在男性法医精神病学样本中,并发性精神障碍的患病率和模式:网络分析
N van Buitenen1, C van den Berg2, J Meijers3
1Department of Criminal Law and Criminology, Vrije Universiteit Amsterdam, De Boelelaan 1105, Amsterdam 1081 HV, Netherlands.
Psychiatry research
|November 23, 2025
概括
暴力犯罪的法医被告显示出伴随性精神障碍的高率,特别是物质使用和精神分裂症谱系障碍. 网络分析发现了四个不同的并发症集群,有助于风险评估和治疗计划.
科学领域:
- 法医精神病学 法医精神病学
- 心理病理学研究 心理病理学研究
- 心理健康服务 心理健康服务
背景情况:
- 精神病并发症在精神疾病中很常见,影响严重程度,预后和功能.
- 在法医环境中,伴随性疾病增加了精神疾病患者暴力犯罪的风险.
- 之前的研究已经确定了并发症集群,但对于法医群体来说,需要更精细的理解.
研究的目的:
- 检查暴力犯罪被告中精神病并发症的流行情况.
- 在法医样本中使用网络方法复制和完善早期的并发症集群.
- 为了更好地评估和治疗风险,识别共发性精神病理的不同模式.
主要方法:
- 利用了从2016年至2021年期间进入皮特·班中心 (PBC) 的617名男性被告的DSM诊断.
- 计算了524个病例的并发症模式.
- 对516名参与者进行了网络分析,使用回归系数识别并发症集群.
主要成果:
- 药物使用障碍 (55.8%) 和精神分裂症谱系障碍 (33.4%) 的高患病率.
- 70.6%的样本符合至少一种并发性精神障碍的标准.
- 网络分析发现了四个不同的并发症集群:物质使用/精神分裂症,抑郁物质使用,内化精神病理和冲动性.
结论:
- 该研究在法医样本中确定了特定的并发性精神病理的集群,为脆弱性提供了更深入的见解.
- 这些发现支持完善风险评估和增强治疗策略,如集群意识治疗规划.
- 了解这些并发症模式对于法医精神病患者群体的有效管理和干预至关重要.
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