【摘要】 目的:探讨冲动与精神分裂症男性患者攻击行为的相关性。方法:以既往史和外显攻击行为量表(Modified Overt Aggression Scale,MOAS)评分区分攻击组(30例)与非攻击组(30例),比较2组患者的一般人口学资料、一般临床资料、Barratt冲动量表(Barratt Impulsiveness Scale-11,BIS-11)总分,对BIS-11总分与MOAS总加权分、各因子加权分和简明精神病量表(The BriefPsychiatric Rating Scale,BPRS)总分、各因子分之间的相关性进行分析。结果:攻击组BIS-11总分(78.18±6.79)高于非攻击组(64.59±10.73)(P<0.01)。控制BPRS敌对猜疑因子后,BIS-11总分与MOAS总加权分(r=0.5192)、各因子加权分(自身攻击因子r=0.3772,言语攻击因子r=0.2901,财物攻击因子r=0.3298,对他人攻击因子r=0.5255)均呈正相关(P<0.05)。控制BPRS激惹性因子后,BIS-11总分与MOAS总加权分(r=0.5378)、各因子加权分(自身攻击因子r=0.3491,言语攻击因子r=0.3971,财物攻击因子r=0.3260,对他人攻击因子r=0.5443)均呈正相关(P<0.05)。控制MOAS财物攻击因子分(r=0.315)、自身攻击因子分(r=0.320)后,BIS-11总分与BPRS敌对猜疑因子呈正相关(P<0.05)。结论:精神分裂症男性患者的攻击行为与冲动素质密切相关,此类患者存在生理学低觉醒状态;有敌对猜疑症状的精神分裂症患者更易出现冲动行为。更多还原

【Abstract】 Objective To explore the correlation between impulsivity and aggressive behavior of male schizophrenic patients.Methods According to the past violence history and ratings on Modified Overt Aggression Scale(MOAS),60 male schizophrenic patients were divided into aggressive and non-aggressive groups.The demographic data,clinical data,brief psychiatric rating scale(BPRS) total score and subscale scores,MOAS total score and subscale scores,and Barratt Impulsiveness Scale-11(BIS-11) total score were compared between the 2 groups.Correlations of total scores of BIS-11 with scores of BPRS or scores of MOAS were also analyzed.Results BIS-11 total scores of aggressive group(78.18±6.79) were significantly higher than those of non-aggressive group(64.59±10.73)(P<0.01).Controlling BPRS hostile/suspiciousness subscores and activation subscores,total score of BIS-11 was positively correlated with all scores of MOAS(Hostile/suspiciousness: auto-aggression r=0.3772,verbal aggression r=0.2901,aggression against property r=0.3298,aggression towards others r=0.5255.Activation: auto-aggression r=0.3491,verbal aggression r=0.3971,aggression against property r=0.3260,aggression towards others r=0.5443)(P<0.05).Controlling MOAS aggression against property subscores(r=0.315) and aggression against self subscores(r=0.320),total score of BIS-11 was positively correlated with BPRS hostile/suspiciousness subscores(P<0.05).Conclusion Impulsivity may be closely related to aggressive in male schizophrenic patients.Low resting cortical arousal exists in impulsive individuals.Hostile and suspicious symptoms facilitate aggression in male schizophrenic patients.更多还原