精神科门诊患者综合使用MMPI、SCL-90、SAS、SDS的相关分析  

Correlation analysis of MMPI,SCL-90,SAS,SDS among the psychiatric outpatients

作　　者：张美燕 李小群 邓先华 李胜先 Zhang Meiyan;Li Xiaoqun;Deng Xianhua;Li Shengxian(Shenzhen Children＇s Hospital, Shenzhen 518038, China;Shenzhen Mental Health Center, Shenzhen Kangning Hospital, Shenzhen 518003, China)

机构地区：[1]深圳市儿童医院,广东深圳518038 [2]深圳市精神卫生研究所深圳市康宁医院,广东深圳518003

出　　处：《四川精神卫生》2018年第4期356-360,共5页Sichuan Mental Health

摘　　要：目的分析精神科门诊中明尼苏达多相人格问卷(MMPI)、症状自评量表(SCL-90)、抑郁自评量表(SDS)和焦虑自评量表(SAS)4种量表联合测评的临床价值是否优于单量表测评。方法纳入2015年1月-10月在深圳市康宁医院精神科特殊门诊就诊的初诊患者,根据《国际疾病分类(第10版)》(ICD-10)对患者进行诊断。共133例患者完成了四个量表评定,采用描述性统计和Pearson相关分析进行统计分析。结果精神科门诊患者MMPI、SCL-90、SDS、SAS评分分别为(590.80±81.00)分、(223.60±66.08)分、(60.82±12.28)分、(54.73±11.71)分,均高于全国常模[(245.49±5.40)分、(129.96±38.76)分、(41.88±10.57)分、(33.80±5.90)分]。MMPI各临床分量表T分≥60分的个体占总体的比例排前5位的分别为抑郁(71.4%)、癔病(71.4%)、精神病态(59.4%)、疑病(58.6%)、精神衰弱(58.6%);SCL-90各因子评分≥2分的个体占总体的比例排前5的别为抑郁(82.0%)、焦虑(79.7%)、强迫状态(78.2%)、其他(76.7%)、人际关系敏感(69.9%)。四个量表评分之间两两呈正相关(r=0.67~0.79,P均<0.01)。此外,MMPI大部分临床量表评分与SCL-90、SDS和SAS评分均呈正相关(r=0.21~0.79,P<0.05或0.01)。结论 MMPI、SCL-90、SDS和SAS四种量表联合测评可为临床诊断提供更加全面、相互印证的数据支持,可能较单量表测评更具有参考价值。Objective To analyze the meaning of combination of clinical scales including Minnesota Multiphasic Personality Inventory（ MMPI）,Symptom Checklist 90（ SCL-90）,Self-rating Depression Scale（ SDS） and Self-rating Anxiety Scale（ SAS）for the screening psychiatric outpatients and to explore whether it is better than single scale assessment. Methods Patients were enrolled in the special outpatient clinic of the psychiatric department of Shenzhen Kangning Hospital from January to October 2015. All enrolled patients were diagnosed according to the International Classification of Diseases,tenth edition（ ICD-10）. A total of 133 patients completed the four scales,and descriptive statistics and Pearson correlation analysis were used for statistical analysis.Results The MMPI,SCL-90,SDS and SAS scores of the psychiatric outpatients were（ 590. 80 ± 81. 00）,（ 223. 60 ± 66. 08）,（ 60. 82 ± 12. 28） and（ 54. 73 ± 11. 71）,respectively,and all were higher than the national norm[（ 245. 49 ± 5. 40）,（ 129. 96 ±38. 76）,（ 41. 88 ± 10. 57）,（ 33. 80 ± 5. 90） ]. The top five sub-scales（ T ≥60） of MMPI were depression（ 71. 4%）,hysteria（ 71. 4%）,psychopathic deviate（ 59. 4%）,hypochondriasis（ 58. 6%） and psychasthenia（ 58. 6%）. The top five factors（ ≥2） of SCL-90 were depression（ 82. 0%）,anxiety（ 79. 7%）,obsessive-compulsive（ 78. 2%）,other factor（ 76. 7%） and interpersonal sensitivity（ 69. 9%）. The scores of the four scales were positively correlated with each other（ r = 0. 67 - 0. 79,P 〈 0. 01）. MMPI scores were positively correlated with SCL-90,SDS and SAS scores（ r = 0. 21 - 0. 79,P 〈 0. 05 or 0. 01）. Conclusion The combined assessment of MMPI,SCL-90,SDS,and SAS can provide more comprehensive and mutually reinforcing data supporting the clinical diagnosis,which may be more valuable than the single scale assessment.

关 键 词：MMPI SCL-90 SAS SDS 精神科门诊 

分 类 号：R749[医药卫生—神经病学与精神病学]