IDEAS home Printed from https://ideas.repec.org/a/sae/socpsy/v69y2023i3p689-699.html
   My bibliography  Save this article

Violence in relation to cognitive deficits and symptom severity in a sample of Egyptian patients with schizophrenia

Author

Listed:
  • Tarek Ahmed Okasha
  • Abdel Nasser Omar
  • Doha Elserafy
  • Samar Serry
  • Eman S Rabie

Abstract

Background: Patient with schizophrenia are significantly more likely to be violent than general population; and the consequences of this violence risk are often very serious for the patients, their caregivers, and the entire community. Aim: To assess the risk of violence in patients with schizophrenia and its correlation with severity of symptoms and cognitive functions. Methods: A cross-sectional comparative study conducted in Okasha institute of psychiatry including 50 patients with schizophrenia compared to 50 healthy control group regarding violence risk as assessed by Historical, Clinical, and Risk Management-20 (HCR-20), case group was assessed using Structured Clinical Interview for DSM-IV (SCID-I), Positive and Negative Syndrome Scale (PANSS), cognitive functions were assessed by Wechsler Adult Intelligence Scale (WAIS), Trail Making Test (TMT) Part A and B, the Wisconsin Card Sorting Test (WCST), and the Wechsler Memory Scale (WMS). Results: There was a statistically significant difference between case and control groups regarding risk of violence where 58% of the case group were found to have risk of violence compared to only 18% in the control group. There was a significant correlation between this risk of violence and period of untreated psychosis, no of episodes, and history of substance use; also was significantly correlated with PANSS and Wisconsin card sorting test subscales. Regarding logistic regression analysis for factors affecting violence risk; total PANSS score and history of substance use were significant independent factors that increase violence risk. Conclusion: Violence risk in patient with schizophrenia is a cardinal factor that may affect life of the patients, their family, and society; this risk can be affected by different factors including severity of symptoms, no of episodes, history of substance use, and cognitive function of the patients.

Suggested Citation

  • Tarek Ahmed Okasha & Abdel Nasser Omar & Doha Elserafy & Samar Serry & Eman S Rabie, 2023. "Violence in relation to cognitive deficits and symptom severity in a sample of Egyptian patients with schizophrenia," International Journal of Social Psychiatry, , vol. 69(3), pages 689-699, May.
  • Handle: RePEc:sae:socpsy:v:69:y:2023:i:3:p:689-699
    DOI: 10.1177/00207640221132706
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/00207640221132706
    Download Restriction: no

    File URL: https://libkey.io/10.1177/00207640221132706?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Seena Fazel & Gautam Gulati & Louise Linsell & John R Geddes & Martin Grann, 2009. "Schizophrenia and Violence: Systematic Review and Meta-Analysis," PLOS Medicine, Public Library of Science, vol. 6(8), pages 1-15, August.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Otsu, Yuki & Yuen, C.Y. Kelvin, 2022. "Health, crime, and the labor market: Theory and policy analysis," Journal of Economic Dynamics and Control, Elsevier, vol. 144(C).
    2. Moritz E Wigand & Marcin Orzechowski & Marianne Nowak & Thomas Becker & Florian Steger, 2021. "Schizophrenia, human rights and access to health care: A systematic search and review of judgements by the European Court of Human Rights," International Journal of Social Psychiatry, , vol. 67(2), pages 168-174, March.
    3. Karine S Nersessova & Tomas Jurcik & Timothy L Hulsey, 2019. "Differences in beliefs and attitudes toward Depression and Schizophrenia in Russia and the United States," International Journal of Social Psychiatry, , vol. 65(5), pages 388-398, August.
    4. Jay P Singh & Jan Volavka & Pál Czobor & Richard A Van Dorn, 2012. "A Meta-Analysis of the Val158Met COMT Polymorphism and Violent Behavior in Schizophrenia," PLOS ONE, Public Library of Science, vol. 7(8), pages 1-9, August.
    5. Minkyung Jo & Hyun-Jin Kim & Soo Jung Rim & Min Geu Lee & Chul Eung Kim & Subin Park, 2020. "The cost-of-illness trend of schizophrenia in South Korea from 2006 to 2016," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-14, July.
    6. Rocque, Michael & Welsh, Brandon C. & Raine, Adrian, 2012. "Biosocial criminology and modern crime prevention," Journal of Criminal Justice, Elsevier, vol. 40(4), pages 306-312.
    7. Katrina Witt & Richard van Dorn & Seena Fazel, 2013. "Risk Factors for Violence in Psychosis: Systematic Review and Meta-Regression Analysis of 110 Studies," PLOS ONE, Public Library of Science, vol. 8(2), pages 1-15, February.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:socpsy:v:69:y:2023:i:3:p:689-699. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.