정신분열병 환자의 살인행동과 관련된 임상양상

• 영문명: Clinical Characteristics of Schizophrenic Patients who Committed Homicide
• 발행기관: 대한신경정신의학회
• 저자명: 정석훈 이태경 정재열 장정기 장상현 이미경 강시현 정혜윤 유한익 김창윤 홍진표
• 간행물 정보: 『신경정신의학』제45권 제1호, 11~20쪽, 전체 10쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2006.01.30

영문 초록

Objectives：Recent studies have shown that schizophrenic patients are at increased risk to commit acts of aggression, and aggressive behaviors have severe critical results for the patients and victims. The purpose of the present study is to assess the homicidal behaviors of schizophrenic patients as a extreme case of aggressiveness. Methods：93 homicidal schizophrenic patients and 93 non-homicidal schizophrenic patients participated in this study. Diagnostic evaluation was made with SCID (Structured Clinical Interview for DSM-IV), and personality trait was evaluated with SIDP (Structured Interview for DSM-IV Personality Disorders). Symptom evaluation was done with PANSS (Positive And Negative Syndrome Scale), and violent behaviors were assessed with LHA (Life History of Aggression) and OAS (Overt Aggression Scale). Results：There were no significant differences in demographic variables, schizotypal personality trait and antisocial personality trait between two groups. Mean age at homicidal commitment was 34±8.9 years and 9.8±7.5 years after the onset of illness. The major criminal victims were the parents of the patients(N=49, 53.7%). The aggressiveness was higher in homicidal schizophrenic patients in LHA and OAS scales. There were statistical significances in separate items of the PANSS scale such as excitement (P4), poor rapport (N3), lack of judgement and insight (G12), disturbance of volition (G13), poor impulse control (G14) and active social avoidnance (G16), but not in the positive, negative, general subscales and the total scores of the PANSS scale. Conclusion：Excitement and poor impulse control persisted in homicidal schizophrenics, although overt psychotic symptoms decline after proper treatment. Homicidal behavior can be preventive if proper treatment for excitement and poor impulse control are given.

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REFERENCES

키워드

Homicide Schizophrenia Aggression