Menü Hauptrubriken Chevron down icon Chevron up icon CME Facharzt-Training Webinare Zeitschriften Bücher e. Medpedia Podcast. Apps Newsletter Abo-Shop. Fachgebiete Chevron down icon Chevron up icon Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin. Springer Medizin. Suche Suchbegriffe eingeben Suchen. BMC Public Health. Abstract Objective Sleep disturbance is the most common concern of patients with schizophrenia and can lead to a poor prognosis, a low survival rate and aggressive behaviour, posing a significant threat to social security and stability. The aim of this study was to explore the mediating role of depression in the relationship between sleep disturbance and aggressive behaviour in people with schizophrenia living in the community, as well as the regulatory role of family intimacy and adaptability. These findings, in turn, may provide a theoretical basis and constructive suggestions for addressing the physical and mental health problems of these patients. The researchers conducted a survey in the form of a star questionnaire. The survey included questions about general demographic data and disease-related questionnaires: the Pittsburgh Sleep Quality Index PSQIthe revised Chinese version of the Modified Over Aggression Scale MOASthe Self-Rating Depression Scale SDSand the Family Adaptability and Cohesion Scale, Second Edition. FACES-II and SPSS Results A total of schizophrenia patients living in the community participated in the survey, and valid questionnaires were ultimately collected, for a response rate of The results of multivariate analysis indicated that sex, number of psychiatric medications used, outpatient follow-up, history of hospitalization for mental disorders and sleep disturbances were factors influencing aggressive behaviour. Depression played a partial mediating role between sleep disturbance and aggressive behaviour, and the indirect effect size was 0. Conclusion The findings indicate that sleep disturbance in schizophrenia patients in the community is a risk factor for aggressive behaviour, and depression plays a partial mediating role in the relationship among sleep disturbance, aggressive behaviour and family intimacy. In addition, adaptability plays a regulatory role in the relationship between depression and sleep disturbance. Introduction Schizophrenia SZ is a common psychiatric disorder characterized by cognitive, emotional, and behavioural disorders [ 1 ]. World Health Organization WHO survey results demonstrate that the global incidence of schizophrenia is 0. The clinical manifestations of schizophrenia include behavioural disorders, cognitive disorders, delusions, fantasies, and sleep disorders. However, the incidence of aggressive behaviour in Chinese patients with schizophrenia is higher Relevant studies have demonstrated that the repeated cycles of the disease and the continuous deterioration of the condition can lead to a fold greater likelihood of individuals with schizophrenia committing murder compared with the general population [ 7 ], and community schizophrenia patients are more likely to engage in aggressive behaviour and pose a greater threat to society than are hospitalized patients [ 8 ], representing a serious burden to society and families [ 910 ]. Therefore, the prevention and treatment of aggressive behaviour among community-dwelling patients with schizophrenia have become key concerns in social policies danger of dating a schizophrenic health care. Sleep disturbance can lead to adverse emotional reactions in patients with schizophrenia. Using a meta-analysis exploring the relationship between sleep and aggressive behaviour, Demichelis OP [ 14 ] reported that sleep deprivation in the general population is associated with increased levels of aggression. Another meta-analysis danger of dating a schizophrenic that individuals with schizophrenia have poorer sleep quality and greater levels of aggression [ 15 ]. In summary, conducting research on sleep quality and aggressive behaviour in community-dwelling patients with schizophrenia has important public health implications for preventing aggressive behaviour. Therefore, the aim of this study was to test our hypothesis that sleep disturbance is a risk factor for aggressive behaviour in individuals with schizophrenia. Schizophrenia can trigger various negative psychological conditions, among which depression is the most common. People often focus on the self-harm and suicidal tendencies and behaviours of depressed patients and overlook their violent aggressive behaviour. However, clinical studies have demonstrated [ 24 ] that depressed patients are three times more likely to commit violent crimes than the general population, and suicidal behaviour also increases the risk of attacking others [ 2526 ]. Therefore, the aim of this study was to test our hypothesis that depression plays a mediating role between sleep disturbance and aggressive behaviour. The family plays a crucial role in the healthy development of individual psychology [ 29 ]. At present, home-based care is the primary approach for patients with mental disorders in China [ 30 ]. Olson et al. Family intimacy refers to the emotional connections between family members, whereas family adaptability refers to the degree to which a family system can flexibly handle problems in different stages of family environment development [ 32 ]. According to ecosystem theory, the full utilization of family functions has a significant impact on the danger of dating a schizophrenic of individual psychological characteristics, which contributes to the physical and mental health development of individuals and the cultivation of healthy personalities [ 33 ]. In addition, family functioning is negatively correlated with aggressive behaviour among family members [ 3738 ]. Therefore, this study was conducted to test our hypothesis that family intimacy and adaptability play a regulatory role in the relationship between sleep disturbance and aggressive behaviour. At present, although many studies have confirmed the relationship between sleep quality and aggressive behaviour in patients with schizophrenia, there is relatively little research on community-dwelling patients with schizophrenia. In addition, there are currently no relevant research reports on the relationships among sleep disturbance, aggressive behaviour, and depression in patients with schizophrenia. Moreover, sleep disturbance can lead to aggressive behaviour through different pathways, and psychological issues in individuals with schizophrenia are often important mediating factors.
The use, distribution or reproduction in other forums is permitted, provided the original author s and the copyright owner s are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. A randomized controlled trial showed that PEPS is effective in reducing the composite score of the reduction of experience syndrome anhedonia and apathy. The program uses visual and audio materials as part of a PowerPoint presentation of slides projected onto a screen. PubMedCrossRef Zung WW. The scale includes four types of attack subscales: verbal attack, assault on property, self-attack, and assault on others. People often focus on the self-harm and suicidal tendencies and behaviours of depressed patients and overlook their violent aggressive behaviour.
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Despite the. The Scale for Assessment of Negative Symptoms (SANS) (31) measures schizophrenia's deficit symptoms within the framework of schizophrenic. In relation to our interest to study the beginning of schizophrenia, systematically, paying special attention to the age and gender distribution of true onset. Though partnerships with schizophrenia patients are at risk of breakdown and separation in many respects, they are often maintained for years. Positive and Negative Syndromes in schizophrenia Relationship between obsessive–compulsive symptoms and smoking habits amongst schizophrenic.Analysis of the regulatory effects of family intimacy and adaptability on the relationship between sleep disturbances and aggressive behaviour in patients with schizophrenia To further explore the role of depression in the relationship between sleep disturbance and aggressive behaviour in patients with schizophrenia living in the community, the plugin process in SPSS J Mental Health 05 — J Psychopharmacol Oxford England. As a library, NLM provides access to scientific literature. Training was insured by AN and JF during a monthly clinical meeting of the schizophrenia expert group of the FondaMental Foundation. Participants with active psychotic relapse were not invited to participate. Zurück zum Zitat Fei LP, Shen QJ, Zheng YP, Zhao JP, Jiang SA, Wang LW, Wang XD. All patients received a complete clinical psychiatric evaluation based on the Structured Clinical Interview for DSM-IV The mean score of the CDSS at intake was 3. An increase of 1 standard deviation in stress perception led to an increase of 0. In addition, the patients were informed that participation in the study would not affect their legal status positively or negatively. Therefore, this study was conducted to test our hypothesis that family intimacy and adaptability play a regulatory role in the relationship between sleep disturbance and aggressive behaviour. Even if the participants were willing to participate in this study, they were drawn from a standard population of people with schizophrenia. Each item adopts a 4-level scoring system, with items 1, 2, 3, 7, 8, 9, 10, 15, and 19 having positive scores. This study also demonstrated that even if community schizophrenia patients are in a clinically stable period, they can still suffer from sleep disturbance. PubMedCrossRef Hausmann A, Fleischhacker WW. Effective family interventions for people with schizophrenia. With one day of training, the group leaders were able to conduct the program in three different sites, indicating a good feasibility of the intervention. Add Cancel. Zurück zum Zitat Chen ZT, Wang HT, Chueh KH, Liu IC, Yang CM. The intervention uses a collaborative, egalitarian approach. Sleep-dependent memory consolidation in schizophrenia: a systematic review and meta-analysis. Zurück zum Zitat Messent P. PubMedCrossRef Demichelis OP, Grainger SA, McKay KT, Bourdaniotis XE, Churchill EG, Henry JD. The program teaches skills to help overcome defeatist thinking and to increase the anticipation and maintenance of positive emotions. Morphological experiments show that dopamine changes peroxisomal reactions and neuronal morphology specifically and only in intact neuron-astrocyte interactions, mimicking the atypical neurodegeneration found in schizophrenic patients. Early detection, Intervention and Prevention of Psychosis Program: Community Outreach and early identification at six U. Analysis of medication compliance among community-dwelling schizophrenia patients with aggressive behaviour Among community-dwelling patients with schizophrenia and a history of psychiatric drug use, all survey subjects experienced noncompliance with medication 5. Reduced frontostriatal functional connectivity associated with negative symptoms might provide a supplementary hypothesis to study the neurobiological mechanisms of negative symptoms Commun Ment Health J. PubMedPubMedCentralCrossRef Freeman D, Pugh K, Vorontsova N, Southgate L. Learn more: PMC Disclaimer PMC Copyright Notice.
