精神分裂症是替罪羊吗?童年创伤和心理理论在犯罪中的作用。

IF 1.3 4区 医学 Q3 CRIMINOLOGY & PENOLOGY
Cetin Sahabettin, Kapubagli-Cetin Nazlı, Sözeri-Varma Gülfizar, Toker-Ugurlu Tugce
{"title":"精神分裂症是替罪羊吗?童年创伤和心理理论在犯罪中的作用。","authors":"Cetin Sahabettin,&nbsp;Kapubagli-Cetin Nazlı,&nbsp;Sözeri-Varma Gülfizar,&nbsp;Toker-Ugurlu Tugce","doi":"10.1002/cbm.70002","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Childhood traumas and low theory of mind abilities have been shown to be associated with violence, crime and schizophrenia. Understanding the factors that predispose to violent behaviour by patients with schizophrenia is important for treatment and safety.</p>\n </section>\n \n <section>\n \n <h3> Aims</h3>\n \n <p>To investigate relationships between childhood trauma, theory of mind and violent behaviour in patients with schizophrenia and in a healthy comparison sample. Our hypothesis was that patients with schizophrenia who had been violent would be more likely to have a history of childhood trauma and show impairments in theory of mind impairments than either non-violent patients with schizophrenia or healthy non-violent people.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>In a cross-sectional design, we recruited 30 patients with schizophrenia who had a history of violent crime, 50 patients with schizophrenia but no history of violence and 50 healthy people without history of violence. Each participant completed the positive and negative syndrome scale, childhood trauma questionnaire, the reading the mind in the eyes test and the hinting task.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Patients were significantly more likely to be male, without employment and on low income than healthy controls with a suggestion of the violent patient group being worst off. Childhood trauma history and theory of mind tests distinguished the schizophrenia groups from healthy controls but not from each other. Logistic regression analysis, comparing the schizophrenia groups only, confirmed that male sex and number of prior hospitalisations were the only two characteristics that independently distinguished the violent from the non-violent groups with schizophrenia.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Childhood trauma histories and theory of mind test results differed only between people with schizophrenia and healthy prosocial adults of similar age, but did not distinguish between the violent and non-violent people with schizophrenia. Whereas a pathway to violence in the context of schizophrenia from early trauma through impaired reading of others' emotions seems plausible, it still lacks evidence. Our findings suggest good reason to assess and treat impairments of emotional perception and processing in people with schizophrenia, but that the need is unlikely to be specific to those who become violent. This needs further research with larger samples.</p>\n </section>\n </div>","PeriodicalId":47362,"journal":{"name":"Criminal Behaviour and Mental Health","volume":"35 4","pages":"187-196"},"PeriodicalIF":1.3000,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cbm.70002","citationCount":"0","resultStr":"{\"title\":\"Is Schizophrenia a Scapegoat? the Role of Childhood Traumas and Theory of Mind on Crime\",\"authors\":\"Cetin Sahabettin,&nbsp;Kapubagli-Cetin Nazlı,&nbsp;Sözeri-Varma Gülfizar,&nbsp;Toker-Ugurlu Tugce\",\"doi\":\"10.1002/cbm.70002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Childhood traumas and low theory of mind abilities have been shown to be associated with violence, crime and schizophrenia. Understanding the factors that predispose to violent behaviour by patients with schizophrenia is important for treatment and safety.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Aims</h3>\\n \\n <p>To investigate relationships between childhood trauma, theory of mind and violent behaviour in patients with schizophrenia and in a healthy comparison sample. Our hypothesis was that patients with schizophrenia who had been violent would be more likely to have a history of childhood trauma and show impairments in theory of mind impairments than either non-violent patients with schizophrenia or healthy non-violent people.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>In a cross-sectional design, we recruited 30 patients with schizophrenia who had a history of violent crime, 50 patients with schizophrenia but no history of violence and 50 healthy people without history of violence. Each participant completed the positive and negative syndrome scale, childhood trauma questionnaire, the reading the mind in the eyes test and the hinting task.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Patients were significantly more likely to be male, without employment and on low income than healthy controls with a suggestion of the violent patient group being worst off. Childhood trauma history and theory of mind tests distinguished the schizophrenia groups from healthy controls but not from each other. Logistic regression analysis, comparing the schizophrenia groups only, confirmed that male sex and number of prior hospitalisations were the only two characteristics that independently distinguished the violent from the non-violent groups with schizophrenia.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Childhood trauma histories and theory of mind test results differed only between people with schizophrenia and healthy prosocial adults of similar age, but did not distinguish between the violent and non-violent people with schizophrenia. Whereas a pathway to violence in the context of schizophrenia from early trauma through impaired reading of others' emotions seems plausible, it still lacks evidence. Our findings suggest good reason to assess and treat impairments of emotional perception and processing in people with schizophrenia, but that the need is unlikely to be specific to those who become violent. This needs further research with larger samples.</p>\\n </section>\\n </div>\",\"PeriodicalId\":47362,\"journal\":{\"name\":\"Criminal Behaviour and Mental Health\",\"volume\":\"35 4\",\"pages\":\"187-196\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2025-07-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cbm.70002\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Criminal Behaviour and Mental Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/cbm.70002\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"CRIMINOLOGY & PENOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Criminal Behaviour and Mental Health","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/cbm.70002","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CRIMINOLOGY & PENOLOGY","Score":null,"Total":0}
引用次数: 0

摘要

背景:童年创伤和低心理理论能力已被证明与暴力、犯罪和精神分裂症有关。了解精神分裂症患者易产生暴力行为的因素对治疗和安全很重要。目的:探讨精神分裂症患者的童年创伤、心理理论和暴力行为之间的关系,并与健康对照样本进行比较。我们的假设是暴力的精神分裂症患者比非暴力的精神分裂症患者或健康的非暴力的人更有可能有童年创伤史,并在心理损伤理论中表现出损伤。方法:采用横断面设计,选取30例有暴力犯罪史的精神分裂症患者、50例无暴力史的精神分裂症患者和50例无暴力史的健康人群。每位被试完成了正、负症候群量表、童年创伤问卷、眼读心术测试和暗示任务。结果:与健康对照组相比,无工作、低收入的男性患者明显增加,暴力患者群体的情况最差。童年创伤史和心理理论测试将精神分裂症组与健康对照组区分开来,但不能区分彼此。仅比较精神分裂症组的逻辑回归分析证实,男性性别和先前住院次数是唯一两个独立区分暴力与非暴力精神分裂症组的特征。结论:童年创伤史和心理理论测试结果仅在精神分裂症患者和年龄相近的健康亲社会成年人之间存在差异,而在暴力和非暴力精神分裂症患者之间不存在差异。尽管在精神分裂症的背景下,早期创伤导致暴力的途径是通过对他人情绪的解读受损,这似乎是合理的,但它仍然缺乏证据。我们的发现为评估和治疗精神分裂症患者的情感感知和处理障碍提供了很好的理由,但这种需求不太可能只针对那些有暴力倾向的人。这需要更大样本的进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Is Schizophrenia a Scapegoat? the Role of Childhood Traumas and Theory of Mind on Crime

Background

Childhood traumas and low theory of mind abilities have been shown to be associated with violence, crime and schizophrenia. Understanding the factors that predispose to violent behaviour by patients with schizophrenia is important for treatment and safety.

Aims

To investigate relationships between childhood trauma, theory of mind and violent behaviour in patients with schizophrenia and in a healthy comparison sample. Our hypothesis was that patients with schizophrenia who had been violent would be more likely to have a history of childhood trauma and show impairments in theory of mind impairments than either non-violent patients with schizophrenia or healthy non-violent people.

Methods

In a cross-sectional design, we recruited 30 patients with schizophrenia who had a history of violent crime, 50 patients with schizophrenia but no history of violence and 50 healthy people without history of violence. Each participant completed the positive and negative syndrome scale, childhood trauma questionnaire, the reading the mind in the eyes test and the hinting task.

Results

Patients were significantly more likely to be male, without employment and on low income than healthy controls with a suggestion of the violent patient group being worst off. Childhood trauma history and theory of mind tests distinguished the schizophrenia groups from healthy controls but not from each other. Logistic regression analysis, comparing the schizophrenia groups only, confirmed that male sex and number of prior hospitalisations were the only two characteristics that independently distinguished the violent from the non-violent groups with schizophrenia.

Conclusions

Childhood trauma histories and theory of mind test results differed only between people with schizophrenia and healthy prosocial adults of similar age, but did not distinguish between the violent and non-violent people with schizophrenia. Whereas a pathway to violence in the context of schizophrenia from early trauma through impaired reading of others' emotions seems plausible, it still lacks evidence. Our findings suggest good reason to assess and treat impairments of emotional perception and processing in people with schizophrenia, but that the need is unlikely to be specific to those who become violent. This needs further research with larger samples.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
1.60
自引率
0.00%
发文量
40
期刊介绍: Criminal Behaviour & Mental Health – CBMH – aims to publish original material on any aspect of the relationship between mental state and criminal behaviour. Thus, we are interested in mental mechanisms associated with offending, regardless of whether the individual concerned has a mental disorder or not. We are interested in factors that influence such relationships, and particularly welcome studies about pathways into and out of crime. These will include studies of normal and abnormal development, of mental disorder and how that may lead to offending for a subgroup of sufferers, together with information about factors which mediate such a relationship.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信