조현병 환자에서 폭력성의 관련요인
Correlates of Violence in Patients with Schizophrenia
1
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
Therapeutic social environments contribute to the successful treatment and rehabilitation for patients with schizophrenia. However, social stigmata of psychiatric disorder in our society have kept away schizophrenic patients from their recovery and adaptation. Many persons have thought that psychiatric patients are more violent and criminal because of overwhelming prejudice on untreated or mistreated patients with schizophrenia. The purpose of this review is to propose the new and updated fundamentals of our knowledge on the relationship between schizophrenia and violence. In 1980s, many researchers have a belief that rates of criminal behavior vary independently on the rates of mental disorders. The following scientific studies on various population and meta-analyses of relevant data, overall violence rate have been higher in patients with schizophrenia and other psychotic disorders than in healthy controls. Even though schizophrenia and other psychotic disorders are associated with increased risk of homicide, the association has been not attributed to the psychopathology limited to schizophrenia. Most of all, co-occurrence of substance abuse has played an important role in increasing the possibility of violent behavior. The severe violent offending has been inclined to occur during the early period of psychotic episode before beginning the psychiatric treatment. Thus, most of the violent offending of schizophrenia patient can be prevented by prompt therapeutic interventions and treatments.
Abstract
Therapeutic social environments contribute to the successful treatment and rehabilitation for patients with schizophrenia. However, social stigmata of psychiatric disorder in our society have kept away schizophrenic patients from their recovery and adaptation. Many persons have thought that psychiatric patients are more violent and criminal because of overwhelming prejudice on untreated or mistreated patients with schizophrenia. The purpose of this review is to propose the new and updated fundamentals of our knowledge on the relationship between schizophrenia and violence. In 1980s, many researchers have a belief that rates of criminal behavior vary independently on the rates of mental disorders. The following scientific studies on various population and meta-analyses of relevant data, overall violence rate have been higher in patients with schizophrenia and other psychotic disorders than in healthy controls. Even though schizophrenia and other psychotic disorders are associated with increased risk of homicide, the association has been not attributed to the psychopathology limited to schizophrenia. Most of all, co-occurrence of substance abuse has played an important role in increasing the possibility of violent behavior. The severe violent offending has been inclined to occur during the early period of psychotic episode before beginning the psychiatric treatment. Thus, most of the violent offending of schizophrenia patient can be prevented by prompt therapeutic interventions and treatments.
참고문헌 (34)
- 김정남, "정신장애인에 대한 편견과 차별에 관한 연구", 한국심리학회지: 건강, 9(3), pp.589~608 (2004), 한국건강심리학회
- Kim SW, "The analysis of newspaper-articles on psychosis", J Korean Neuropsychiatr Assoc, 39, pp.838~848 (2000)
- Kim SW, "The stigmatization of psychosis in Korean newspaper articles", Korean J Schi-zophr Res, 14, pp.42~49 (2011)
- 이유상, "조현병, 정신분열병의 새로운 명칭 탄생", 신경정신의학, 50(1), pp.16~19 (2011), 대한신경정신의학회
- People’s Response about Psychiatric Disorders. In: Korea Institute for Health and Social Affairs, "Lee YH", Korea Institute for Health and Social Affairs, 20~21, pp.Policy Report (2008-36): Research on Social Stigma of Mental Health (2008)
- Monahan J, "Crime and Justice: An Annual Review of Research" (1983), Chicago University Press
- Family Perspectives on Meeting the Needs for Care of Severely Mentally Ill Relatives: A National Survey, "Steinwachs DM", National Alliance for the Mentally Ill, ~ (1992)
- Lindqvist P, "Schizophrenia and crime: A longitudinal follow-up of 644 schizophrenics in Stockholm", Br J Psychiatry, 157, pp.345~350 (1990)
- Hodgins, S, "Mental disorder, intellectual deficiency, and crime", Arch Gen Psychiatry, 49, pp.476~483 (1992)
- Wesseley SC, "The criminal careers of incident cases of schizo", Psychol Med, 24, pp.483~502 (1994)
- Walsh E, "Violence and schizophrenia: examining the evidence", Br J Psychiatry, 180, pp.490~495 (2001)
- Monahan J, "Mental Illness and Violent Crime", National Institute of Justice Research Preview, ~ (1996)
- Dawson JM, "Murder in Families", U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics, ~ (1994)
- Yesavage JA, "Inpatient violence and the schizophrenic patient: An inverse correlation between danger-related events and neuroleptic levels", Biol Psychiatry, 17, pp.1331~1337 (1982)
- Smith LD, "Medication refusal and the rehospitalized mentally ill inmate", Hosp Comm Psychiatry, 40, pp.491~496 (1989)
- Swanson J, "Violence and severe mental disorder in clinical and community populations: The effects of psychotic symptoms, comorbidity, and lack of treatment", Psychiatry, 60, pp.1~22 (1997)
- Kasper JA, "Prospective study of patients’ refusal of antipsychotic medication under a physician discretion review procedure", Am J Psychiatry, 154, pp.483~489 (1997)
- Taylor P, "Motives for offending amongst violent and psychotic men", Br J Psychiatry, 147, pp.491~498 (1985)
- Shore D, "Violent crime arrest rates of White House case subjects and matched control subjects", Am J Psychiatry, 147, pp.746~750 (1990)
- Bartels J, "Characteristic hostility in schizophrenic outpatients", Schizophr Bull, 17, pp.163~171 (1991)
- Modestin J, "Mental disorder and criminality: Male schizophrenia", Schizophr Bull, 22, pp.69~82 (1996)
- Arango C, "Violence in schizophrenic inpatients: A prospective study", Schizophr Bull, 25, pp.493~503 (1990)
- Friedman L, "Insight and its relationship to violent behavior in patients with schizophrenia", Am J Psychiatry, 161, pp.1712~1724 (2004)
- Alia-Klein N, "Insight into illness and adherence to psychotropic medications are separately associated with violence severity in a forensic sample", Aggress Behav, 33, pp.86~96 (2007)
- Keers R, "Association of violence with emergence of persecutory delusion in untreated schizophrenia", Am J Psychiatry, 171, pp.332~339 (2014)
- Steadman HJ, "Violence by people discharged from acute psychiatric impatient facilities and by others in the same neighborhoods", Arch Gen Psychiatry, 55, pp.393~401 (1998)
- Eronen M, "Schizophrenia and homicidal behavior", Schizophr Bull, 22, pp.83~89 (1996)
- Räsänen P, "Schizophrenia, alcohol abuse, and violent behavior: a 26-year follow-up study of an unselected birth cohort", Schizophr Bull, 24, pp.437~441 (1998)
- Swartz MS, "Violence and severe mental illness: The effects of substance abuse and nonadherence to medication", Am J Psychiatry, 155, pp.226~231 (1998)
- Arseneault L, "Mental disorders and violence in a total birth cohort", Arch Gen Psychiatry, 57, pp.979~986 (2000)
- Fazel S, "Schizophrenia and violence: Systematic review and meta-analysis", PLoS Med, 6, pp.1~14 (2009)
- Elbogen EB, "The intricate link between violence and mental disorder: results from the National Epidemiologic Survey on Alcohol and Related Conditions", Arch Gen Psychiatry, 66, pp.152~161 (2009)
- Large M, "Violence in first-episode psychosis: A systematic review and meta-analysis", Schizophr Res, 125, pp.209~220 (2011)
- Witt K, "Risk Factors for Violence in Psychosis: Systematic Review and Meta-Regression Analysis of 110 Studies", PLoS Med, 8, pp.1~15 (2013)