摘要
目的了解服刑能力鉴定中精神分裂症与拘禁性精神障碍的差异。方法回顾性调查60例拘禁性精神障碍与130例精神分裂症,就服刑相关资料、病情特点、服刑能力两组间进行比较。结果拘禁性精神障碍女性比例较高、羁押至发病时间短(P均<0.05),刑期较短、起病急、病程短、出现睡眠障碍较多、思维散漫少见、症状内容多与拘禁相关(P均<0.01);精神分裂症慢性起病较多、病程长,幻觉妄想、思维散漫、情感不协调、无自知力及无服刑能力较多(P均<0.01),Logistic回归分析发现,男性、羁押至发病时间及病程长、思维散漫、妄想及情感不协调是精神分裂症的危险因素。结论拘禁性精神障碍与精神分裂症有不同的特点,性别、羁押至发病的时间、病程、是否存在思维散漫及妄想、情感协调性是两者鉴别的要点。
Objective： To understand the difference in appraisal of competency to serve a sentence between schizophrenia and imprisonment mental.disorder. Methods： A retrospective analysis was conducted in 60 cases with imprisonment mental disorders and 130 cases with schizophrenia. The two groups were compared with the relative information of serving a sentence, the character of disease, and competency to serve a sentence. Results ：The imprisonment mental disorder had higher percent of female patient （P 〈 0.05 ）, shorter interval between imprisonment and mental disorders onset（P 〈0.05 ）, shorter prison term, more acute attack, shorter disease courses, more sleeping disorders, fewer loose thought and more symptoms connected with prison （all P 〈 0. 01 ） ; Schizophrenic cases had more chronic attack, longer disease courses, hallucination and delusion, looseness of thought, incongruent mood, no insight, and more patients with no competency to serve a sentence（all P 〈 0.01 ）. Logistic analysis indicated that male, longer interval between imprisonment and mental disorders onset, longer disease courses, looseness of thought, and mood incongruence were risk factors of schizophrenia. Conclusion：Imprisonment mental disorders and schizophrenia have different characters. Sex, the interval between imprisonment and mental disorders onset, disease progress,looseness of thought, and mood incongruence are the most important factors to distinguish imprisonment mental disorders from schizophrenia.
出处
《上海精神医学》
2007年第3期147-149,共3页
Shanghai Archives of Psychiatry
关键词
拘禁性精神障碍
精神分裂症
鉴别诊断
服刑能力
Imprisonment mental disorder
Schizophrenia
Differential diagnosis
Competency toserve a sentence
