Comparative study of victimized Egyptian patients with schizophrenia, bipolar disorder, and major depression

Ahmed A. El Missiry, E. Shorub, D. El Serafi, Heba Fakher, R. Ali, A. Abdelgawad
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Abstract

Background Patients with severe mental disorders living in the community are liable to victimization and are considered a high-risk group. However, there is a lack of identification of victimization rate and factors associated with its occurrence among mentally ill patients. Objectives To explore the sociodemographic variables and clinical characteristics related to victimization of patients with schizophrenia, bipolar disorder, and depression. Patients and methods This was a cross-sectional comparative study that included 300 patients (100 patients for each disorder) who were recruited from the inpatient wards and outpatient clinics of the Institute of Psychiatry, Ain Shams University. They were subjected to the following: a designed questionnaire to obtain demographic data, Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, 4th ed., Axis I diagnosis (SCID I-CV), Global Assessment of Functioning (GAF), Clinical Global Impression (CGI), and the Victimization Questionnaire (VQ). Results Overall, 43.3% of our sample reported being victimized in the past 12 months, with high victimization rate among depressed patients. It was found that all victimized patients were subjected to emotional victimization; however, patients with schizophrenia were exposed to higher rates of physical victimization (93.3%) and miscellaneous victimization (73.3%) in comparison with other groups. It was also found that 33% of patients with bipolar disorder and schizophrenia had been victimized by their parents, whereas 77% of depressed patients had been victimized by their spouses. Depressed women were the most likely to be victimized followed by male patients with bipolar disorder and patients with schizophrenia. Pattern of victimization was different among the study groups. Depressed patients were mainly perpetrated by their spouses, whereas patients with schizophrenia and bipolar disorder were mainly victimized by their parents. None of the patients reported the victimization events to police, friends, family members, or their physicians. Conclusion Our findings suggest that victimization is common among patients with severe mental illness, with high rates in depressed patients through their spouses. The clinicians should inquire about victimization during their routine assessment and should follow strategy to minimize revictimization of their patients.
埃及精神分裂症、双相情感障碍和重度抑郁症受害患者的比较研究
背景:生活在社区的严重精神障碍患者容易受害,被认为是高危人群。然而,对精神疾病患者的受害率及其发生的相关因素缺乏明确的认识。目的探讨与精神分裂症、双相情感障碍和抑郁症患者受害相关的社会人口学变量和临床特征。患者和方法这是一项横断面比较研究,包括从艾因沙姆斯大学精神病学研究所的住院病房和门诊诊所招募的300名患者(每种疾病100名患者)。他们接受了以下问卷调查:获得人口统计数据的设计问卷、《精神障碍诊断与统计手册》第4版结构化临床访谈、I轴诊断(SCID I- cv)、整体功能评估(GAF)、临床整体印象(CGI)和受害问卷(VQ)。结果总体而言,43.3%的样本报告在过去12个月内遭受过伤害,其中抑郁症患者的受害率很高。结果发现,所有受害患者都遭受了情感受害;然而,与其他组相比,精神分裂症患者暴露于更高的身体伤害率(93.3%)和杂项伤害(73.3%)。研究还发现,33%的双相情感障碍和精神分裂症患者受到父母的伤害,而77%的抑郁症患者受到配偶的伤害。女性抑郁症患者最容易成为受害者,其次是男性双相情感障碍患者和精神分裂症患者。受害模式在各研究组之间是不同的。抑郁症患者的施暴者主要是配偶,而精神分裂症和双相情感障碍患者的施暴者主要是父母。没有患者向警察、朋友、家人或医生报告受害事件。结论我们的研究结果表明,在严重精神疾病患者中受害是普遍的,抑郁症患者通过配偶受害的比例很高。临床医生应在日常评估中询问受害情况,并应遵循减少患者再次受害的策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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