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目的探究精神病人受审能力的影响因素。方法对在四川大学华西基础医学与法医学院法医精神病学教研室进行法医精神病学鉴定的170名被鉴定人进行受审能力评定,评定研究对象的受审能力、精神症状,收集其人口学资料、犯罪学资料,采用统计描述、t检验、χ2检验、秩和检验和logistic回归分析等方法研究精神病人受审能力的影响因素。结果BPRS的思维障碍因子、激活性因子、PANSS的P分对受审能力具有显著影响;无受审能力组病理性和不明作案动机比例较高,且与有受审能力组相比差别具有统计学意义;无受审能力组言语智商低于有受审能力组,差别具有统计学意义;无受审能力组精神分裂症比例较高,差别具有统计学意义。结论BPRS的思维障碍因子、激活性因子、PANSS的P分、言语智商、精神疾病诊断、作案动机对精神病人受审能力具有一定影响。
Objective To explore the influencing factors of mental patient’s ability to be examined. Methods A total of 170 appraised patients who were forensic psychiatric appraisees from Department of Forensic Psychiatry of Huaxi School of Medicine and Forensic Medicine, Sichuan University were assessed for their ability to be reviewed, the interrogation ability and psychiatric symptoms of the subjects were evaluated, their demographic data, criminological information, Statistical description, t test, χ2 test, rank sum test and logistic regression analysis were used to study the influencing factors of the mental patient’s trial ability. Results The factors influencing the examination ability of BPRS were significantly affected by thinking disorder factor, activating factor and P-score of PANSS. There was a high proportion of patients with no auditory ability in pathological and unknown behavior, and the difference was statistically significant compared with those with auditory ability. There was no significant difference between the group with no-ability-hearing ability and the group with no-ability-use ability, and the difference was statistically significant. There was a higher proportion of schizophrenia without audit ability group, the difference was statistically significant. Conclusion BPRS thinking disorder factor, activating factor, PANSS P score, speech IQ, diagnosis of mental illness, motivation to interrogate mental patients have a certain influence on the ability of interrogation.