[1]黄飞,姜祥智.青岛地区非自愿住院精神分裂症病人临床特征的性别差异[J].齐鲁医学杂志,2017,32(03):331-333.[doi:10.13362/j.qlyx.201703025]
 HUANG Fei,JIANG Xiangzhi.GENDER DIFFERENCES IN CLINICAL FEATURES OF INVOLUNTARY INPATIENTS WITH SCHIZOPHRENIA IN QINGDAO, CHINA[J].Medical Journal of Qilu,2017,32(03):331-333.[doi:10.13362/j.qlyx.201703025]
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青岛地区非自愿住院精神分裂症病人临床特征的性别差异()
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《齐鲁医学杂志》[ISSN:1008-0341/CN:37-1280/R]

卷:
第32卷
期数:
2017年03期
页码:
331-333
栏目:
出版日期:
2017-08-07

文章信息/Info

Title:
GENDER DIFFERENCES IN CLINICAL FEATURES OF INVOLUNTARY INPATIENTS WITH SCHIZOPHRENIA IN QINGDAO, CHINA
文章编号:
1008-0341(2017)03-0331-03
作者:
黄飞姜祥智
青岛市精神卫生中心精神科,山东 青岛 266034
Author(s):
HUANG Fei JIANG Xiangzhi
  
关键词:
精神分裂症精神病人强制住院性别特性
Keywords:
schizophrenia commitment of mentally ill gender identity
分类号:
R749.3
DOI:
10.13362/j.qlyx.201703025
文献标志码:
A
摘要:
目的 探讨青岛地区非自愿住院精神分裂症病人临床特征的性别差异。
方法 对79例男性和70女性非自愿住院精神分裂症病人一般资料进行统计,使用简明精神病评定量表(BPRS)评估病情,使用修改版外显行为攻击量表(MOAS)评估病人攻击行为,使用功能大体评价量表(GAF)评估病人社会功能。
结果 女性平均年龄显著大于男性(t=4.08,P<0.05),男性单身和无业比例显著高于女性(χ2=10.78、6.33;P<0.05),女性独居比例显著高于男性(χ2=24.40,P<0.05)。女性BPRS评分显著高于男性(t=2.02,P<0.05),男性GAF评分显著高于女性(t=2.04,P<0.05)。男性出现攻击行为的比例低于女性,差异有统计学意义(χ2=5.74,P<0.05)。男性言语攻击、对财产攻击和自身攻击的MOAS评分显著高于女性(t=2.15~5.07,P<0.05),在相对较严重的攻击行为(MOAS评分≥8分)方面,男性MOAS评分显著高于女性(t=2.48,P<0.05)。女性病人强制服药比例高于男性,差异有统计学意义(χ2=4.69,P<0.05),男性病人强制约束比例高于女性,差异有统计学意义(χ2=6.10,P<0.05)。
结论 女性非自愿住院精神分裂症病人年龄较大,精神症状较重,且社会功能较差;男性病人单身和无业者较多,攻击行为较少,但威胁更大。
Abstract:
Objective  To investigate the gender differences in clinical features of involuntary inpatients with schizophrenia in Qingdao, China.
Methods  A retrospective analysis was performed on the general data of 79 males and 70 females who were involuntary inpatients with schizophrenia. The status of the disease and their aggressive behaviors and social function were assessed using Brief Psychiatric Rating Scale (BPRS), Modified Overt Aggression Scale (MOAS), and Global Assessment of Functioning Scale (GAF), respectively.
Results  The females had a significantly older mean age, significantly lower proportions of unmarried and unemployed persons, and a significantly higher proportion of persons living alone than the males, the differences were significant (t=4.08,P<0.05;χ2=6.33-24.40,P<0.05). The males had a significantly lower BPRS score and a significantly higher GAF score than the females (t=2.02,2.04;P<0.05). And the males had a significantly lower proportion of persons with aggressive behavior than the females (χ2=5.74,P<0.05). The males had significantly higher MOAS scores of verbal attack, aggression against property, and autoaggression and a significantly higher MOAS score of severe aggressive behaviors (MOAS ≥8) than the females (t=2.15-5.07,P<0.05). The females had a significantly higher proportion of persons with forced medication and a significantly lower proportion of persons with physical constraints than the males (χ2= 4.69,6.10;P<0.05).
Conclusion Among the involuntary inpatients with schizophrenia, the females are older and have more severe symptoms and worse social function than the males; while the males have higher proportions of unmarried and unemployed persons and less but more severe aggressive behaviors than the females.
更新日期/Last Update: 2017-08-12