Investigation of aggressive behavior in patients with stable schizophrenia and its influencing factors
Objective To explore the current situation of aggressive behavior in patients with stable schizophrenia and analyze its related factors,so as to provide the scientific basis for community and home management of these patients.Methods From June to October 2023,the patients with stable schizophrenia registered in Shanghai Pudong New Area Mental Health Center were investigated.The basic data of patients was collected using a self-made questionnaire,and uni-variate and multivariate analyses were conducted to identify influencing factors of aggressive behavior.Results A total of 360 patients with stable schizophrenia were included in this study,42 exhibited aggressive behaviors,resulting in an inci-dence rate of 11.67％.The majority(73.81％)involved attacking others(31 cases),while the remaining cases(26.19％)in-volved attacking objects.Multivariate logistic regression analysis showed that male(OR=2.391),previous risk grade 3-5(OR=2.699),the number of aggressive behaviors in the past year(1-2 OR=3.717,≥3 OR=4.439),recent stress events(OR=4.965),mental symptoms involving violence(OR=3.748),positive symptom score(OR=1.161),negative symptom score(OR=1.176),and general symptom score(OR=1.131)were all identified as risk factors for aggressive behavior in patients with stable schizophrenia(all P＜0.05).Regular medication(OR=0.160)and regular follow-up(OR=0.229)were found to be pro-tective factors against such behavior(all P＜0.05).Conclusions There remains a certain level of risk for aggressive behav-ior among patients with stable schizophrenia.Early prevention and treatment should be implemented based on identified risk factors to effectively reduce this risk.
万方数据
维普
