【摘要】 目的:探讨精神分裂症患者人身攻击行为的精神病理特征。方法:选取2012年9月-2015年12月在北京回龙观医院门诊和住院的精神分裂症患者422例,根据既往有过至少一次明显的、有记录的人身攻击行为:伤人、自伤;以及既往没有出现过任何人身攻击行为:包括明显的伤人、自伤等风险行为,分为有人身攻击行为组(n=147)和无人身攻击行为组(n=275)。用阳性和阴性症状量表评估阳性症状、阴性症状和一般精神病理症状;Hoffman幻听量表评估幻听症状;修改版外显攻击行为量表评估人身攻击(自身攻击或体力攻击)情况。结果:分层回归分析结果显示年龄小(β=-0.043,P=0.051)、男性(β=1.150,P=0.033)、Hoffman得分高(β=0.078,P=0.027)的精神分裂症患者易发生人身攻击行为(P<0.05)。结论:年轻、男性、伴有幻听的精神分裂症患者易发生人身攻击行为。更多还原

【Abstract】 Objective: To explore the psychopathological characteristics of personal attack behaviors in patients w ith schizophrenia. Methods: Totally 422 outpatients and inpatients w ho w ere diagnosed as schizophrenia w ere included. They w ere divided into tw o groups,personal attack group( n = 147) and non-personal attack group( n = 275), according to the w ounding or self-injury history. Positive symptoms, negative symptoms, and general psychopathological symptoms w ere assessed w ith the Positive and Negative Syndrome Scale( PANSS). The auditory hallucinations w ere assessed w ith the Hoffman scale and personal attacks by M odified overt aggression scale( M OAS). Results: Stratified regression analysis show ed that those patients w ho w ere young( β =-0. 043, P =0. 051),male( β = 1. 150,P = 0. 033),or getting higher Hoffman scores( β = 0. 078,P = 0. 027) w ere prone to personal attack( P < 0. 05). Conclusion: It suggests that being young,male,or associated w ith auditory hallucinations may be the risk factors of personal attack in the patients w ith schizophrenia.更多还原