Alternative pathways to violence in persons with schizophrenia: The role of childhood antisocial behavior problems

被引:108
|
作者
Swanson, Jeffrey W. [1 ]
Van Dorn, Richard A. [2 ]
Swartz, Marvin S. [1 ]
Smith, Alicia [3 ]
Elbogen, Eric B. [1 ]
Monahan, John [4 ]
机构
[1] Duke Univ, Sch Med, Dept Psychiat & Behav Sci, Durham, NC 27710 USA
[2] Florida Int Univ, Coll Social Work Justice & Publ Affairs, Miami, FL 33199 USA
[3] SUNY Albany, Sch Criminal Justice, Albany, NY 12222 USA
[4] Univ Virginia, Sch Law, Charlottesville, VA 22903 USA
关键词
violence; schizophrenia; childhood conduct problems;
D O I
10.1007/s10979-007-9095-7
中图分类号
D9 [法律]; DF [法律];
学科分类号
0301 ;
摘要
Violence in schizophrenia patients may result from many factors besides the symptoms of schizophrenia. This study examined the relationship between childhood antisocial behavior and adult violence using data from the NIMH CATIE study. The prevalence of violence was higher among patients with a history of childhood conduct problems than among those without this history (28.2% vs. 14.6%; P < 0.001). In the conduct-problems group, violence was associated with current substance use at levels below diagnostic criteria. Positive psychotic symptoms were linked to violence only in the group without conduct problems. Findings suggest that violence among adults with schizophrenia may follow at least two distinct pathways-one associated with premorbid conditions, including antisocial conduct, and another associated with the acute psychopathology of schizophrenia.
引用
收藏
页码:228 / 240
页数:13
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