scholarly journals Young age and the risk of violent behaviour in people with severe mental disorders: prospective, multicentre study

BJPsych Open ◽  
2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Rocco Micciolo ◽  
Giorgio Bianconi ◽  
Luisa Canal ◽  
Massimo Clerici ◽  
Maria Teresa Ferla ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Rating Scale ◽  
Age Groups ◽  
Anger Expression ◽  
Young Age ◽  
Severe Mental Disorders ◽  
Violent Behaviour ◽  
Specific Level ◽  
Prospective Multicentre Study ◽  
Social Settings

Background During adolescence and young adulthood people appear to be more prone to violent behaviour. A greater tendency to violent behaviour appears to be associated with hyperactivity, impulsivity and low tolerance for frustration and provocation in social settings. Aims This prospective cohort study aimed to evaluate rates of violent behaviour among young people with mental disorders, compared with older age groups. Method A total of 340 individuals with severe mental disorders (125 living in residential facilities and 215 out-patients) were evaluated at baseline with the SCID-I and II, Brief Psychiatric Rating Scale, Specific Level of Functioning scale, Brown–Goodwin Lifetime History of Aggression scale, Buss–Durkee Hostility Inventory, Barratt Impulsiveness Scale and State–Trait Anger Expression Inventory-2. Aggressive behaviour was rated every 15 days with the Modified Overt Aggression Scale (MOAS). Results The sample comprised 28 individuals aged 18–29 years, 202 aged 30–49 and 110 aged 50 and over. Younger age was associated with a personality disorder diagnosis, substance use disorder, being single and employed. These results were confirmed even controlling for the gender effect. The patterns of the cumulative MOAS mean scores showed that younger (18–29 years old) individuals were significantly more aggressive than older (≥50) ones (P < 0.001). Conclusions This study highlights how young age in people with severe mental disorders is correlated with higher levels of impulsivity, anger and hostility, confirming previous analyses. Our results may assist clinicians in implementing early interventions to improve anger and impulsivity control to reduce the risk of future aggressive behaviours.

Substance use disorders and violent behaviour in patients with severe mental disorders: A prospective, multicentre study

2020 ◽  
Vol 54 (12) ◽  
pp. 1212-1223
Author(s):  
Cesare Cavalera ◽  
Clarissa Ferrari ◽  
Giorgio Bianconi ◽  
Viola Bulgari ◽  
Valentina Candini ◽  
...  
Keyword(s):  
Substance Use ◽  
Mental Disorders ◽  
Substance Use Disorders ◽  
Well Being ◽  
Community Safety ◽  
Aggressive Behaviors ◽  
Severe Mental Disorders ◽  
Violent Behaviour ◽  
Prospective Multicentre Study ◽  
Verbal Assault

Objective: The relationship between alcohol and substance use and the risk of violence exhibited by patients with mental disorders is under-researched. This prospective cohort study aims to compare patients with severe mental disorders and with different substance use behaviors in terms of sociodemographic and clinical characteristics, hostility, impulsivity and aggressive behaviors. Furthermore, this study aims to assess differences in violent behaviors during a 1-year monitoring follow-up. Methods: A total of 378 participants with severe mental disorders from Italian residential facilities and from four Departments of Mental Health (244 outpatients and 134 residential patients) were enrolled. Participants were categorized as Persons with Current Substance Use, Persons with Former Substance Use and Persons with Non-Substance Use. All these patients underwent a complex multidimensional assessment, including the lifetime and current substance use; a subsample of outpatients was also assessed with a laboratory substance assay including the testing for specific substances. We assessed the differences among these three groups in hostility, impulsivity and aggressive behaviors. Results: The results of the close 1-year monitoring show a significantly higher risk of violence for patients with severe mental disorders Persons with Current Substance Use compared to Persons with Former Substance Use and Persons with Non-Substance Use. Persons with Current Substance Use showed significantly higher scores for irritability, negativism and verbal assault compared to Persons with Non-Substance Use. Persons with Former Substance Use showed significantly higher scores for lifetime history of aggressive behaviors compared with patients with Persons with Non-Substance Use. Conclusion: These findings suggest that patients with comorbid mental illness and substance use disorders should be referred for specific interventions to reduce aggressive behavior and ensure patient well-being and community safety.

Patient-controlled hospital admission for patients with severe mental disorders: a nationwide prospective multicentre study

2018 ◽  
Vol 137 (4) ◽  
pp. 355-363 ◽  
Author(s):  
C. T. Thomsen ◽  
M. E. Benros ◽  
T. Maltesen ◽  
L. H. Hastrup ◽  
P. K. Andersen ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Multicentre Study ◽  
Hospital Admission ◽  
Severe Mental Disorders ◽  
Prospective Multicentre Study

The validity of observer-based scales in the measure of drug-induced motor symptoms in a spanish sample of patients with severe mental disorders

2016 ◽  
Vol 33 (S1) ◽  
pp. s242-s242
Author(s):  
J. Aznarte ◽  
Y. Crespo ◽  
S. Iglesias-Parro ◽  
M.F. Soriano-Peña ◽  
A. Ibáñez Molina
Keyword(s):  
Mental Disorders ◽  
Discriminant Validity ◽  
Rating Scales ◽  
Rating Scale ◽  
Involuntary Movement ◽  
Reliability And Validity ◽  
Motor Symptoms ◽  
Severe Mental Disorders ◽  
Drug Induced ◽  
Typical Antipsychotics

BackgroundAntipsychotic drugs are effective in schizophrenic disorders, but they are also used to treat other psychiatric conditions. Typical antipsychotics cause important extrapyramidal symptoms (EPS), which frequently result in non-compliance with antipsychotic medication. It has been stated that the second-generation antipsychotics (atypical) provoke EPS side effects less frequently than typical antipsychotics. However, there is some controversy around this statement, especially because of inefficient measures of EPS. Clinical assess of EPS normally relies upon observer-based ratings, but their reliability and validity has not been consistently established.ObjectiveIn the present work, we have explored the convergent and discriminant validity of the Abnormal Involuntary Movement Scale (AIMS) and the Simpson-Angus Scale (SEE), in a Spanish sample of patients with severe mental disorders. Patients could be under typical or atypical antipsychotics, antidepressants, benzodiacepines, or a combination of these.MethodSixty-one patients with severe mental disorders from the Mental Health Day Hospital of St. Agustín (Linares, Spain) participated in the study. Inclusion criteria were DSM-V diagnosis of schizophrenia or schizophrenic disorder, bipolar, or borderline personality disorders, and age between 18-61. In order to explore the discrimination capacity of each rating scale, Receiver Operator Characteristic (ROC) analyses were conducted.ResultsROC curves indicated a suitable construct validity of the scales in the measurement of drug-induced motor symptoms. However, the scales were not sensitive to the number of years under treatment.ConclusionsIn line with previous research, our results question the use of rating scales as the only measure in the evaluation of EPS symptoms.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Patient-controlled hospital admission for patients with severe mental disorders: study protocol for a nationwide prospective multicentre study

BMJ Open ◽  
2016 ◽  
Vol 6 (9) ◽  
pp. e013088 ◽  
Author(s):  
Christoffer Torgaard Thomsen ◽  
Michael Eriksen Benros ◽  
Lene Halling Hastrup ◽  
Per Kragh Andersen ◽  
Domenico Giacco ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Multicentre Study ◽  
Hospital Admission ◽  
Study Protocol ◽  
Severe Mental Disorders ◽  
Prospective Multicentre Study

scholarly journals Metacognitive Rating Scale: A Study Applying a Korean Translation to Individuals with Schizophrenia

2021 ◽  
Vol 18 (13) ◽  
pp. 6853
Author(s):  
Mihwa Han ◽  
Kyunghee Lee ◽  
Mijung Kim ◽  
Youngjin Heo ◽  
Hyunseok Choi
Keyword(s):  
Principal Component Analysis ◽  
Factor Analysis ◽  
Exploratory Factor Analysis ◽  
Mental Status ◽  
Rating Scale ◽  
Anger Expression ◽  
Principal Component ◽  
Negative Beliefs ◽  
Five Factors ◽  
Metacognitive Beliefs

Metacognition is a higher-level cognition of identifying one’s own mental status, beliefs, and intentions. This research comprised a survey of 184 people with schizophrenia to verify the reliability of the metacognitive rating scale (MCRS) with the revised and supplemented metacognitions questionnaire (MCQ) to measure the dysfunctional metacognitive beliefs of people with schizophrenia by adding the concepts of anger and anxiety. This study analyzed the data using principal component analysis and the varimax method for exploratory factor analysis. To examine the reliability of the extracted factors, Cronbach’s α was used. According to the results, reliability was ensured for five factors: positive beliefs about worry, negative beliefs about uncontrollability and danger of worry, cognitive confidence, need for control, and cognitive self-consciousness. The negative beliefs about uncontrollability and danger of worry and the need for control on anger expression, which were both added in this research, exhibited the highest correlation (r = 0.727). The results suggest that the MCRS is a reliable tool to measure the metacognition of people with schizophrenia.

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