CAJ | 학술논문

目的比较中国心身健康量表（CPSHS）和SCL-90在筛选正常人群心理障碍方面的品质和适用性。方法采用CPSHS和SCL-90同时测试457例学生。结果 CPSHS与SCL-90的筛查结果虽在判别阴、阳病例的总体上有显著性差异（P<0.01），但两者的阳性率（13.6%，10.9%）经Mcnemar检验无显著性差异（P>0.05），一致性检验具有显著性意义（Kappa=0.451）。在各量表筛查阳性病例中，CPSHS躯体化因子的贡献率明显高于SCL-90（88.7%，24.0%）。CPSHS与SCL-90的总分以及所有各因子均存在密切相关（r=0.139～0.707，P均<0.01），结论 CPSHS既与SCL-90有较好的平行效度，同时躯体症状因子和测试项目的增多更符合中国国情，对无效或不合作测试也能进行较好判别，完全可以作为中国正常人群心身问题的筛查工具。与SCL-90相比，具有更好的适用性。
목적비교중국심신건강량표（CPSHS）화SCL-90재사선정상인군심리장애방면적품질화괄용성。방법채용CPSHS화SCL-90동시측시457례학생。결과 CPSHS여SCL-90적사사결과수재판별음、양병례적총체상유현저성차이（P<0.01），단량자적양성솔（13.6%，10.9%）경Mcnemar검험무현저성차이（P>0.05），일치성검험구유현저성의의（Kappa=0.451）。재각량표사사양성병례중，CPSHS구체화인자적공헌솔명현고우SCL-90（88.7%，24.0%）。CPSHS여SCL-90적총분이급소유각인자균존재밀절상관（r=0.139～0.707，P균<0.01），결론 CPSHS기여SCL-90유교호적평행효도，동시구체증상인자화측시항목적증다경부합중국국정，대무효혹불합작측시야능진행교호판별，완전가이작위중국정상인군심신문제적사사공구。여SCL-90상비，구유경호적괄용성。
Objective To compare the use and applicability of Chinese Psychosomatic Health Scale(CPSHS) and SCL-90 as Screening Tools for Normal People Method 457 college students were tested using CPSHS and SCL-90 respectively. The CPSHS screening criteria of psychosomatic disorder: T of one factor at least ≥70 and T of L(Lie) <70. The SCL-90 screening criteria: Total score >160 or the number of positive items >43 or the average score of any factor >2. Results 50 cases of all( 10.9%) were diagnosed as psychosomatic disorder by SCL-90，but 60 cases(13.6%) were by CPSHS（χ2=94.526，P<0.01；Kappa=0.451，P<0.01）. Mcnemar test of positive percentage of two groups shows P=0.134. The contribution of somatization factor in CPSHS is much greater than SCL-90 for positive results. Conclusion CPSHS has better parallel validity with SCL-90, and physical and other increased items accord with the situation of China much more. L scale can discrimate invalid test or noncooperation easily. CPSHS maybe a feasible tool than SCL-90 in screening psychsomatic disorders of normal chinese people.