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Psychopathology in Violent Offenders Against Healthcare Workers.
Violence and Victims ( IF 1.317 ) Pub Date : 2019-10-01 , DOI: 10.1891/0886-6708.vv-d-17-00066
Rustem Askin 1 , Fatih Vahapoglu 1 , Sinay Onen 1 , Bilgen Bicer Kanat 1 , Ibrahim Taymur 1 , Ersin Budak 1
Affiliation  

Workplace violence in healthcare is gradually becoming a major concern in many countries around the world and research has usually been focused on the victims of violence. The aim of this study was to investigate the psychopathology of individuals who commit violence against healthcare workers. The study included 50 subjects (patient or relative of patient) aged 18–65 years who had committed violence against a healthcare worker (study group) and a control group of 55 subjects with no history of violence. A Sociodemographic Questionnaire, Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Barratt Impulsiveness Scale (BIS-11), State-Trait Anger Expression Inventory (STAXI), and Eysenck Personality Questionnaire-Revised Short Form (EPQ-RSF) were administered to both the study group and the control group. A psychiatric disorder was diagnosed in 50% of the violent offenders group and in 16.4% of the control group. It was determined that 54.8% of the patient relatives and 44.4% of the patients themselves who committed a violent act against healthcare workers had at least one psychiatric diagnosis and these rates did not differ between the patients and their relatives (χ2 = 0.492, p = 0.483). Comparisons of the scale scores between the groups revealed that the STAXI scores (p < .001), BIS-11 total scores (p < .001), BDI, and BAI scores were statistically significantly higher in the violent offenders group. Considering the higher rates of psychiatric disorders and higher levels of anger and impulsivity among people who commit violent acts against healthcare workers, psychotherapeutic interventions such as stress and anger management interventions, improvement of interaction and communication between patients, their relatives and healthcare workers, and the implementation of rehabilitating punitive programs for violent offenders may be beneficial to reduce the rates of violent behavior against healthcare workers.

中文翻译:

针对医护人员的暴力犯罪中的心理病理学。

医疗保健中的工作场所暴力正逐渐成为世界上许多国家的主要关切,研究通常集中在暴力的受害者身上。这项研究的目的是调查对医疗工作者实施暴力的个人的心理病理学。该研究纳入了50位年龄在18-65岁之间的针对医疗保健工作者的暴力行为的受试者(患者或患者的亲属)(研究组),而对照组则是55名没有暴力史的受试者。社会人口统计学问卷,贝克抑郁量表(BDI),贝克焦虑量表(BAI),巴拉特冲动量表(BIS-11),国家特质愤怒表达量表(STAXI)和艾森克性格问卷修订版(EPQ-RSF)分别给予研究组和对照组。在暴力犯罪者组中有50%被诊断为精神病,在对照组中诊断为精神病中有16.4%。经确定,对医护人员实施暴力行为的患者亲属中有54.8%,患者本身有44.4%至少有一种精神病学诊断,并且患者及其亲属之间的比率没有差异(χ2= 0.492,p = 0.483)。两组之间的量表得分比较表明,在暴力犯罪组中,STAXI得分(p <.001),BIS-11总得分(p <.001),BDI和BAI得分在统计学上显着更高。考虑到对医护人员实施暴力行为的人中精神疾病的发生率较高,愤怒和冲动的发生率较高,
更新日期:2019-10-01
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