ABSTRACT
Objective: To explore the indirect self-destructiveness syndrome in patients with schizophrenia. Methods: Two hundred individuals with paranoid schizophrenia (117 men and 83 women, mean age 37.15 years), all in remission, were examined using the Polish version of the Chronic Self-Destructiveness Scale. Two hundred well-matched healthy individuals served as a control group. Results: The intensity of indirect self-destructiveness was greater in the schizophrenia group than in controls. The intensity of each manifestation was as follows (in decreasing order): helplessness and passiveness in the face of difficulties (A5), personal and social neglects (A3), lack of planfulness (A4), poor health maintenance (A2), transgression and risk (A1). Conclusion: Patients with schizophrenia displayed more behaviors that were indirectly self-destructive than healthy controls; they scored better than healthy controls only on caring for their own health. The patients showed the lowest intensity of behaviors connected with the active form of indirect self-destructiveness, and the highest intensity of behaviors connected with the passive form. These findings may enable delivery of more effective forms of pharmacological and psychosocial help to patients with schizophrenia.
Subject(s)
Humans , Male , Female , Adult , Schizophrenia/complications , Schizophrenic Psychology , Self-Injurious Behavior/etiology , Poland , Psychiatric Status Rating Scales , Socioeconomic Factors , Case-Control Studies , Risk Factors , Self-Injurious Behavior/classification , Self-Injurious Behavior/psychologyABSTRACT
Em função da idade e do gênero, adolescentes do sexo feminino são especialmente vulneráveis à s violências, sobretudo aos maus-tratos (violência no âmbito das relações interpessoais). Neste estudo, objetivou-se descrever/caracterizar a ocorrência de maus-tratos entre estudantes do sexo feminino (n=1.174), com idade entre 11 e 18 anos, por meio do Childhood Trauma Questionnaire - Brasil (CTQ-Br). Do total das adolescentes, 87% de escolas privadas e 93% de públicas indicaram algum tipo de maus-tratos, especialmente abuso emocional e negligência emocional, havendo, para a maioria, coocorrências/polivitimização. A pontuação total no instrumento foi significativamente maior nas escolas públicas, assim como a proporção de abusos e/ou negligências em níveis de gravidade moderado/severo. Os resultados denotam uma grande porcentagem de adolescentes maltratadas e a maior vulnerabilidade daquelas de escolas públicas, entendendo o tipo de escola como indicador de classe socioeconômica. Estes resultados podem auxiliar nas discussões de políticas públicas de prevenção e enfrentamento da violência
Due to age and gender, female adolescents are especially vulnerable to violence, particularly to maltreatment (the violence in the interpersonal relationships). The aim of this study was to describe/characterize the occurrence of maltreatment among female students (n=1,174), aged 11 to 18 years, through the Brazilian Child Trauma Questionnaire (CTQ-Br). Considering all the adolescents, 87% of private schools and 93% of public school indicated some abuse, especially Emotional Abuse and Emotional Neglect, existing for the majority co-occurrences/polyvictimization. The total score on the instrument was significantly higher in public schools, as was the proportion of abuses and/or neglect at moderate/severe levels. The results indicate a large percentage of maltreated adolescents and a greater vulnerability of those in public schools, considering the school type as an indicator of socioeconomic class. These can help discussions on public policies prevention and coping with violence