The relationship of perceived family criticism and other risk factors to violence among patients with schizophrenia

Sehlo, Mohammad Gamal; Youssef, Usama Mahmoud; Hussein, Ramadan; Elgohary, Hayam M.

doi:10.1097/01.xme.0000461768.22702.35

Cited by 4 publications

(6 citation statements)

References 61 publications

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“…Violence in a previous admission proved predictive for aggression in a subsequent admission (OR = 1.34; 95% CI = 1.12-1.93) [115,117]. Within the same admission, a less serious incident increased the risk 5 times for a more serious incident later on [66].…”

Section: Patient Factors Associated To Aggressionmentioning

confidence: 96%

“…Gender. Thirty-seven studies reported on gender as a potential factor related to aggression development [52-54, 59, 61, 62, 65-67, 69, 70, 72-74, 77, 78, 81, 83, 88, 90-92, 94, 99- , on the other hand in three studies females showed more aggression [83,88,110], whereas in the remaining 12 studies males showed more aggression [52,54,65,66,69,72,73,100,111,115,116,117] (see Table 3). Age.…”

Section: Patient Factors Associated To Aggressionmentioning

confidence: 99%

“…Patients declared that external stressors, such as financial worries, only increased stress and agitation inducing the development of aggression [125]. When patients were non-compliant to treatment the risk for aggression increased (OR = 1.14; 95% CI = 1.00-1.35) [115]. A first admission showed a decreased risk for aggression compared to concurrent admissions (OR = 0.52; 95% CI = 0.29-0.93) [54].…”

Section: Plos Onementioning

confidence: 99%

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Aggression on the psychiatric ward: Prevalence and risk factors. A systematic review of the literature

et al. 2021

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Introduction On psychiatric wards, aggressive behaviour displayed by patients is common and problematic. Understanding factors associated with the development of aggression offers possibilities for prevention and targeted interventions. This review discusses factors that contribute to the development of aggression on psychiatric wards. Method In Pubmed and Embase, a search was performed aimed at: prevalence data, ward characteristics, patient and staff factors that are associated with aggressive behaviour and from this search 146 studies were included. Results The prevalence of aggressive behaviour on psychiatric wards varied (8–76%). Explanatory factors of aggressive behaviour were subdivided into patient, staff and ward factors. Patient risk factors were diagnosis of psychotic disorder or bipolar disorder, substance abuse, a history of aggression, younger age. Staff risk factors included male gender, unqualified or temporary staff, job strain, dissatisfaction with the job or management, burn-out and quality of the interaction between patients and staff. Staff protective factors were a good functioning team, good leadership and being involved in treatment decisions. Significant ward risk factors were a higher bed occupancy, busy places on the ward, walking rounds, an unsafe environment, a restrictive environment, lack of structure in the day, smoking and lack of privacy. Conclusion Despite a lack of prospective quantitative data, results did show that aggression arises from a combination of patient factors, staff factors and ward factors. Patient factors were studied most often, however, besides treatment, offering the least possibilities in prevention of aggression development. Future studies should focus more on the earlier stages of aggression such as agitation and on factors that are better suited for preventing aggression such as ward and staff factors. Management and clinicians could adapt staffing and ward in line with these results.

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Section: Patient Factors Associated To Aggressionmentioning

confidence: 96%

Section: Patient Factors Associated To Aggressionmentioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

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Aggression on the psychiatric ward: Prevalence and risk factors. A systematic review of the literature

et al. 2021

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“…[23] Mısır'da yapılan bir çalışmada taşkın belirtiler, erkek cinsiyet, tedaviye uyumsuzluk, şiddet öyküsü ve algılanan aile eleştirisinin hastalarda şiddet davranışıyla ilişkili olduğu bulunmuş, aile eleştirisi algısını hafifletme ve aile müdahaleleri ile sağlıklı iletişimi geliştirmenin hastalarda şiddeti azaltan önemli araçlar olarak görülebileceği belirtilmiştir. [29] Mevcut araştırma sonucu, hastanın aile ortamını algılamasının belirti şiddeti, hasta ve hastalığa ilişkin özellikler ile ilişkili olabileceğini düşündürmektedir.…”

Section: Discussionunclassified

Family Environment, Internalized Stigma and Quality of Life in Patients with Schizophrenia

Özçelik¹

2017

Psi Hem Derg

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Şizofreni hastalarında aile ortamı, içselleştirilmiş damgalanma ve yaşam kalitesi Şizofreni dikkat, bellek ve yürütücü işlev alanlarında taşkınlık, yoksunluk ve bilişsel eksiklik belirti kümeleriyle belirli karmaşık, [1] süreğen ve yeti yitimine yol açan, toplum temelinde ele alınması gereken ciddi bir ruhsal bozukluktur. Dünya Sağlık Örgütü tarafından 2010 yılında yapılan Global Hastalık Yükü çalışmasına göre en fazla yeti yitimine yol açan ruhsal bozukluk şizofreni olup, nokta yaygınlığı %0.21-0.7 arasındadır. [2] Ülkemizde psikoz epidemiyolojisi üzerine yapılan sistematik bir çalışmada şizofreni yaygınlığı 1000 kişide 8.9 ve bu yaygınlığın farklı ülkelerde bildirilen tahminlerden daha yüksek olduğu bildirilmektedir. [3] Şizofrenide sağlıksız aile ortamı ve içselleştirilmiş damgalanma yaşam kalitesini kötüleştirebilmektedir. Ailenin insanın ruhsal yapısının gelişiminde önemli bir dönüm noktası olduğu, bazı aile ortamlarının ruhsal bozuklukların seyrini değiştirdiği ka-Amaç: Bu araştırma şizofreni hastalarında aile ortamı, içselleştirilmiş damgalanma ve yaşam kalitesini belirlemek amacıyla yapılmıştır.

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“…before and during the pandemic’s social restrictions rather than measuring it at a specific time only. The Arabic version of MOAS used for the study had previously been used reliably in previous studies ( Assaf, Abd El-Hay, Eissa, & Abohammar, 2018 ; Elzaher, 2004 ; Sehlo, Youssef, Hussein, & Elgohary, 2015 ).…”

Section: Methodsmentioning

confidence: 99%

The impact of COVID-19 pandemic social restrictions on individuals with autism spectrum disorder and their caregivers in the Stateof Qatar: A cross-sectional study

Khan

Tahir

et al. 2021

Research in Developmental Disabilities

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Introduction Previous research has established an association between changes to the daily routine of individuals with Autism Spectrum Disorder (ASD) and increase in maladaptive behaviours. The relationship between maladaptive behaviours in autistic individuals and increase in care burden among their caregivers is also well established. However, no study has yet examined these associations in the context of the COVID-19 pandemic. The main aim of this study was to explore the impact of COVID-19 restrictions on autistic individuals and their caregivers. Methods A questionnaire-based cross-sectional study conducted with the caregivers of 58 autistic individuals across the mental health services at Hamad Medical Corporation, Doha, Qatar. The extent of care burden was measured using the Care Burden Interview, whereas changes in behaviour in autistic individuals was assessed using the Revised Overt Aggression Scale. Results A total of 58 caregivers participated in the study. Out of these, 24 (41%) reported a clinically significant increase in their care burden. Among caregivers reporting an increase in care burden, two-third were caring for individuals whose behaviour either remained unchanged or improved during social restrictions. Nine autistic people (15.5%) were reported to have no aggression prior to the implementation of COVID-19 social restrictions compared to 13 (22.4%) individuals during COVID-19 social restrictions. Minimal, mild and moderate aggression were reported in 27 (46.6%), 21 (36.2%), and 1 (1.7%) patients respectively, before COVID-19 social restrictions compared to 29 (50%), 15 (25.9), and 1 (1.7%) during COVID-19 restrictions. Severe aggression was not reported in any patient either before or during COVID-19 social restrictions. Conclusion This study showed reduced levels of aggression in autistic individuals but an increase in care burden among their caregivers during the COVID-19 social restrictions highlighting the need of supporting patients and caregivers alike.

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The relationship of perceived family criticism and other risk factors to violence among patients with schizophrenia

Cited by 4 publications

References 61 publications

Aggression on the psychiatric ward: Prevalence and risk factors. A systematic review of the literature

Aggression on the psychiatric ward: Prevalence and risk factors. A systematic review of the literature

Family Environment, Internalized Stigma and Quality of Life in Patients with Schizophrenia

The impact of COVID-19 pandemic social restrictions on individuals with autism spectrum disorder and their caregivers in the Stateof Qatar: A cross-sectional study

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