RISK FACTORS FOR THE MANIFESTATION OF AGGRESSION IN PATIENTS WITH SCHIZOPHRENIA AND SCHIZOPHRENIC SPECTRUM DISORDERS

2021 ◽  
pp. 109-114
Author(s):  
N.V. Нтага ◽  
◽  
О.A. Skiigarevsky ◽  
Keyword(s):  
Risk Factors ◽  
Alcohol Consumption ◽  
Physical Aggression ◽  
Psychotic Disorders ◽  
Problematic Alcohol ◽  
Working Age ◽  
Icd 10 ◽  
Spectrum Disorders ◽  
Problematic Alcohol Use ◽  
Screening Scale

Introduction: The article deals with the influence of alcohol and a hostile attributive style on schizophrenic spectrum disorders as provocateurs of aggression. Objectives: To determine the level of influence of ВАС and alcohol on the likelihood of aggression in patients with schizophrenia and schizophrenic spectrum disorders with concomitant problematic alcohol use. Materials and methods: the ASSIST screening scale — to assess the level of «risk» of alcohol consumption, the A05 scale determines the severity of aggression, the AIHQ scale — the severity of the hostile attributive style. Results and discussion: The recruitment of patients for the study was carried out on the basis of the institution «Gomel Regional Clinical Psychiatric Hospital» from 2014 to 2020. A total of 86 people were examined, all of working age. The period of observation of the disease is up to 5 years. In the structure of diagnoses verified by ICD-10, the following distribution was observed: schizophrenia (F 20) and acute polymorphic psychotic disorders of the schizophrenic spectrum (F 23). It was found that an increase in alcohol consumption after the onset of the disease is accompanied by an increase in aggressive acts; the A05 9 and higher group showed higher indices for all components of the AIHQ scale. Conclusions: Increased alcohol consumption after the onset of schizophrenia leads to conjugate relationships with aggressive behavior. The total value of intentional indices (AIHQ scale: hostility index, accusation index, anger index) 44.6 and higher entails an increase in the risk of aggression («overall score» AOS scale) by 3.53 times and physical aggression against other people (AOS scale) 3.45 times.

scholarly journals The Modifying Effect of Alcohol on Formation of a Hostile Position in Patients with Schizophrenia Spectrum Disorders

2018 ◽  
pp. 48-52
Author(s):  
N. V. Hmara
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
Risk Level ◽  
Schizophrenia Spectrum Disorders ◽  
Cross Sectional ◽  
Problematic Alcohol ◽  
Schizophrenia Spectrum ◽  
Modifying Effect ◽  
Spectrum Disorders ◽  
Problematic Alcohol Use

Objective: to study the effect of alcohol on formation of a hostile position in patients suffering from schizophrenia. Material and methods. A comparative, cross-sectional, one-stage study of persons suffering from schizophrenia up to 5 years over 2015-2017 has been performed. The following evaluation methods were used: hostile attributive style - the AIHQ scale (D. R. Combs et аl., 2007), screening for alcohol use - the ASSIST scale (R. Humeniuk et al., 2008), severity of psychopathological symptoms - the PANSS scale (S. Kay, L. Opler, 1986). Results. The group with a low «risk level» of problematic alcohol use revealed the lowest indices by the PANSS «Paranoid Militancy» and «PANSS-Hostility» subscales. The comparison of psychometric parameters by the AIHQ Scale among persons suffering from schizophrenia has revealed that an increase in the amount and frequency of alcohol consumption leads to an increase of indices of anger and accusations in deliberate situations. Conclusion. The obtained data make it possible to assume presence of the modifying effect of quantitative parameters of alcohol use on formation of a hostile position in persons suffering from schizophrenia.

Cessation and reduction in alcohol consumption and misuse after psychedelic use

2019 ◽  
Vol 33 (9) ◽  
pp. 1088-1101 ◽  
Author(s):  
Albert Garcia-Romeu ◽  
Alan K Davis ◽  
Fire Erowid ◽  
Earth Erowid ◽  
Roland R Griffiths ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
Clinical Studies ◽  
Online Survey ◽  
Meta Analysis ◽  
High Dose ◽  
Clinical Settings ◽  
Problematic Alcohol ◽  
The Usa ◽  
Problematic Alcohol Use

Background:Meta-analysis of randomized studies using lysergic acid diethylamide (LSD) for alcohol use disorder (AUD) showed large, significant effects for LSD efficacy compared to control conditions. Clinical studies suggest potential anti-addiction effects of LSD and mechanistically-related classic psychedelics for alcohol and other substance use disorders.Aims:To supplement clinical studies, reports of psychedelic use in naturalistic settings can provide further data regarding potential effects of psychedelics on alcohol use.Methods:An anonymous online survey of individuals with prior AUD reporting cessation or reduction in alcohol use following psychedelic use in non-clinical settings.Results:343 respondents, mostly White (89%), males (78%), in the USA (60%) completed the survey. Participants reported seven years of problematic alcohol use on average before the psychedelic experience to which they attributed reduced alcohol consumption, with 72% meeting retrospective criteria for severe AUD. Most reported taking a moderate or high dose of LSD (38%) or psilocybin (36%), followed by significant reduction in alcohol consumption. After the psychedelic experience 83% no longer met AUD criteria. Participants rated their psychedelic experience as highly meaningful and insightful, with 28% endorsing psychedelic-associated changes in life priorities or values as facilitating reduced alcohol misuse. Greater psychedelic dose, insight, mystical-type effects, and personal meaning of experiences were associated with a greater reduction in alcohol consumption, controlling for prior alcohol consumption and related distress.Conclusions:Although results cannot demonstrate causality, they suggest that naturalistic psychedelic use may lead to cessation or reduction in problematic alcohol use, supporting further investigation of psychedelic-assisted treatment for AUD.

scholarly journals Problematic alcohol use and sexting as risk factors for sexual assault among college women

2018 ◽  
Vol 66 (7) ◽  
pp. 553-560 ◽  
Author(s):  
Allyson L. Dir ◽  
Elizabeth N. Riley ◽  
Melissa A. Cyders ◽  
Gregory T. Smith
Keyword(s):  
Risk Factors ◽  
Sexual Assault ◽  
Alcohol Use ◽  
College Women ◽  
Problematic Alcohol ◽  
Problematic Alcohol Use

Affective Risk for Problem Drinking: Reciprocal Influences Among Negative Urgency, Affective Lability, and Rumination

2020 ◽  
Vol 12 (1) ◽  
pp. 42-51
Author(s):  
Emily A. Atkinson ◽  
Anna M.L. Ortiz ◽  
Gregory T. Smith
Keyword(s):  
Risk Factors ◽  
Alcohol Use ◽  
Problem Drinking ◽  
Risk Process ◽  
Future Research ◽  
Problematic Alcohol ◽  
Recent Advances ◽  
Affective Lability ◽  
Problematic Alcohol Use ◽  
Risk Processes

Background: Affective disturbances have long been implicated in the onset and maintenance of problematic alcohol use. Affective risk theory for problem drinking has moved beyond early documentation that negative affect broadly confers risk to models specifying specific affectbased risk processes. Objective: This paper provides a theory-driven review of recent literature on the role of affect-based factors in the etiology of problematic alcohol use. First, we review recent advances in the understanding of affect-based risk for problem drinking. Second, we highlight the importance of three specific affect-based risk factors: urgency, affective lability, and rumination. Third, we offer hypotheses regarding the reciprocal relationships between specific risk factors and drinking problems. Finally, we suggest possible avenues for future research. Conclusion: Recent advances in the understanding of reciprocal prediction between affect-based risk factors and problem drinking have set the stage for important new avenues of investigation into the risk process. Affect-based risk processes appear to influence each otherover time, and they influence and are influenced by problem drinking. Further understanding of these processes will pave the way for a new generation of intervention strategies.

scholarly journals Cloninger's temperament dimensions and longitudinal alcohol use in early mid-life: A Northern Finland birth cohort 1966 study

2016 ◽  
Vol 33 (S1) ◽  
pp. S118-S118
Author(s):  
D. Vladimirov ◽  
S. Niemelä ◽  
J. Auvinen ◽  
M. Timonen ◽  
S. Keinänen-Kiukaanniemi ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
Birth Cohort ◽  
Heavy Drinking ◽  
Novelty Seeking ◽  
Multinomial Regression ◽  
Time Points ◽  
Problematic Alcohol ◽  
Competing Interest ◽  
Problematic Alcohol Use

BackgroundLongitudinal studies on how temperament is related to alcohol use in general population are scarce.ObjectivesFinding relations with temperament and problematic alcohol use using prospective birth cohort data.AimsTo investigate trends in self-reported alcohol consumption in adulthood.MethodsIn the Northern Finland Birth Cohort 1966 (n = 5247), alcohol use was studied with questionnaires at ages 31 and 46. Participants were classified into abstainers, bingers, heavy drinkers, steady drinkers, increasers or reducers based on the change in consumption (g/day). Cloninger's TCI-scores were calculated for each group. Multinomial regression analysis was conducted with TCI-scores as factors influencing the change in alcohol consumption.ResultsHigh novelty seeking was associated with increased consumption, binging and heavy drinking among both sexes at both time points (P < 0.01). Lower persistence was associated with increased consumption at both time points among men and among women at age 46. Baseline novelty seeking predicted both increasing (OR 1.1; 95% CI: 1.0–1.1) and reducing (1.1; 1.0–1.1) for men and for women also increasing (1.1; 1.0–1.1) and reducing (1.1; 1.0–1.1), but when adjusted with baseline alcohol use novelty seeking only predicted increasing for men (1.0; 1.0–1.1).ConclusionsHigh novelty seeking and low persistence are associated with problematic alcohol use among middle-aged Northern Finns. Gender differences in predictors existed: novelty seeking predicted increase only for men in the adjusted model. Temperament scores do not seem to affect strongly changes in alcohol use.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Longitudinal Examination of PTSD Symptoms and Problematic Alcohol Use as Risk Factors for Adolescent Victimization

2012 ◽  
Vol 41 (6) ◽  
pp. 822-836 ◽  
Author(s):  
Michael R. McCart ◽  
Kristyn Zajac ◽  
Michael J. Kofler ◽  
Daniel W. Smith ◽  
Benjamin E. Saunders ◽  
...  
Keyword(s):  
Risk Factors ◽  
Alcohol Use ◽  
Ptsd Symptoms ◽  
Problematic Alcohol ◽  
Problematic Alcohol Use ◽  
Longitudinal Examination

scholarly journals Cross-Sectional Descriptive Pilot Study on the Risk of Psychotic Disorders among Adolescents

Children ◽  
2021 ◽  
Vol 8 (10) ◽  
pp. 916
Author(s):  
Carmen Cendrero-Luengo ◽  
María Jiménez-Palomares ◽  
Juan Rodríguez-Mansilla ◽  
Elisa María Garrido-Ardila
Keyword(s):  
Risk Factors ◽  
Alcohol Consumption ◽  
Psychotic Disorder ◽  
Protective Factor ◽  
Psychotic Disorders ◽  
Traumatic Event ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Protective Role ◽  
Cross Sectional

Background: Adolescence is a key stage for the development of different mental disorders, particularly psychotic disorders. This stage of life is accompanied by new habits or behaviours that can make a person more vulnerable to developing a psychotic disorder or, on the contrary, play a protective role. Objective: To study the vulnerability to developing a psychotic disorder in adolescents and to analyse the main risk factors. Materials and methods: This is an observational, descriptive and cross-sectional study. The data collection was conducted using the Prodromal Questionnaire Brief Version (PQ-B) test and a self-developed questionnaire based on the vulnerability–stress model. Results: Of the total sample (n = 44), 65.9% were male and 100% lived in a rural environment. In general, among risk factors (stress, alcohol and cannabis consumption, history, bullying, traumatic event and sedentary lifestyle), alcohol consumption and the presence of stress were found to have high values. Furthermore, a risk of psychosis was found in 38.6% of the studied population. Of this percentage of adolescents at risk, 64.7% consumed alcohol (p = 0.99) and 82.4% suffered from stress (p = 0.7161). The protective factor (physical activity) was found in more than half (59% p = 0.16). Conclusions: There is a high risk of psychosis among the young adolescents assessed in this study, where the explanatory factors identified with higher values were alcohol consumption and the presence of stress.

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