A 10-year follow-up study of violent victimization in first episode psychosis: Risk and protective factors
| Autor: | Stein Opjordsmoen, Tor K. Larsen, Stål Bjørkly, Johannes Langeveld, Tom McGlashan, Erik Simonsen, Jan Olav Johannessen, Inge Joa, Julie Evensen, Svein Friis, Wenche ten Velden, Jan Ivar Røssberg, Bjørn Rishovd Rund, Per Vaglum, Ingrid Melle |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent education Violence Crime Victims/statistics & numerical data Violence/statistics & numerical data Young Adult 03 medical and health sciences 0302 clinical medicine Risk Factors First episode psychosis Epidemiology Journal Article medicine Humans Prospective Studies Occupational activity Young adult Prospective cohort study Psychiatry Crime Victims health care economics and organizations Biological Psychiatry 10 year follow up social sciences Protective Factors Mental illness medicine.disease humanities 030227 psychiatry Psychiatry and Mental health Psychotic Disorders behavior and behavior mechanisms Female Biological psychiatry Psychology 030217 neurology & neurosurgery Follow-Up Studies Clinical psychology |
| Zdroj: | Psychiatry Research, 259, 545. Elsevier Ireland Ltd |
| ISSN: | 0165-1781 |
| DOI: | 10.1016/j.psychres.2017.11.013 |
| Popis: | Violent victimization in persons with severe mental illness has long-term adverse consequences. Little is known about the long-term prevalence of victimization in first episode psychosis, or about factors affecting victimization throughout the course of illness. To assess the prevalence of violent victimization during a 10-year follow-up period in a group of first episode psychosis (FEP) patients, and to identify early predictors and risk factors for victimization. A prospective design was used with comprehensive assessments of violent victimization, treatment variables and functioning at baseline and during 10-year follow-up. A clinical epidemiological sample of FEP patients (n = 298) was studied. FEP patients in our study were at a 3.5 times greater risk of victimization as compared to the normal population. During the 10-year follow-up period, 23% of subjects fell victim to one or more violent assaults. Victimized patients were younger and reported less occupational activity. At 10-year follow-up, victimization was associated with more concomitant drug use, alcohol misuse and violent behavior, but not with a worse clinical or functional outcome. Treatment programs should focus on risk factors for victimization and develop behavioral alternatives to mitigate risk in FEP patients. |
| Databáze: | OpenAIRE |
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