文章摘要
袁愫,韩丽娟,郑立谦,等.男性精神分裂症病人暴力犯罪行为相关社会心理因素分析[J].安徽医药,2020,24(6):1184-1186.
男性精神分裂症病人暴力犯罪行为相关社会心理因素分析
Analysis of psychosocial factors related to violent crime in male schizophrenic patients
  
DOI:10.3969/j.issn.1009?6469.2020.06.031
中文关键词: 精神分裂症  暴力  男(雄)性  问卷调查  童年创伤  应对方式
英文关键词: Schizophrenia  Violence  Male  Questionnaires  Childhood trauma  Coping style
基金项目:
作者单位E-mail
袁愫 (合肥市第四人民医院司法鉴定科安徽合肥 230022  
韩丽娟 (合肥市第四人民医院司法鉴定科安徽合肥 230022 554744402@qq.com 
郑立谦 (合肥市第四人民医院司法鉴定科安徽合肥 230022  
王金亮 (合肥市第四人民医院司法鉴定科安徽合肥 230022  
张晓莉 (合肥市第四人民医院司法鉴定科安徽合肥 230022  
罗湖萍 (合肥市第四人民医院司法鉴定科安徽合肥 230022  
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中文摘要:
      目的探讨男性精神分裂症病人出现暴力犯罪行为的相关社会心理因素。方法将 2016年 9月至 2017年 12月合肥市第四人民医院 29例有暴力犯罪行为的男性精神分裂症病人列为暴力组,同期 31例无暴力冲动行为的男性精神分裂症病人列为非暴力组;对两组的一般人口学资料、治疗情况、监护情况、童年创伤问卷( CTQ?SF)及简易应对方式问卷( SCSQ)评分进行比较。结果暴力组中的间断治疗、监管不到位比率明显高于非暴力组( P<0.05,P<0.001); CTQ?SF中的情感虐待、躯体虐待因子分明显高于非暴力组[(10.34±4.49)分比( 7.32±2.84)分,(6.72±3.36)分比( 5.19±2.15)分](t=-3.13,-2.11;均 P<0.05); SCSQ中消极应对评分明显高于非暴力组[(2.13±0.51)分比( 0.58±0.39)分],(t=-13.13,P<0.001);文化水平对 CTQ?SF中情感虐待、躯体虐待、性虐待、情感忽视及躯体忽视的得分均有影响;监护情况及婚姻状况分别对 SCSQ中的积极应对得分及消极应对得分有影响。结论有暴力犯罪行为的男性精神分裂症病人往往监管不到位,治疗不规律,存在情感虐待及躯体虐待等童年创伤,更多采用消极的应对方式。
英文摘要:
      Objective To explore the psychosocial factors related to violent crime in male schizophrenics.Methods Twenty?nine male schizophrenics with violent crimes were listed as violent group,and 31 male schizophrenics without violent impulsive behav? iors were listed as non?violent group in Hefei Fourth People’s Hospital from September 2016 to December 2017.The general demo? graphic data,treatment,guardianship,childhood trauma questionnaire(CTQ?SF) and simple coping style questionnaire(SCSQ) scores of the two groups were compared.Results The rate of discontinuous treatment and inadequate supervision in violence groupwere significantly higher than those in non?violence group(P<0.05,P<0.001); the scores of emotional abuse and physical abuse in CTQ?SF were significantly higher than those in non?violence group[( 10.34±4.49)vs.(7.32±2.84),(6.72±3.36)vs.(5.19± 2.15); t=-3.13,?2.11;all P<0.05)]; the scores of negative coping in SCSQ was significantly higher than that in non?violence group[( 2.13±0.51)vs.(0.58±0.39),t=-13.13,P<0.001].Cultural level has an impact on scores of emotional abuse,physicalabuse,sexual abuse,emotional neglect and physical neglect in CTQ?SF;guardianship and marital status have an impact on scores of positive coping and negative coping in SCSQ respectively.Conclusion Male schizophrenics who commit violent crimes are oftenunder?regulated and irregular in treatment.They suffer from childhood trauma such as emotional abuse and physical abuse,and adopt more negative coping styles.
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