家庭暴力对精神分裂症患者冲动行为的影响

Effect of Domestic Violence on Aggressive Behaviors of Schizophrenic Patients

目的探讨家庭暴力对精神分裂症患者冲动行为的影响,旨在对精神分裂症患者的冲动行为进行预防和干预。方法采用自行设计的家庭暴力调查表、特质应对方式问卷(TCSQ)、艾森克个性问卷(EPQ)及社会支持评定量表(SSRS),对68例遭受家庭暴力的精神分裂症患者(暴力组)进行评估,并与52例未遭受家庭暴力的精神分裂症患者(非暴力组)进行比较。结果暴力组冲动行为发生率显著高于非暴力组(P<0.01);暴力组消极应对方式及EPQ的神经质、精神质评分显著高于非暴力组;两组客观支持、支持利用度和总社会支持评分比较,差异有显著性意义(均P<0.01)。结论遭受家庭暴力的精神分裂症患者具有冲动行为高、精神质和不稳定个性,面对压力情景时多采用消极的应对方式,其社会支持缺乏,应采取合理措施加以预防。

Objective To study the effect of domestic violence on aggressive behaviors of schizophrenic patients, so as to prevent and intervene their aggressive behaviors. Methods A total of 68 schizophrenic patients suffered domestic violence were investigated by self made domestic violence questionnaire, Trait Coping Style Questionnaire （TCSQ）, Eysenck Personality Questionnaire （EPQ） and Social Support Rating Scale （SSRS）. And a comparison with 52 schizophrenic patients without domestic violence was made. Results The occurrence rate of aggressive behaviors in schizophrenic patients with family violence was significantly higher than those without family violence （P〈0.01）; the scores of nega tive coping, neuroticism and psychoticism in EPQ were significantly higher in patients with family violence than those without family violence （P〈0.01 for all）, while the scores of social support were significantly lower in patients with family violence （P〈0.01 for all）. Conclusion Schizophrenic patients with family violence have aggressive behaviors, psychotieism and unstable personality, they always adopt negative coping style and show deficiency of social support. Nursing interventions should be taken to prevent.