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Characteristics of Impulsive and Premeditated Aggression Subtypes in Patients with Schizophrenia in South Korea Who Committed a Crime

범죄로 수감중인 국내 조현병 환자의 충동적 공격성과 계획적 공격성의 특성 비교

  • Kim, Minah (Department of Neuropsychiatry, Seoul National University Hospital) ;
  • Jo, Yongwoo (Department of Brain and Cognitive Sciences, Seoul National University College of Natural Sciences) ;
  • Lee, Tae Young (Department of Neuropsychiatry, Pusan National University Yangsan Hospital) ;
  • Lim, Kyung-Ok (Department of Psychiatry, National Institute of Forensic Psychiatry, Ministry of Justice) ;
  • Kwon, Jun Soo (Department of Neuropsychiatry, Seoul National University Hospital)
  • 김민아 (서울대학교병원 정신건강의학과) ;
  • 조용우 (서울대학교 자연과학대학 뇌과학 협동과정) ;
  • 이태영 (양산부산대학교병원 정신건강의학과) ;
  • 임경옥 (국립법무병원 공주 치료감호소) ;
  • 권준수 (서울대학교병원 정신건강의학과)
  • Received : 2021.01.03
  • Accepted : 2021.02.15
  • Published : 2021.04.30

Abstract

Objectives: Although the characteristics of different aggression subtypes provide important information in establishing treatment and prevention strategies in schizophrenia patients, limited information is available about the characteristics of the aggressive subtype in schizophrenia patients in South Korea. The present study was designed to compare the demographic and psychological characteristics across the impulsive and premeditated aggression subtypes in schizophrenia patients in South Korea who had committed a crime. Methods: We enrolled 116 schizophrenia spectrum disorder patients who were admitted to the National Forensic Psychiatric Hospital. Using the criminal and interview records, the study subjects were divided into 83 impulsive and 33 premeditated aggression groups. The subjects' demographic and psychological characteristics were summarized and compared across aggression subtypes. Results: Compared to the premeditated aggression group, the impulsive aggression group had a higher intelligent quotient and a lower rate of physical and sexual abuse experience. Conclusion: To our knowledge, this is the first study to describe the characteristics of aggression subtypes in schizophrenia patients in South Korea who had committed a crime. Our results suggest that different treatment and prevention strategies should be considered for each aggression subtype.

Keywords

Acknowledgement

이 연구는 대한민국 과학기술정보통신부 뇌과학원천기술개발사업(2017M3C7A1029610), 기초과학연구사업(신진연구자지원사업, 2019R1C1C1002457) 및 뇌질환극복연구사업(2020M3E5D9079910)의 지원으로 수행되었습니다.

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