住院精神病人攻击行为相关因素分析

An analysis of correlative factors of aggressive behavior among psychotic inpatients

本文采用“修订的明显攻击行为量表（ＭＯＡＳ）”评定９２例符合ＣＣＭＤ—２诊断标准的住院精神病人，发现攻击行为者（ＭＯＡＳ总分≥４）占３８．０％。对照分析，结果显示：既往暴力行为史、住院方式、神经质水平研究组与对照组有显著差异；研究组ＢＰＲＳ总分以及思维障碍、激活性、敌对猜疑三个因子分显著高于对照组；研究组病人幻觉、妄想、易激惹、敌意、精神运动性兴奋等精神症状出现频率较高。上述诸因素对住院精神病人的攻击行为具有预测价值。

In this essay,we used the modified overtaggression scale(MOAS) to assess 92 cases of psychotic inpatients who conformed to CCMD-2criteria,and found that the freguency of aggressive behavior was 38.0%(the total score of MOAS>4).The result showed that in the research group, there were remarkably different from the control group in the history of violent behavior,hospitalization and nervous level.The BPRS total score of the research group and its factors of thinking disturbance,irritabilily and animosity were also markedly higher than those of the control group.The frequency of episodes of mental symptoms(hallucination, delusion,irritability,animosity,psychomostor excitement,etc.) in the research group was fairly high. The above mentioned factors may be valuable in forecasting the aggresive behavior of psychotic inpatients.