本文關(guān)鍵詞：暴力犯罪服刑人員自殺意念的相關(guān)心理因素研究　出處：《南京醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 自殺意念 焦慮 抑郁 沖動性 童年期虐待

【摘要】：目的1.了解暴力犯罪服刑人員中自殺意念、抑郁、焦慮、沖動性和童年期創(chuàng)傷的發(fā)生率,以及戶籍、就業(yè)、煙酒史和毒品使用、家庭信息和自殺行為等情況。2.探討自殺意念與抑郁、焦慮、沖動性和童年期創(chuàng)傷的關(guān)系,以及有自殺意念組與無自殺意念組在抑郁、焦慮、沖動性和童年期創(chuàng)傷上的差異。3.建立多元線性回歸方程,了解抑郁、焦慮、沖動性和童年期創(chuàng)傷對自殺意念的預(yù)測作用。方法1.本研究采用方便取樣,被試為江蘇省某監(jiān)獄的2088名男性服刑人員,選取其中因暴力犯罪入獄的服刑人員共451人。排除嚴重軀體疾病和其他精神障礙者,排除SIOSS掩飾因子≥4分,共入組399人。有自殺意念組:SIOSS量表總分≥12分作為陽性篩查標準,入組67人;無自殺意念組:SIOSS量表總分12分,入組332人。2.全部服刑人員填寫一般情況問卷、自殺意念量表(SIOSS)、廣泛性焦慮量表(GAD-7)、中文版患者健康問卷-抑郁癥狀群量表(PHQ-9)、Barratt沖動性量表第十一版(BIS-11)和童年期創(chuàng)傷量表(CTQ-SF)。3.采用SPSS22.0進行統(tǒng)計分析,根據(jù)數(shù)據(jù)的類型應(yīng)用描述性分析、正態(tài)性檢驗、卡方檢驗、獨立樣本t檢驗、皮爾遜相關(guān)分析及多元線性逐步回歸分析。所有檢驗均以P0.05為差異有統(tǒng)計學(xué)意義。結(jié)果1.暴力罪犯服刑人員自殺意念和自殺未遂的檢出率為16.79%(67/399)和3.26%(13/399)。按照焦慮、抑郁和童年期創(chuàng)傷劃界值分組后,有無自殺意念二組差異有統(tǒng)計學(xué)意義(P0.01)。有無自殺意念二組在戶籍來源、就業(yè)情況、吸煙和飲酒上無統(tǒng)計學(xué)差異,在吸毒情況上接近統(tǒng)計學(xué)差異(P=0.059)。有無自殺意念二組在父親和母親養(yǎng)育方式上差異有統(tǒng)計學(xué)意義(分別為P0.01,P0.05)。2.有自殺意念組在抑郁、焦慮、沖動性總分及其維度(注意力沖動性、運動性沖動性和無計劃沖動性)和童年期創(chuàng)傷總分及其分量表(情感虐待、軀體虐待、情感忽視和軀體忽視)上的得分均高于無自殺意念組,差異有統(tǒng)計學(xué)意義(均P0.01),二組在性虐待上無統(tǒng)計學(xué)差異。3.除睡眠因子與軀體虐待和性虐待相關(guān)無統(tǒng)計學(xué)意義,自殺意念與抑郁、焦慮、沖動性和童年期創(chuàng)傷及其因素之間呈顯著的兩兩正相關(guān)(r=0.091～0.914,P0.05)。4.僅考慮各量表總分建立多元線性回歸模型,抑郁、童年期創(chuàng)傷、焦慮、沖動性總分均對于自殺意念有正向預(yù)測作用(R2=0.476,自殺意念總分=-1.727+0.322×抑郁總分+0.051×童年期創(chuàng)傷總分+0.184×焦慮總分+0.053×沖動性總分),且能夠解釋47.6%的變異量(P0.01)。5.考慮各量表及其分量表的分值建立多元線性回歸模型,抑郁總分、情感忽視、焦慮總分、無計劃沖動性因子和情感虐待對于自殺意念有正向預(yù)測作用,軀體虐待對自殺意念有負向預(yù)測作用(R2=0.506,自殺意念總分=-1.88+0.344×抑郁總分+0.155×情感忽視+0.181×焦慮總分+0.11 ×無計劃沖動性+0.216×情感虐待-0.125×軀體虐待),且能夠解釋50.6%的變異量(P0.01)。結(jié)論1.暴力犯罪服刑人員的自殺意念、抑郁、焦慮、高沖動性和童年期虐待問題較為常見。父親和母親養(yǎng)育方式與自殺意念有關(guān)聯(lián),有自殺意念組的服刑人員父母不良養(yǎng)育方式明顯偏多。2.有自殺意念組服刑人員在抑郁、焦慮、沖動性和童年期創(chuàng)傷的情況較嚴重,而二組性虐待接近統(tǒng)計差異。自殺意念與抑郁、焦慮、沖動性和童年期創(chuàng)傷之間顯著正相關(guān)。3.抑郁、焦慮、沖動性和童年期創(chuàng)傷均對自殺意念有正向預(yù)測作用�？紤]分量表后,抑郁、情感忽視、焦慮、無計劃沖動性因子和情感虐待對自殺意念有正向預(yù)測作用,而軀體虐待有負向預(yù)測作用。
[Abstract]:Objective to understand the 1. violent crime personnel serving Dutch act ideation, depression, anxiety, incidence, impulsivity and childhood trauma as well as the household registration, employment, alcohol and drug use history, family information and behavior of.2. Dutch act Dutch act ideation and depression, anxiety, the relationship between impulsivity and childhood trauma, and Dutch act ideation group and no Dutch act ideation in depression, anxiety, impulsivity and.3. differences in childhood trauma on the establishment of multiple linear regression equation, understanding of depression, anxiety, impulsivity and predictors of childhood trauma Dutch act ideation. Methods 1. this study used convenience sampling, the participants were 2088 men of a prison in Jiangsu Province the prisoners were selected for violent crime, prison inmates were 451. No serious physical disease and other mental disorders, the exclusion of SIOSS mask factor more than 4 cent, a total of 399 people into the group. Dutch act ideation: SIOSS The total scores of more than 12 points as positive screening standard, 67 people into the group; no Dutch act ideation: SIOSS scale score of 12 points, a total of 332 people with.2. all prisoners fill in the general information questionnaire, Dutch act Ideation Scale (SIOSS), generalized anxiety scale (GAD-7), Chinese - version of patient health questionnaire depression symptoms scale (PHQ-9), Barratt Impulsiveness Scale Eleventh Edition (BIS-11) and childhood trauma questionnaire (CTQ-SF).3. SPSS22.0 was used for statistical analysis. According to the analysis of types of descriptive data, normality test, chi square test, independent samples t test, Pearson correlation analysis and multiple linear stepwise regression analysis. All in all the test P0.05 the difference was statistically significant. The detection rate was 16.79% of 1. violent criminals inmates Dutch act ideation and attempted Dutch Act (67/399) and 3.26% (13/399). According to the anxiety, depression and childhood trauma group have no demarcation value, since There are significant differences between the two groups will kill (P0.01). There is no idea of the two groups in the household registration Dutch act, the employment situation, smoking and drinking have no significant difference, statistically significant differences in drug use situation close to (P=0.059). There is no difference between the two groups in the Dutch act the idea of father and mother rearing was statistically significant (respectively. P0.01, P0.05).2. Dutch act ideation in depression, anxiety, impulsivity score and dimensions (attentional impulsivity, motor impulsiveness and non planning impulsivity) and childhood trauma score and subscale (emotional abuse, physical abuse, emotional neglect, physical neglect) the scores were higher than those in the non Dutch act ideation, the difference was statistically significant (P0.01), the two groups have no significant difference in sexual abuse.3. except sleep factors associated with physical abuse and sexual abuse was not statistically significant, Dutch act ideation and depression, anxiety, impulsivity and childhood trauma A significant positive correlation between the 22 factors and (r=0.091 - 0.914, P0.05).4. only considering the total scores of multiple linear regression model, childhood trauma, depression, anxiety, impulsivity scores have positive predictive effect for Dutch act ideation (R2=0.476, Dutch act ideation score =-1.727+0.322 depression +0.051 * * childhood trauma score +0.184 * * +0.053 anxiety score), impulsivity and can explain 47.6% of the variance (P0.01).5. considering the scale and subscale scores based on multiple linear regression model, depression, anxiety, emotional neglect, unplanned impulsive and emotional abuse factor has a positive predictive effect on the body Dutch act ideation. Abuse has negative effect on the Dutch act ideation (R2=0.506, Dutch act ideation score =-1.88+0.344 depression +0.155 * * * +0.181 emotional neglect anxiety scores of +0.11 * +0.216 * non planning impulsivity Emotional abuse physical abuse, and -0.125 *) can explain 50.6% of the variance (P0.01). Conclusion: 1. violent crimes inmates Dutch act ideation, depression, anxiety, common high impulsivity and childhood abuse. The mother and father parenting is associated with a Dutch act ideation, Dutch act ideas were prisoners of bad parents parenting style was obviously more than the.2. Dutch act ideation inmates in depression, anxiety, impulsivity and childhood trauma is serious, and the two group of statistical differences. Dutch act close to abuse ideation and depression, anxiety, impulsivity and between childhood trauma.3. is positively related to depression, anxiety, impulsivity and childhood have a positive predictive effect on trauma. Considering the subscales after Dutch act ideation, depression, anxiety, emotional neglect, unplanned impulsive and emotional abuse factor have a positive predictive effect on the Dutch act and physical abuse ideation, negative pre Measurement.

【學(xué)位授予單位】：南京醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：B846

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