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To investigate the status of aggressive behavior in first-episode schizophrenia patients and further explore the related influencing factors and their gender differences.
A total of 224 first-episode schizophrenia patients admitted to Beijing Anding Hospital from December 2019 to September 2022 were consecutively selected as study subjects.The Revised Hostility Scale was used to assess the occurrence of aggressive behavior in patients. Univariate analysis and binary logistic regression analysis were employed to explore the influencing factors of aggressive behavior in first-episode schizophrenia patients of different genders.
The detection rate of aggressive behavior in first-episode schizophrenia patients was 34.13%, with detection rates of 24.49% for male patients and 27.27% for female patients. For female first-episode schizophrenia patients, independent predictors of aggressive behavior included ethnicity (OR=0.009, 95%CI: 0.001-0.154),history of suicide attempts (OR=57.347, 95%CI: 5.152-638.353), lack of crisis coping (OR=1.113, 95%CI: 1.001-1.238),temperament (OR=3.059, 95%CI: 1.373-6.813), and hopelessness (OR=0.891, 95%CI: 0.796-0.998). For male patients, independent predictors included age (OR=0.951, 95%CI: 0.908-0.996), living alone (OR=6.130, 95%CI: 1.935-19.420), value conflict (OR=0.912, 95%CI: 0.843-0.987), disparity between desires and reality (OR=1.108, 95%CI: 1.044-1.177),temperament (OR=1.599, 95%CI: 1.062-2.408), and hopelessness (OR=1.101, 95%CI: 1.032-1.175).
The detection rate of aggressive behavior in first-episode schizophrenia patients is relatively high, and the influencing factors exhibit gender differences. During clinical screening and treatment, personalized intervention measures should be developed based on the characteristics of the patients to more effectively prevent and manage the occurrence of aggressive behavior.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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