The Structure of the Violence to Medical Staff and its Personality Correlates in Two Age-Different Adult Samples in China
The Structure of the Violence to Medical Staff and its Personality Correlates in Two Age-Different Adult Samples in China
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中国两个不同年龄的成年人样本中针对医务人员的暴力行为的结构及其性格相关
DOI：
10.35248/2378-5756.19.22.465
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Wang Wei
中科院分区：
文献类型：
--
作者：
Fan Hongying;Wang Mufan;Shao Xu;Jia Yanli;Wang Chu;Wang Wei
背景：为了了解医务人员暴力的结构及其与人格的关系，我们设计了两项研究，分别在中国大学生和就诊于综合性医院的患者亲属中进行。方法：首先，我们邀请了457名参与者回答一个由68个项目组成的测量医务人员暴力的矩阵，并对他们的回答进行了探索性和验证性因素分析。其次，对118名18-20岁(较年轻)和118名26-45岁(较大)的受试者进行了VMSQ、Parker个性测量和Plutchik-van Praag抑郁量表的测试。
结果：编制了具有结构效度的医务人员暴力行为问卷(VMSQ)，包括7个量表的34个条目。在VMSQ暴力终结者、躯体虐待始发者和言语虐待始发者上，年龄组得分显著高于青年组，而在对受害者的同情和暴力知识、分裂型、回避性和依赖型人格障碍的运作方式上，年龄组显著低于青年组。在青少年中，偏执狂预测言语虐待的始发者，精神分裂型的身体虐待始发者，反社会的暴力终结者，边缘同情受害者，回避身体虐待的始发者，依赖对受害者的同情；在年龄较大的青少年中，消极攻击性的身体虐待始发者，对服务的不满自恋，对受害者的同情强迫症。
结论：编制了暴力行为结构效度问卷，发现两个不同年龄段的不同暴力结构与人格特征相关，有助于预防医务人员在医疗环境中的暴力行为。
Background: In order to know the structure of the violence to medical staff and its personality correlates, we designed two studies in Chinese university students and the relatives of patients consulting comprehensive hospitals. Methods: First, we invited 457 participants to answer a 68-item matrix measuring the violence to medical staff, and their answers were dealt with both exploratory and confirmatory factor analyses. Second, 118 participants aged 18-20 years old (Younger) and 118 aged 26-45 (Older) were tested with the VMSQ, the Parker Personality Measure, and the Plutchik - van Praag Depression Inventory.
Results: A structure-validated Violence to Medical Staff Questionnaire (VMSQ) was developed with 34 items under seven scales. The Older scored significantly higher than the Younger did on VMSQ Violence terminator, Physical abuse initiator, and Verbal abuse initiator, but lower on Sympathy to victims and Knowledge of violence, and on Schizotypal, Avoidant, and Dependent personality disorder functioning styles. In Younger, Paranoid predicted the Verbal abuse initiator, Schizotypal the Physical abuse initiator, Antisocial the Violence terminator, Borderline the Sympathy to victims, Avoidant the Physical abuse initiator, and Dependent the Sympathy to victims; in Older, Passive- Aggressive the Physical abuse initiator, Narcissistic the Dissatisfaction with service, and Obsessive-Compulsive the Sympathy to victims.
Conclusion: We developed a structure-validated questionnaire to measure the violence, and found that personality features were associated with different violence structures in two different age groups, which might help to prevent medical staff from violence in medical settings.
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