CAJ | 학술논문

目的：探讨精神分裂症患者发生攻击行为的相关因素及预测因子。方法：将132例精神分裂症患者按修改版外显攻击行为量表（MOAS）得分分为伴攻击行为（研究组）64例和不伴攻击行为（对照组）68例，分别进行一般人口学资料、阳性和阴性症状量表（PANSS）及气质性格问卷（TCI）的测定。结果：一般人口学资料中既往攻击行为史两组间差异有统计学意义（ P ＝0.001）。PANSS 分量表中阳性症状分、思维障碍、激活性及偏执条目分值研究组明显高于对照组（t ＝-6.90，t ＝-3.41，t ＝-4.43，t ＝-4.40；P 均≤0.001）。TCI 各维度中寻求新奇得分（t ＝-6.74）研究组高于对照组，合作性、自我定向得分低于对照组（t ＝3.42，t ＝5.96；P 均≤0.001）。Logistic 回归分析显示，寻求新奇、阳性症状和合作性对攻击行为的发生有预测意义（P ﹤0.05或 P ﹤0.01）。结论：精神分裂症患者的阳性症状、思维障碍、激活性及偏执是引起攻击行为的重要因素；寻求新奇和低合作性可较好地预测患者的攻击行为。
목적：탐토정신분렬증환자발생공격행위적상관인소급예측인자。방법：장132례정신분렬증환자안수개판외현공격행위량표（MOAS）득분분위반공격행위（연구조）64례화불반공격행위（대조조）68례，분별진행일반인구학자료、양성화음성증상량표（PANSS）급기질성격문권（TCI）적측정。결과：일반인구학자료중기왕공격행위사량조간차이유통계학의의（ P ＝0.001）。PANSS 분량표중양성증상분、사유장애、격활성급편집조목분치연구조명현고우대조조（t ＝-6.90，t ＝-3.41，t ＝-4.43，t ＝-4.40；P 균≤0.001）。TCI 각유도중심구신기득분（t ＝-6.74）연구조고우대조조，합작성、자아정향득분저우대조조（t ＝3.42，t ＝5.96；P 균≤0.001）。Logistic 회귀분석현시，심구신기、양성증상화합작성대공격행위적발생유예측의의（P ﹤0.05혹 P ﹤0.01）。결론：정신분렬증환자적양성증상、사유장애、격활성급편집시인기공격행위적중요인소；심구신기화저합작성가교호지예측환자적공격행위。
Objective:To explore the related factors and predictors associated with aggressive behavior in schizophrenic patients. Method:According to the score of modified overt aggression scale(MOAS),132 pa-tients with schizophrenia were divided into research group(64 cases)with aggressive behavior and control group (68 cases)without aggressive behavior. All objects were collected with general demographic data,evaluated by positive and negative syndrome scale(PANSS)and temperament and character inventory(TCI). Results:In those common items,there was no significant difference between the two groups except past aggressive behavior (P = 0. 001). The total score of positive symptom,thought disorder,activation and paranoid showed significantly higher than those in control group(t = - 6. 90,t = - 3. 41,t = - 4. 43,t = - 4. 40;all P≤0. 001). In TCI nov-elty seeking scores in reseach group were higher than those in control group(t = - 6. 74,P≤0. 001),while co-operativeness and self-directedness scores were lower than those in the control group(t = 3. 42,t = 5. 96;all P≤0. 001). Logistic regression analysis results showed that novelty seeking,positive symptoms and cooperative can forecast the aggressive behavior(P ﹤ 0. 05 or P ﹤ 0. 01). Conclusion:Positive symptom,thought disorder,ac-tivation and paranoid are the important factors that cause aggressive behavior in schizophrenic patients. Novelty seeking and low cooperative can predict the patients′ aggressive behavior better.