住院精神分裂症患者攻击行为与临床症状的关系  

Relationship between aggression and clinical symptoms in inpatients with schizophrenia

作　　者：彭祖来 李清均[1] PENG Zu-lai;LI Qing-jun(Chongqing Mental Health Center,Chongqing 401147,China.)

机构地区：[1]重庆市精神卫生中心,401147

出　　处：《临床精神医学杂志》2018年第3期202-204,共3页Journal of Clinical Psychiatry

摘　　要：目的:探讨精神分裂症症状或综合征与攻击风险的关系。方法:对285例已出院的精神分裂症患者的一般人口学资料、阳性和阴性症状量表(PANSS)条目及和修订版外显攻击行为量表(MOAS)评分进行回顾性分析,比较各因素对患者攻击风险的影响。结果:25～40岁是攻击风险的高峰段。Logistic回归分析显示,既往身体攻击、思维障碍、冲动敌对是身体攻击风险的预测因子(P均<0.01);思维障碍(OR=3.736)、夸大(OR=2.409)、幻觉妄想合并思维障碍(OR=1.532)、兴奋(OR=1.690)增加身体攻击的相对风险(P<0.05或P<0.001)。结论:思维障碍显著增加精神分裂症患者的身体攻击风险。Objective： To explore the relationship between schizophrenia symptoms/syndromes and the risk of violence. Method： Two hundred and eighty-five inpatients with schizophrenia who had been discharged from the hospital,were retrospectively evaluated by scores of symptom items in positive and negative syndrome scale（ PANSS） and modified overt aggression scale（ MOAS）,and also their demographic data was collected. The contribution of factors to the risk of violence was analyzed. Results： Patients aged 25-40 were at the peak of committing violence. Logistic regression analysis results showed that the history of past physical aggression,thought disorder and hostility-impulsiveness were predictors of the risk of physical aggression（ all P〈0. 01）. Thought disorder（ OR = 3. 736）,grandiosity（ OR = 2. 409）,hallucination-delusion combined with thought disorder（ OR = 1. 532）,and excitement（ OR = 1. 690） increase the the risk of physical aggression（ P〈0. 05 or P〈0. 01）. Conclusion： Thought disorder significantly increase the risk of physical aggression in patients with schizophrenia.

关 键 词：精神分裂症 临床症状 攻击行为 

分 类 号：R749.3[医药卫生—神经病学与精神病学]