Risk factors for violent behaviors in patients with schizophrenia: 2-year follow-up study in primary mental health care in China
ObjectiveThe consequences and impact of violent behavior in schizophrenia are often serious, and identification of risk factors is of great importance to achieve early identification and effective management.MethodsThis follow-up study sampled adult patients with schizophrenia in primary mental heal...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.947987/full |
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| author | Zhuo-Hui Huang Fei Wang Zi-Lang Chen Yao-Nan Xiao Qian-Wen Wang Shi-Bin Wang Xiao-Yan He Christine Migliorini Christine Migliorini Carol Harvey Carol Harvey Cai-Lan Hou Cai-Lan Hou |
| author_facet | Zhuo-Hui Huang Fei Wang Zi-Lang Chen Yao-Nan Xiao Qian-Wen Wang Shi-Bin Wang Xiao-Yan He Christine Migliorini Christine Migliorini Carol Harvey Carol Harvey Cai-Lan Hou Cai-Lan Hou |
| author_sort | Zhuo-Hui Huang |
| collection | DOAJ |
| description | ObjectiveThe consequences and impact of violent behavior in schizophrenia are often serious, and identification of risk factors is of great importance to achieve early identification and effective management.MethodsThis follow-up study sampled adult patients with schizophrenia in primary mental health care in a rural area of southern China, in which 491 participants completed a comprehensive questionnaire at baseline and the 2-year follow-up. Sociodemographic, clinical and psychological assessment data were collected from all participants. Paired sample T-Tests and the McNemar Test were performed to examine changes over the follow-up period. Generalized Estimating Equations (GEE) were used to analyze the risk factors for violent behavior.ResultsThe results showed that about two in five community-dwelling patients with schizophrenia reported violent behavior in the past year. At follow-up, participants were significantly less employed, had more times of hospitalization, more psychotropic medication, and severer depressive symptoms, but had better health-related quality of life than at baseline. Use of clozapine and better insight into medication decreased the possibility of violent behavior, while more severe positive symptoms, insomnia, as well as use of second-generation antipsychotics other than clozapine, antidepressants and mood stabilizers increased the possibility of violent behavior.ConclusionsRisk evaluation, prevention and management of violence in patients with schizophrenia are demanded in primary mental health care. |
| first_indexed | 2024-04-10T21:19:10Z |
| format | Article |
| id | doaj.art-00a8f6a5eaf94f16b6691ee85d281f77 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-10T21:19:10Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-00a8f6a5eaf94f16b6691ee85d281f772023-01-20T07:06:49ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-01-011310.3389/fpsyt.2022.947987947987Risk factors for violent behaviors in patients with schizophrenia: 2-year follow-up study in primary mental health care in ChinaZhuo-Hui Huang0Fei Wang1Zi-Lang Chen2Yao-Nan Xiao3Qian-Wen Wang4Shi-Bin Wang5Xiao-Yan He6Christine Migliorini7Christine Migliorini8Carol Harvey9Carol Harvey10Cai-Lan Hou11Cai-Lan Hou12Guangdong Mental Health Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, ChinaGuangdong Mental Health Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, ChinaLuoding Mental Health Center, Yunfu, Guangdong, ChinaLuoding Mental Health Center, Yunfu, Guangdong, ChinaPeking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, ChinaGuangdong Mental Health Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, ChinaLiuzhou Worker's Hospital, Liuzhou, Guangxi, ChinaPsychosocial Research Center, University of Melbourne, Melbourne, VIC, AustraliaNorth Western Mental Health, Melbourne, VIC, AustraliaPsychosocial Research Center, University of Melbourne, Melbourne, VIC, AustraliaNorth Western Mental Health, Melbourne, VIC, AustraliaGuangdong Mental Health Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, ChinaSchool of Medicine, South China University of Technology, Guangzhou, Guangdong, ChinaObjectiveThe consequences and impact of violent behavior in schizophrenia are often serious, and identification of risk factors is of great importance to achieve early identification and effective management.MethodsThis follow-up study sampled adult patients with schizophrenia in primary mental health care in a rural area of southern China, in which 491 participants completed a comprehensive questionnaire at baseline and the 2-year follow-up. Sociodemographic, clinical and psychological assessment data were collected from all participants. Paired sample T-Tests and the McNemar Test were performed to examine changes over the follow-up period. Generalized Estimating Equations (GEE) were used to analyze the risk factors for violent behavior.ResultsThe results showed that about two in five community-dwelling patients with schizophrenia reported violent behavior in the past year. At follow-up, participants were significantly less employed, had more times of hospitalization, more psychotropic medication, and severer depressive symptoms, but had better health-related quality of life than at baseline. Use of clozapine and better insight into medication decreased the possibility of violent behavior, while more severe positive symptoms, insomnia, as well as use of second-generation antipsychotics other than clozapine, antidepressants and mood stabilizers increased the possibility of violent behavior.ConclusionsRisk evaluation, prevention and management of violence in patients with schizophrenia are demanded in primary mental health care.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.947987/fullviolenceschizophreniarisk factorprimary careGeneralized Estimating Equations |
| spellingShingle | Zhuo-Hui Huang Fei Wang Zi-Lang Chen Yao-Nan Xiao Qian-Wen Wang Shi-Bin Wang Xiao-Yan He Christine Migliorini Christine Migliorini Carol Harvey Carol Harvey Cai-Lan Hou Cai-Lan Hou Risk factors for violent behaviors in patients with schizophrenia: 2-year follow-up study in primary mental health care in China Frontiers in Psychiatry violence schizophrenia risk factor primary care Generalized Estimating Equations |
| title | Risk factors for violent behaviors in patients with schizophrenia: 2-year follow-up study in primary mental health care in China |
| title_full | Risk factors for violent behaviors in patients with schizophrenia: 2-year follow-up study in primary mental health care in China |
| title_fullStr | Risk factors for violent behaviors in patients with schizophrenia: 2-year follow-up study in primary mental health care in China |
| title_full_unstemmed | Risk factors for violent behaviors in patients with schizophrenia: 2-year follow-up study in primary mental health care in China |
| title_short | Risk factors for violent behaviors in patients with schizophrenia: 2-year follow-up study in primary mental health care in China |
| title_sort | risk factors for violent behaviors in patients with schizophrenia 2 year follow up study in primary mental health care in china |
| topic | violence schizophrenia risk factor primary care Generalized Estimating Equations |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.947987/full |
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