PDF(Pubmed)
Abstract：
Background and Objectives: Radicalization, a complex and multifaceted phenomenon, has been a subject of increasing concern in recent years, particularly due to its potential connection to acts of mass violence and terrorism. This systematic review examines the intricate link between radicalization and psychotic disorders, utilizing various sources such as observational studies, case reports, and series. It aims to highlight the prevalence of schizophrenia spectrum and other psychotic disorders among radicalized individuals and to define the role of mental health professionals in dealing with this issue, contributing to the development of prevention and treatment strategies. Materials and Methods: The methodology involved an extensive literature search across PubMed, Scopus, and APA PsycINFO up to 1 February 2024, adhering to PRISMA guidelines. The study focused on radicalization and psychotic disorders as defined by DSM-5 criteria, excluding other mental disorders. A population sample of 41 radicalized individuals diagnosed with psychotic disorders was selected, among which schizophrenia was identified as the predominant condition. Results: It was observed that 24% of these individuals passed away soon after committing their crimes, leading the researchers to rely on retrospective data for their diagnoses. The use of diverse assessment tools for psychiatric diagnosis and the lack of a standardized method for diagnosing or assessing involvement in the radicalization process were also noted. Despite limitations like reliance on observational studies and case reports, which result in low evidence quality and varied methodologies, our work provides a valuable contribution to clarifying the relationship between radicalization and psychotic disorders. However, further clinical studies are needed to delve deeper into these aspects. Conclusions: In conclusion, our review points out that individuals with psychotic disorders do not have a higher crime rate than the general population and warns against associating crimes with mental illness due to the stigma it creates. The lack of uniform psychiatric diagnostic tools and radicalization assessment highlights the need for more standardized risk assessment tools and validated scales in psychiatric diagnosis to better understand the relationship between radicalization and psychotic disorders and to develop integrated protocols.
摘要：
背景和目标：激进化，一个复杂和多方面的现象，近年来越来越受到关注，特别是由于它与大规模暴力和恐怖主义行为的潜在联系。这篇系统的综述研究了激进化和精神病之间的复杂联系，利用各种来源，如观察性研究，病例报告,和系列。它旨在强调精神分裂症谱系和其他精神病在激进个体中的患病率，并确定精神卫生专业人员在处理这一问题中的作用，有助于制定预防和治疗策略。材料和方法：该方法涉及对PubMed的广泛文献检索，Scopus,和APAPsycINFO截至2024年2月1日，遵守PRISMA指南。该研究的重点是DSM-5标准定义的激进化和精神障碍，排除其他精神障碍。选择了41名被诊断患有精神病的激进个体的人群样本，其中精神分裂症被确定为主要疾病。结果：据观察，这些人中有24％在犯罪后不久去世，导致研究人员依靠回顾性数据进行诊断。还注意到在精神病学诊断中使用了多种评估工具，并且缺乏诊断或评估激进化过程中参与的标准化方法。尽管存在诸如依赖观察性研究和案例报告之类的局限性，这导致证据质量低和方法多样，我们的工作为阐明激进化与精神病之间的关系做出了有价值的贡献.然而,需要进一步的临床研究来深入研究这些方面。结论：总之，我们的评论指出，患有精神病的人的犯罪率并不比普通人群高，并警告不要将犯罪与精神疾病联系起来，因为它造成了耻辱。缺乏统一的精神病诊断工具和激进化评估，凸显了在精神病诊断中需要更标准化的风险评估工具和经过验证的量表，以更好地了解激进化与精神病之间的关系，并制定综合方案。
