CAJ | 학술논문

目的探讨精神疾病预测量表(MDPS)在精神分裂症筛查中的应用价值.方法对200例精神分裂症患者、371例非精神分裂症患者及300例正常对照者采用MDPS进行测量,并对测评结果进行比较;以MDPS的11个因子分为自变量,对3组被试的测试结果进行逐步判别分析,建立判别函数.结果精神分裂症组、非精神分裂症组的MDPS总分及各因子分均显著高于正常对照组(P<0.05);精神分裂症组的部分因子分显著高于非精神分裂症组(P<0.05).符合模型纳入变量、进入判别模型的变量有家族和既往史、社会支持缺乏、人格偏移、抑郁、神经症和精神病性.判别函数预测精神分裂症者、非精神分裂症者和正常对照者的正确率分别为68.0%、75.5%和92.1%,总符合率为79.2%.结论 MDPS用于精神分裂症的初步筛查较为合适,具有良好的临床使用价值.
목적 탐토정신질병예측량표(MDPS)재정신분렬증사사중적응용개치.방법 대200례정신분렬증환자、371례비정신분렬증환자급300례정상대조자채용MDPS진행측량,병대측평결과진행비교;이MDPS적11개인자분위자변량,대3조피시적측시결과진행축보판별분석,건립판별함수.결과 정신분렬증조、비정신분렬증조적MDPS총분급각인자분균현저고우정상대조조(P<0.05);정신분렬증조적부분인자분현저고우비정신분렬증조(P<0.05).부합모형납입변량、진입판별모형적변량유가족화기왕사、사회지지결핍、인격편이、억욱、신경증화정신병성.판별함수예측정신분렬증자、비정신분렬증자화정상대조자적정학솔분별위68.0%、75.5%화92.1%,총부합솔위79.2%.결론 MDPS용우정신분렬증적초보사사교위합괄,구유량호적림상사용개치.
Objective To explore the assessment value of the Mental Disorders Predictive Scale(MDPS) for the screening of schizophrenia. Methods 200 schizophrenic patients,371 non-schizophrenic patients and 300 normal controls were tested and compared by MDPS. Taking 11 factor scores as the independents,the Fisher's dis-criminant functions were built by Bayes' stepwise discriminant analysis. Results The total score and all factor scores of schizophrenic group and non-schizophrenic group were significantly higher than those of the control group (P<0.05);some factor scores of schizophrenic group were significantly higher than those of the non-schizophrenic group. Family and past history, social support deficiency, personality disturbance, depression, neurosis and psy-chosis entered the discriminant functions according to the entry criteria of the models. The correctly classified rates of the original grouped cases by the discriminant models were 68. 0% for schizophrenic patients,75.5% for non-schizo-phrenic patients,92.1% for the normal controls, and the total coincidence was 79.2%. Conclusion MDPS is more ap-plicable for the screening of schizophrenia and has a good clinical value.