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成都市青年男性反社会型人格障碍的流行病学调查及暴力行为分析。

An Epidemiologic Survey and Violent Behavior Analysis of Antisocial Personality Disorder in Young Men in Chengdu.

机构信息

West China School of Basic Medical Sciences & Forensic Medicine, Sichuan University, Chengdu 610041, China.

Chengdu Public Security Bureau, Chengdu 610017, China.

出版信息

Fa Yi Xue Za Zhi. 2022 Apr 25;38(2):239-245. doi: 10.12116/j.issn.1004-5619.2020.100802.

DOI:10.12116/j.issn.1004-5619.2020.100802
PMID:35899513
Abstract

OBJECTIVES

To investigate the epidemiological characteristics of antisocial personality disorder (ASPD) in young men in Chengdu and explore the characteristics and risks of violence.

METHODS

Stratified random sampling was used to conduct a self-assessment questionnaire survey in 4 108 males aged from 18 to 34 in Chengdu, including general demographic characteristics, structured clinical interview for the diagnostic and statistical manual of mental disorders-Ⅳ axis Ⅱ disorders (SCID-Ⅱ) personality disorder screen questionnaire, violence questionnaire, psychosis screening questionnaire (PSQ), Alcohol Use Disorders Identification Test (AUDIT) and drug use. test, univariate and multivariate logistic regression were used for analysis and odds ratio (OR) was calculated.

RESULTS

The positive rate of ASPD was 5.91%, which was associated with young age, unmarried, unemployment state, low educational level, violent behavior, psychotic symptoms, alcohol and drug use (<0.05). Young men with ASPD also had a risk (<0.05) of violence (OR was 8.51), multiple violence (OR was 16.57), injury (OR was 6.68), intentional violence (OR was 11.41), etc., the risk decreased after controlling for psychotic symptoms and substance abuse, but was still statistically significant.

CONCLUSIONS

The risk of violence, severe violence and intentional violence in young men in Chengdu is high, and psychotic symptoms and substance abuse increase the risk of ASPD violence and relate characteristics.

摘要

目的

调查成都市青年男性反社会人格障碍(ASPD)的流行病学特征,探讨暴力行为的特点和风险。

方法

采用分层随机抽样方法,对成都市 4108 名 18 至 34 岁男性进行自填式问卷调查,包括一般人口学特征、结构临床访谈诊断和统计手册-IV 轴 II 障碍(SCID-Ⅱ)人格障碍筛查问卷、暴力问卷、精神病筛查问卷(PSQ)、酒精使用障碍识别测试(AUDIT)和药物使用测试。采用单因素和多因素 logistic 回归进行分析,计算比值比(OR)。

结果

ASPD 的阳性率为 5.91%,与年龄较小、未婚、失业状态、低教育水平、暴力行为、精神病症状、酒精和药物使用有关(<0.05)。具有 ASPD 的年轻男性也有暴力行为(OR=8.51)、多次暴力行为(OR=16.57)、伤害(OR=6.68)、故意暴力行为(OR=11.41)等风险(<0.05),在控制精神病症状和物质滥用后,风险有所降低,但仍有统计学意义。

结论

成都市青年男性暴力、严重暴力和故意暴力的风险较高,精神病症状和物质滥用增加了 ASPD 暴力行为和相关特征的风险。

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