HCL-32在精神科门诊双相障碍诊断中的应用  

Application of HCL-32 for diagnosis of bipolar disorder in psychiatric outpatient

作　　者：孙玉军[1] 方海燕[1] 沙东想 苑光宗[1] 贺朝晖[1] 周群[1] 

机构地区：[1]江苏省昆山市第三人民医院精神科,215312

出　　处：《神经疾病与精神卫生》2013年第6期616-617,共2页Journal of Neuroscience and Mental Health

摘　　要：目的 了解双相障碍的诊断现状及识别率.方法 将符合DSM-Ⅳ抑郁障碍诊断标准的36例门诊患者使用MDQ和HCL-32进行测评,然后按照DSM-Ⅳ诊断标准对所有完成测试的患者进行晤谈并做出诊断.结果 HCL-32的阳性筛检率（72％）高于MDQ（33％）,差异有统计学意义（x2=10.923,P=0.001）;DSM诊断系统晤谈诊断阳性率为47％与HCL-32的阳性率比较差异无统计学意义（x2=0.332,P=0.471）.结论 HCL-32筛查量表检测阳性率高,能够有效避免漏诊,可作为精神科门诊双相障碍诊断的初步筛查工具.Objective To investigate the present situation and detection rate of the diagnosis of hipolar disorder in our hospital. Methods The 36 outpatients conform to the DSM--IV of depressive disorder were evaluated by MDQ and HCL--32, then the whole cases was interviewed and made a diagnosis according to the DSM- IV. Results The positive rate of MDQ and HCL- 32 was significant differenct （X2 = 10. 923,P = 0. 001）. The positive rate of HCL--32 was 72%, and that in the DSM di- agnostic system was 47%, it had no significant difference （chi --square = 0. 332,P =0. 471）. Condosions HCL--32 was high positive rate and effectively avoided the misdiagnosis, and can be used as a preliminary screening tool of bipolar disorder in psychiatric outpatient.

关 键 词：心境障碍 中文版心境障碍问卷 中文版32项轻躁狂症状清单 

分 类 号：R749.94[医药卫生—神经病学与精神病学]