四川精神卫生2017，Vol.30Issue(2)：126-131,6.DOI:10.11886/j.issn.1007-3256.2017.02.008
精神分裂症患者攻击行为与临床症状、记忆及智力的相关性
Relationships among aggressive behavior and clinical symptoms, memory, intelligence in schizophrenic patients
摘要
Abstract
Objective To explore the relationships among aggressive behavior and clinical symptoms, memory, intelligence, and to analyze whether clinical symptoms, memory and intelligence can be used as predictors of aggressive behavior in patients with schizophrenia.Methods These schizophrenic patients were chosen to participate in this study who admitting to the early intervention department of The Third People's Hospital of Zhongshan.All the patients met the diagnostic criteria for schizophrenia according to the International Classification of Diseases, tenth edition (ICD-10) and were in acute phase from May 2014 to May 2016.According to the past violence history and weighted total score of Modified Overt Aggression Scale(MOAS), patients were divided into aggressive group(n=69) and non-aggressive group(n=39).Positive and Negative Syndrome Scale (PANSS) was adopted to assess clinical symptoms, memory and intelligence were evaluated by Wechsler Memory Scale-Revised (WMS-R) and Wechsler Adult Intelligence Scale revised in China (WAIS-RC).Correlations among aggressive behavior, clinical symptoms, memory and intelligence were analyzed.Results Weighted total score of MOAS, verbal attack, attack on property and physical attack scores in aggressive group were higher than those of the non-aggressive group (P<0.05 or 0.01).Total score of PANSS and positive symptoms score in aggressive group were higher than those of the non-aggressive group (P<0.05 or 0.01).There was no significant difference in WMS-R or WAIS-RC socres between the two groups(P>0.05).Weighted total score of MOAS and physical attack score were positively correlated with PANSS total score, positive symptoms score and general psychopathology score(r=0.203~0.535, P<0.05 or 0.01).Physical attack score were negatively correlated with mental attack score(r=-0.343, P<0.05).Conclusion Compared with non-aggressive group, patients in aggressive group show significant aggression in verbal attack, property attack and physical attack in aggressive group.Total score of PANSS and positive symptoms may be related to aggression in schizophrenic patients.Otherwise, memory and intelligence are not related to aggression and can't be used as predictors of aggressive behavior in schizophrenic patients.关键词
精神分裂症/攻击行为/临床症状/记忆/智力Key words
Schizophrenia/Aggressive behavior/Clinical symptoms/Memory/Intelligence分类
医药卫生引用本文复制引用
薛坤喜,张传福,盛东方,黄彩英..精神分裂症患者攻击行为与临床症状、记忆及智力的相关性[J].四川精神卫生,2017,30(2):126-131,6.基金项目
中山市卫生局医学科研立项课题(2013A020189) （2013A020189）
