中国全科医学2017，Vol.20Issue(25)：3178-3183,6.DOI:10.3969/j.issn.1007-9572.2017.25.024
北京市丰台区社区精神分裂症患者外显攻击行为及影响因素研究
Retrospective Analysis of Overt Aggressive Behavior and Associated Factors among Community-residing Patients with Schizophrenia from Beijing Fengtai District
摘要
Abstract
Objective To assess the status of overt aggressive behavior among community-residing patients with schizophrenia in Fengtai District,Beijing and explore its associated factors.Methods Using typical sampling,we selected the communities in Fengtai District,Beijing as the sample area.We collected the archival data (demographic,clinical,and behavior data) of community-residing patients with schizophrenia in this district registered in Beijing Mental Health Information Management System (BMHIMS) between 2011 May and 2015 May.Modified Overt Aggression Scale (MOAS) was used to assess the overt aggressive behavior,with total weighted score of 0 representing nonaggression,with over 0 representing aggression.Results Annual difference was found in the prevalence and incidence of schizophrenia in community-residing residents and incidence of overt aggressive behavior in community-residing patients with schizophrenia in Fengtai District during the period of 2011-2015 (P ＜ 0.05).In particular,the incidence of overt aggressive behavior in community-residing patients with schizophrenia increased from 27.1％ in 2011 to 35.7％ in 2015.In 2015,totally 616 patients with schizophrenia were documented in BMHIMS and 220 (35.7％) of them committed overt aggressive acts.Schizophrenia patients with overt aggressive behavior and those without had significant differences in mean age,level of education,prevalence of physical disease,prevalence of disability associated with mental illness,scores of positive and negative symptoms,scores of general psychopathology and medication adherence (P ＜ 0.05).Multiple linear regression analysis demonstrated that,level of education,prevalence of physical disease,prevalence of disability due to mental illness,scores of positive and negative symptoms,scores of general psychopathology and medication adherence were identified as the associated factors for the total MOAS score (P ＜ 0.05).Conclusion The incidence of overt aggressive behavior in community-residing patients with schizophrenia in Fengtai District presents an upward trend generally.Low level of education,prevalence of physical disease and disability due to mental illness,prevalence of severe positive and negative symptoms,prevalence of general psychopathology symptoms,and poor medication adherence are the risk factors for committing overt aggressive acts in this population.Improving the healthcare services and the medication adherence,and scientific guide for drug administration for these patients can avoid the incidence of overt aggressive behavior to some extent.关键词
精神分裂症/攻击/影响因素分析/北京Key words
Schizophrenia/Aggression/Root cause analysis/Beijing分类
医药卫生引用本文复制引用
姜珺,康瑞莹,闫宏锋,闫宇翔,吴业青,李志武..北京市丰台区社区精神分裂症患者外显攻击行为及影响因素研究[J].中国全科医学,2017,20(25):3178-3183,6.基金项目
首都医学发展科研基金资助项目(2014-3-7053) （2014-3-7053）
丰台区卫生系统科学研究项目(2015-80) （2015-80）
