Analysis of influencing factors of risk behaviors of inpatients with schizophrenia

doi:10.3969/j.issn.1006-7795.2021.02.027

Abstract

Abstract: Objective To explore the influencing factors of risk behaviors inpatients with schizophrenia.Methods Using retrospective research methods, 5 psychiatric hospitals in 4 districts were selected in Beijing based on geographical distribution using convenient sampling methods, and 625 patients with schizophrenia who were hospitalized from January 2016 to October 2016 were selected as the survey subjects, and the self-made questionnaire was used for investigationtoassess and analyze the occurrence of patients' risky behaviors and related factors.Results Univariate analysis showed that compared with the non-risk group, there were significant differences in gender, age stage, family-neighborhood relationship, work status, stressful events, mental symptoms, medication status, medical treatment attitude, and history of threatening speech in the risk behavior group(P<0.05). Logistic regression analysis showed that risk behaviors in patients with schizophrenia were related to age stage(OR=0.62,P=0.017),stress events(OR=2.08,P=0.001), hallucinations(OR=1.77,P=0.026),weird behaviors(OR=1.61,P=0.02), medical attitudes,(OR=2.60,P=0.029) and history of threatening speech(OR=6.77,P<0.001).Conclusion Under 45 years of age, hallucinations, weird behaviors, passive medical attitudes, stress events, and history of threatening speech are the main related influencing factors of risky behaviors in hospitalized patients with schizophrenia.

Key words: schizophrenia, risk behavior, influencing factors

CLC Number:

R749

Yi Yuwei, Yan Fang, Jin Yuhong, Xiao Cunli. Analysis of influencing factors of risk behaviors of inpatients with schizophrenia[J]. Journal of Capital Medical University, 2021, 42(2): 323-327.

0
/ / Recommend

Add to citation manager EndNote|Reference Manager|ProCite|BibTeX|RefWorks

URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2021.02.027

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2021/V42/I2/323

References

[1] 张钦廷,李功迎,霍克钧,等.精神分裂症患者的暴力行为研究[J].中国行为医学科学,2002,11(1):30-33.
[2] Edlinger M, Rauch A S, Kemmler G, et al.Risk of violence of inpatients with severe mental illness-do patients with schizophrenia pose harm to others?[J]. Psychiatry Res, 2014, 219(3):450-456.
[3] 陈琼妮,周建松.我国住院精神分裂症患者攻击行为的文献分析[J].中南大学学报(医学版),2012,37(7):752-757.
[4] Johnson K L, Desmarais S L, Van Dorn R A,et al. A typology of community violence perpetration and victimization among adults with mental illnesses[J]. J Interpers Violence, 2015,30(3):522-540.
[5] Large M M, Nielssen O.Violence in first-episode psychosis: a systematic review and meta-analysis[J]. Schizophr Res, 2011, 125(2-3):209-220.
[6] Pickard H, Fazel S.Substance abuse as a risk factor for violence in mental illness: some implications for forensic psychiatric practice and clinical ethics[J]. Curr Opin Psychiatry, 2013,26(4):349-354.
[7] Amore M, Menchetti M, Tonti C,et al.Predictors of violent behavior among acute psychiatric patients: clinical study[J]. Psychiatry Clin Neurosci,2008,62(3):247-255.
[8] Edlinger M, Rauch A S, Kemmler G, et al.Risk of violence of inpatients with severe mental illness-do patients with schizophrenia pose harm to others?[J]. Psychiatry Res, 2014, 219(3):450-456.
[9] 罗汝琴,陈仁云,任玉生,等.住院精神病人攻击行为临床分析[J].中国民康医学,2006,18(11):441-443.
[10] 郭民,王小平,李纯,等.精神分裂症男性患者攻击行为与冲动相关性[J].国际病理科学与临床杂志,2011,31(2):98-102.
[11] 姚晶,谭淑平,崔界峰,等.住院精神分裂症患者攻击行为的特征及相关风险因素[J].中国心理卫生杂志,2018,32(8):636-641.
[12] Belli H, Ural C.The association between schizophrenia and violent or homicidal behaviour: the prevention and treatment of violent behaviour in these patients[J]. West Indian Med J, 2012,61(5):538-543.
[13] 世界卫组织.ICD-10精神与行为障碍分类临床描述与诊断要点[M].北京:人民卫生出版社,1993:30-48.
[14] 刘勇,谢斌.上海市社区非自愿随访严重精神障碍患者暴力行为相关因素[J].中国心理卫生杂志,2019,33(12):887-892.
[15] 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(3):331-333.