Deconstructing violence in acutely exacerbating psychotic patients

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023752%3A_____%2F21%3A43920276" target="_blank" >RIV/00023752:_____/21:43920276 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00669806:_____/21:10413725 RIV/00023001:_____/21:00081987 RIV/00216208:11110/21:10413725 RIV/00216208:11140/21:10413725 RIV/00064165:_____/21:10413725

Výsledek na webu

<a href="https://www.cambridge.org/core/journals/cns-spectrums/article/deconstructing-violence-in-acutely-exacerbating-psychotic-patients/7FF4C31C66CE5C3C3BC0483ACF5E59FD" target="_blank" >https://www.cambridge.org/core/journals/cns-spectrums/article/deconstructing-violence-in-acutely-exacerbating-psychotic-patients/7FF4C31C66CE5C3C3BC0483ACF5E59FD</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1017/S1092852920001601" target="_blank" >10.1017/S1092852920001601</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Deconstructing violence in acutely exacerbating psychotic patients

Popis výsledku v původním jazyce

This study examined the proximate causes of patients´ aggression upon the admission to the psychiatric wards of a university and two state hospitals. Methods: The authors used a semi-structured interview to elicit proximate causes of assaults from the assailants and victims. The treating psychiatrists and nurses provided additional information. Based on this interview, aggressive episodes were categorized as psychotic, impulsive, psychopathic or combined. Results: A total of 820 assaults committed by 289 newly admitted violent inpatients were evaluated. The majority of patients were aggressive during the first day of their hospitalization. The interview ratings indicated that 54.14% of the assaults were directly driven by psychotic symptoms, 24.88% were evaluated as a combination of the psychotic and disordered impulse control symptoms and 20% of all attacks were labeled as impulsive. Only 0.98% of assaults were categorized as psychopathic. Further, symptoms of amnesia and remorse were revealed in all types of attacks, hence they should not be considered as specific markers of impulsive attacks in patients treated for acute exacerbation of psychosis. Conclusions: These findings indicated that the assaultive behavior among inpatients with psychosis is primarily driven by psychotic symptoms and disordered impulse control. Because each type of assault requires a different management, identifying the type of assault is crucial in determining treatment interventions. While antipsychotics are essential treatment for psychotic attacks, anxiolytics and psychotherapeutic treatment might be used for acute impulsive attacks.

Název v anglickém jazyce

Deconstructing violence in acutely exacerbating psychotic patients

Popis výsledku anglicky

This study examined the proximate causes of patients´ aggression upon the admission to the psychiatric wards of a university and two state hospitals. Methods: The authors used a semi-structured interview to elicit proximate causes of assaults from the assailants and victims. The treating psychiatrists and nurses provided additional information. Based on this interview, aggressive episodes were categorized as psychotic, impulsive, psychopathic or combined. Results: A total of 820 assaults committed by 289 newly admitted violent inpatients were evaluated. The majority of patients were aggressive during the first day of their hospitalization. The interview ratings indicated that 54.14% of the assaults were directly driven by psychotic symptoms, 24.88% were evaluated as a combination of the psychotic and disordered impulse control symptoms and 20% of all attacks were labeled as impulsive. Only 0.98% of assaults were categorized as psychopathic. Further, symptoms of amnesia and remorse were revealed in all types of attacks, hence they should not be considered as specific markers of impulsive attacks in patients treated for acute exacerbation of psychosis. Conclusions: These findings indicated that the assaultive behavior among inpatients with psychosis is primarily driven by psychotic symptoms and disordered impulse control. Because each type of assault requires a different management, identifying the type of assault is crucial in determining treatment interventions. While antipsychotics are essential treatment for psychotic attacks, anxiolytics and psychotherapeutic treatment might be used for acute impulsive attacks.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30215 - Psychiatry

Projekt

<a href="/cs/project/NV17-32445A" target="_blank" >NV17-32445A: Příčiny násilí u pacientů s psychotickou poruchou</a><br>

Návaznosti

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Rok uplatnění

2021

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

CNS Spectrums: first in applied neuroscience

ISSN

1092-8529

e-ISSN

—

Svazek periodika

26

Číslo periodika v rámci svazku

6

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

5

Strana od-do

643-647

Kód UT WoS článku

000731721200014

EID výsledku v databázi Scopus

2-s2.0-85089298001