T Steinert1, M Wölfle, R P Gebhardt. 1. Centre of Psychiatry Weissenau, Department of Psychiatry I, University of Ulm, Germany.
Abstract
OBJECTIVE: Four available instruments for the measurement of violence were compared. The association between psychopathological status at admission and violence during in-patient treatment was examined. METHOD: In 199 consecutively admitted patients (143 with schizophrenia or schizoaffective disorder, 56 with non-psychotic disorders), the PANSS was recorded at the time of admission. Violent behaviour against self and others was assessed for the total period of in-patient treatment using the scales MOAS, SDAS, SOAS and VS. RESULTS: The sumscores of the scales correlated highly (r between 0.78 and 0.91), but the scales differed in sensibility and inter-rater reliability. There was a strong association between thought disorders and violent behaviour during in-patient treatment in psychotic patients (beta = 0.34; P<0.001). CONCLUSION: Although constructed to measure different aspects of violence, all investigated instruments correlated highly. The psychopathological status at admission is associated with violent behaviour during in-patient treatment.
OBJECTIVE: Four available instruments for the measurement of violence were compared. The association between psychopathological status at admission and violence during in-patient treatment was examined. METHOD: In 199 consecutively admitted patients (143 with schizophrenia or schizoaffective disorder, 56 with non-psychotic disorders), the PANSS was recorded at the time of admission. Violent behaviour against self and others was assessed for the total period of in-patient treatment using the scales MOAS, SDAS, SOAS and VS. RESULTS: The sumscores of the scales correlated highly (r between 0.78 and 0.91), but the scales differed in sensibility and inter-rater reliability. There was a strong association between thought disorders and violent behaviour during in-patient treatment in psychoticpatients (beta = 0.34; P<0.001). CONCLUSION: Although constructed to measure different aspects of violence, all investigated instruments correlated highly. The psychopathological status at admission is associated with violent behaviour during in-patient treatment.
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