厦门地区酒依赖患者攻击行为的危险因素分析  

Analysis of aggressive behavior,impulsive trait and related risk factors in patients with alcohol dependence in Xiamen City

作　　者：张鸿鹤 李金灵 黄双建 李思友 张轩 ZHANG Honghe;LI Jinling;HUANG Shuangjian(Xiamen Xianyue Hospital,Xianyue Hospital Affiliated with Xiamen Medical college,Fujian Psychiatric Center,Fujian Clinial Research Center for mental disorders,Xiamen 361012,China)

机构地区：[1]厦门市仙岳医院/厦门医学院附属仙岳医院/福建省精神医学中心/福建省精神疾病临床医学研究中心,厦门361012

出　　处：《国际精神病学杂志》2024年第2期453-456,464,共5页Journal Of International Psychiatry

基　　金：厦门市医疗卫生科技计划项目(编号:3502Z20194083);福建省卫健委中青年骨干人才培养项目(编号:2019-ZQNB-33)。

摘　　要：目的了解酒依赖患者攻击行为的临床特点、冲动特质,并分析其攻击行为可能的危险因素。方法选取厦门某三甲精神专科医院的酒依赖患者,采用修改版外显攻击行为量表(Modified Overt Aggression Scale,MOAS)对110例患者进行攻击行为评估,将其分为攻击组和对照组(各55例),同时收集饮酒年限、日均饮酒量、暴力史等一般资料,使用冲动性量表(Barratt Impulsiveness Scale version 11,BIS-11)评估患者的冲动性特质,密歇根酒精依赖调查表(Michigan Alcoholism Screening Test,MAST)评估饮酒相关问题,临床机构酒精戒断症状量表(Clinic Institute Alcohol Withdrawal Syndrome Scale,CIWA-Ar)评估酒精戒断严重程度,分析酒依赖不同临床特点及冲动特质与攻击行为之间的关系。结果暴力攻击史、日均饮酒量高、注意冲动高评分、运动冲动高评分、无计划冲动高评、工作社会问题突出、婚姻家庭问题突出,以及CIWA-Ar高评分(OR=9.750,2.528,2.257,1.902,5.345,1.236,3.795,3.633;P<0.001)可能成为酒依赖患者攻击行为的危险因素。结论冲动特质明显、暴力攻击史、日均饮酒量高、工作家庭问题突出和戒断症状明显可能是酒精依赖患者攻击风险的危险因素。Objective To investigate the clinical characteristics and impulsive traits of aggressive behavior in alcohol-dependent patients and to explore the risk factors of aggressive behavior.Methods A total of 110 alcoholdependent patients from a tertiary psychiatric hospital in Xiamen were assessed with the Modified Overt Aggression Scale(MOAS).The participants were divided into aggressive group and control group 55 casesrespectively.General data such as years of drinking,average daily consumption,and history of violence were collected.The impulsiveness of the patients was assessed by Barratt Impulsiveness Scale(BIS-11),the Michigan Alcoholism Screening Test(MAST)was used to assess alcohol-related problems,and the Clinical Institute Alcohol Withdrawal Syndrome Scale(CIWA-Ar)was utilized to assess the severity of alcohol withdrawal to analyz the relationship between different clinical characteristics of alcohol dependence patients,impulsive traits and aggressive behavior.Results History of violent aggression,high average daily alcohol consumption,high score of attention impulse,high score of exercise impulse,high score of unplanned impulse,prominent work and social problems,prominent marriage and family problems,and high CIWAAr score(0R=9.750,2.528,2.257,1.902,5.345,1.236,3.795,3.633,P<0.001)may be risk factors for aggressive behavior in alcohol-dependent patients.Conclusion Significant impulsivity,history of violent aggression,high daily alcohol consumption,prominent alcohol-related work and family problems,and obvious withdrawal symptoms may be risk factors for aggression in alcohol-dependent patients.

关 键 词：酒依赖 攻击行为 冲动特质 危险因素 

分 类 号：R749.99[医药卫生—神经病学与精神病学]