精神障碍患者社会功能缺损评定量表的初步编制  

Development of a Scale of Social Function Deficit Due to Mental Disorders

作　　者：李学武[1] 胡拾妮[1] 高欢[1] 李毅 黄志彪[1] 吴冬凌[1] 王轶[1] 邓先华[1] 高北陵[1] 

机构地区：[1]深圳市精神卫生中心,广东深圳518020

出　　处：《中国临床心理学杂志》2011年第3期299-302,共4页Chinese Journal of Clinical Psychology

摘　　要：目的:初步编制精神障碍患者的社会功能缺损评定量表。方法:通过文献复习、患者及其家属访谈、专家评议等过程,建立精神障碍患者社会功能评定量表的理论构架和条目内容,再进行项目区分度分析,形成正式量表后,对实施精神残疾鉴定的1000余例精神障碍患者及50例正常人与50例躯体残疾人进行测试。结果:①精神障碍组"自我照料"、"家庭生活"、"理解交流"、"与人相处"、"社会参与"5个分量表分及总分均高于躯体残疾组和正常人组,差异显著(P<0.01)。②不同病种得分从高至低依次为:器质性精神障碍、精神分裂症、偏执性精神障碍、有精神病性症状的心境障碍、无精神病性症状的心境障碍、人格障碍、神经症性障碍,组间差异显著(P<0.01)。③该量表评定精神障碍患者社会功能缺损等级与专家使用GAF分级的总符合率为87%,两种方法的评定结果的差异无显著性(字2=4.924,P=0.295)。结论:该量表的测试结果比较符合精神疾病对社会功能影响的一般临床规律,能较好地反映精神障碍患者社会功能缺损状况。Objective： To develop a scale for the social function deficit due to mental disorders（SSFD-MD）.Methods： The rating scale theoretical framework and item content of social function deficit due to mental disorders were established through reviews of literature,interviews with patients and their families and expert evaluation.And after item discrimination the scale was formed.More than 1,000 cases with mental disorders and mental disability,50 normal subjects and 50 patients with physical disabilities were tested by the scale.Results： ①The scores of the group of mental disorder of the five subscales of ＂self care＂,＂family life＂,＂understanding exchange＂,＂interpersonal relation＂,＂social participation＂ and total score were significant higher than those of the other two groups（P0.01）.②Different disease scores ranked from high to low as follows： organic mental disorders,schizophrenia,paranoid disorder,mood disorder with psychotic symptoms,mood disorders without psychotic symptoms,personality disorders,and neurotic disorders.There were significant differences among groups（P0.01）.③The compliance rate of the grades evaluated by SSFD-MD and evaluated by experts with GAF was 87%.These two methods of assessment showed no significant difference.Conclusion： The test results of SSFD-MD are in line with the general clinical rules of mental illnesses and their impact on social functions;and SSFD-MD can reflect social function impairment in patients with mental disorders.

关 键 词：精神障碍 社会功能缺损 评定量表 编制 

分 类 号：R395.1[哲学宗教—心理学]