He J F, Hong W, Shao Y, Han H Q, Xie B
Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China.
Shanghai Key Laboratory of Psychotic Disorders, Shanghai 200030, China.
Fa Yi Xue Za Zhi. 2017 Feb;33(1):28-31. doi: 10.3969/j.issn.1004-5619.2017.01.007. Epub 2017 Feb 25.
To explore the value of Modified Overt Aggression Scale （MOAS） on predicting serious aggressive behavior in the inpatients with mental disorders and to provide theoretical basis for violence risk assessments in the inpatients with mental disorders.
Total 918 inpatients in a psychiatric hospital were evaluated by trained medical workers using MOAS in September 2009, and their serious violent behavior were followed up for 2 years. The value of MOAS on predicting violence in the inpatients with mental disorders was analyzed by SPSS 21.0.
（1） Compared to the patients without serious aggressive behaviors, the patients with serious aggressive behavior within 2 years showed significantly higher scores （P＜0.05） on verbal aggression, aggression against property, physical aggression and total weighted score of MOAS; （2） Significant correlation was found between the score of verbal aggression and the serious acts of violence within 2 years （P＜0.05）; （3） Scores of verbal aggression, physical aggression and total weighted score of MOAS had predictive value on serious aggressive behaviors within 2 years.
MOAS has certain value on predicting the serious aggressive behaviors of patients with mental disorders within 2 years.
探讨改良外显攻击行为量表（MOAS）对精神障碍住院患者严重攻击行为的预测价值，为精神障碍住院患者暴力风险评估提供理论依据。
2009年9月，由经过培训的医护人员使用MOAS对某精神病医院的918例住院患者进行评估，并对其严重暴力行为进行为期2年的随访。采用SPSS 21.0分析MOAS对精神障碍住院患者暴力行为的预测价值。
（1）与2年内无严重攻击行为的患者相比，2年内有严重攻击行为的患者在言语攻击、财产攻击、身体攻击及MOAS总加权得分上显著更高（P＜0.05）；（2）言语攻击得分与2年内严重暴力行为之间存在显著相关性（P＜0.05）；（3）言语攻击、身体攻击得分及MOAS总加权得分对2年内严重攻击行为具有预测价值。
MOAS对预测精神障碍患者2年内的严重攻击行为具有一定价值。
