TY  - JOUR
PY  - 2018//
TI  - Acting on delusions: the role of negative affect in the pathway towards serious violence
JO  - Journal of forensic psychiatry and psychology
A1  - Ullrich, Simone
A1  - Keers, Robert
A1  - Shaw, Jenny
A1  - Doyle, Michael
A1  - Coid, Jeremy W.
SP  - 691
EP  - 704
VL  - 29
IS  - 5
N2  - Acting violently on delusions is a significant clinical problem. Recent research has identified state anger as key component in the pathway from persecutory/threat delusions to serious violence. To determine the magnitude of the effect of delusional anger and to investigate a dose-response relationship we carried out a prospective follow-up study of forensic in-patients discharged into the community. Men and women (n = 409) were assessed before/after discharge at 6 and 12 months (Positive and Negative Syndrome Scale, MacArthur Community Violence Interview). No association was found with a content un-specific measure of delusions, thought disorder, hallucinations, grandiosity and violence. Suspiciousness/persecution was significantly associated with both violence and anger. Anger was also associated with violence. Mediation analyses suggested that 84% of the association between suspiciousness/persecution and violence was explained by anger. Key target of interventions should primarily be the anger; treatment of delusional beliefs plays a secondary role in the management of risk.<p />  <p>Language: en</p>
LA  - en
SN  - 1478-9949
UR  - http://dx.doi.org/10.1080/14789949.2018.1434227
ID  - ref1
ER  -