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社区有暴力行为精神分裂症患者的愤怒情绪特征分析

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目的:探讨既往有暴力行为的精神分裂症社区患者的愤怒情绪状态、特质及表达的特征。方法:选取社区康复机构中25例既往有过暴力行为的精神分裂症患者作为暴力行为组,74例既往未出现过暴力行为的精神分裂症患者作为非暴力行为组。采用简明精神病评定量表(BPRS)评估精神科症状,状态-特质愤怒表达量表(STAXI)评估愤怒情绪特征。结果:暴力行为组愤怒特质(耐性维度分、理性维度分)、愤怒表达(总分、克制维度分)高于非暴力行为组[(28。0±23。8)vs。(19。6±13。3),(55。0±30。6)vs。(40。0±21。5),(34。2±11。6)vs。(27。3±10。7),(56。0±26。1)vs。(33。7±21。1),均P<0。05]。愤怒特质理性维度高分(OR=3。69,95%CI:1。43~7。98)、愤怒表达克制维度高分(OR=3。25,95%CI:1。39~7。47)是暴力行为的危险因素。结论:发生过暴力行为的精神分裂症患者在愤怒情绪特征上可能表现更缺乏理性,愤怒情绪克制能力更差。
Characteristics of anger emotions in patients with schizophrenia with violent behavior in community
Objective:To explore the anger emotional state,traits and expression characteristics in patients with schizophrenia with violent behavior in community.Methods:Twenty-five patients with schizopnrenia with a history of violent behavior among the community rehabilitation institutions were selected as the violent behavior group,and 74 patients with schizopnrenia without a history of violent behavior were selected as the nonviolent behavior group.The Brief Psychiatric Rating Scale(BPRS)was used to assess psychiatric symptoms,and the State-Trait An-ger Expression Inventory(STAXI)was used to assess anger characteristics.Results:Compared with the nonviolent behavior group,the violent behavior group had significantly higher scores in the trait of anger(patient dimension score,rational dimension score)and expression of anger(total score,restraint dimension score)[(28.0±23.8)vs.(19.6±13.3),(55.0±30.6)vs.(40.0±21.5),(34.2±11.6)vs.(27.3±10.7),(56.0±26.1)vs.(33.7±21.1),Ps<0.05].Higher scores of rationality dimension of anger trait(OR=3.69,95%CI:1.43-7.98)and re-straint dimension of anger expression(OR=3.25,95%CI:1.39-7.47)were risk factors for violent behaviors.Conclusion:Compared with patients with schizopnrenia without violent behavior,patients with violent behavior history may show more lack of rationality,and poorer anger restraint.

schizophreniaviolenceangeremotions

骆名进、王科杰、陶平宇、孙晓花、宋海东

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浙江大学医学院附属精神卫生中心/杭州市第七人民医院,杭州 310013

杭州市西湖区翠苑街道社区卫生服务中心,杭州 310013

精神分裂症 暴力行为 愤怒 情绪

浙江省医药卫生科技计划项目浙江省基础公益研究计划杭州市卫生科技计划重点项目

2020PY062LGF21H0900060020190744

2024

中国心理卫生杂志
中国心理卫生协会

中国心理卫生杂志

CSTPCDCHSSCD北大核心
影响因子:2.088
ISSN:1000-6729
年,卷(期):2024.38(10)