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 danger of dating a schizophrenic. 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 danger of dating a schizophrenic concerns in social policies and 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 suggested 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 danger of dating a schizophrenic 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 development of individual psychological characteristics, which contributes to the physical and mental health development of individuals and the cultivation of healthy personalities [ 33 ].
Differential diagnosis of depressed mood in patients with schizophrenia: a diagnostic algorithm based on a review. Dies spricht für die antitoxische Wirkung der Astrozyten und die Spezifität der Reaktionen aus den ersten Zellkulturen für intakte neuroastrozytäre Verbände. The principal investigator was not involved in any treatment decision. The inclusion criteria were 1 male sex, 2 age 18 to 45 years, and 3 a primary diagnosis of a schizophrenia spectrum disorder F Verlag BioMed Central.
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Positive and Negative Syndromes in schizophrenia Relationship between obsessive–compulsive symptoms and smoking habits amongst 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. Despite the. The Scale for Assessment of Negative Symptoms (SANS) (31) measures schizophrenia's deficit symptoms within the framework of schizophrenic. Though partnerships with schizophrenia patients are at risk of breakdown and separation in many respects, they are often maintained for years.Perspect Psychiatr Care. Therefore, finding new strategies to tackle hostility may also contribute to the mental health and well-being of health-care professionals. The conflicting role of therapists in mandatory treatment settings—with care on the one hand and special requirements imposed by judicial orders on the other—has been widely debated, representing a dilemma between maximum permissible patient centricity and public safety [ 14 ]. Add Cancel. PubMedCrossRef Olson DH, Russell CS, Sprenkle DH. We hypothesize that mandatory treatment is negatively associated with the quality of the therapeutic relationship. Reduction of reward-seeking behaviors is strongly correlated with effort discounting of monetary rewards that require physical effort but is not related with reduction of verbal or nonverbal expression 7. The inclusion criteria were 1 male sex, 2 age 18 to 45 years, and 3 a primary diagnosis of a schizophrenia spectrum disorder F Epidemiology of insomnia: a longitudinal study in a UK population. Zurück zum Zitat Zahra ST, Saleem S. Zurück zum Zitat Galletly CA. PubMed Franke I, Shenar R, Nigel S, Otte S, Büsselmann M, Streb J, Dudeck M. Recent literature has distinguished negative symptoms indicating a reduction of the capacity to experience apathy, anhedonia from those that convey a reduction of expression emotional blunting, alogia 7 , 12 — Create a new collection. Data privacy and protection were ensured. This cell organelle is involved in both enzymatic e. Sleep disturbances in schizophrenia spectrum and bipolar disorders - a transdiagnostic perspective. PL, A-MT, and OB coordinated the study among the FondaMental Advanced Centers of Expertise-Schizophrenia. Sleep disorders in adolescents. According to ecosystem theory, the full utilization of family functions has a significant impact on the development of individual psychological characteristics, which contributes to the physical and mental health development of individuals and the cultivation of healthy personalities [ 33 ]. The survey included questions about general demographic data and disease-related questionnaires: the Pittsburgh Sleep Quality Index PSQI , the revised Chinese version of the Modified Over Aggression Scale MOAS , the Self-Rating Depression Scale SDS , and the Family Adaptability and Cohesion Scale, Second Edition. Even if the participants were willing to participate in this study, they were drawn from a standard population of people with schizophrenia. 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. Therefore, in the future, communities and medical staff should strengthen the evaluation and monitoring of aggressive behaviour and depression in patients with schizophrenia, develop reasonable and effective intervention plans from a positive psychological perspective, and improve patient sleep quality, thereby reducing patient psychological pain and promoting social harmony. In darauf aufbauenden Tierversuchen untersuchten wir die Erhöhung des mesolimbischen Dopamins in männlichen Wildtypmäusen durch Gabe des NMDAR-Antagonisten MK Our findings do not support our initial hypothesis that the quality of the TR is associated with the degree of legal coercion. Following the conceptualization of both the patient and clinician versions of the STAR questionnaire as consisting of three subscales [ 16 , 19 ], the quality of the TR from the points of view of patients and attending physicians were described as latent variables in SEM Fig 2. The SBI present-moment pleasure scale was improved in the present field test in a similar manner as in the pilot study
