MOAS在住院精神障碍患者暴力风险评估中的应用

目的探索修订版外显攻击行为量表(Modified Overt Aggression Scale,MOAS)用于预测精神障碍住院患者发生严重攻击行为的价值,为住院精神障碍患者的暴力风险评估提供理论依据。方法由经过培训的医务人员对某精神卫生专科机构2009年9月在院的918例住院患者采用MOAS进行评估,并随访2年内是否发生严重攻击行为。通过SPSS 21.0分析采用MOAS评估预测精神障碍患者发生严重攻击行为的价值。结果 (1)与未发生严重攻击行为者相比,2年内发生严重攻击行为者,其MOAS评分中言语攻击、财物攻击、身体攻击和加权总分存在差异(P0.05);(2)MOAS中的言语攻击评分,与2年内精神障碍患者的严重攻击行为相关(P0.05);(3)通过MOAS各项评分预测2年内精神障碍患者是否出现严重攻击行为时,言语攻击、体力攻击及加权总分三项评分存在一定的价值(P0.05)。结论 MOAS评分用于预测住院的精神障碍患者2年内发生的严重攻击行为时,存在一定的价值。

Application of MOAS for Evaluating of Violence Risk in the Inpatients with Mental Disorders

Objective T o explore the value of M odified O vert A ggression Scale (M O A S ) on predicting serious aggressive behavior in the inpatients w ith m ental disorders and to provide theoretical basis for violence risk assessm ents in the inpatients w ith m ental disorders. Methods T otal 918 inpatients in a psy-chiatric hospital w ere evaluated by trained m edical w orkers using M O A S in Septem ber 2009, and their serious violent behavior w ere follow ed up for 2 years. T he value of M O A S on predicting violence in the inpatients w ith m ental disorders w as analyzed by SPSS 21.0. Results (1) C om pared to the patients w ithout serious aggressive behaviors, the patients w ith serious aggressive behavior w ithin 2 years show ed significantly higher scores (P<0.05) on verbal aggression, aggression against property, physical aggres-sion and total w eighted score of M O A S; (2) Significant correlation w as found betw een the score of ver-bal aggression and the serious acts of violence w ithin 2 years (P<0.05); (3) Scores of verbal aggres-sion, physical aggression and total w eighted score of M O A S had predictive value on serious aggressive behaviors w ithin 2 years. Conclusion M O A S has certain value on predicting the serious aggressive be-haviors of patients w ith m ental disorders w ithin 2 years.