在稳定的精神分裂症患者中构建和验证攻击性行为风险预测模型
Yujing Sun1,2, Wenlong Jiang3, Hong Yu1
1Department of Nursing, Harbin Medical University Daqing Campus, Daqing, China.
BMC psychiatry
|November 3, 2023
概括
这项研究开发了一种预测模型,以识别具有高侵略性行为的高风险的精神分裂症患者. 该模型有助于早期干预和管理,改善患者的治疗结果和安全.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 行为科学 行为科学
背景情况:
- 精神分裂症与精神障碍中攻击性行为的最高率有关.
- 精神分裂症患者的侵略行为会破坏医疗保健,家庭生活和社会和.
- 目前的方法不足以识别易于攻击的精神分裂症患者.
研究的目的:
- 开发一种风险预测模型,用于稳定的精神分裂症患者的攻击性行为.
- 为了促进早期识别有侵略风险的患者.
- 为了实现高风险个体的有针对性的管理,以防止攻击性行为.
主要方法:
- 招募了429名稳定精神分裂症住院患者的便利样本.
- 收集的数据包括一般信息,症状尺度,童年创伤,弹性和自尊.
- 二元物流回归和一个名ogram模型被用于预测,与引导和外部验证.
主要成果:
- 预测模型包括年龄,疾病持续时间,积极症状,童年创伤,自尊和性.
- 该模型实现了接收器操作特征曲线 (AUROC) 下的面积为0.790.
- 内部和外部验证显示出良好的预测性能 (C统计数据为0.759和0.819).
结论:
- 开发的预测模型显示了良好的区分和校准.
- 它可以有效地选稳定的精神分裂症患者具有高风险的攻击性行为.
- 该模型为早期查和干预策略提供了有价值的工具.
相关概念视频
Psychological and Sociocultural Causes of Schizophrenia
92
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
92
Modeling in Therapy
90
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
90
Schizophrenia
92
Schizophrenia, a term introduced by Swiss psychiatrist Eugen Bleuler in 1911, describes a severe psychological disorder marked by profound disruptions in attention, thought processes, language, emotion, and interpersonal relationships. The core feature of schizophrenia is psychosis — a state characterized by a fundamental detachment from reality. This disconnection manifests through distorted logic, impaired perception, and atypical behavior, severely affecting the lives of those...
92
Biological Causes of Schizophrenia
61
Schizophrenia, a severe psychiatric disorder, arises from a complex interplay of biological factors, including genetic predisposition, structural brain abnormalities, neurotransmitter dysregulation, and developmental irregularities. These factors collectively contribute to the onset and progression of the disorder, which typically manifests in late adolescence or early adulthood.
Genetic Factors in Schizophrenia
The genetic basis of schizophrenia is strongly supported by family and twin...
Genetic Factors in Schizophrenia
The genetic basis of schizophrenia is strongly supported by family and twin...
61


