Psychotic-like experiences are associated with violent behavior in adolescents.

Abstract:

OBJECTIVE:The diagnosis of psychotic disorder is associated with a risk of violence. Psychotic-like experiences (PLEs) in the general population may share an etiological background with psychotic disorders. The present study has evaluated the association between PLEs and violent behavior in adolescents. METHODS:PLEs and violent behavior were assessed using a self-report questionnaire administered to 18,104 Japanese adolescents. Potential confounding factors were also evaluated. RESULTS:After controlling for the effects of age, gender, GHQ-12 total score, victimization, and substance use, the existence of PLEs was significantly associated with both interpersonal violence (odds ratio (OR)=1.36, 95% confidence interval (CI): 1.23 to 1.51) and violence towards objects (OR=1.46, 95%CI: 1.33 to 1.61). The greater the number of such psychotic experiences, the higher the risk of violence. Particular types of PLEs ('spied-upon' and 'voice hearing') are significantly associated with interpersonal violence, while all of the types of PLEs assessed in this study were significantly associated with violence towards objects. CONCLUSION:PLEs may be a risk factor for violent behavior in adolescents. Violent acts by individuals with schizophrenia may not be a direct consequence of the disease itself, but may instead share an etiological background with such behavior in the general population.

journal_name

Schizophr Res

journal_title

Schizophrenia research

authors

Kinoshita Y,Shimodera S,Nishida A,Kinoshita K,Watanabe N,Oshima N,Akechi T,Sasaki T,Inoue S,Furukawa TA,Okazaki Y

doi

10.1016/j.schres.2010.08.028

subject

Has Abstract

pub_date

2011-03-01 00:00:00

pages

245-51

issue

1-3

eissn

0920-9964

issn

1573-2509

pii

S0920-9964(10)01499-4

journal_volume

126

pub_type

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