【摘要】 目的探讨住院精神病患者攻击行为的特征和相关因素。方法收集住院精神病患者的社会人口学和住院资料、简明精神病量表、智商、脑电图等因素,记录每次攻击行为并对有和无攻击行为患者进行组间比较分析。结果住院精神病患者攻击行为流行率为19．6%,每例患者发生攻击行为的比率为2．6次。攻击行为组具有既往攻击行为史者(69%)明显多于无攻击行为组(41．29%),差异有显著性(P＜0．01),与无攻击行为组比较,其年纪较轻、文化程度较低、无职业及单身者较多(均P＜0．01),攻击行为组简明精神病量表敌对猜疑、激活性因子评分[分别为(4．12±1．23)分,(2．25±0．85)分]高于无攻击行为组[分别为(3．73±0．96)分,(1．06±0．69)分],差异具有显著性(P＜0．01)。结论住院精神病患者攻击行为流行率较低,但提示对攻击行为预测因素需要进一步研究。更多还原

【Abstract】 Objective To explore the character and relative factors of aggressive behaviors among psychi- atric inpatient.Methods All aggressive behaviors occurred during the study period were noted.The demographic and clinical variables were statistically analyzed between group with aggressive behavior(n=84)and without ag- gressive behavior(n=344).Results The prevalence of aggression among psychiatric inpatients was 19.6% and the rate of aggression among violent patients was 2.6 incidents per patient.The case who had a history of aggres- sive behavior in group with aggressive behavior was significantly more than that of group without aggressive behavior (P＜0.01).As compared with group without aggressive behavior,group without aggressive behavior was youn- ger,lower culture level,more single and unemployment.The significant hostile-suspicion and activity factors scores in BPRS in group with aggressive behavior was significantly higher than that of group without aggressive be- havior(P＜0.01).Conclusion Although showing the low rate of aggression among psychiatric inpatients,the study indicates the need for more researches to predictive factors of aggressive behaviors in psychiatric patients.更多还原