在瑞典法医精神病患者中,对精神障碍,物质使用和积极的反社会行为进行了潜在的类分析
J Green1, A S Lindqvist Bagge1, N Laporte2
1Centre for Ethics, Law and Mental Health, Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
Comprehensive psychiatry
|October 1, 2023
概括
具有精神障碍,物质使用障碍和侵略性行为的法医患者被分为四组. 两组多种物质使用者表现出更高的攻击性行为,有助于个性化法医心理健康治疗.
科学领域:
- 法医精神病学 法医精神病学
- 临床心理学 临床心理学
- 成精神病学成精神病学
背景情况:
- 在法医精神卫生服务 (FMHS) 中,患有精神障碍,物质使用障碍 (SUD) 和积极反社会行为 (AAB) 的患者面临着糟糕的结果.
- 这一"三重麻烦"群体表现出高的犯罪复发率和与毒品有关的死亡率.
- 了解并发症和物质使用的异质性对于改善治疗至关重要.
研究的目的:
- 在FMHS中确定"三重困扰"患者群体中的临床相关子组.
- 探索精神障碍,物质使用和攻击性行为的共发生模式.
- 为个人化治疗和风险管理策略提供信息.
主要方法:
- 隐性类分析 (LCA) 采用了三步过程.
- 分析了来自瑞典一个高度安全的FMHS的98名患者的样本.
- 数据包括精神疾病史,SUD,物质类型和AAB.
主要成果:
- 一个四类模型最适合数据,识别出不同的患者子组.
- 第一类 (42%) 患有高SUD,精神病和多种物质使用;第二类 (26%) 患有精神病和大麻使用.
- 第三类 (22%) 患有自闭症,没有SUD;第四类 (10%) 患有人格障碍和多重物质使用.
- 多种物质使用类别 (1和4) 显示出明显更多的AAB史.
- 第三和第四类有广泛的自我指导的侵略历史.
结论:
- 这项研究揭示了FMHS中"三重困扰"患者组的异质性.
- 研究结果支持以个人为导向的方法来治疗患者的并发症和物质使用.
- 结果可以提高临床评估,治疗规划和法医精神病治疗中的风险管理.
相关概念视频
Conduct Disorder
47
Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
47
Substance Use Disorders Affecting Sleep
188
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
188
Diagnostic and Statistical Manual of Mental Disorders (DSM)
74
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
74
Antisocial Personality Disorder
59
Antisocial personality disorder is a chronic mental health condition characterized by persistent patterns of disregard for the rights and well-being of others. Individuals with antisocial personality disorder exhibit behaviors that include deceitfulness, impulsivity, irresponsibility, aggression, and a profound lack of empathy. These traits often manifest early in life and persist into adulthood, leading to significant personal, social, and legal consequences.
Behavioral Characteristics and...
Behavioral Characteristics and...
59
Theoretical Approaches to Psychological Disorder
242
The development of psychological disorders, which are characterized by deviant, maladaptive, and personally distressing behaviors, has been explored through several theoretical approaches.
Biological approach
The biological approach posits that internal, organic factors are the primary causes of such disorders. This perspective emphasizes brain structure and function, genetic predispositions, and neurotransmitter imbalances. For example, schizophrenia has been associated with both genetic...
Biological approach
The biological approach posits that internal, organic factors are the primary causes of such disorders. This perspective emphasizes brain structure and function, genetic predispositions, and neurotransmitter imbalances. For example, schizophrenia has been associated with both genetic...
242
Introduction to Psychological Disorders
409
Abnormal behavior, often referred to as mental illness, results from changes in brain function that influence thought patterns, behaviors, and social interactions. Psychologists and psychiatrists typically assess abnormal behavior using three primary criteria: deviance, maladaptation, and personal distress, particularly when these traits persist over long periods.
Deviant Behavior
Deviance in behavior refers to actions or thought patterns that significantly diverge from societal norms or...
Deviant Behavior
Deviance in behavior refers to actions or thought patterns that significantly diverge from societal norms or...
409


