简易精神症状自陈量表在普通精神科患者中的应用  

An examination of the self-report scale of brief psychopathological symptoms to apply in general psychiatric patients

作　　者：黄志彪[1] 高北陵[1] 吴冬凌[1] 盛璐[1] 李映平[1] 李学武[1] 

机构地区：[1]深圳市康宁医院法医精神病司法鉴定所,广东深圳518020

出　　处：《中国民康医学》2008年第11期1117-1119,共3页Medical Journal of Chinese People’s Health

基　　金：国家教育部留学回国人员科研启动基金(教外司留2001345)

摘　　要：目的:应用简易精神症状自陈量表检测普通精神科临床患者,以了解该量表在普通精神科患者的表现特征。方法:对普通精神科临床中362名不同类型的精神疾病患者用该量表进行检测,分析各类精神障碍患者在该量表上的得分情况。结果:①各种精神障碍在SBPS幻觉、被害、夸大、神经症各因子及总分上均有一定得分,以精神分裂症等精神病性障碍组得分较高。②SBPS总分、神经症因子和被害因子与MMPI的多个临床分量表均呈显著正相关。③以该量表总分13分为划界分,362例患者中有23例被误判为主观夸大精神症状(6.4%),以精神分裂症的误判率较高(9.4%)。结论:简易精神症状自陈量表在一定程度上具有反映某些精神病态的作用;量表得分较高时不应一概视为伪装,应结合临床具体分析。Objective：To examine the effect of the self- report scale of brief psychopathological symptoms （SBPS） in general psychiatric patients. Methods： Three hundred sixty two clinic patients suffering from different kinds of mental disorders were tested by SBPS. Results ： 1 ）. All kinds of mental disorders showed low scores in the factors and total score of SBPS. Schizophrenia and other psychotic disorders had higher scores. 2 ）. There was significantly positive relationship between total score, two factors of neurotic and persecution of SBPS and most of factors of MMPI. 3 ）. It was about 23 of 362 cases were classified to malingering by the cut - off 13 scores of SBPS with a false rate 6.4%. Conclusions： SBPS could reflect some psychopathological symptoms of mental disorders.

关 键 词：精神症状 自陈量表 精神疾病 

分 类 号：R749[医药卫生—神经病学与精神病学]