应激相关障碍62例司法鉴定因果关系分析

Causality analysis of 62 cases with mental disorders related to stress

目的 了解司法鉴定中应激相关障碍因果关系。方法 自制调查表详细调查 6 2例应激因素所致精神障碍的司法鉴定资料 ,并进行统计学分析。结果 (1)男女在不同案由分布上差异显著(P <0 0 1) ;(2 )男女个体在病前性格方面没有显著的差异 (P >0 0 5 ) ;(3)在应激致病因素中 ,被殴打伤、头部受伤 (5 0 % )及被体罚、被侮辱事件中男女差异有显著性 (P <0 0 1) ;(4 )女性患创伤性应激障碍(4 4 4 % )明显高于男性 (11 3% ) (P <0 0 1) ;(5 )不同应激因素与因果关系密切的程度不显著 (P >0 0 5 ) ;(6 )鉴定诊断与因果关系之间存在显著的关联性 (χ2 =4 1 82 ,P <0 0 1)。结论 应激相关障碍因果关系程度的评定差异较大 ,鉴定中应充分考虑应激因素的强度 ,规范诊断 ,避免评定过宽。

Objective: To undersdand the causality of the mental disorders related to stress in forensic identify. Methods: The data of 62 cases with mental disorders related with stress was collected and analysesed. Results: (1) In different cases, there is an extremely diversity in the distribution of males and females (P< 0.01); (2) No differences are found in the temperament of male and female individuals (P>0.05); (3) The significant difference was found in stress factors of beaten, head-hurted, corporal punishment and insult cases, between males and females (P<0.01); (4) The prevenlence of stress disorder of females was higher than that of males (P<0.01); (5) Little relevance exits between different stress and causality (P>0.05); (6) The diagnose and the causalities are linked closely (χ 2=41.82, P<0.01). Conclusion: We should consider the strength of the stress in order to avoid a wide excessive inclination in identify causality because difference between stress disorder and causality-results do exist.