轻度精神发育迟滞患者性自我防卫能力鉴定结果的一致性和变化:一项Meta分析  

The sexual defense capacity among patients with mild mental retardation in China:a meta-analysis

作　　者：刘露 陈琛 LIU Lu;CHEN Chen(Shanghai Key Laboratory of Forensic Medicine,Key Laboratory of Forensic Science,Ministry of Justice,China,Shanghai Forensic Service Platform,Academy of Forensic Science,Shanghai 200063,China)

机构地区：[1]司法鉴定科学研究院,上海市法医学重点实验室,司法部司法鉴定重点实验室,上海市司法鉴定专业技术服务平台,上海200063 [2]浙江省中医院

出　　处：《国际精神病学杂志》2021年第5期805-811,共7页Journal Of International Psychiatry

摘　　要：目的研究近30年来轻度精神发育迟滞患者性自我防卫能力鉴定结果的一致性和变化。方法从中国期刊全文数据库、万方数据库、维普论文检测系统、PubMed和Cochrane Library进行文献检索,搜索关于性自我防卫能力鉴定相关文献,由2位评价员独立筛选文献、提取资料,采用CMA 2.0软件进行Meta分析。结果共纳入17篇文献,421例轻度精神发育迟滞患者,其中41例评定为有性自我防卫能力,比率为12.1%(95%CI:7.4%-19.1%);262例评定为性自我防卫能力削弱,比率为59.4%(95%CI:46.6%-71.0%);118例评定为无性自我防卫能力,比率为30.4%(95%CI:20.7%-42.3%)。亚组分析显示,性防卫能力评定结果与是否为省会城市无关。Meta回归分析显示轻度精神发育迟滞患者评定为有性自我防卫能力的比率随着发表年限的增加而逐渐降低[Slope=-0.05,95%CI(-0.09,-0.006),P<0.05]。结论轻度精神发育迟滞患者性自我防卫能力鉴定结果差异较大,评定为性自我防卫能力削弱的比率最高,其次为无性自我防卫能力,而评定为有性自我防卫能力的比率逐渐降低。这为司法鉴定工作提供了一定指导,也提示司法鉴定的一致性培训工作仍需继续开展。Objective To estimate the forensic psychiatric assessment results of sexual defense capacity among patients with mild mental retardation by meta-analysis and to provide advice for the evaluation of sexual defense capacity among mild mental retardation.Methods We searched databases including CNKI,WanFang Data,VIP,PubMed,the Cochrane Library,to collect literatures regarding the forensic psychiatric assessment of sexual defense capacity among patients with mild mental retardation.Two reviewers independently searched and screened literatures and extracted data.Meta-analysis was performed by using Comprehensive Meta-Analysis(CMA)2.0 software.Results A total of 17 publications were included,containing 421 patients,of whom 41 were evaluated as having sexual defense capacity and the proportion was 12.1%[95%CI(7.4%,19.1%);262 were evaluated as having partial sexual defense capacity,the proportion was 59.4%[95%CI(46.6%,71.0%);118 were evaluated as having no sexual defense capacity,the proportion was 30.4%[95%CI(20.7%,42.3%).Meta regression analysis showed that the publication year was negatively correlated with the proportion of having sexual defense capacity.Conclusion The majority of patients with mild mental retardation were evaluated as having partial-capacity,following by having no-capacity.The proportion of evaluating as having sexual defense capacity was decreased gradually years by years.

关 键 词：性自我防卫能力 精神发育迟滞Meta分析 

分 类 号：R749[医药卫生—神经病学与精神病学]