青岛地区非自愿住院精神分裂症病人临床特征的性别差异  

GENDER DIFFERENCES IN CLINICAL FEATURES OF INVOLUNTARY INPATIENTS WITH SCHIZOPHRENIA IN QINGDAO,CHINA

作　　者：黄飞[1] 姜祥智[1] 

机构地区：[1]青岛市精神卫生中心精神科,山东青岛266034

出　　处：《齐鲁医学杂志》2017年第3期331-333,共3页Medical Journal of Qilu

摘　　要：目的探讨青岛地区非自愿住院精神分裂症病人临床特征的性别差异。方法对79例男性和70女性非自愿住院精神分裂症病人一般资料进行统计,使用简明精神病评定量表(BPRS)评估病情,使用修改版外显行为攻击量表(MOAS)评估病人攻击行为,使用功能大体评价量表(GAF)评估病人社会功能。结果女性平均年龄显著大于男性(t=4.08,P<0.05),男性单身和无业比例显著高于女性(χ2=10.78、6.33;P<0.05),女性独居比例显著高于男性(χ2=24.40,P<0.05)。女性BPRS评分显著高于男性(t=2.02,P<0.05),男性GAF评分显著高于女性(t=2.04,P<0.05)。男性出现攻击行为的比例低于女性,差异有统计学意义(χ2=5.74,P<0.05)。男性言语攻击、对财产攻击和自身攻击的MOAS评分显著高于女性(t=2.15~5.07,P<0.05),在相对较严重的攻击行为(MOAS评分≥8分)方面,男性MOAS评分显著高于女性(t=2.48,P<0.05)。女性病人强制服药比例高于男性,差异有统计学意义(χ2=4.69,P<0.05),男性病人强制约束比例高于女性,差异有统计学意义(χ2=6.10,P<0.05)。结论女性非自愿住院精神分裂症病人年龄较大,精神症状较重,且社会功能较差;男性病人单身和无业者较多,攻击行为较少,但威胁更大。Objective To investigate the gender differences in clinical features of involuntary inpatients with schizophrenia in Qingdao,China. Methods A retrospective analysis was performed on the general data of 79 males and 70 females who were involuntary inpatients with schizophrenia.The status of the disease and their aggressive behaviors and social function were assessed using Brief Psychiatric Rating Scale（BPRS）,Modified Overt Aggression Scale（MOAS）,and Global Assessment of Functioning Scale（GAF）,respectively. Results The females had a significantly older mean age,significantly lower proportions of unmarried and unemployed persons,and a significantly higher proportion of persons living alone than the males,the differences were significant（t=4.08,P〈0.05;χ2=6.33-24.40,P〈0.05）.The males had a significantly lower BPRS score and a significantly higher GAF score than the females（t=2.02,2.04;P〈0.05）.And the males had a significantly lower proportion of persons with aggressive behavior than the females（χ2=5.74,P〈0.05）.The males had significantly higher MOAS scores of verbal attack,aggression against property,and autoaggression and a significantly higher MOAS score of severe aggressive behaviors（MOAS ≥8）than the females（t=2.15-5.07,P〈0.05）.The females had a significantly higher proportion of persons with forced medication and a significantly lower proportion of persons with physical constraints than the males（χ2= 4.69,6.10;P〈0.05）. Conclusion Among the involuntary inpatients with schizophrenia,the females are older and have more severe symptoms and worse social function than the males;while the males have higher proportions of unmarried and unemployed persons and less but more severe aggressive behaviors than the females.

关 键 词：精神分裂症 精神病人强制住院 性别特性 

分 类 号：R749.3[医药卫生—神经病学与精神病学]