心理CT与精神科医师诊断精神疾病一致性的调查  

Survey of consistency in diagnosing mental disorders between psychiatrist and psychological computerized tomography

作　　者：郭田生[1] 黄胜[2] 李淑春 王瑞见 莫迪 陈绍忠 陈胜才[7] 何新云 周文俊 

机构地区：[1]湖南省脑科医院,410007 [2]海南省安宁医院 [3]湘潭市精神卫生中心 [4]邵阳市脑科医院 [5]邵阳宝庆精神病院 [6]衡阳市第二精神病院 [7]怀化市第四人民医院 [8]安化县精神病防治院 [9]浏阳市精神病院

出　　处：《神经疾病与精神卫生》2013年第5期488-490,共3页Journal of Neuroscience and Mental Health

摘　　要：目的了解精神科医师应用心理疾病专家诊断系统（心理CT）的状况及其效果评价。方法于2011-2012年，甩匿名问巷调查了9所专科医院152名精神科医师，询问医生应用心理CT诊断的病例数及效果。结果152名医师应用心理CT诊断抑郁症、精神分裂症等9种疾病的患者总共51988例，医师人均用心理CT诊断患者342例。初级医师、中级医师和高级医师认为心理CT诊断结果与自己临床诊断一致性≥85％的，依次为71．15％（365／513人次）、79．66％（466／585人次）、81．48％（220／270人次）。经卡方检验，差异具有统计学意义（x^2=4405．57，P〈0．01），且医师级别越高与心理CT诊断结果的一致性越高。结论心理CT的辅助诊断价值得到了使用医师的认可，其诊断精神疾病的水平接近或达到了中、高级医师的水平。Objective To understand the utilization of diagnostic system 4.0 Vision （Psychological Computerized Tomography, PCT V4.0） for mental disorder by psychologists and their appraisal for PCT. Methods Inquiry 152 psychiatrists about the cases of patients and effects of using PCT with A- nonymous questionnaire in nine special hospitals. Results There are 51988 cases of schizophrenia and other eight diseases diagnosed by 152 doctors with PCT. Each doctor diagnosed 342 cases with PCT in average. The percentages of the consistency of diagnosis between doctors and PCT doctors rated by resi- dents, attendings and chief doctors were 71.15% （365/513）,79.66% （466/585）,81.48% （220/270）. The was significant difference among ratings （x^2=4 405.57, P 〈 0.01）. The difference was correlate to the different level experiences of the doctors, the consistency was higher in chief and attendings than res- idents. Conclusions the value of PCT in diagnosing mental disorders had been approved by psychiatrists. The accurate level of diagnosis with PCT had reached the attending and chief doctor＇s .

关 键 词：精神疾病 诊断 心理CT 

分 类 号：R192.3[医药卫生—卫生事业管理]