法医学杂志

法医学杂志 ›› 2011, Vol. 27 ›› Issue (5): 342-345.DOI: 10.3969/j.issn.1004-5619.2011.05.007

• 论著 • 上一篇    下一篇

修订版外显攻击行为量表用于精神疾病患者危险行为评估

章雪利1，2，胡峻梅1，3   

  1. （1. 四川大学 华西基础医学与法医学院法医精神病学教研室，四川 成都 610041； 2. 宁波市第一医院 医疗服务质量监控部，浙江 宁波 315010； 3. 四川大学 华西医院心理卫生中心，四川 成都 610041）
  • 发布日期:2011-10-25 出版日期:2011-10-28
  • 通讯作者: 通信作者：胡峻梅，女，教授，硕士研究生导师，主要从事司法精神病学研究；E-mail：juneihu@hotmail.com
  • 作者简介:章雪利（1984—），女，浙江宁波人，硕士研究生，主要从事司法精神病学研究；E-mail：tan-sha@163.com
  • 基金资助:

    上海市法医学重点实验室开放课题基金资助项目（KF0909）；四川省科技支撑计划项目（10ZC1027）

Application of Modified Overt Aggression Scales on Risk Behavior Assessment of Patients with Mental Illness

ZHANG XUE-LI1,2, HU JUN-MEI1,3   

  1. （1. Department of Forensic Psychiatry, School of Preclinical and Forensic Medicine, Sichuan University, Chengdu 610041, China; 2. Medical Service Quality Monitoring Division, Ningbo First Hospital, Ningbo 315010, China; 3. Mental Health Center, West China Hospital, Sichuan University, Chengdu 610041, China）
  • Online:2011-10-25 Published:2011-10-28

被引次数

32

摘要： 目的 探讨修订版外显攻击行为量表（Modified Overt Aggression Scales，MOAS）对精神疾病患者危险行为评估的价值。 方法 采用MOAS对隶属公安、卫生、民政系统的3家精神卫生机构（安康监管病区、华西心理卫生中心、德康救治病区）共490名精神疾病患者根据病史资料进行评估。 结果 无危险行为313人、有危险行为177人（攻击行为99人，暴力行为78人）。有危险行为精神疾病患者所占比例由高至低依次为安康监管病区、华西心理卫生中心、德康救治病区。安康监管病区患者的体力攻击及总分最高（P＜0.05），华西心理卫生中心患者的自身攻击分最高（P＜0.05）。男性患者的体力攻击及总分均高于女性（P＜0.05），女性自身攻击分高于男性（P＜0.05）。暴力和攻击行为组MOAS总分及各单项分均高于无危险行为组（P＜0.05），暴力行为组MOAS总分及体力攻击分高于攻击行为组（P＜0.05）。 结论 3家精神卫生机构有危险行为患者的构成比不同，危险行为的类型和程度有差异，不同性别患者的危险行为类型亦不同。

关键词: 司法精神病学, 危险行为, 危险性评估, 修订版外显攻击行为量表

Abstract: Objective To explore the value of Modified Overt Aggression Scales （MOAS） in assessing risk behavior of patients with mental illness. Methods Four hundred and ninety patients, who were from three mental health institutions （Refined Control Ward in Ankang Hospital, Mental Health Center of West China Hospital, Relief Ward in De Kang Hospital） belong to public security, health and civil system respectively, were evaluated with MOAS. Results Three hundred and thirteen patients did not have dangerous behavior, but 177 patients did （99 aggression, 78 violence）. The descending order of risk behavior in patients with mental illness were Refined Control Ward in Ankang Hospital, Mental Health Center of West China Hospital, Relief Ward in De Kang Hospital. Physical and total aggression scores were higher in Refined Control Ward in Ankang Hospital than that in other two hospitals（P<0.05）. Autoaggression score in Mental Health Center of West China Hospital was higher than that in other two hospitals（P<0.05）. Physical and total aggression scores in male were higher than that in female（P<0.05）. Autoaggression score in female was higher than that in male（P<0.05）. Score of every single item and total score were higher in violent and aggressive group than that in non dangerous behavior group（P<0.05）. Physical and total aggression scores in violent group were higher than that in aggressive group（P＜0.05）. Conclusion The proportion, type and degree of risk behaviors in three mental health institutions are different and the type of risk behavior has gender difference.

Key words: forensic psychiatry, risk behavior, risk assessment, Modified Overt Aggression Scales

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