PDF(Pubmed)
Abstract：
UNASSIGNED: Violence is more prevalent in patients with psychotic disorders compared to the general population. Hence, adequate violence risk assessment is of high clinical importance. Impaired insight is suggested as a risk factor for violence in psychosis, but studies have yielded conflicting results. We hypothesized that impaired insight was associated with a history of severe violence in patients with psychotic disorders.
UNASSIGNED: Clinical insight was assessed both using the Birchwood Insight Scale (BIS) and the Positive and Negative Symptom Scale (PANSS) item G12 (lack of judgment and insight). The degree of impaired clinical insight was compared between psychosis patients with (N = 51) and without (N = 178) a history of severe violence. Multiple linear regression analyses were performed to investigate the effects of putative confounders.
UNASSIGNED: We found that a history of severe violence was significantly associated with lower insight in one of the three BIS components (the relabeling of symptoms) (P = .03, R2 = 0.02) and the PANSS item G12 (P = .03, R2 = 0.02) also after controlling for putative confounders.
UNASSIGNED: The results suggest there is an association between impaired insight and severe violence in psychosis patients. We propose that examination of insight by validated instruments comprising different components may add useful information to clinical violence risk assessment in psychosis patients.
UNASSIGNED: Clinical insight was assessed both using the Birchwood Insight Scale (BIS) and the Positive and Negative Symptom Scale (PANSS) item G12 (lack of judgment and insight). The degree of impaired clinical insight was compared between psychosis patients with (N = 51) and without (N = 178) a history of severe violence. Multiple linear regression analyses were performed to investigate the effects of putative confounders.
UNASSIGNED: We found that a history of severe violence was significantly associated with lower insight in one of the three BIS components (the relabeling of symptoms) (P = .03, R2 = 0.02) and the PANSS item G12 (P = .03, R2 = 0.02) also after controlling for putative confounders.
UNASSIGNED: The results suggest there is an association between impaired insight and severe violence in psychosis patients. We propose that examination of insight by validated instruments comprising different components may add useful information to clinical violence risk assessment in psychosis patients.
摘要：
■与普通人群相比，精神病患者的暴力更为普遍。因此，充分的暴力风险评估具有很高的临床重要性.洞察力受损被认为是精神病中暴力的危险因素，但是研究产生了相互矛盾的结果。我们假设，在精神病患者中，洞察力受损与严重暴力史有关。
■使用BirchwoodInsight量表（BIS）和阳性和阴性症状量表（PANSS）项目G12（缺乏判断力和洞察力）评估临床洞察力。比较了有（N=51）和没有（N=178）严重暴力史的精神病患者的临床洞察力受损程度。进行了多元线性回归分析以研究假定的混杂因素的影响。
■我们发现，在控制了假定的混杂因素后，严重暴力史与三个BIS组成部分之一（症状的重新标记）（P=0.03，R2=0.02）和PANSS项目G12（P=0.03，R2=0.02）的低洞察力显着相关。
■结果表明，精神病患者的自知能力受损与严重暴力之间存在关联。我们建议，通过包含不同组件的经过验证的仪器对洞察力进行检查，可以为精神病患者的临床暴力风险评估增加有用的信息。
■使用BirchwoodInsight量表（BIS）和阳性和阴性症状量表（PANSS）项目G12（缺乏判断力和洞察力）评估临床洞察力。比较了有（N=51）和没有（N=178）严重暴力史的精神病患者的临床洞察力受损程度。进行了多元线性回归分析以研究假定的混杂因素的影响。
■我们发现，在控制了假定的混杂因素后，严重暴力史与三个BIS组成部分之一（症状的重新标记）（P=0.03，R2=0.02）和PANSS项目G12（P=0.03，R2=0.02）的低洞察力显着相关。
■结果表明，精神病患者的自知能力受损与严重暴力之间存在关联。我们建议，通过包含不同组件的经过验证的仪器对洞察力进行检查，可以为精神病患者的临床暴力风险评估增加有用的信息。
