Prevalence and predictors of violent victimization in remitted patients with recurrent depression

JOURNAL OF AFFECTIVE DISORDERS

卷:238

Article

Christ, C.^1,2,3  de Jonge, M.¹  Bockting, C. L. H.⁴  Kikkert, M. J.¹  van Schaik, D. J. F.^2,3  Beekman, A. T. F.^2,3  Dekker, J. J. M.^1,5 

[1] Dept Res Arkin Mental Hlth Care, Klaprozenweg 111, NL-1033 NN Amsterdam, Netherlands

[2] Vrije Univ Amsterdam, GGZ inGeest, Med Ctr, Dept Psychiat, Amsterdam, Netherlands

[3] Vrije Univ Amsterdam Med Ctr, Amsterdam Publ Hlth Res Inst, Amsterdam, Netherlands

[4] Univ Amsterdam, Dept Psychiat, Acad Med Ctr, Amsterdam, Netherlands

[5] Vrije Univ Amsterdam, Dept Clin Psychol, Amsterdam, Netherlands

关键词: Victimization;    Violence;    Depression;    Remission;    Assault;    Sense of mastery;   

DOI  :  10.1016/j.jad.2018.06.019

来源: Elsevier

【 摘 要 】

Background: Depressed patients are at increased risk to fall victim to a violent crime compared to the general population. It remains unknown whether their increased risk persists after remission. This study compared victimization rates of remitted patients with both a random general population sample and a group of currently depressed patients. Furthermore, this study aimed to identify predictors of future violent victimization. Methods: In this longitudinal study conducted in the Netherlands, 12-month prevalence rates of sexual assaults, physical assaults, and threats were assessed with the Safety Monitor in 140 currently remitted patients with recurrent depression, and compared to those of a weighted general population sample (N=9.175) and a weighted sample of currently depressed outpatients (N=102) using Chi-square tests. Logistic regression analyses were performed to identify baseline predictors of future victimization. Results: The prevalence of violent victimization did not differ between remitted patients and the general population (12.1 vs. 11.7%). Remitted patients were significantly less likely to have been victimized over the past 12 months than currently depressed patients (12.1 vs. 35.5%). In remitted patients, living alone and low sense of mastery at baseline predicted future violent victimization. However, when combined in a multiple model, only living alone was independently associated with violent victimization (chi(2)=16.725, df=2, p<. 001, R-2=0.221). Limitations: Our comparison of victimization rates across samples was cross-sectional. Conclusions: Since the increased risk of victimization appears to be specific for the acute depressive state, preventive interventions should target victimization in currently depressed patients.

【 授权许可】

Free