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首页> 外文期刊>The journal of clinical psychiatry >Violent Behavior and DSM-IV Psychiatric Disorders: Results From the National Epidemiologic Survey on Alcohol and Related Conditions.
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Violent Behavior and DSM-IV Psychiatric Disorders: Results From the National Epidemiologic Survey on Alcohol and Related Conditions.

机译：暴力行为和DSM-IV精神疾病：酒精和相关疾病全国流行病学调查的结果。

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OBJECTIVE: To present nationally representative data on the lifetime prevalence and population estimates of violent behavior among individuals with DSM-IV psychiatric disorders. METHOD: The data were derived from the National Epidemiologic Survey on Alcohol and Related Conditions. Prevalences, population estimates, and associations of violent behavior occurring among individuals with pure, comorbid, and specific DSM-IV psychiatric disorders were examined. RESULTS: After controlling for sociodemographic characteristics and other comorbidity, it was found that the odds of violent behavior were significantly increased (p < .05) among individuals with substance use disorders; pathological gambling; major depressive disorder; bipolar disorders; panic disorder without agoraphobia; specific phobia; and paranoid, schizoid, histrionic, and obsessive-compulsive personality disorders. Percentages of violent behavior among individuals with each comorbid disorder were, with few exceptions, significantly greater (p < .05-p < .001) than the corresponding percentages among those presenting with the pure form of each disorder. Alcohol and drug use disorders were the most significant contributors to the public health burden of violent behavior. CONCLUSION: The majority of individuals with psychiatric disorders do not engage in violent behavior, and public perception associated with stereotypic violence among individuals with psychiatric disorders appears unwarranted. Elevated risks and burden of violent behavior were not equally shared across the spectrum of psychiatric disorders, with particular disorders, especially substance use disorders, contributing disproportionately to the burden. Future research should examine the circumstances under which violence among individuals with psychiatric disorders occurs with a view toward improving clinical prediction and developing more effective prevention strategies.
机译：目的：提供全国代表性的有关DSM-IV精神病患者的暴力行为的终生流行率和人口估计的数据。方法：数据来自全国酒精及相关疾病流行病学调查。检查了患有纯净，合并症和特定DSM-IV精神病的个体之间的发生率，人口估计以及暴力行为的关联。结果：在控制了社会人口统计学特征和其他合并症之后，发现在物质使用障碍患者中，暴力行为的几率显着增加（p <.05）;病态赌博严重抑郁症;躁郁症;没有广场恐惧症的恐慌症;特定恐惧症以及偏执狂，精神分裂症，组织性和强迫症型人格障碍。除少数例外，患有每种合并症的个体中的暴力行为百分比显着高于（p <.05-p <.001），而呈现出每种疾病纯净形式的个体中的相应百分比更高。酗酒和吸毒障碍是造成暴力行为对公共健康造成负担的最主要因素。结论：大多数精神病患者没​​有暴力行为，精神病患者中与定型暴力有关的公众认知似乎是没有根据的。在各种精神病患者中，暴力行为的风险和负担增加的比例均不相同，特别是疾病，尤其是药物滥用疾病，占负担的比例最大。未来的研究应检查在精神疾病患者中发生暴力的情况，以期改善临床预测并制定更有效的预防策略。

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