家庭功能对双相情感障碍患者攻击行为的影响

The impact of family function on aggressive behavior in patients with bipolar disorder

目的探讨家庭功能对双相情感障碍患者攻击行为的影响。方法回顾性分析2020年1月~2023年10月本院收治的100例双相情感障碍患者的临床资料,入院后均采用修订版外显攻击行为量表(Modified overt aggression scale,MOAS)评估患者是否发生攻击行为,根据评分结果分为发生组(n=40)与未发生组(n=60)。比较两组一般资料[性别、年龄、病程、婚姻状态、是否独生子女、文化程度、有无固定职业]以及家庭功能评定量表(Family Assessment Device,FAD)、社会支持评定量表(Social Support Rating Scale,SSRS)间的差异,经多因素Logistic回归分析双相情感障碍患者发生攻击行为的危险因素。结果发生组离异/丧偶、独生子女、初中及以下文化、无固定职业占比及FAD评分高于未发生组,SSRS评分低于未发生组,差异有统计学意义(P<0.05);多因素Logistic回归分析结果显示,离异/丧偶、独生子女、初中及以下文化、无固定职业、FAD评分、SSRS评分是双相情感障碍患者发生攻击行为的危险因素,均P<0.05。结论双相情感障碍患者发生攻击行为受诸多因素影响,其中离异/丧偶、独生子女、初中及以下文化、无固定职业、FAD评分、SSRS评分为预测该疾病发生攻击行为的重要因素,临床应予以密切关注。

Objective To explore the impact of family function on aggressive behavior in patients with bipolar disorder.Methods A retrospective analysis was conducted on the clinical data of 100 patients with bipolar disorder admitted to our hospital from January 2020 to October 2023.After admission,the Modified overt aggression scale(MOAS)was used to assess whether aggressive behaviors occurred.According to the scoring results,the patients were divided into the occurrence group(n=40)and the non occurrence group(n=60).Compare the differences between two groups of general information[gender,age,course of illness,marital status,whether they are only children,education level,and whether they have a fixed occupation],as well as the Family Assessment Device(FAD)and Social Support Rating Scale(SSRS),and analyze the risk factors for aggressive behavior in bipolar disorder patients through multiple logistic regression analysis.Results The incidence group had a higher proportion of divorce/widowhood,only child,junior high school education or below,no fixed occupation,and a higher FAD score than the non occurrence group.The SSRS score was lower than the non occurrence group,and the difference was statistically significant(P<0.05).The results of multivariate logistic regression analysis showed that divorce/widowhood,only child,middle school education or below,no fixed occupation,FAD score,and SSRS score were risk factors for aggressive behavior in patients with bipolar disorder,all of which were P<0.05.Conclusion The occurrence of aggressive behavior in patients with bipolar disorder is influenced by many factors,among which divorce/widowhood,only child,middle school education or below,no fixed occupation,FAD score,SSRS score are important factors for predicting the occurrence of aggressive behavior in this disease,and clinical attention should be paid closely.