CAJ | 학술논문

目的：探讨精神分裂症患者的内隐攻击性，为临床干预提供依据。方法将216例精神分裂症患者设为患者组，112名健康志愿者设为对照组。采用偏好组词法测评两组内隐攻击性，采用暴力攻击行为筛查标准筛查患者组的暴力行为，采用简明精神病量表评定患者的精神症状，冲动性量表、攻击性量表评定患者的冲动攻击性人格特点。结果有暴力攻击行为组简明精神病量表总分、思维障碍、激活性、敌对猜疑及行为紊乱因子分均显著高于无暴力攻击行为组（P＜0．05或0．01），冲动性量表总分及行动分量表因子分显著高于无暴力攻击行为组（P＜0．01），攻击性量表总分及各因子分均显著高于无暴力攻击行为组（ P＜0．05或0．01）。患者组与对照组及有暴力攻击行为组与无暴力攻击行为组偏好组词法测评攻击性词及身体攻击性词和语言攻击性词评分比较差异均无显著性（P＞0．05）。结论精神分裂症患者较正常人有更多的暴力攻击行为，其原因是由精神症状及性格缺陷所致。
목적：탐토정신분렬증환자적내은공격성，위림상간예제공의거。방법장216례정신분렬증환자설위환자조，112명건강지원자설위대조조。채용편호조사법측평량조내은공격성，채용폭력공격행위사사표준사사환자조적폭역행위，채용간명정신병량표평정환자적정신증상，충동성량표、공격성량표평정환자적충동공격성인격특점。결과유폭력공격행위조간명정신병량표총분、사유장애、격활성、활대시의급행위문란인자분균현저고우무폭력공격행위조（P＜0．05혹0．01），충동성량표총분급행동분량표인자분현저고우무폭력공격행위조（P＜0．01），공격성량표총분급각인자분균현저고우무폭력공격행위조（ P＜0．05혹0．01）。환자조여대조조급유폭력공격행위조여무폭력공격행위조편호조사법측평공격성사급신체공격성사화어언공격성사평분비교차이균무현저성（P＞0．05）。결론정신분렬증환자교정상인유경다적폭력공격행위，기원인시유정신증상급성격결함소치。
Objective To explore implicit aggressiveness of schizophrenia patients in order to provide basis for clinical intervention .Methods A total of 216 schizophrenics were assigned to patient group and 112 healthy volunteers to control group . Implicit aggressiveness was assessed with the Preference‐phrase Method (PPM ) ,violent behaviors were screened with violent and aggressive behavior screening criteria , mental symptoms assessed with the Brief Psychiatric Rating Scale (BPRS ) ,and impulsive and aggressive personality traits with the Barratt Impulsiveness Scale (BIS) and Aggression Questionnaire (AQ) .Results The total ,thought disorder ,activate ,hostility/suspicion and behavioral disorder score (P< 0 .05 or 0 .01) ,the total and action of the BIS (P< 0 .01) and the total and each factor of the AQ (P< 0 .05 or 0 .01) were significantly higher in aggression than in non‐aggression group . There were no significant differences in aggressive words ,body aggressive words and language aggressive words scores according to the PPM between patient and control group as well as between aggression and non‐aggression group (P>0 .05) .Conclusion Compared with health adults schizophrenics have more violent and aggressive behav‐iors caused by mental symptoms and character defect .