常州市农村地区精神分裂症患者肇事肇祸行为与敌意归因的关系  

Relationship between causal behavior and hostility attribution in schizophrenia patients in Changzhou countryside area

作　　者：蒋蓓[1] 吴红华[1] 薛云霞[1] 岳芸[1] 万里[1] JIANG Bei;WU Hong-hua;XUE Yun-xia;YUE Yun;WAN Li(Mental Health Center of Changzhou Dean Hospital,Changzhou Jiangsu,213003,China)

机构地区：[1]常州市德安医院精神卫生中心,江苏常州213003

出　　处：《职业与健康》2020年第10期1360-1363,共4页Occupation and Health

基　　金：常州市应用基础研究计划项目(CJ20179045)。

摘　　要：目的探讨常州市农村地区精神分裂症患者肇事肇祸行为与敌意归因的关系。方法采取分层抽样法抽取常州市德安医院精神卫生中心2017年8月—2019年7月收治的居住于农村地区的精神分裂症肇事肇祸患者133例与精神分裂症非肇事肇祸患者133例,通过一般资料表、阴性症状与阳性症状量表以及模棱两可、目的和敌意问卷(AIHQ)调查2组患者的人口学、精神症状以及敌意归因偏向状况。采用2个多元逻辑回归模型分析精神分裂症患者肇事肇祸行为与敌意归因偏向的关系。结果肇事肇祸组患者AIHQ量表的责备偏向总分、敌意偏向总分以及攻击偏向总分均显著高于非肇事肇祸组[(7.13±1.09)vs(6.41±1.40),(8.53±1.22)vs(5.73±0.68),(7.56±1.18)vs(5.66±1.13)],差异均有统计学意义(均P<0.01)。Logistic回归分析显示,男性、无配偶、小学文化、偏执型、有被害妄想与肇事肇祸行为相关联(均P<0.01),在调整了上述变量后,责备偏向评分、敌意偏向评分以及攻击偏向评分均与肇事肇祸行为显著相关(均P<0.01)。结论常州市农村地区精神分裂症患者肇事肇祸行为除了与性别、教育水平、婚姻状态、精神分裂症分型以及有无被害妄想密切相关外,还与患者的敌意归因偏向显著关联。将归因偏向纳入到农村地区精神分裂症患者社会认知训练方案中将有望降低患者的敌意归因倾向,减少肇事肇祸事件的发生。Objective To explore the relationship between causal behavior and hostility attribution in schizophrenia patients in Changzhou countryside area. Methods Stratified sampling method was used to select 133 patients with schizophrenia who caused trouble and 133 patients with schizophrenia who did not cause trouble in the mental health center of Changzhou Dean Hospital from August 2017 to July 2019.The general data table,Positive and Negative Syndrome Scale and Ambiguous,Intentions and Hostile Questionnaire(AIHQ) survey were conducted to investigate the demography,mental symptoms and hostility attribution bias of the two groups. Two multiple logistic regression models were used to analyze the relationship between causal behavior and hostility attribution bias in schizophrenia patients. Results The total score of blame bias,hostility bias and attack bias in the AIHQ scale of the patients in the blame group was significantly higher than that in the non-blame group[(7.13±1.09)vs(6.41±1.40),(8.53±1.22)vs(5.73±0.68),(7.56±1.18)vs(5.66±1.13)],and the difference was statistically significant(all P <0.01). Logistic regression analysis showed that male,unattached,primary school culture,paranoid and victimized were correlated with the cause of the accident(all P<0.01). After adjusting for the above variables,blame bias score,hostility bias score and attack bias score were all significantly correlated with the cause of the accident(all P<0.01). Conclusion The causal behavior of patients with schizophrenia in Changzhou countryside area is closely related to their gender,education level,marital status,schizophrenia classification and whether have delusions of victimization. The inclusion of attribution bias in social cognitive training program for schizophrenia patients is expected to reduce the attribution tendency of hostility and the occurrence of causing accidents.

关 键 词：精神分裂症 敌意归因偏向 肇事肇祸 严重精神障碍 农村地区 

分 类 号：R181.31[医药卫生—流行病学]