Research On The Socio-psychological Factors Of Impulsive Aggressive Behavior In Patients With Bipolar Disorder

Objective: To study the influencing factors of impulsive aggression behaviors in patients with bipolar disorder,and to provide scientific and more comprehensive theoretical basis for the diagnosis and treatment and prognosis of such patients,in order to prevent or reduce the occurrence of such behaviors.Methods: Taking 200 patients with bipolar disorder who met the admission and exclusion criteria at the Fourth People’s Hospital of Wuhu City from September 2018 to September 2019 as the research object,patients were divided into a study group(impulsive attack group)and a control group(non-impulsive attack group)according to the presence or absence of impulsive aggression behavior.After data were collected by using self-designed demographic and clinical data questionnaire,Eysenck Personality Questionnaire Short Form Chinese Version(EPQ-RSC),Barrett Impulse Scale(BIS-11),Childhood Trauma Questionnaire(CTQ),Family Adaptability and Cohesion Scale Ⅱ-Chinese Version(FACESⅡ-CV)and Social Support Rating Scale(SSRS),processing and analysis of data.Results: 1.A total of 155 valid questionnaires were retrieved,82 in the research group and 73 in the control group.2.Difference analysis of basic information: Compared with the control group,the proportion of males in the study group was significantly more than females(P<0.05);the number of unmarried patients was more than that of married patients(P<0.05);the number of patients living alone was more(P<0.05);the length of stay in hospital was longer(P < 0.05);the proportion of patients in remission was higher(P<0.05);the number of patients who had never been to otherhospitals before was higher(P<0.05);relatively high percentage of patients affected by accidents and transferred from outpatient or other hospitals(P < 0.05);the proportion of patients who had previously committed suicide and repeated suicides was high(P<0.05);in terms of payment methods,the percentage of basic medical insurance for urban employees is relatively low(P<0.05),and the percentage of basic medical insurance for urban residents is relatively high(P < 0.05).3.Difference analysis of scale scores: In EPQ-RSC,the score of the L scale in the study group was significantly higher than that in the control group(P<0.05).In BIS-11,the total score of the study group and the score of attention impulsivity factor were significantly higher than those of the control group(P<0.05).In CTQ,the total score of the study group and the score of emotional neglect factor were significantly higher than those of the control group(P<0.05).In FACESⅡ-CV,the family cohesion score of the study group was significantly higher than that of the control group(P<0.05).In SSRS,the total score,objective support factor score,and subjective support factor score of the study group were significantly lower than those of the control group(P<0.05).4.The correlation analysis between the scores of impulse scale and other scales in the study group: In BIS-11: the total impulsive score is highly negatively correlated with the EPQ-P and EPQ-N dimensions(P <0.01),and highly positively correlated with the EPQ-E and EPQ-L dimensions(P < 0.01);positively correlated with childhood physical abuse(P < 0.05);highly negatively correlated with total score of social support,subjective support and utilization of social support(P < 0.01),negatively correlated with objective support(P < 0.05).Attentional impulsivity is highly negatively correlated with the EPQ-N dimension(P < 0.01),and highly positively correlated with the EPQ-L dimension(P<0.01);highly positively correlated with the total score of the CTQ scale,emotional abuse,physical abuse and sexual abuse(P<0.01)and positively correlated with emotional neglect(P<0.05);positively correlated with family intimacy(P<0.05);negatively correlated with total social support score and subjective support(P<0.05).Motor impulsivity is negatively related to the EPQ-P and EPQ-N dimensions(P < 0.05)and highly positively related to the EPQ-Ldimension(P<0.01);was positively correlated with physical abuse(P<0.05);highly negatively correlated with total social support scores and utilization of social support(P< 0.01)and negatively correlated with subjective support(P < 0.05).Unplanned impulsivity is highly negatively correlated with the EPQ-P dimension(P < 0.01),highly positively correlated with the EPQ-E dimension,EPQ-L dimension(P<0.01),and negatively correlated with the EPQ-N dimension(P<0.05),and highly negatively correlated with total score of social support,subjective support and utilization of social support(P < 0.01).5.logistic regression analysis results: admission methods(OR=0.535,95%CI:0.354-0.810),suicide history(OR=0.279,95%CI:0.167-0.466),and payment methods(OR=0.588,95%CI:0.353-0.980)are risk factors for impulsive aggressive behavior;total social support level(OR=1.096,95%CI:1.034-1.162),gender(OR=3.591,95%CI:1.472-8.763),A visit to another hospital(OR=2.811,95%CI:1.579-5.004)was a protective factor for impulsive aggression.Conclusion: 1.Extroverted personality traits,a history of childhood trauma,alienated family relationships,and lack of social support all increase the risk of impulsive aggressive behavior in patients with bipolar disorder.2.For men,involuntary hospitalization,patients with a history of suicide,and lack of medical security,family members,medical staff,and related government personnel need to strengthen the monitoring of the patient’s impulsive aggression,timely control the patient’s condition,and provide a powerful society Support to help patients with diagnosis and treatment is conducive to preventing or reducing the risk of impulsive and aggressive behavior of patients.