Aggression in persons diagnosed with schizophrenia: a psychopathological, personality and social analysis
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RIS BIB ENDNOTEPublication date: 28.06.2024
Problems of Forensic Sciences, 2024, 137, pp. 31 - 46
https://doi.org/10.4467/12307483PFS.24.003.19859Authors
Aggression in persons diagnosed with schizophrenia: a psychopathological, personality and social analysis
Aim: The aim of the study was to analyze the type and intensity of aggressive behavior of patients with schizophrenia and dual diagnosis, as well as to describe their mental state, selected personality traits and sociodemographic variables.
Material and methods: 81 patients with mental disorders were included in the study. A comparative analysis was carried out in 3 groups of patients: (group 1) with schizophrenia and addiction, who had committed a prohibited act, undergoing therapy in isolation as a protective measure (n = 27), and (group 2) a group of people with a dual diagnosis (n = 27) and (group 3) a group of patients only with a diagnosis of schizophrenia (n = 27). The following tools were used: 1) PANSS (Positive and Negative Syndrome Scale) – to assess psychopathological symptoms; 2) BPAQ (Buss and Perry Aggression Questionnaire) – to measure the intensity and indicators of aggression; 3) EPQ-R questionnaire – to assess personality variables; 4) IVE scale – to assess impulsivity, risk-taking and empathy; 5) Author’s sociodemographic survey.
Main results: The obtained results indicate that forensic patients with dual are characterized by a greater intensity of general psychopathology, a predominance of positive symptoms and a greater intensity of negative symptoms than general psychiatric patients. Both groups with dual diagnosis reveal a higher level of general aggression and a greater tendency to physical aggression compared to patients diagnosed with schizophrenia only. Forensic patients demonstrate greater anger than the group of patients with schizophrenia only.
Practical implications for forensic science: Analysis of the type and intensity of aggressive behavior, as well as personality, sociodemographic and clinical variables may have prognostic significance in estimating the risk of recidivism of forensic patients. It can also provide tips for the correct selection of therapy dedicated to a specific patient in order to correct his or her behavior. Knowing of the nature of patients’ aggressive behavior can also facilitate the development of special preventive and protective programs for both staff and families of aggressive patients.
Gałązka-Sobotka M, Gryglewicz J, Gierczyński J, Wrona W, Karczewicz E, Zalewska H, et al. Schizofrenia — analiza kosztów społecznych i ekonomicznych. Psychiatria. 2015;12(1):17-46.
Gierowski J, Paprzycki L. Niepoczytalność i psychiatryczne środki zabezpieczające. Zagadnienia prawno-materialne, procesowe, psychiatryczne i psychologiczne. Warszawa: Wydawnictwo C.H. Beck; 2013.
Fazel S, Gulati G, Linsell L, Geddes J, Grann M. Schizophrenia and violence: systematic review and meta-analysis. Plos Medicine. 2009 Aug;6(8):e1000120. doi: 10.1371/journal.pmed.1000120. Epub 2009 Aug 11.
Ramirez JM. Causes and functions of agression. Hiroshima Forum for Psychology. 1996;17:21-37.
Heitzman J. Stres w etiologii przestępstw agresywnych. Kraków: Wydawnictwo Uniwersytetu Jagiellońskiego; 2002.
Dollard J, Miller NE, Doob LW , Mowrer OH, Sears RR . Frustration and aggression. Yale University Press; 1939. https://doi.org/10.1037/10022-000.
Farnicka M, Liberska H, Niewiedział D. Psychologia agresji. Wybrane problemy. Warszawa: Wydawnictwo Naukowe PWN; 2016.
Krahe B. Agresja. Gdańsk: Gdańskie Wydawnictwo Psychologiczne; 2006.
Buss A, Perry M. The aggression questionnaire. J Pers Soc Psychol. 1992;6:452-459.
Raja M, Azzoni A. Hostility and violence of acute psychiatric inpatients. Clin Pract Epidemiol Ment Health. 2005;29(1):11.
Swanson JW, Swartz MS, Van Dorn RA, Elbogen EB, Wagner HR, Rosenheck RA, et al. A national study of violent behavior in persons with schizophrenia. Arch Gen Psychiatry. 2006;63(5):490-499.
Volavka J. Neurobiology of violence. Washington, DC: American Psychiatric Publishing; 2002.
Bobes J, Fillat O, Arango C. Violence among schizophrenia out-patients compliant with medication: prevalence and associated factors. Acta Psychiatr Scand. 2009;119(3):218-25.
Junginger J., McGuire L. The paradox of command hallucinations. Psychiatr Serv. 2001;52(3):385-6.
Bryndza Z, Matras K, Gałczyńska-Urbaniak M, Masłowska E, Domański M. Analiza przypadków internacji w Szpitalu Neuropsychiatrycznym w Lublinie w latach 1995–2006. Badania nad Schizofrenią. 2006;1(7): 43-49.
Hodgins S. Violent behaviour among people with schizophrenia: a framework for investigations of causes, and effective treatment and prevention. Philos Trans R Soc Lond B Biol Sci. 2008;363(1503):2505-2518.
Bottesi G, Candini V, Ghisi M, Bava M, Bianconi G, Bulgari V, et al. Personality, schizophrenia and violence: a longitudinal study: the second wave of the VIORMED Project. J Pers Disord. 2021 Apr;35(2):236-254.
K aliski S, Zabow T. Violence, sensation seeking and impulsivity in schizophrenics found unfit to stand trial. Bull Am Acad Psychiatry Law. 1995;23(1):147-155.
Dellazizzo L, Potvin S, Beaudoin M, Luigi M, Dou B, Giguere CE , et al. Cannabis use and violence in patients with severe mental ilness: a metaanalitical investigation. Psychiatry Res. 2019;274:42-48.
Majchrzyk Z. Psychologia sądowa. Aktualne problemy opiniowania dorosłych. Warszawa: Wydawnictwo UKSW ; 2012.
Pastwa-Wojciechowska B. Psychopaci – sprawcy przestępstw seksualnych. Gdańsk: Harmonia Universalis; 2013.
Johnson M, Bickel W, Baker F, Moore BA, Badger GJ, Budney AJ. Delay discounting in current and former marijuana-dependent individuals. Exp Clin Psychopharmacol. 2010;18(1):99-107.
Jakubczyk A, Wojnar M. Impulsywność – definicje, teorie, modele. Postępy Psychiatrii i Neurologii. 2009;18(4):349-356.
Grzesiak M, Beszłej JA, Szechiński L. Skala impulsywności Baratta. Postępy Psychiatrii i Neurologii. 2008;17(1):61-64.
Ouzir M. Impulsivity in schizophrenia. A comprehensive update. Aggress Violent Behav. 2013;18(2):247-254.
Krakowski MI, Czobor P. Depression and impulsivity as pathways to violence: implications for antiaggressive treatment. Schizophr Bull. 2014;40(4):886-894.
Kay SR , Fiszbein A, Opler L. The positive and negative syndrome scale (PANSS ) for schizophrenia. Schizophr Bull. 1987;13(2):261-276.
Lindenmayer JP, Bernstein-Hyman R, Grochowski S. Five-factor model of schizophrenia. Initial validation. J Nerv Ment Dis. 1994;182:631-638.
Aranowska E, Rytel J. Struktura czynnikowa Kwestionariusza Agresji Bussa i Perry’ego (BPQA) w populacji polskiej. Studia Psychologica UKSW . 2012;12(2):135-151.
Jaworowska A. Kwestionariusz Osobowości Eysencka EPQ-R oraz Kwestionariusz Osobowości Eysencka w Wersji Skróconej EPQ-R(S). Polska adaptacja. Warszawa: Pracownia Testów Psychologicznych PTP; 2011.
Eysenck SBG, Pearson PR, Easting G, Allsopp JP. Age norms for impulsiveness, risk-taking and empathy in adults. Pers Individ Dif. 1985;6(5):613-19.
Jaworowska A. IVE Kwestionariusz Impulsywności. Polska adaptacja. Warszawa: Pracownia Testów Psychologicznych PTP; 2011.
Dietrich-Muszalska A. Obraz kliniczny i przebieg schizofrenii oraz zasady leczenia w zależności od współwystępującego używania substancji psychoaktywnych. Psychiatr Psychol Klin. 2005;5(4):212-216.
Amore M, Menchetti M, Tonti C, Scarlatti F, Lundgren E, Esposito W, et al. Predictors of violent behaviour among acute psychiatric patients: clinical study. Psychiatry Clin Neurosci. 2008;62(3):247-55.
Orzechowska A, Florkowski A, Gruszczyński W, Zboralski K, Wysokiński A, Gałecki P, et al. Socio-economic status, aggressive behaviours and coping with stress. Psychiatr Pol. 2009;43(1):53-63.
Hodgins S, Riaz M. Violence and phases of illness: differentia risk and predictors. Eur Psychiatry. 2011;26(8):518-24.
Arango C, Calcedo Barba A, Gonzalez–Salvador, Calcedo Ordonez A. Violence in inpatients with schizophrenia: a prospective study. Schizophr Bull. 1999;25(3):493-503.
Błachut M, Badura-Brzoza K, Jarząb K, Gorczyca P, Hese R. Podwójna diagnoza u osób uzależnionych lub szkodliwie używających substancji psychoaktywnych. Psychiatr Pol. 2013;47(2):335-352.
Markiewicz I. Potrzeby i jakość życia pacjentów realizujących izolacyjno-leczniczy środek zabezpieczający. Unpublished doctoral dissertation, p. 113. University of Gdańsk; 2023.
Information: Problems of Forensic Sciences, 2024, 137, pp. 31 - 46
Article type: Original article
Titles:
Institute of Psychiatry and Neurology in Warsaw
Poland
Institute of Psychiatry and Neurology in Warsaw
Poland
Published at: 28.06.2024
Received at: 05.01.2024
Accepted at: 04.03.2024
Article status: Open
Licence: CC BY-NC-ND
Percentage share of authors:
Article corrections:
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English, PolishView count: 159
Number of downloads: 88