摘要
目的 分析双相情感障碍患者攻击行为的危险因素。方法 将119例双相情感障碍患者按照是否有攻击行为分为有攻击行为组119例与无攻击行为组80例。比较两组患者的人口学资料及临床资料,对患者攻击行为的危险因素进行Logistic回归分析。结果 两组患者住院时间、性别、户别、是否崇尚宗教、自杀史比较差异有统计学意义(P<0.05或0.01),有攻击行为组患者的住院天数、男性占比、户别为农村的占比、崇尚宗教的占比、有自杀史的占比显著高于无攻击行为组患者。男性是双相情感障碍患者出现攻击行为的危险因素(OR=2.671,95%CI:1.341~5.320,P<0.01),而户别为城镇是其保护因素(OR=0.434,95%CI:0.213~0.884,P<0.05)。结论 住院时间长、存在自杀史、户别为农村、男性双相情感障碍患者攻击行为的发生率较高,男性是双相情感障碍患者出现攻击行为的危险因素,而户别为城镇是其保护因素。
Objective To analyze the risk factors of aggressive behavior in patients with bipolar disorder.Methods A total of 119 patients with bipolar disorder were divided into aggressive behavior group(119 cases)and non-aggressive behavior group(80 cases)according to whether they had aggressive behavior.The demographic and clinical data of the two groups of patients were compared,and the risk factors of aggressive behavior were analyzed by Logistic regression.Results There were significant differences in hospitalization time,gender,household category,religious worship and suicide history between the two groups(P<0.05 or 0.01).The number of hospitalized days,the proportion of males,the proportion of households in rural areas,the proportion of religious worship,and the proportion of suicides in the aggressive behavior group were significantly higher than those in the non-aggressive behavior group.Male gender was a risk factor for aggression behavior in patients with bipolar disorder(OR=2.671,95%CI:1.341~5.320,P<0.01),while urban household was a protective factor(OR=0.434,95%CI:0.213~0.884,P<0.05).Conclusions The incidence of aggressive behavior is higher in male bipolar disorder patients with long hospital stay,suicide history,rural household.Male gender is a risk factor for aggression in patients with bipolar disorder,while urban household is a protective factor.
作者
陈方煜
戴媛媛
朱文礼
朱颖
刘畅畅
熊思怡
Chen Fangyu;Dai Yuanyuan;Zhu Wenli;Zhu Ying;Liu Changchang;Xiong Siyi(First author's address the Fourth People's Hospital of Wuhu,Wuhu 241000,Anhui,China)
出处
《临床心身疾病杂志》
CAS
2022年第5期135-138,共4页
Journal of Clinical Psychosomatic Diseases
基金
芜湖市卫生健康委员会课题研究项目(编号kjxm2019-02)。
