CAJ | 학술논문

目的探讨精神分裂症患者攻击行为的相关危险因素.方法对入院178例精神分裂症患者按入院前有无攻击行为分为攻击组和无攻击组,两组分别从年龄、性别、文化、病程、既往攻击行为等一般情况、简明精神病量表和艾森克个性问卷方面进行单因素对照分析和多因素回归分析.结果 (1)经单因素分析,攻击组病程[(7.73±6.67)年]显著长于非攻击组[(5.22±5.47)年](t=2.631,P＜0.01)；攻击组BPRS中的敌对猜疑因子得分[(13.73±3.098)分]高于非攻击组[(11.47±3.93)分](f=4.063,P＜0.01),焦虑因子得分[(7.18±3.583)分]低于非攻击组[(8.70±3.89)分](t=2.679,P＜0.01);EPQ的E量表分攻击组[(11.99±4.340)分]显著高于非攻击组[(10.67±4.293)分](t=1.990,P＜0.01)；攻击组既往有攻击行为的患者所占比例(71.1％)显著高于非攻击组(16％)(x2=39.082,P＜0.01).(2) Logistic分析结果显示,BPRS中的敌对猜疑因子和既往攻击行为史进入回归方程.结论精神分裂症患者攻击行为的发生主要与其精神症状和既往攻击行为史有关,应积极治疗,控制症状并防止病情反复.
목적 탐토정신분렬증환자공격행위적상관위험인소.방법 대입원178례정신분렬증환자안입원전유무공격행위분위공격조화무공격조,량조분별종년령、성별、문화、병정、기왕공격행위등일반정황、간명정신병량표화애삼극개성문권방면진행단인소대조분석화다인소회귀분석.결과 (1)경단인소분석,공격조병정[(7.73±6.67)년]현저장우비공격조[(5.22±5.47)년](t=2.631,P＜0.01)；공격조BPRS중적활대시의인자득분[(13.73±3.098)분]고우비공격조[(11.47±3.93)분](f=4.063,P＜0.01),초필인자득분[(7.18±3.583)분]저우비공격조[(8.70±3.89)분](t=2.679,P＜0.01);EPQ적E량표분공격조[(11.99±4.340)분]현저고우비공격조[(10.67±4.293)분](t=1.990,P＜0.01)；공격조기왕유공격행위적환자소점비례(71.1％)현저고우비공격조(16％)(x2=39.082,P＜0.01).(2) Logistic분석결과현시,BPRS중적활대시의인자화기왕공격행위사진입회귀방정.결론 정신분렬증환자공격행위적발생주요여기정신증상화기왕공격행위사유관,응적겁치료,공제증상병방지병정반복.
Objective To explore the relative factors of aggressive behaviors in inpatients with schizophrenic.Methods 178 cases of continuously admitted schizophrenic patients were divided into attack group and non aggressive group according to the aggressive behavior of preadmission.Single factor analysis and multi factor regression analysis was applied to two groups in situation(such as age,gender,education level,course of disease,past aggressive behaviors and so on),Brief Psychiatric Rating Scale (BPRS) and Eysenck Personality Questionnaire (EPQ).Results By single factor analysis,attack group had significantly longer course of disease(7.73±6.67) than non aggressive group (5.22 ± 5.47,t =2.631,P＜ 0.01).The score of hostile suspicious factor in BPRS (13.73 ± 3.098) in attack group was significantly higher than that in nonaggressive group(11.47±3.93) (t=4.063,P＜ 0.01),but anxiety factor (7.18± 3.583) was significantly lower than that in nonaggressive group (8.70 ± 3.89) (t=2.679,P＜0.01).The score of E scale of EPQ(11.99±4.340) in attack group was significantly higher than that in nonaggressive group(10.67±4.293) (t=1.990,P＜0.01).Attack group's proportion of patients of previous attacks (71.1％) was significantly higher than that in non aggressive group (16.0％),(x2 =39.082,P＜ 0.01).(2) Logistic analysis showed that hostile suspicious factor in BPRS and past aggressive behaviors entered the regression equation.Condusions Aggressive behavior in schizophrenic patients occurs mainly with psychiatric symptoms and the past history of aggressive behavior.The patients should be treated actively to control the symptoms and prevent the disease recurrence.