Violence in Schizophrenia

Abstract

ÖzetPek çok psikiyatrik hasta şiddet eğilimi sergilememekte ise de günümüz toplumunda ruhsal bozukluk ve şiddet biribiyle bağlantılı görülmektedir. Genel populasyon ile kıyaslandığında şiddet davranışı riski şizofrenide istatistiksel olarak anlamlı bir yükseklik göstermiştir. Şizofrenide şiddet davranı-şı riski madde kullanım eştanılılığı ile artmaktadır. Şizofreni tanılı yetişkinlerde şiddet davranışının ortaya çıkması, antisosyal kişilk bozukluğu ve şizofreninin akut psikopatolojisi ile ilişkili iki farklı yol izlemektedir. Klozapin şizofrenide şiddet davranışı tedavisinde en etkin tedavidir. Son kanıtlar olanzapini ikinci sıraya yerleştirmiştir. Tedavi uyumu son derece önemlidir. Farmakolojik olmayan tedavi yöntemleri giderek artmaktadır. Tek başına farmakoterapinin yetersiz kaldığı olgularda, bireysel davranışçı yöntemler etkili olmaktadır.Anahtar sözcükler: Şizofreni, şiddet, madde kötüye kullanımı, eştanı. AbstractAlthough most psychiatric patients are not violent, serious mental illness is associated with increased risk of violent behavior. There is statistically significant increase in risk of violence among patients with schizophrenia in comparison with general population. The risk of violence in schizophrenia is increased by comorbid substance use disorder. Violence among adults with schizophrenia may follow at least two distinct pathways; one associated with antisocial conduct, and another associated with the acute psychopathology of schizophrenia. Clozapine is the most effective treatment of violent behavior in schizophrenia. Emerging evidence suggests that olanzapine may be the second line of treatment. Treatment adherence is of key importance. Non-pharmacological methods of treatment of violence in schizophrenia are increasingly important. Cognitive behavioral approaches appear to be effective in cases where pharmacotherapy alone does not suffice.

I Am As Normal As Everyone Now. . . : Examination of Experiences of Patients Undergoing Bariatric Surgery According to Roy’s Adaptation Model: A Qualitative Study

“…Obesity is one of the most important health problems, the incidence of which has risen considerably, and which increases health care costs (Anuk et al, 2017; Aygin & Açıl, 2015; Ballı, 2013; Sevinçer, Coşkun, Konuk, & Bozkurt, 2014; Yüksel, 2016). It has been reported to be the second most frequent cause of deadly but preventable diseases following smoking (Sağlam & Güven, 2014).…”

“…It has been stated in the literature that people with obesity try several methods to lose weight before having surgery (Homer, Tod, Thompson, Allmark, & Goyder, 2016; Natvik, Gjengedal, Moltu, & Raheim, 2015; Owen-Smith, Donovan, & Coast, 2017; Stuart, Brizell, McVeigh, & Irvine, 2011). Some of them regain weight (Owen-Smith et al, 2017; Sevinçer et al, 2014; Stuart et al, 2011) and consider surgical methods as the last chance to get rid of obesity (Homer et al, 2016; Natvık et al, 2015). The intended success rates concerning weight loss after surgical methods have been reported to range from 61% to 95% (Gloy et al, 2013).…”

“…It has been shown that the severity of many health problems (asthma, sleep apnea, hyperlipidemia, hypertension, diabetes, gastroesophageal reflux, infertility, liver disease, polycystic ovarian syndrome and urinary incontinence) decreases after bariatric surgery and that the quality of life increases (Ballı, 2013; Natvik, Gjengedal1, & Raheim, 2013; Sevinçer et al, 2014). In addition, it has been emphasized that patients having bariatric surgery have positive experiences concerning self-respect, social acceptance, sexual life, eating behavior, daily life activities and psychological status (Coulman, MacKichan, Blazeby, & Owen-Smith, 2017; Magdaleno, Chaim, & Turato, 2010).…”

A correlational and cross-sectional study on the relationship between internalized stigma and religious coping in patients with schizophrenia

“…Although it is known that substance use disorder is frequently associated with mental illnesses, especially with Bipolar Disorder and Schizophrenia, different prevalence rates are mentioned. [18] In the Epidemiologic Field Study of the American National Institute of Mental Health, it was reported that the prevalence of substance use disorder in individuals with schizophrenia spectrum disorder was 4.6%. [19] In many other studies, rates between 10% to 70% are mentioned.…”