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OtherREGULAR ARTICLE

Violent Crime and Dimensions of Delusion: A Comparative Study of Criminal and Noncriminal Delusional Patients

Eduardo Henrique Teixeira and Paulo Dalgalarrondo
Journal of the American Academy of Psychiatry and the Law Online June 2009, 37 (2) 225-231;
Eduardo Henrique Teixeira
MD
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Paulo Dalgalarrondo
MD, PhD
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    Table 1

    Alcohol and Drug Abuse in the Two Groups

    Study Group (n = 30)(At Time of Violent Act)Control Group (n = 30)(At Time of Admission)Missingp
    YesNoYesNo
    Alcohol07 (53.8)06 (46.1)07 (43.7)09 (56.2)31.5884*
    Cannabis07 (70.0)03 (30.0)03 (25.0)09 (75.0)38.0836†
    Cocaine01 (33.3)02 (66.7)02 (50.0)02 (50.0)53NS
    • NS, nonsignificant

    • * χ2 test.

    • † Fisher test.

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    Table 2

    Comparison of the Psychiatric/Psychotic Symptoms Between the Two Groups

    Study Group(n = 30)Control Group(n = 30)P*
    PANSSG35.7 ± 9.4 (21.0–62.0)34.3 ± 8.6 (20.0–55.0).5860
    PANSSP18.7 ± 6.5 (8.0–33.0)18.5 ± 6.3 (7.0–32.0).8769
    PANSSN17.3 ± 6.6 (9.0–35.0)15.8 ± 5.2 (10.0–30.0).5505
    • PANSSG (global psychopathology); somatic concern, anxiety, tension, habits and posture, depression, motor defects, and lack of cooperation.

      PANSSP (positive symptoms): delusion, conceptual disorganization, hallucinatory behavior, excitation, grandeur, and distrust.

      PANSSN (negative symptoms): blunted affect, emotional withdrawal, poor contact, and passive/apathetic social withdrawing.

    • * Mann-Whitney test.

    • View popup
    Table 3

    Type of Delusion According to Content in the Study and Control Groups

    Type of DelusionStudyControl
    n(%)n(%)
    Persecutory21(72.4)23(76.7)
    Grandiose3(10.3)4(13.3)
    Control/influence5(17.3)3(10.0)
    Total29(100.0)30(100.0)
    • View popup
    Table 4

    Comparison of the Six Dimensions of the MMDAS Between Groups

    Study Group (n = 29)Control Group (n = 30)p*
    Conviction5.9 ± 1.6 (2.0–8.0)5.3 ± 1.7 (2.0–8.0).2024
    Negative affect1.1 ± 1.2 (0.0–4.0)2.5 ± 3.9 (0.0–4.0).0048
    Acting on belief4.6 ± 0.9 (1.0–5.0)1.7 ± 1.3 (0.0–5.0)<.0001
    Refraining from acting because of belief1.9 ± 1.6 (0.0–8.0)3.3 ± 2.0 (0.0–8.0).0069
    Preoccupation2.4 ± 0.9 (1.0–4.0)2.5 ± 0.9 (1.0–4.0).6191
    Pervasiveness1.9 ± 0.7 (1.0–3.0)2.2 ± 0.5 (1.0–3.0).2598
    • Bold data represent significant differences.

    • * Based on the Mann-Whitney test.

    • View popup
    Table 5

    Univariate Logistic Regression of the Six Dimensions of the MMDAS

    VariableStudy Group (n)Control Group (n)pOR95% CI
    Conviction2930.22021.224(0.886–1.690)
    Negative affect2930.0124.502(0.292–0.861)
    Acting on belief2930<.00014.091(2.220–7.539)
    Refraining from acting because of belief2930.0076.644(0.466–0.889)
    Preoccupation2930.5322.841(0.488–1.449)
    Pervasiveness2930.2282.600(0.261–1.377)
    • Bold data represent significant differences.

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Journal of the American Academy of Psychiatry and the Law Online: 37 (2)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 37, Issue 2
June 2009
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Violent Crime and Dimensions of Delusion: A Comparative Study of Criminal and Noncriminal Delusional Patients
Eduardo Henrique Teixeira, Paulo Dalgalarrondo
Journal of the American Academy of Psychiatry and the Law Online Jun 2009, 37 (2) 225-231;

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Violent Crime and Dimensions of Delusion: A Comparative Study of Criminal and Noncriminal Delusional Patients
Eduardo Henrique Teixeira, Paulo Dalgalarrondo
Journal of the American Academy of Psychiatry and the Law Online Jun 2009, 37 (2) 225-231;
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