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首页> 外文期刊>BMJ Open >Psychiatric disorders among men voluntarily in treatment for violent behaviour: a cross-sectional study
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Psychiatric disorders among men voluntarily in treatment for violent behaviour: a cross-sectional study

机译:自愿治疗暴力行为的男性精神疾病:横断面研究

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摘要

Objectives Although violent behaviour and psychopathology often co-occur, there has been little research on psychiatric disorders among men in treatment for intimate partner violence (IPV). This study aimed to examine the prevalence of a broad spectrum of psychiatric disorders among men voluntarily attending treatment for IPV. Setting 5 clinics for IPV treatment, located in the east, south and west of Norway, participated in the study. In a cross-sectional design, men attending therapy for violence against a partner went through a face-to-face structured diagnostic interview, the Mini International Neuropsychiatric Interview. Participants 222 men contacted the clinic during the inclusion period; 12 men did not attend and 13 men were referred to outpatient clinics. Of the 197 men who were offered therapy, 13 did not provide consent to participate in the study, 2 were excluded and 3 men missed the interview. Results A total of 179 men participated in the study. The majority were ethnic Norwegians (88%). A total of 70.9% of the men fulfilled the diagnostic criteria for at least one ongoing psychiatric disorder. Three categories of disorders stood out with approximately equal prevalences: depressive disorders (40.6%), anxiety disorders (38.5%) including post-traumatic stress disorder (18.4%) and alcohol/substance abuse (40.2%). Antisocial personality disorder was present in approximately 2/10 participants. Comorbidity was high, with nearly half of the men (48.0%) assigned two or more diagnoses. Conclusions Men voluntarily admitted to treatment for IPV harbour a wide spectrum of psychiatric disorders. Our findings suggest a need for screening procedures for psychiatric disorders as well as adoption of treatment interventions according to different types of psychopathologies and therapeutic needs. Limitations include caution in terms of generalisation to other populations not voluntarily admitted to treatment for IPV, and risk of ignoring symptoms not covered by a clinical structured interview.
机译:目的尽管暴力行为和精神病理学经常同时发生,但在男性中治疗亲密伴侣暴力(IPV)的精神疾病方面的研究很少。这项研究旨在研究自愿参加IPV治疗的男性中广泛的精神疾病的患病率。设在挪威东部,南部和西部的5个IPV治疗诊所参加了这项研究。在横断面设计中,参加针对伴侣的暴力治疗的男性接受了面对面的结构化诊断访谈,即迷你国际神经精神病学访谈。纳入期间有222名男性与诊所联系; 12名男子没有参加,13名男子被转诊到门诊。在接受治疗的197位男性中,有13位未表示同意参加研究,其中2位被排除在外,而3位男性未参加访谈。结果共有179名男性参加了研究。大多数是挪威族裔(88%)。共有70.9%的男性符合至少一种进行中的精神疾病的诊断标准。三类疾病的患病率大致相同,分别为:抑郁症(40.6%),焦虑症(38.5%),包括创伤后应激障碍(18.4%)和酒精/药物滥用(40.2%)。大约2/10的参与者中存在反社会人格障碍。合并症很高,将近一半的男性(48.0%)接受了两次或更多次诊断。结论自愿接受IPV治疗的男性患有多种精神病。我们的发现表明,需要针对精神疾病筛查程序以及根据不同类型的精神病理学和治疗需求采用治疗干预措施。局限性包括在泛化到未自愿接受IPV治疗的其他人群方面的谨慎,以及忽略临床结构化访谈未涵盖的症状的风险。

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