,Study on violent aggressive behaviors of patients with severe mental disorders in Changde area[J].SICHUAN MENTAL HEALTH,2019,32(1):53-57
Study on violent aggressive behaviors of patients with severe mental disorders in Changde area
DOI:10.11886/j.issn.1007-3256.2019.01.010
English keywords:Severe mental disorders  Violent aggressive behaviors  Schizophrenia  Changde area
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Author NameAffiliation
陈邦定 中南大学湘雅二医院精神卫生研究所 /国家精神心理疾病临床研究中心 /国家与地方联合精神疾病诊治工程研究中心 /湖南省精神病学与精神卫生重点实验室常德市康复医院 
彭东桃 常德市康复医院 
阳波 常德市康复医院 
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English abstract:
      Objective To investigate the current situation of violent aggressive behaviors of patients with severe mental disorders in Changde city, and to explore the risk factors of violent aggressive behaviors, so as to provide references for optimizing the management and control strategies for this population. Methods Between July and December 2017, 790 subjects were randomly selected from a total of 2 362 patients who suspected had mental disorders in Changde Rehabilitation Hospital. Only 757 patients who met the inclusion criteria were included in analysis. They filled both demographic and clinical information and Modified Overt Aggression Scales ( MOAS) . Patients with MOAS scored 5 and more were defined as the study group ( n = 505) , while those with less than 5 were defined as the control group ( n = 252) . Differences in demographic and clinical characteristics between two groups were compared, and the independent related factors of violent aggressive behaviors were explored using binary Logistic regression analyses. Results The study group had more males and they were younger than control group. Besides, they tended to be single, unemployed for at least half a year, irregular taking medicine, locked at home, accompanied with anti - social personality than the control group ( P < 0. 05 or 0. 01 ) . Binary Logistic regression analysis showed that not ( regularly) taking medicine ( OR = 2. 659, 95% CI: 1 . 892 ~ 3. 738) , younger than 30 years old ( OR = 1 . 845, 95% CI: 1 . 163 ~ 2. 926) , male ( OR = 1 . 486, 95% CI: 1 . 085 ~ 2. 036) and unemployment ( OR = 1 . 621 , 95% CI: 1 . 069 ~ 2. 457) were independently and positively correlated with violent aggressive behaviors ( P < 0. 05 or 0. 01 ) . Conclusion Risk factors for violent aggressive behaviors in patients with severe mental disorders in Changde area including not ( regularly) taking medicine, younger than 30 years old, male and unemployed.
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