男性精神分裂症患者暴力行为的相关因素分析

Analysis of related factors of violence behavior in male schizophrenics

目的:探讨男性精神分裂症患者暴力行为的相关影响因素。方法:根据病程中是否存在暴力行为将411例男性精神分裂症患者分为暴力组(242例)和非暴力组(169例);收集入组者一般人口学及临床资料,并采用修订后的艾森克人格问卷(EPQ-RSC)及Barratt冲动性量表(BIS-11)对入组者进行评估,分析男性精神分裂症患者暴力行为的相关因素。结果:暴力组患者在居住农村、文化程度低、无业、有被害妄想、发病时未服药的比例明显多于非暴力组(P<0.05或P<0.01);两组EPQ-RSC、BIS-11评分比较差异无统计学意义;Logistic回归分析显示发病时有被害妄想、文化程度低是暴力行为的危险因素,服药治疗是保护性因素。结论:被害妄想、受教育程度低是男性精神分裂症患者暴力行为的危险因素;服药能较好地减少精神分裂症患者的暴力行为。

Objective:To explore the influencing factors associated with violent behavior in male schizophrenic patients.Method:According to violence behavior,411 male schizophrenics were divided into violence group(242 cases)and non-violence group(169 cases).Their general demographic and clinical data were collected and assessed by Eysenck Personality Questionnaire-Revised,Short Scale for Chinese(EPQ-RSC)and The Barratt Impulsiveness Scale(BIS-11).The related factors of violence behavior in male schizophrenic patients were analyzed.Results:Compared with the non-violence group,the violence group had higher percentage of being unemployment,coming from village,low education,with delusion of persecution and no pills(P<0.05 or P<0.01).There were no statistical significant differences in EPQ-RSC and BIS-11 scores between the two groups.Logistic regression analysis showed that the delusion of persecution and lower educational level were risk factors while taking the pills was a protective factor.Conclusion:Delusion of persecution and low education are the important risk factors of violent behavior in male schizophrenic patients,and taking the pills can reduce the violent behavior of these patients.