摘要
目的 探讨不同类型抑郁障碍患者作案特征。方法 对云南省精神病医院于 1 980～2 0 0 0年鉴定的 3 7例抑郁症 (抑郁症组 )和 3 1例抑郁障碍组 [包括 1 5例心因 (反应 )性抑郁症、9例抑郁性神经症、7例其他类型抑郁障碍 ]的作案特征进行对照研究。结果 抑郁症组作案行为发生突然、随机性强 (占 62 % ) ,缺乏诱因 (占 76% ) ,病理性动机作案多见 (占 54 % ) ,并多以凶杀和伤害案为主(占 76% ) ,侵害对象主要涉及家庭成员 (占 54 % ) ;作案后自杀未遂及主动求死者较多 (占 3 8% )。抑郁障碍组作案多有诱因 (占 55% )、作案后逃离现场 (占 4 5% ) ,事后为其行为作辩解 (占 3 8% )、并要求宽大 (占 3 4% )。两组比较 ,差异有显著性 (P <0 0 5)。结论 抑郁症组和抑郁障碍组在作案特征上有各自不同的特点 ,可能与两者的起病 (病因 )、病情发展、症状表现和严重程度等差异有关。
Objective The paper was to explore the characteristics of committing an offence between patients with major depression and other depressive disorders Methods A comparative study was conducted between 37 cases with major depression and 31 cases with other depressive disorders (15 with psychogenic depressive disorder, 9 with depressive neurosis, 7 with depressive personality) from 1980 to 2000 Results In major depression group, the behavior of committing an offence was abrupt and random (62%), and lack of inducement (76%) Most of them had pathological motivation (54%) and committed homicide and injury (76%), in which their family was more often attacked (54%) Thirty eight of the patients attempted to commit suicide after the offence In other depressive disorder group, many of them had inducement (55%), escaped from the scene after the case occurred (45%), defended for the offence (38%) and required for forgiveness (34%) As to the above characteristics, there was significant difference ( P <0 05) between the two groups Conclusion There are different characteristics of committing an offence between the patients with major depression and those with other depressive disorder The difference may be associated with the different pathogeny, state of an illness and psychotic symptom
出处
《中华精神科杂志》
CAS
CSCD
北大核心
2001年第4期222-225,共4页
Chinese Journal of Psychiatry
关键词
抑郁症
抑郁障碍
司法鉴定
病例对照研究
Depression
Depressive disorder
Expert testimony
Case control studies
