THE RELATIONSHIP BETWEEN SUBSTANCE ABUSE AND VIOLENT BEHAVIOR IN PATIENTS WITH SCHIZOPHRENIA
Abstract
Substance abuse is often associated with violent behavior, particularly in patients with mental disorders such as schizophrenia. The combination of psychotic symptoms and the psychoactive effects of substances can worsen impulse control and increase the risk of aggressive actions. This study aims to analyze the relationship between substance abuse and violent behavior in patients with schizophrenia. This quantitative study employed a descriptive correlational design. The sample consisted of 100 respondents who met the inclusion criteria, selected using purposive sampling. Data were collected through questionnaires distributed online via social media. Data analysis was performed using simple linear regression tests with SPSS software. The findings revealed that substance abuse significantly affects violent behavior (p < 0.05). The regression coefficient of 0.947 indicates a positive relationship between the two variables. The R² value of 0.621 indicates that 62.1% of the variance in violent behavior can be explained by substance abuse, while the remaining 37.9% is influenced by other factors. This study found that substance abuse is a significant factor influencing violent behavior in patients with schizophrenia. Rehabilitation-based interventions for substance abuse and emotional regulation, such as Cognitive Behavioral Therapy (CBT), are essential to reduce the risk of violence in this population. This study provides empirical evidence for developing more holistic policies and intervention programs in managing patients with schizophrenia and substance abuse.
References
Camus, D., Dan Glauser, E. S., Gholamrezaee, M., Gasser, J., & Moulin, V. (2021). Factors associated with repetitive violent behavior of psychiatric inpatients. Psychiatry Research, 296, 113643. https://doi.org/10.1016/j.psychres.2020.113643
Caruso, R., Antenora, F., Riba, M., Murri, M. B., Biancosino, B., Zerbinati, L., & Grassi, L. (2021). COMPLEX MEDICAL-PSYCHIATRIC ISSUES (MB RIBA, SECTION EDITOR) Aggressive Behavior and Psychiatric Inpatients: a Narrative Review of the Literature with a Focus on the European Experience. Current Psychiatry Reports, 23(29), 1–12. https://doi.org/10.1007/s11920-021-01233-z
Girasek, H., Nagy, V. A., Fekete, S., Ungvari, G. S., & Gazdag, G. (2022). Prevalence and correlates of aggressive behavior in psychiatric inpatient populations. World Journal of Psychiatry, 12(1), 1–23. https://doi.org/10.5498/wjp.v12.i1.1
Gosek, P., Kotowska, J., Rowińska-Garbień, E., Bartczak, D., & Heitzman, J. (2021). Treatment resistance and prolonged length of stay among schizophrenia inpatients in forensic institutions. Psychiatry Research, 298(January). https://doi.org/10.1016/j.psychres.2021.113771
Hery Wibowo, Islamiyah, Herdaetha, A., & Septiawan, D. (2022). Kegawat Daruratan dan Treatment Pasien Schizophrenia Dengan Perilaku Kekerasan Berulang : Study Case. Dunia Keperawatan: Jurnal Keperawatan Dan Kesehatan, 10(3), 392–402. https://doi.org/10.20527/jdk.v10i3.142
Lau, S., Kirchebner, J., Kling, S., Euler, S., & Günther, M. P. (2021). Childhood Maltreatment, Psychopathology, and Offending Behavior in Patients With Schizophrenia: A Latent Class Analysis Evidencing Disparities in Inpatient Treatment Outcome. Frontiers in Psychiatry, 12(January), 1–10. https://doi.org/10.3389/fpsyt.2021.612322
Nath, A., Choudhari, S. G., Dakhode, S. U., Rannaware, A., & Gaidhane, A. M. (2022). Substance Abuse Amongst Adolescents: An Issue of Public Health Significance. Cureus, 14(11). https://doi.org/10.7759/cureus.31193
Nurtias, Z. M., & Yusuf, H. (2024). Mental Disorder Terhadap Perilaku Kriminalitas Mental Disorder Against Criminal Behavior. JICN: Jurnal Intelek Dan Cendikiawan Nusantara, 1(2), 1488–1497. https://jicnusantara.com/index.php/jicn
Rodriguez Cruz, J., Sahlsten Schölin, J., & Hjorth, S. (2021). Case Report: Cariprazine in a Patient With Schizophrenia, Substance Abuse, and Cognitive Dysfunction. Frontiers in Psychiatry, 12(August), 1–7. https://doi.org/10.3389/fpsyt.2021.727666
Sudirman, J. E. S., & Hasan, S. (2022). Hubungan Antara Riwayat Penggunaan Zat Dan Kualitas Hidup Pada Siswa Sma Dengan Risiko Gangguan Bipolar Di Kelurahan Penjaringan Jakarta Utara. Damianus Journal of Medicine, 21(3), 223–232. https://doi.org/10.25170/djm.v21i3.3291
Temmingh, H., Susser, E., Mall, S., Campbell, M., Sibeko, G., & Stein, D. J. (2021). Prevalence and clinical correlates of substance use disorders in South African Xhosa patients with schizophrenia. Social Psychiatry and Psychiatric Epidemiology, 56(4), 695–706. https://doi.org/10.1007/s00127-020-01942-5
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