CAJ | 학술논문

目的：了解双相障碍青少年的健康相关危险行为特点。方法：纳入符合疾病和有关健康问题的国际统计分类第十次修订本（ICD-10）双相障碍标准的12～18岁青少年50例（抑郁状态29人，躁狂状态19人，混合状态2 人）及性别、年龄相匹配的正常对照100例，完成青少年健康相关危险行为自评问卷（AHRBI），同时由双相障碍患者父母完成青少年健康相关危险行为问卷父母版（AHRBI-P），评估双相障碍青少年在不同疾病状态下的健康相关危险行为。结果：双相障碍组青少年 AHRBI 总分与攻击与暴力、健康妥协、破坏纪律、无保护性、自杀自伤及吸烟饮酒等6项因子评分均高于正常对照组[如总分，55.5（38，119）vs.46（38，65）；P ＜0.05]。其中，26项行为条目双相障碍组评分均高于正常对照组（均 P ＜0.05）。双相障碍组 AHRBI 和 AHRBI-P 总分及 6项因子分之间的差异无统计学意义（均 P ＞0.05）。偏相关分析显示（变量赋值抑郁发作＝0，躁狂发作＝1），AHRBI 和 AHRBI-P 自杀自伤因子得分与发作状态呈负相关（r ＝－0.32、－0.33；均 P ＜0.05），AHRBI 攻击与暴力维度下的毁坏财物行为得分与发作状态呈正相关（r ＝0.32，P ＜0.05）。结论：双相障碍青少年总体健康相关危险行为多于正常对照青少年，并且，患者在6个维度均存在明显增多的健康相关危险行为。评估期间抑郁发作患者自杀风险更高，而躁狂发作患者更易出现毁坏财物行为。
목적：료해쌍상장애청소년적건강상관위험행위특점。방법：납입부합질병화유관건강문제적국제통계분류제십차수정본（ICD-10）쌍상장애표준적12～18세청소년50례（억욱상태29인，조광상태19인，혼합상태2 인）급성별、년령상필배적정상대조100례，완성청소년건강상관위험행위자평문권（AHRBI），동시유쌍상장애환자부모완성청소년건강상관위험행위문권부모판（AHRBI-P），평고쌍상장애청소년재불동질병상태하적건강상관위험행위。결과：쌍상장애조청소년 AHRBI 총분여공격여폭력、건강타협、파배기률、무보호성、자살자상급흡연음주등6항인자평분균고우정상대조조[여총분，55.5（38，119）vs.46（38，65）；P ＜0.05]。기중，26항행위조목쌍상장애조평분균고우정상대조조（균 P ＜0.05）。쌍상장애조 AHRBI 화 AHRBI-P 총분급 6항인자분지간적차이무통계학의의（균 P ＞0.05）。편상관분석현시（변량부치억욱발작＝0，조광발작＝1），AHRBI 화 AHRBI-P 자살자상인자득분여발작상태정부상관（r ＝－0.32、－0.33；균 P ＜0.05），AHRBI 공격여폭력유도하적훼배재물행위득분여발작상태정정상관（r ＝0.32，P ＜0.05）。결론：쌍상장애청소년총체건강상관위험행위다우정상대조청소년，병차，환자재6개유도균존재명현증다적건강상관위험행위。평고기간억욱발작환자자살풍험경고，이조광발작환자경역출현훼배재물행위。
Objective:To investigate the characteristics of health-related risky behaviors in adolescents with bipolar disorder.Methods:Fifty adolescents aged 12 -18 years,fulfilled the International Statistical Classification of Diseases and Related Health Problems,Tenth Revision(ICD-10)criteria for bipolar disorder(29 in depressive state, 19 in manic state,and 2 in mixed state)and 100 healthy-matched controls were recruited.Their health-related risky behaviors were assessed using the Questionnaire for Adolescents Health-related Risky Behavior Inventory (AHRBI) and the Questionnaire for Adolescents Health-related Risky Behavior Inventory for Parent (AHRBI-P).Results:The bipolar group had higher AHRBI scores in the total scale and six subscales than controls,including Aggression and Violence (AV),Health-Compromising Behavior (HCB),Rule Breaking (RB),Unprotected Sex (US),Self-injury and Suicide (SS),and Smoking and Drinking(SD)[Total scores,55.5(38,119)vs.46(38,65);P <0.05].Besides, the scores of 26 items of bipolar group were all higher than controls(Ps <0.05).The scores in the total scale and six subscales had no difference between AHRBI and AHRBI-P.According to the partial correlation analysis (de-pressive state =0;manic state =1),the AHRBI and AHRBI-P scores of Self-injury and Suicide subscale were nega-tively associated with the episode state (r =-0.32,-0.33;Ps <0.05).The AHRBI scores of'destroy properties'which belongs to the Aggression and Violence subscale were positively associated with the episode state (r =0.32, P <0.05).Conclusion:The adolescents with bipolar disorder have more health-related risky behaviors than the healthy adolescents.The depressive patients have higher risk of suicide.While,the risky behavior of destroying properties tend to occur among the manic patients.