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双相情感障碍患者的攻击性及其影响因素

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目的 探究双相情感障碍(BD)患者的攻击性及其影响因素.方法 选取于2020年1月至2022年3月住院的210例BD患者作为研究对象.使用修订的外显攻击量表(MOAS)得分评估攻击性,使用中文版人际反应指针量表(IRI-C)评估共情能力,测定患者血清泌乳素(PRL)水平,对结果进行统计分析.结果 攻击组和非攻击组间的PRL水平和IRI-C总分及其分量表分数存在明显差异(P<0.05).PRL与MOAS总分和IRI-C总分呈正相关(P<0.05);IRI-C总分与MOAS总分呈负相关(P<0.05).多元线性回归分析显示PRL、IRI-C总分、个人痛苦以及观点采择是攻击性的影响因素(均P<0.05).结论 血清PRL水平和共情能力与BD患者攻击性有关.
Influence factors for aggression in patients with bipolar disorder
Objective To explore the aggression and its influence factors in patients with bipolar disorder(BD).Methods A total of 210 patients with BD who were hospitalized from January 2020 to March 2022 were included.As-sessment of aggression using MOAS.Empathy ability were assessed by the IRI-C.And the data of serum PRL level was collected.The results were statistically analyzed.Results Serum PRL level and the score of IRI-C showed significant difference between aggressive and non-aggressive groups(P<0.05).Serum PRL level was positively correlated with the score of MOAS and the score of IRI-C(P<0.05).The score of IRI-C was negatively correlated with the score of MOAS(P<0.05).Multiple linear regression analysis demonstrated that PRL,the score of IRI-C,personal distress and perspective taking were identified as the influence factors for the aggression(P<0.05).Conclusion Serum PRL level and empathy are related to aggression in patients with BD.

Bipolar disorderEmpathyProlactinAggressionInfluence factors

高雅昆、匡丹、胥爱萍、葛茂宏

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潍坊医学院附属医院精神科/临床医学院(潍坊,261000)

双相情感障碍 泌乳素 共情 攻击性 危险因素

山东省医药卫生科技发展计划项目

202112070934

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(3)
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