刑事罪犯与非罪犯女性精神分裂症谱系障碍患者之间的差异:一项回顾性队列研究。

IF 3.2 3区 医学 Q2 PSYCHIATRY
Lynn Jacobshagen, Lena Machetanz, Johannes Kirchebner
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引用次数: 0

摘要

本研究旨在调查患有精神分裂症谱系障碍(SSD)的罪犯女性患者(OFS)与非罪犯女性患者(NOFS)之间的差异。研究采用二元统计法对 31 名 OFS 患者和 29 名与之匹配的患有 SSD 的 NOFS 患者的人口统计学、精神病理学、合并症和治疗差异进行了分析比较。对于小规模样本中的分类数据变量,采用费舍尔精确检验;对于非参数检验变量,采用 Mann-Whitney-U 检验,并用 Benjamini 和 Hochberg 方法进行调整。结果表明,NOFS 的认知能力受损程度更高,他们更有可能获得抗精神病药物处方(NOFS:100%,OFS:71%,OR 1.41,95% CI 1.13-1.77,p=0.022),而且他们的用药依从性更高(NOFS:84.6%,OFS:4.5%,OR 0.09,95% CI 0.00-0.08,p=0.000)。相比之下,OFS 完成义务教育的比例较低,他们更经常无家可归和被社会孤立(OFS:72.4%,NOFS:34.6%,OR 4.96,95% CI 1.58-15.6,P=0.026),自我紊乱(OFS:51.6%,NOFS:11.1%,OR 8.53,95% CI 2.12-34.32,p=0.011)、妄想(OFS:96.8%,NOFS:63%,OR 17.65,95% CI 2.08-149.99,p=0.014)和药物使用障碍(51.6%,OR 0.27,95% CI 0.09-0.85,p=0.039)。治疗患有 SSD 的女性罪犯患者的临床医生应更加重视药物使用障碍的治疗、药物治疗和早期疾病识别,以达到预防目的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Differences between criminal offender versus non-offender female patients with schizophrenia spectrum disorder: a retrospective cohort study.

The purpose of this study was to investigate the difference between offender female patients (OFS) and non-offender female patients (NOFS) with schizophrenia spectrum disorder (SSD).The patients in this study were admitted to the university psychiatry in Zurich Switzerland between 1982 and 2016. Demography, psychopathology, comorbidity, and treatment differences were analyzed using binary statistics to compare 31 OFS and 29 matching NOFS with SSD. The Fisher's exact test was used for categorical data variables in small size samples and the Mann-Whitney-U-Test for nonparametric test variables, adjusted with the Benjamini and Hochberg method.The results indicate that the NOFS were cognitively more impaired, they were more likely to have had antipsychotic drugs prescribed (NOFS; 100%, OFS: 71%, OR 1.41, 95% CI 1.13-1.77, p=0.022) and their medication compliance was higher (NOFS: 84.6%, OFS: 4.5%, OR 0.09, 95% CI 0.00-0.08, p=0.000). In contrast, the OFS had completed compulsory school less often and the were observed to be more often homeless and socially isolated (OFS: 72.4%, NOFS: 34.6%, OR 4.96, 95% CI 1.58-15.6, p=0.026), self-disorders (OFS: 51.6%, NOFS: 11.1%, OR 8.53, 95% CI 2.12-34.32, p=0.011), delusions (OFS: 96.8%, NOFS: 63%, OR 17.65, 95% CI 2.08-149.99, p=0.014) and substance use disorder (51.6%, OR 0.27, 95% CI 0.09-0.85, p=0.039). Clinicians treating female offender patients with SSD should focus more on the treatment for substance use disorder, medication and early recognition of the illness for preventative purposes.

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来源期刊
Archives of Women's Mental Health
Archives of Women's Mental Health 医学-精神病学
CiteScore
8.00
自引率
4.40%
发文量
83
审稿时长
6-12 weeks
期刊介绍: Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.
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