精神分裂症患者暴力倾向危险因素调查

The study of violations risk factors for schizophrenics.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(5)
作者
作者单位

芜湖市第四人民医院 ;
安徽省监狱总医院 ;

摘要
摘要:目的 调查分析精神分裂症患者暴力倾向危险因素。方法 259例有暴力倾向的男性精神病犯列为暴力组,将同时期192例无暴力倾向男性精神病犯为非暴力组。两组研究对象临床资料进行回顾性分析,探讨可能与精神分裂症患者有关的各种暴力倾向的危险因素。结果 相对于非暴力组,暴力组中男性、农村、未服药、被害妄想、无业、低学历人数比例较多,差异有统计学意义(175/192 vs 254/259,X2=11.391,P=0.001;119/192 vs 190/259,X2=6.619,P=0.010;94/192 vs 213/259,X2=56.192,P<0.001;56/192 vs 132/259,X2=21.554, P<0.001;95/192 vs 150/259,X2=16.581, P<0.001;107/192 vs 185/259,X2=17.531, P<0.001)。Logistic 回归分析显示被害妄想主要危险因素,而受教育程度高和坚持服药是保护性因素。结论 精神分裂症患者暴力行为与其精神症状密切相关,按时服药可以降低精神分裂症患者暴力危险。
Abstract
Abstract :Objective To study the violations risk factors for schizophrenics. Methods A total of 259 schizophrenics with violations as violation group and other 192 schizophrenics without violations in the same period were chosen as non-violation group.Through retrospective investigation,The risk factors from violations in schizophrenics were discussed.Results Compared with non-violation group. violation group had higher percentage of male、village、did not take the pill、delusion of persecution、unemployed and low education.The difference of them between the two groups show to have statistically significant(175/192 vs 254/259,X2=11.391,P=0.001;119/192 vs 190/259,X2=6.619,P=0.010;94/192 vs 213/259,X2=56.192,P<0.001;56/192 vs 132/259,X2=21.554, P<0.001;95/192 vs 150/259,X2=16.581, P<0.001;107/192 vs 185/259,X2=17.531, P<0.001)。. In a stepwise logistic regression model, However, only only the delusion of persecution as an independent risk factor, high degree of professional education and take the pill were two protective factor. Conclusion Violations behavior in schizophrenic patients occurs mainly with psychiatric symptoms.The patients should be take pills on time to reduce the risk of violence.
关键词
精神分裂症;暴力;危险因素;
KeyWord
schizophrenia;violence;risk factors;
基金项目
页码 783-786
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朱文礼*,尹良爽. 精神分裂症患者暴力倾向危险因素调查 [J]. 国际精神病学杂志. 2017; 44; (5). 783 - 786.

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