심한 공격행동을 보인 정신분열병 환자의 신경심리 기능 특성

• 영문명: Neuropsychological Characteristics of Schizophrenic Patients who Committed Homicide
• 발행기관: 대한신경정신의학회
• 저자명: 정혜윤 정석훈 정재열 장정기 이태경 김무진 박성진 이준득 유한익 김창윤 홍진표
• 간행물 정보: 『신경정신의학』제45권 제2호, 109~116쪽, 전체 8쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2006.03.30

영문 초록

Objectives：There is a moderate but significant association between schizophrenia and violence. The purpose of this study is to investigate the relationship between violence and brain cognitive functions in schizophrenic patients who have committed homicide using neuropsychological tests. Methods：The study involved three group of subjects：schizophrenics who have committed homicide (n=51), schizophrenics who have not committed homicide (n=50) and normal control (n=50). Intelligence test (K-WAIS), memory test (Rey-Kim Memory Test) and executive function test (Stroop test, WCST) as well as Positive and Negative Syndrome Scale (PANSS) and Structured Interview for DSM-IV Personality (SIDP) were administered by trained researchers. Results：There were no significant differences in demographic variables among groups. Schizophrenic patients showed overall cognitive deficit in intelligence, memory and executive functions, regardless of homicide behavior. Homicidal schizophrenic group was not significantly different from non-homicidal schizophrenic group in every cognitive domain. There was no significant correlation between index scores of cognitive functions and Life History of Aggression assessment (LHA). However, index scores of cognitive functions were negatively correlated with the PANSS and schizotypal trait scores. Conclusion：Cognitive dysfunction is common across both schizophrenic groups. It doesn’t significantly correlate with homicidal experience, but it correlates with the schizophrenic symptom domains

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키워드

Homicide Schizophrenia Cognitive function