中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2010年
1期
85-88
,共4页
李学武%高北陵%吴冬凌%黄志彪%李毅%王轶%蔡敏英
李學武%高北陵%吳鼕凌%黃誌彪%李毅%王軼%蔡敏英
리학무%고북릉%오동릉%황지표%리의%왕질%채민영
赔偿性神经症%诈病%评定量表%信度%效度
賠償性神經癥%詐病%評定量錶%信度%效度
배상성신경증%사병%평정량표%신도%효도
Compensation neurosis%Malingering%Assessment scale%Reliability%Validity
目的 编制并检验赔偿性神经症评定量表的信效度,为该病症与普通神经症及诈病的诊断与鉴别提供客观量化评定依据.方法 根据赔偿性神经症的起病及其相关因素、临床病症特点、检查中的表现、治疗与转归等,编制赔偿性神经症评定量表,对相关被试进行初试、修改及条目筛选后,再用于有赔偿因素的司法精神鉴定案例和有精神应激事件的普通神经症患者,其中普通神经症116例,赔偿性神经症58例,伪装组66例.结果 (1)量表总分对普通神经症、赔偿性神经症和伪装组的划界分分别为<36分、36~52分、>52分.(2)全量表的Cronnbach's α系数为0.940,Guttman分半信度为0.944,重测相关在0.820以上,评分者相关在0.812以上.(3)与专家诊断比较,判断总准确率88.3%,对赔偿性神经症判定的特异性91.2%,灵敏度79.3%.结论 赔偿性神经症评定量表符合心理测量学的基本要求,能为赔偿性神经症与普通神经症及伪装的区分鉴别提供相对客观量化的评定依据.
目的 編製併檢驗賠償性神經癥評定量錶的信效度,為該病癥與普通神經癥及詐病的診斷與鑒彆提供客觀量化評定依據.方法 根據賠償性神經癥的起病及其相關因素、臨床病癥特點、檢查中的錶現、治療與轉歸等,編製賠償性神經癥評定量錶,對相關被試進行初試、脩改及條目篩選後,再用于有賠償因素的司法精神鑒定案例和有精神應激事件的普通神經癥患者,其中普通神經癥116例,賠償性神經癥58例,偽裝組66例.結果 (1)量錶總分對普通神經癥、賠償性神經癥和偽裝組的劃界分分彆為<36分、36~52分、>52分.(2)全量錶的Cronnbach's α繫數為0.940,Guttman分半信度為0.944,重測相關在0.820以上,評分者相關在0.812以上.(3)與專傢診斷比較,判斷總準確率88.3%,對賠償性神經癥判定的特異性91.2%,靈敏度79.3%.結論 賠償性神經癥評定量錶符閤心理測量學的基本要求,能為賠償性神經癥與普通神經癥及偽裝的區分鑒彆提供相對客觀量化的評定依據.
목적 편제병검험배상성신경증평정량표적신효도,위해병증여보통신경증급사병적진단여감별제공객관양화평정의거.방법 근거배상성신경증적기병급기상관인소、림상병증특점、검사중적표현、치료여전귀등,편제배상성신경증평정량표,대상관피시진행초시、수개급조목사선후,재용우유배상인소적사법정신감정안례화유정신응격사건적보통신경증환자,기중보통신경증116례,배상성신경증58례,위장조66례.결과 (1)량표총분대보통신경증、배상성신경증화위장조적화계분분별위<36분、36~52분、>52분.(2)전량표적Cronnbach's α계수위0.940,Guttman분반신도위0.944,중측상관재0.820이상,평분자상관재0.812이상.(3)여전가진단비교,판단총준학솔88.3%,대배상성신경증판정적특이성91.2%,령민도79.3%.결론 배상성신경증평정량표부합심리측량학적기본요구,능위배상성신경증여보통신경증급위장적구분감별제공상대객관양화적평정의거.
Objective To examine the reliability and validity of compensative neurosis assessing scale (CNAS) and in order to develop the quantitative assessing method for distinguishing the compensation neurosis from malingering and typical neurosis. Methods The reliability and validity of the scale was tested based on the subjects including the cases involved forensic problems, the patients with typical neurosis in general psychiatric 0.944. The test-retest reliability was more than 0.820. The scorer reliability was more than 0. 812. The total accu-racy rate of CNAS for evaluating three groups of subjects based on the experts diagnosis, and with 91.2% of speci-ficity and 79.3% of sensitivity for evaluating compensation neurosis. Condusion The CNAS has acceptable psy-chometrics properties on reliability and validity. It will provide method to distinguish the compensation neurosis from malingering and typical neuroses.