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首页> 外文期刊>Acta Psychiatrica Scandinavica >Violence among schizophrenia out-patients compliant with medication: prevalence and associated factors.
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Violence among schizophrenia out-patients compliant with medication: prevalence and associated factors.

机译：服药的精神分裂症门诊患者中的暴力行为：患病率和相关因素。

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OBJECTIVE: Aggressive behaviour has been related to schizophrenia both in in-patient and out-patient samples. In this study, we aimed to assess the prevalence and factors associated with aggressive behaviour in out-patient compliant with their prescribed medication. METHOD: Eight hundred and ninety-five patients were interviewed at Community-Based Mental Health Services about aggressive-violent behaviour within the week prior to the study visit. Adult patients diagnosed with schizophrenia and receiving stable pharmacological treatment were enrolled. Presence of aggressive episodes, including type of aggression, severity and frequency, was assessed with the Modified Overt Aggression Scale (MOAS). Violence was defined as a score of 3 or more in any of the MOAS subscores. RESULTS: Prevalence of recent aggressive behaviour was 5.07%, (95% CI 5.04-5.10), where 47% (43 behaviours 91) reached the violent threshold. Among the 91 violent episodes rated, most episodes were verbal (44%), followed by physical violence towards objects (29%), violence towards others (19%) and self-directed violence (8%). Recent episodes of any severity were more likely among patients with a history of violence and also with relapses within the previous year and with low treatment satisfaction. CONCLUSION: Five per cent of the studied cases showed aggressive behaviour in the week prior to assessment, despite having been compliant with their medication. Most aggressive behaviour was verbal rather than physical.
机译：目的：在住院和门诊样本中，攻击性行为均与精神分裂症有关。在这项研究中，我们旨在评估门诊患者遵医嘱使用其攻击性行为的患病率和相关因素。方法：在研究访问前一周内，985名患者接受了社区心理健康服务部关于侵略性暴力行为的采访。纳入诊断为精神分裂症并接受稳定药理治疗的成年患者。用改良的公开攻击量表（MOAS）评估攻击性发作的存在，包括攻击类型，严重程度和频率。暴力定义为在任何MOAS子评分中得分为3或更高。结果：最近侵略行为的患病率为5.07％，（95％CI 5.04-5.10），其中47％（43项行为91）达到暴力阈值。在被评估的91次暴力事件中，大多数事件是口头的（44％），其次是对对象的身体暴力（29％），对其他对象的暴力（19％）和自我控制的暴力（8％）。有暴力史，上年复发且治疗满意度低的患者中，任何严重程度的近期发作更有可能发生。结论：5％的研究病例尽管接受了药物治疗，但在评估前一周表现出攻击性行为。最激进的行为是言语而非身体行为。

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