Marleen M de Waal1, Carolien Christ2, Jack J M Dekker3, Martijn J Kikkert4, Nick M Lommerse5, Wim van den Brink6, Anna E Goudriaan7. 1. Academic Medical Center, Department of Psychiatry, Amsterdam Institute for Addiction Research, University of Amsterdam, Meibergdreef 5, 1105 AZ Amsterdam, The Netherlands; Department of Research, Arkin Mental Health Care, Klaprozenweg 111, 1033 NN Amsterdam, The Netherlands. Electronic address: m.m.dewaal@amc.uva.nl. 2. Department of Research, Arkin Mental Health Care, Klaprozenweg 111, 1033 NN Amsterdam, The Netherlands; Department of Psychiatry, GGZ inGeest and VU University Medical Center, A.J. Ernststraat 1187, 1081 HL Amsterdam, The Netherlands. Electronic address: carolien.christ@arkin.nl. 3. Department of Research, Arkin Mental Health Care, Klaprozenweg 111, 1033 NN Amsterdam, The Netherlands; Vrije Universiteit Amsterdam, Department of Clinical Psychology, Van der Boechorststraat 1, 1081 BT Amsterdam, The Netherlands. Electronic address: jack.dekker@arkin.nl. 4. Department of Research, Arkin Mental Health Care, Klaprozenweg 111, 1033 NN Amsterdam, The Netherlands. Electronic address: martijn.kikkert@arkin.nl. 5. Department of Research, Arkin Mental Health Care, Klaprozenweg 111, 1033 NN Amsterdam, The Netherlands. Electronic address: nick.lommerse@arkin.nl. 6. Academic Medical Center, Department of Psychiatry, Amsterdam Institute for Addiction Research, University of Amsterdam, Meibergdreef 5, 1105 AZ Amsterdam, The Netherlands. Electronic address: w.vandenbrink@amc.uva.nl. 7. Academic Medical Center, Department of Psychiatry, Amsterdam Institute for Addiction Research, University of Amsterdam, Meibergdreef 5, 1105 AZ Amsterdam, The Netherlands; Department of Research, Arkin Mental Health Care, Klaprozenweg 111, 1033 NN Amsterdam, The Netherlands. Electronic address: a.e.goudriaan@amc.uva.nl.
Abstract
BACKGROUND: Patients with a substance use disorder and co-occurring mental disorder are prone to victimization. There is a lack of research identifying variables related to violent and property victimization in this high risk group. The aim of this study was to identify factors associated with violent and property victimization in male and female dual diagnosis patients in order to identify targets for prevention. METHODS: In a cross-sectional study, victimization and demographic, clinical and psychological characteristics were assessed in 243 treatment-seeking patients with dual diagnosis. Patients were recruited in an addiction-psychiatry clinic and an allied outpatient care facility in Amsterdam, The Netherlands. RESULTS: In a multiple logistic regression analysis, violent victimization was independently associated with younger age, female gender, violent offending and a self-sacrificing and overly accommodating interpersonal style (p<0.001; χ2=108.83, d.f.=8, R2=0.49) in dual diagnosis patients. In male patients, violent victimization was independently associated with younger age, violent offending and a self-sacrificing and overly accommodating interpersonal style (p<0.001; χ2=91.90, d.f.=7, R2=0.56). In female patients, violent victimization was independently positively associated with homelessness, violent offending, a domineering/controlling interpersonal style, and negatively associated with being socially inhibited and cold/distant (p<0.001; χ2=34.08, d.f.=4, R2=0.53). Property victimization was independently associated with theft offending (p<0.001, χ2=26.99, d.f.=5, R2=0.14). CONCLUSIONS: Given the high prevalence of victimization in dual diagnosis patients and its related problems, preventive interventions should be developed. Interventions should target interpersonal skills to decrease vulnerability to victimization, address the overlap between victimization and offending and incorporate gender-specific elements.
BACKGROUND:Patients with a substance use disorder and co-occurring mental disorder are prone to victimization. There is a lack of research identifying variables related to violent and property victimization in this high risk group. The aim of this study was to identify factors associated with violent and property victimization in male and female dual diagnosis patients in order to identify targets for prevention. METHODS: In a cross-sectional study, victimization and demographic, clinical and psychological characteristics were assessed in 243 treatment-seeking patients with dual diagnosis. Patients were recruited in an addiction-psychiatry clinic and an allied outpatient care facility in Amsterdam, The Netherlands. RESULTS: In a multiple logistic regression analysis, violent victimization was independently associated with younger age, female gender, violent offending and a self-sacrificing and overly accommodating interpersonal style (p<0.001; χ2=108.83, d.f.=8, R2=0.49) in dual diagnosis patients. In male patients, violent victimization was independently associated with younger age, violent offending and a self-sacrificing and overly accommodating interpersonal style (p<0.001; χ2=91.90, d.f.=7, R2=0.56). In female patients, violent victimization was independently positively associated with homelessness, violent offending, a domineering/controlling interpersonal style, and negatively associated with being socially inhibited and cold/distant (p<0.001; χ2=34.08, d.f.=4, R2=0.53). Property victimization was independently associated with theft offending (p<0.001, χ2=26.99, d.f.=5, R2=0.14). CONCLUSIONS: Given the high prevalence of victimization in dual diagnosis patients and its related problems, preventive interventions should be developed. Interventions should target interpersonal skills to decrease vulnerability to victimization, address the overlap between victimization and offending and incorporate gender-specific elements.
Authors: C Christ; M M de Waal; M J Kikkert; D G Fluri; A T F Beekman; J J M Dekker; D J F van Schaik Journal: BMC Psychiatry Date: 2022-06-16 Impact factor: 4.144
Authors: C Christ; M Ten Have; R de Graaf; D J F van Schaik; M J Kikkert; J J M Dekker; A T F Beekman Journal: Epidemiol Psychiatr Sci Date: 2019-01-17 Impact factor: 6.892
Authors: Marleen M de Waal; Jack J M Dekker; Martijn J Kikkert; Carolien Christ; Jaga Chmielewska; Monique W M Staats; Wim van den Brink; Anna E Goudriaan Journal: Addiction Date: 2018-12-18 Impact factor: 6.526