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首页> 外文期刊>Nordic journal of psychiatry. >Association between insight, cognitive insight, positive symptoms and violence in patients with schizophrenia
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Association between insight, cognitive insight, positive symptoms and violence in patients with schizophrenia

机译：精神分裂症患者的洞察力，认知洞察力，阳性症状和暴力之间的关联

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Ekinci O, Ekinci A. Association between insight, cognitive insight, positive symptoms and violence in patients with schizophrenia. Nord J Psychiatry 2013; 67: 116-123. Background: Violence is a significant clinical and public concern and is a frequent occurrence in patients with schizophrenia. The relationship between insight and violence remains controversial. In addition, there is a lack of research on insight, cognitive insight, demographic and psychopathologic variables in violent versus nonviolent schizophrenia patients. Aim: We aimed to compare insight, cognitive insight, psychopathological and demographic variables in violent and nonviolent subjects suffering from schizophrenia. In addition, we aimed to determine the demographic and clinical predictors of violent behaviour in patients with schizophrenia. Method: We recruited 133 schizophrenic patients without concomitant substance abuse or axis II disorder. Diagnoses were based on the SCID-I and SCID-II. Violent behaviours were assessed using the Overt Aggression Scale. Insight and cognitive insight were assessed with the Scale to Assess Unawareness of Mental Disorder and the Beck Cognitive Insight Scale, respectively. Results: We compared 47 patients with violent schizophrenia with 86 nonviolent patients. Non-violent patients had more severe depression, lower scores on positive symptoms, better clinical insight, more self-reflectivity and higher R-C index scores than did violent patients. In addition, history of violence, lower self-reflectiveness, worse clinical insight and delusion severity were significant predictors of violence in schizophrenia. Conclusion: The present study suggests that the inclusion of insight and cognitive insight may increase the prediction of violence in this population. In addition, clinicians should consider using non-pharmacological techniques that are based on cognitive behaviour therapy and enhance insight, particularly cognitive insight, among patients with schizophrenia who exhibit violent behaviour.
机译：Ekinci O，EkinciA。精神分裂症患者的见解，认知见解，阳性症状和暴力之间的关联。 Nord J精神病学2013; 67：116-123。背景：暴力是临床和公众关注的焦点，在精神分裂症患者中经常发生。洞察力与暴力之间的关系仍然存在争议。此外，还缺乏关于暴力与非暴力精神分裂症患者的见解，认知见解，人口统计学和心理病理学变量的研究。目的：我们旨在比较患有精神分裂症的暴力和非暴力受试者的见解，认知见解，心理病理学和人口统计学变量。此外，我们旨在确定精神分裂症患者暴力行为的人口统计和临床预测指标。方法：我们招募了133名没有伴随药物滥用或II型轴疾病的精神分裂症患者。诊断基于SCID-I和SCID-II。使用公开攻击量表评估暴力行为。洞察力和认知洞察力分别通过评估精神障碍无意识量表和贝克认知洞察力量表进行评估。结果：我们将47例暴力性精神分裂症患者与86例非暴力性精神病患者进行了比较。与暴力患者相比，非暴力患者有更严重的抑郁症，更低的阳性症状得分，更好的临床洞察力，更高的自反性和更高的R-C指数得分。此外，暴力史，较低的自我反省性，较差的临床洞察力和妄想严重程度是精神分裂症中暴力的重要预测指标。结论：本研究表明，将洞察力和认知洞察力包括在内可能会增加对该人群暴力的预测。此外，临床医生应考虑使用基于认知行为疗法的非药物技术，并在表现出暴力行为的精神分裂症患者中增强洞察力，尤其是认知洞察力。

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