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Aggression in persons diagnosed with schizophrenia: a psychopathological, personality and social analysis

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Markiewicz I., Pilszyk A.
Problems of Forensic Sciences
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2024
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issue 137
EN
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.
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Patterns of Relapse Risks and Related Factors among Patients with Schizophrenia in Razi Hospital, Iran: A Latent Class Analysis

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Noroozi M., Alibeigi N., Armoon B., Rezaei O., Sayadnasiri M., Nejati S., Fadaei F., Ghahestany D. A., Dieji B., Ahounbar E.
Polish Psychological Bulletin
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2018
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vol. 49
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issue 3
355-359
EN
Objectives: Relapse is very much associated with the management of disorder during the treatment, but also many other factors could trigger it. The aim of this study was to explore classes and patterns of relapse risk in patients with schizophrenia of Razi Hospital. Methods: Using random sampling techniques, we recruited 300 participants with a diagnosis of schizophrenia in Razi hospital of Tehran (Iran) between January and May 2017 in a cross-sectional survey. We used latent class analysis (LCA) to establish a baseline model of risk profiles and to identify the optimal number of latent classes, and we used ordinal regression to identify factors associated with class membership. Results: Three classes of multiple relapse risk were identified. LCA showed that, overall, 52%, 22% and 26% of participants with schizophrenia were divided into class 1, class 2 and class 3, respectively. Compared to members in the lowest-risk class (reference group), the highest-risk class members had higher odds of being the age of disorder onset under 25 (OR = 1.4; CI: 1.42–2.33). Participants with schizophrenia who were unemployed were more likely to categorize in the highest-risk class than members of the low-risk class (OR = 2.5; CI: 1.44–4.1). Also, female patients were more likely to belong to members of the high-risk class than members of the low-risk class (OR = 2.22; CI: 1.74–7.64). Conclusion: These findings emphasize the importance of having targeted prevention programs for all domains of Age of onset, female and unemployed related. So, current study suggested that interventions should focus on these risk factors. Furthermore, Increasing the Job opportunities for participants with schizophrenia is warranted so as to prevent of schizophrenia disorder.
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