Related Papers
BMC Psychiatry
BEATVIC, a body-oriented resilience training with elements of kickboxing for individuals with a psychotic disorder: study protocol of a multi-center RCT
2016 •
Jooske Van Busschbach
European Archives of Psychiatry and Clinical Neuroscience
Neural changes following a body-oriented resilience therapy with elements of kickboxing for individuals with a psychotic disorder: a randomized controlled trial
Jooske Van Busschbach
Individuals with a psychotic disorder are at an increased risk of becoming the victim of a crime. A body-oriented resilience therapy (BEATVIC) aimed at preventing victimization by addressing putatively underlying factors was developed. One of these factors is social cognition, particularly facial affect processing. The current study investigated neural effects of BEATVIC on facial affect processing using two face processing tasks. Participants were randomized to either BEATVIC or a ‘Befriending’ control group. Twenty-seven patients completed an Emotional Faces task and the Wall of Faces task during fMRI, pre- and post-intervention. General linear model analyses yielded no differences between groups over time. Independent component analyses revealed increased activation of the salience network to angry and fearful faces in BEATVIC compared to Befriending. Increased activation of the salience network may suggest an increased alertness for potentially dangerous faces.
Cognitive remediation and social cognitive training for violence in schizophrenia: a systematic review Keywords: Schizophrenia Violence Neurocognition Social cognition Cognitive remediation Social cognitive training Systematic review B A C K G R O U N D
Nicolas Franck
A significant correlation exists between violence and schizophrenia (SCZ). Recent studies matched some cognitive deficits like strong risk factors for violence with interesting applications in terms of treatment. Our objective was to conduct a systematic review of the effectiveness of cognitive remediation (CR) and social cognitive training (SCT) in the management of violent and aggressive behaviors in SCZ. Methods: The electronic databases Pubmed, Web of Science, Cochrane Library and ScienceDirect were searched in, using combinations of terms relating to SCZ, CR and violence. Studies were selected and data were extracted using a PRISMA statement. Inclusion criteria were adults with SCZ and a documented collection of disruptive and violent behaviors, for whom researchers had used a CR or SCT program. Results: Eleven studies were identified, two related to non-specific CR intervention and nine to codified CR or SCT programs. Results showed that these programs had a positive impact on the control and reduction of global aggressive attitudes and physical assaults. Therapeutic targets were social cognition and executive functions through the improvement of interpersonal relationships and impulsivity feature respectively. Effectiveness was proved at various stages of the illness, in different types of patients and units, with effects persisting for up to 12 months after interruption of CR. Conclusions are limited by some methodological restrictions. Conclusion: Although current evidences need to be completed with further randomized studies, CR and SCT appear to be promising approaches in the management of violence in SCZ. The link between violence and schizophrenia (SCZ) is well established with a risk increased by 49-68% compared to the general population (Dodge, 2003; Fazel, (a)b et al., 2009). However, patients with SCZ are also more at risk of being victims of violence (Maniglio, 2009). In some patients, violent behaviors appear as a chronic course, which negatively impacts their quality of life and seriously impairs their chances of social and professional rehabilitation. Violent behaviors can be defined as hostile conducts on symptomatic stages of the disease like psychom*otor agitation, verbal violence, aggressive behaviors, etc. Traditional therapeutic tools such as atypical antipsychotics, psy-chotherapies and coercive measures have a moderate effectiveness in the management of violence in SCZ. A clear gap exists between the frequency and severity of violent behaviors and therapeutic resources available to solve them. Improving the management of violence should involve a risk analysis of the dangerousness factors playing a mediating role between SCZ and aggressiveness.
International Journal of Nursing and Health Services (IJNHS)
Assertive Training Therapy for Schizophrenic Patient with Risk of Violent Behavior
Safra Ria Kurniati
Violent behavior is one of the symptom of severe mental disorders such as schizophrenia. Violent behavior has a very significant impact not only for patients, but also health care professionals, families and the development of stigma in society. Assertive training therapy is one therapy that is still not largely used for patients with violent behavior in Indonesia, although it is not an uncommon situation. This case is quite challenging considering the patient has a lack of insight of the disease. After completing 5 sessions of therapy, the patient showed improvement in signs and symptoms, a stable condition, and the absence of symptoms of violent behavior during treatment. For this reason, the use of therapy is highly recommended to help patients to express themselves in a more adaptive way.
British Journal of Psychiatry
Cognitive–behavioural therapy v. social activity therapy for people with psychosis and a history of violence: randomised controlled trial
2009 •
Nicholas Tarrier
BackgroundAggression and violence are serious problems in schizophrenia. Cognitive–behavioural therapy (CBT) has been shown to be an effective treatment for psychosis although there have been no studies to date evaluating the impact of CBT for people with psychosis and a history of violence.AimsTo investigate the effectiveness of CBT on violence, anger, psychosis and risk outcomes with people who had a diagnosis of schizophrenia and a history of violence.MethodThis was a single-blind randomised controlled trial of CBT v. social activity therapy (SAT) with a primary outcome of violence and secondary outcomes of anger, symptoms, functioning and risk. Outcomes were evaluated by masked assessors at 6 and 12 months (trial registration: NRR NO50087441).ResultsSignificant benefits were shown for CBT compared with control over the intervention and follow-up period on violence, delusions and risk management.ConclusionsCognitive–behavioural therapy targeted at psychosis and anger may be an ef...
International Journal of Environmental Research and Public Health
Effects of a Multicomponent Programme for Improving Physical and Psychological Health in Victims of Intimate Partner Violence: Study Protocol for a Randomised Control Trial
Violeta Calle Guisado
Intimate partner violence (IPV) is a public health problem that psychologically and physically affects the women who suffer from it. In this article, we propose an intervention protocol based on therapeutic tourism through adventure physical activities and psychological therapy that could improve the psychological and physical health of women participants. We propose a randomized study where participants will be separated into two groups, control and experimental, and we will perform measurements including self-concept, self-image, depression, and perceived stress, combining these with physiological measurements of stress level by determining stress-related hormones (Cortisol and DHEA), as well as the overall cost-effectiveness of the program. All data collected at the end of the protocol will be statistically analysed. If the final data are positive and it is feasible, this protocol could be proposed as a measure for the treatment of the sequelae of victims of gender violence.
Philosophical Transactions of the Royal Society B: Biological Sciences
A review of effective interventions for reducing aggression and violence
2008 •
James McGuire
This paper addresses the question of whether individual violence can be reduced in frequency or severity, if so to what extent and by which methods. It opens with a brief overview of the nature of personal violence and discussion of some key definitional and methodological problems. However, its principal focus is on the findings obtained from a series of meta-analytic reviews of structured programmes for adolescents and adults who have shown repeated aggression or been convicted of personal violence, drawing together the results of studies conducted in prison, probation, youth justice and allied services. Additional results are considered from a systematic review of studies of violence prevention among offenders with mental disorders. This incorporates the preliminary findings of a meta-analysis of controlled trials of psychosocial interventions with that population. Overall, it is concluded that there is sufficient evidence currently available to substantiate the claim that person...
BMC Psychiatry
Self-wise, Other-wise, Streetwise (SOS) training: a novel intervention to reduce victimization in dual diagnosis psychiatric patients with substance use disorders: protocol for a randomized controlled trial
2015 •
Jack Dekker
https://www.ijhsr.org/IJHSR_Vol.8_Issue.3_March2018/IJHSR_Abstract.022.html
Effect of Brain Gym Exercise on Self-Esteem, Quality of Life and Symptoms among Schizophrenic Patients
2018 •
International Journal of Health Sciences and Research (IJHSR)
An experimental study aimed to evaluate the effect of brain gym exercise on self-esteem, quality of life and symptoms among schizophrenic patients in selected hospital, Odisha with objectives to find the level of self esteem ,quality of life & symptoms among schizophrenic patients, to assess the effect of brain gym exercises on self esteem ,quality of life & symptoms among schizophrenic patients & to find the association between self esteem, quality of life & symptoms with selected demographic variables among schizophrenic patients. Total 45 participants were selected by using total enumeration sampling techniques. Rosenberg’s self esteem scale, WHOQOL-BREF Scale &PANSS Scale were used to assess the level of self esteem, quality of life & symptoms among participants. Brain gym exercise was given for 15 days. In analysis, there was statistically significant difference between pre test & post test scores of self esteem, quality of life & symptoms at p value <0.00001. Chi square association showed, level of self esteem was statistically significant with family history & quality of life was statistically significant with monthly family income at P value < 0.01 and the symptoms was statistically significant with educational status, occupation, marital status, duration from diagnosis at p value (<0.01), (0.01), (<0.01), (0.04). Study concluded that the brain gym exercise was effective in increasing the level of self esteem, quality of life & reducing symptoms among schizophrenic patients. Nursing personnel should utilize this exercise at clinical setting in improving self esteem, quality of life and enhancing the life style pattern of schizophrenic patients.
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
How patients with schizophrenia “as a Victim” cope with violence in Indonesia: a qualitative study
2021 •
Henny Suzana Mediani
Background There is increasing concern about the level of violence and people with schizophrenia. However, research about violence in correlation with schizophrenia mostly focuses on patients as offenders rather than victims. Phenomenology was chosen to explore experience of patients with schizophrenia as a victim coping with violence in Indonesia. Results Of the 40 interviewees, average age was 35.8 years old (range 21–43). The 40 patients with schizophrenia comprised 26 males and 14 females. Violence typically included pushing, punching, or kicking, and restrained. The patient’s coping experiences as victims of violence were categorized into three themes: submission ( n = 28), expression of anger to object ( n = 33), and positive coping strategy ( n = 23). Conclusion To shorten the evaluation required to choose coping strategies, domestic violence education/psychoeducation would be relevant.
