简易精神症状自陈量表对主观夸大精神症状的测试分析  

An Examination of the Self-reported Scale of Brief Psychopathological Symptoms to Detect Malingering in Forensic Psychiatric Subjects

作　　者：高北陵[1] 黄志彪[1] 吴冬凌[1] 丁树明[1] 梁伟德[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：《法医学杂志》2008年第4期256-258,共3页Journal of Forensic Medicine

基　　金：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法医精神鉴定中主观夸大精神症状的情况,并分析其测试结果。方法对206名不同类型的法医精神鉴定的被鉴定人用该量表进行检测,并由两名鉴定专业人员对被鉴定人是否有主观夸大精神症状分别进行评定。结果(1)以该量表判断主观故意或夸大精神症状的划界分(13分)对测试的被鉴定人进行检测,206例被鉴定人中有71例被判定为主观夸大精神症状(34.5%)。与专家评定的结果相比,量表评定的假阴性为19.8%,假阳性率为1.7%;总准确率为90.8%。(2)工伤和交通事故精神伤残理赔鉴定案例主观夸大精神症状的比例较高(51%)。结论简易精神症状自陈量表是检测主观夸大精神症状的有效评定工具。Objective To examine the self-reported scale of brief psychopathological symptoms （SBPS） to detect malingering in forensic psychiatric cases. Methods Two hundred and six cases with different types of psychiatric problems were tested by SBPS. All cases were separately evaluated by two experts. Results About 34.5% cases （71/206） were classified as malingering by the cut-off 13 scores of SBPS. Compared with expert＇s evaluation, SBPS showed a false negative rate of 19.8% and a false positive rate of 1.7%, respectively, with a total accuracy rate of 90.8%. Cases involved in compensations including working in- jury and traffic accidence showed the highest rate of malingering （51%）. Conclusion SBPS is useful for detecting malingering psychopathological symptoms.

关 键 词：司法精神病学 司法鉴定 精神症状 自陈量表 伪装 

分 类 号：DF795.3[医药卫生—法医学]