与预谋侵略有关,而四因素模型比预谋侵略更好。三因素模型。这些发现描述了精神病的作用,包括反社会特征在理解精神分裂症的预谋性侵略中的作用。

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