Moral cognition, the missing link between psychotic symptoms and acts of violence: a cross-sectional national forensic cohort study

O’Reilly, Ken; O’Connell, Paul; O’Sullivan, Danny; Corvin, Aiden; Sheerin, James; O’Flynn, Padraic; Donohoe, Gary; McCarthy, Hazel; Ambrosh, Daniela; O’Donnell, Muireann; Ryan, Aisling; Kennedy, Harry G.

doi:10.1186/s12888-019-2372-4

Table 6 The mediating effect of moral cognition on delusions / hallucinations (X) and relevance for the violent act)

From: Moral cognition, the missing link between psychotic symptoms and acts of violence: a cross-sectional national forensic cohort study

n = 55			C1 direct effect of X (SAPS) on Y before mediation			C2 direct effect of X (SAPS) on Y after mediation			A: indirect effect of X (SAPS) on Y mediated via M (Expert rated morality)			B: direct effect of M (Expert Rated Morality) on Y adjusted for X (SAPS)
n = 55	R²	p	Unstandardized effect size or OR	95% CI		Unstandardized effect size	95% CI		Unstandardized effect size	95% CI		Unstandardized effect size	95% CI
M is care-harm, X are delusions Y is whether the delusions or hallucinations were relevant to the violent act
X = Delusions of guilt Y = Relevance	.999	.000	.867	.767	.967	9.900	-1163.928	1183.730	*3.128*	*1.854*	*6.690*	*3.699*	*-575.590*	*582.988*
X = Religious delusions Y = Relevance	.960	.000	.962	.908	1.016	*.952*	*.891*	*1.012*	.010	-.0097	.060	.030	-.048	.108
X = Grandiose Y = Relevance	.949	.000	.839	.762	.915	.835	.755	.914	.004	-.0212	.048	.015	-.065	.097
M is fairness-injustice, Y is whether the delusions or hallucinations were relevant to the violent act
X = Persecutory delusions Y = Relevance	.930	.000	*.953*	*.846*	*1.062*	*.917*	*.807*	*1.027*	.035	-.001	.139	*.125*	*.010*	*.239*
X = Somatic delusions Y = Relevance	.934	.000	*.870*	*.779*	*.961*	*.874*	*.777*	*.971*	-.004	-.022	.003	-.008	-.067	.051
X = Delusions of mind reading Y = Relevance	.897	.000	*.634*	*.548*	*.720*	*.635*	*.546*	*.724*	-.001	-.023	.010	-.002	-.056	.050
X = Somatic/tactile hallucinations Y = Relevance	.745	.000	*.404*	*.302*	*.505*	*.392*	*.288*	*.469*	*.011*	*.000*	*.039*	.034	-.031	.110
M is loyalty-betrayal, Y is whether the delusions or hallucinations were relevant to the violent act
X = Persecutory delusions Y = Relevance	.867	.000	*.953*	*.844*	*1.062*	*.915*	*.805*	*1.024*	*.038*	*.005*	*.135*	*.130*	*.019*	*.241*
X = Delusions of doubles Y = Relevance	.919	.000	*.911*	*.804*	*1.019*	*.916*	*.806*	*1.026*	-.004	-.038	.005	-.018	-.105	.067
M is authority, Y is whether delusions or hallucinations were relevant to the violent act
X = Religious delusions Y = Relevance	.980	.000	*.962*	*.908*	*1.016*	*.960*	*.893*	*1.027*	.002	-.0338	.055	.004	-.068	.077
X = Command hallucinations Y = Relevance	.961	.000	*.868*	*.798*	*.938*	*.892*	*.814*	*.970*	-.023	-.0813	.007	-.053	-.132	.026
M is sanctity -degradation, Y is whether delusions or hallucinations were relevant to the violent act.
X = Auditory hallucinations Y = Relevance	.898	.000	*.863*	*.783*	*.943*	*.857*	*.773*	*.940*	.006	-.0088	.035	.020	-.048	.089

Bold: confidence interval does not move from positive to negative

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ISSN: 1471-244X

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