暴力犯罪服刑人员自杀意念的相关心理因素研究

发布时间：2018-01-15 00:22

本文关键词：暴力犯罪服刑人员自杀意念的相关心理因素研究　出处：《南京医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的1.了解暴力犯罪服刑人员中自杀意念、抑郁、焦虑、冲动性和童年期创伤的发生率,以及户籍、就业、烟酒史和毒品使用、家庭信息和自杀行为等情况。2.探讨自杀意念与抑郁、焦虑、冲动性和童年期创伤的关系,以及有自杀意念组与无自杀意念组在抑郁、焦虑、冲动性和童年期创伤上的差异。3.建立多元线性回归方程,了解抑郁、焦虑、冲动性和童年期创伤对自杀意念的预测作用。方法1.本研究采用方便取样,被试为江苏省某监狱的2088名男性服刑人员,选取其中因暴力犯罪入狱的服刑人员共451人。排除严重躯体疾病和其他精神障碍者,排除SIOSS掩饰因子≥4分,共入组399人。有自杀意念组:SIOSS量表总分≥12分作为阳性筛查标准,入组67人;无自杀意念组:SIOSS量表总分12分,入组332人。2.全部服刑人员填写一般情况问卷、自杀意念量表(SIOSS)、广泛性焦虑量表(GAD-7)、中文版患者健康问卷-抑郁症状群量表(PHQ-9)、Barratt冲动性量表第十一版(BIS-11)和童年期创伤量表(CTQ-SF)。3.采用SPSS22.0进行统计分析,根据数据的类型应用描述性分析、正态性检验、卡方检验、独立样本t检验、皮尔逊相关分析及多元线性逐步回归分析。所有检验均以P0.05为差异有统计学意义。结果1.暴力罪犯服刑人员自杀意念和自杀未遂的检出率为16.79%(67/399)和3.26%(13/399)。按照焦虑、抑郁和童年期创伤划界值分组后,有无自杀意念二组差异有统计学意义(P0.01)。有无自杀意念二组在户籍来源、就业情况、吸烟和饮酒上无统计学差异,在吸毒情况上接近统计学差异(P=0.059)。有无自杀意念二组在父亲和母亲养育方式上差异有统计学意义(分别为P0.01,P0.05)。2.有自杀意念组在抑郁、焦虑、冲动性总分及其维度(注意力冲动性、运动性冲动性和无计划冲动性)和童年期创伤总分及其分量表(情感虐待、躯体虐待、情感忽视和躯体忽视)上的得分均高于无自杀意念组,差异有统计学意义(均P0.01),二组在性虐待上无统计学差异。3.除睡眠因子与躯体虐待和性虐待相关无统计学意义,自杀意念与抑郁、焦虑、冲动性和童年期创伤及其因素之间呈显著的两两正相关(r=0.091～0.914,P0.05)。4.仅考虑各量表总分建立多元线性回归模型,抑郁、童年期创伤、焦虑、冲动性总分均对于自杀意念有正向预测作用(R2=0.476,自杀意念总分=-1.727+0.322×抑郁总分+0.051×童年期创伤总分+0.184×焦虑总分+0.053×冲动性总分),且能够解释47.6%的变异量(P0.01)。5.考虑各量表及其分量表的分值建立多元线性回归模型,抑郁总分、情感忽视、焦虑总分、无计划冲动性因子和情感虐待对于自杀意念有正向预测作用,躯体虐待对自杀意念有负向预测作用(R2=0.506,自杀意念总分=-1.88+0.344×抑郁总分+0.155×情感忽视+0.181×焦虑总分+0.11 ×无计划冲动性+0.216×情感虐待-0.125×躯体虐待),且能够解释50.6%的变异量(P0.01)。结论1.暴力犯罪服刑人员的自杀意念、抑郁、焦虑、高冲动性和童年期虐待问题较为常见。父亲和母亲养育方式与自杀意念有关联,有自杀意念组的服刑人员父母不良养育方式明显偏多。2.有自杀意念组服刑人员在抑郁、焦虑、冲动性和童年期创伤的情况较严重,而二组性虐待接近统计差异。自杀意念与抑郁、焦虑、冲动性和童年期创伤之间显著正相关。3.抑郁、焦虑、冲动性和童年期创伤均对自杀意念有正向预测作用。考虑分量表后,抑郁、情感忽视、焦虑、无计划冲动性因子和情感虐待对自杀意念有正向预测作用,而躯体虐待有负向预测作用。
[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.

【学位授予单位】：南京医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：B846

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