中国心理卫生杂志
中國心理衛生雜誌
중국심리위생잡지
CHINESE MENTAL HEALTH JOURNAL
2010年
3期
206-210
,共5页
陈鹏宇%冉茂盛%廖志刚%毛文君%唐翠萍%胡世辉%张浪%乔聚耀%林福荣%陈刚%尹韡%马晓静%李斯干%陈丽云
陳鵬宇%冉茂盛%廖誌剛%毛文君%唐翠萍%鬍世輝%張浪%喬聚耀%林福榮%陳剛%尹韡%馬曉靜%李斯榦%陳麗雲
진붕우%염무성%료지강%모문군%당취평%호세휘%장랑%교취요%림복영%진강%윤위%마효정%리사간%진려운
精神分裂症%犯罪行为%危险因素%农村%社区%前瞻性对照研究
精神分裂癥%犯罪行為%危險因素%農村%社區%前瞻性對照研究
정신분렬증%범죄행위%위험인소%농촌%사구%전첨성대조연구
schizophrenia%criminal behavior%risk factors%rural area%community%prospective follow up
目的:探讨农村社区中精神分裂症患者犯罪行为的发生率及其相关因素.方法:对成都市新津县农村社区中510例精神分裂症患者的犯罪行为及其临床症状、社会功能、治疗、照管等情况进行了14年(1994-2008年)的随访调查.调查工具包括精神现况检查第9版(Present State Examination,PSE-9)、社会功能缺陷筛查表(Social Disability Screening Schedule,SDSS),以及阳性与阴性症状量表(Positive and Negative Syndrome,PANSS)等.结果:在14年的随访调查中有489例患者(95.9%)完成了随访.随访患者终身犯罪行为的发生率为13.5%.犯罪行为在未婚(19.1%)、较年轻[平均年龄(41.2±16.6)岁]、发病年龄较早的精神分裂症患者[平均发病年龄(28.4±10.4)岁]中较常发生.随访资料中,患者家庭经济状况较差(16.6%)、缺乏监护照管人(28.6%)、无家可归(25.0%),及PANSS总分(68.7±28.7)和阳性(14.1±7.4)、阴性(19.3±10.2)分较高的患者中犯罪行为的发生率较高(P<0.05).结论:精神分裂症患者的犯罪行为在农村社区中较为常见,其影响因素是多方面的.在制定社区精神卫生服务政策、提供精神卫生服务及家庭干预时,应考虑社区中精神分裂症患者的犯罪行为及其危险因素(如患者的婚姻、家庭及监护照管状态、社会支持系统等).
目的:探討農村社區中精神分裂癥患者犯罪行為的髮生率及其相關因素.方法:對成都市新津縣農村社區中510例精神分裂癥患者的犯罪行為及其臨床癥狀、社會功能、治療、照管等情況進行瞭14年(1994-2008年)的隨訪調查.調查工具包括精神現況檢查第9版(Present State Examination,PSE-9)、社會功能缺陷篩查錶(Social Disability Screening Schedule,SDSS),以及暘性與陰性癥狀量錶(Positive and Negative Syndrome,PANSS)等.結果:在14年的隨訪調查中有489例患者(95.9%)完成瞭隨訪.隨訪患者終身犯罪行為的髮生率為13.5%.犯罪行為在未婚(19.1%)、較年輕[平均年齡(41.2±16.6)歲]、髮病年齡較早的精神分裂癥患者[平均髮病年齡(28.4±10.4)歲]中較常髮生.隨訪資料中,患者傢庭經濟狀況較差(16.6%)、缺乏鑑護照管人(28.6%)、無傢可歸(25.0%),及PANSS總分(68.7±28.7)和暘性(14.1±7.4)、陰性(19.3±10.2)分較高的患者中犯罪行為的髮生率較高(P<0.05).結論:精神分裂癥患者的犯罪行為在農村社區中較為常見,其影響因素是多方麵的.在製定社區精神衛生服務政策、提供精神衛生服務及傢庭榦預時,應攷慮社區中精神分裂癥患者的犯罪行為及其危險因素(如患者的婚姻、傢庭及鑑護照管狀態、社會支持繫統等).
목적:탐토농촌사구중정신분렬증환자범죄행위적발생솔급기상관인소.방법:대성도시신진현농촌사구중510례정신분렬증환자적범죄행위급기림상증상、사회공능、치료、조관등정황진행료14년(1994-2008년)적수방조사.조사공구포괄정신현황검사제9판(Present State Examination,PSE-9)、사회공능결함사사표(Social Disability Screening Schedule,SDSS),이급양성여음성증상량표(Positive and Negative Syndrome,PANSS)등.결과:재14년적수방조사중유489례환자(95.9%)완성료수방.수방환자종신범죄행위적발생솔위13.5%.범죄행위재미혼(19.1%)、교년경[평균년령(41.2±16.6)세]、발병년령교조적정신분렬증환자[평균발병년령(28.4±10.4)세]중교상발생.수방자료중,환자가정경제상황교차(16.6%)、결핍감호조관인(28.6%)、무가가귀(25.0%),급PANSS총분(68.7±28.7)화양성(14.1±7.4)、음성(19.3±10.2)분교고적환자중범죄행위적발생솔교고(P<0.05).결론:정신분렬증환자적범죄행위재농촌사구중교위상견,기영향인소시다방면적.재제정사구정신위생복무정책、제공정신위생복무급가정간예시,응고필사구중정신분렬증환자적범죄행위급기위험인소(여환자적혼인、가정급감호조관상태、사회지지계통등).
Objective: To examine the prevalence and risk factors of criminal behavior among persons with schizophrenia in a rural area. Methods: A 14-year prospective follow-up study (1994 - 2008) was conducted on criminal behavior, clinical symptoms, social functioning, treatment and caring status among 510 persons with schizophrenia in Xinjin County, Chengdu. The instruments included the Present State Examination (PSE-9), Social Disability Screening Schedule (SDSS), and Positive and Negative Syndrome (PANSS) .Results: Totally 489 patients (95.9%) were followed up. The life-time prevalence of criminal behavior among these patients was 13.5%. Criminal behavior was more likely to happen among the persons who were unmarried (19.1%), younger t (41.2 ± 16.6) years old], and had earlier onset age [(28.4 ± 10.4) years old] .In the follow-up data, the rates of patients'criminal behavior were relatively higher among these patients who had poor family economic status (16.6%), no caregiver (28. 6%), homelessness (25.0%), and higher positive (14.1 ± 7.4), negative (19.3±10.2) and total scores (68.7±28.7) of PANSS (P<0.05) .Conclusion: The criminal behavior in patients with schizophrenia is common in rural areas and may be affected by multi-factors. The risk factors of criminal behavior in persons with schizophrenia, such as their marriage, family intervention and social support services, should be considered for community mental health policy making, community mental health services and family interventions.
