DSM-5一级跨界症状量表成人版在学兵中的初步应用  

Preliminary application of DSM-5 level 1 cross-cutting symptom measure-adult in military cadets

作　　者：韦晓亮 王亚平 史开天 张懿 刘涛生 WEI Xiao-liang;WANG Ya-ping;SHI Kai-tian;ZHANG Yi;LIU Tao-sheng(Department of Psychiatry,College of Psychology,Naval Medical University,Shanghai,200433,China;Teaching and Research Department,Nanhai Training Base,Dongguan Guangdong,523936,China;Department of Medical Psychology,Changzheng Hospital,Naval Medical University,Shanghai,200003,China)

机构地区：[1]海军军医大学心理系精神医学教研室,上海200433 [2]南海训练基地教研部,广东东莞523936 [3]海军军医大学长征医院医学心理科,上海200003

出　　处：《职业与健康》2023年第8期1092-1097,共6页Occupation and Health

基　　金：海军2020年军事理论科研计划(202058-80);十三五军队重点学科专业建设项目(2020SZ20-6);长征医院“金字塔人才工程”-军事医学人才项目(202007A02)。

摘　　要：目的初步探讨《精神障碍诊断与统计手册(第5版)》(diagnostic and statistical manual 5th edition,DSM-5)一级跨界症状量表成人版在学兵中的适用性,并了解其精神健康状况,为开展心理卫生工作提供依据。方法2019年4月应用DSM-5一级跨界症状量表成人版、症状自评量表(self-reporting inventory,SCL-90)、患者健康问卷抑郁分表(patient health questionaire-9 items,PHQ-9)、广泛性焦虑障碍量表(generalized anxiety disorder,GAD-7)和一般情况调查表对某基地940名学兵精神健康状况进行评估分析。结果共回收929份有效问卷,平均年龄为(20.4±1.6)岁,男性925人,占99.6%。学兵DSM-5一级跨界症状量表成人版得分为(4.62±6.49)分,SCL-90得分为(102.10±19.80)分,PHQ-9得分为(2.60±3.14)分,GAD-7得分为(1.34±2.40)分。DSM-5一级跨界症状量表成人版中,抑郁得分为(0.49±0.66)分,愤怒得分为(0.40±0.65)分,自杀观念得分为(0.02±0.16)分。口腔溃疡和胃肠道症状者精神健康状况均差于无症状者(均P<0.01),精神病性症状和物质使用亚量表有5个条目的统计量不理想(n’≥4),其他18个条目得分与量表总分均呈正相关(r=0.430~0.755,均P<0.01),项目同质性较好。量表内部一致性信度Cronbach’sα系数为0.890,Spearman-Brown分半信度系数为0.869,与SCL-90总分效标关联系数为0.787(P<0.01),其亚量表(除精神病性症状、物质使用)与SCL-90各亚量表相关系数最高值组合r=0.444~0.668,(均P<0.01)。结论除精神病性症状和物质使用维度外,DSM-5一级跨界症状量表成人版在学兵中的应用效果较好,量表信度及效标关联效度较好。被调查对象精神健康状况整体良好,但其抑郁和愤怒问题仍需关注。可结合学兵精神健康状况的分布特点有针对性地开展心理卫生工作。Objective To preliminarily explore the applicability of the diagnostic and statistical manual 5th edition(DSM-5)level 1 cross-cutting symptom measure-adult in military cadets,understand their mental health,so as to provide basis for developing the work on psychological hygiene.Methods In April 2019,the DSM-5 level 1 cross-cutting symptom measure-adult,self-reporting inventory(SCL-90),patient health questionaire-9 items(PHQ-9),generalized anxiety disorder(GAD-7)and general situation questionnaire were used to evaluate and analyze the mental health status of 940 military cadets in a base.Results Totally 929 valid questionnaires were collected.The average age was(20.4±1.6)years old and 925(99.6%)were male.The score of DSM-5 level 1 cross-cutting symptom measure-adult was(4.62±6.49)points,the score of SCL-90 was(102.10±19.80)points,the score of PHQ-9 was(2.60±3.14)points,and the score of GAD-7 was(1.34±2.40)points.The depression score was(0.49±0.66)points,anger score was(0.40±0.65)points,and suicidal ideation score was(0.02±0.16)points on the DSM-5 level 1 cross-cutting symptom measure-adult.The mental health of cadets with oral ulcer and gastrointestinal symptoms were worse than that of asymptomatic cadets(all P<0.01).The statistics of five items in the sub-scale of psychotic symptoms and substance use of the DSM-5 level 1 cross-cutting symptom measure-adultwere not ide al(n'≥4),and the correlations between the scores of the other 18 items and the total score of the scale were all significant(r=0.430-0.755,all P<0.01),showing good item homogeneity.The scale internal consistency reliability was estimated with a Cronbach'sαcoefficient of 0.890,Spearman-Brown split reliability coefficient was 0.869,and the correlation coefficient with the SCL-90 total score validity was 0.787(P<0.01).The correlation coefficients(high value)between DSM-5 sub-scales(except psychotic symptoms and substance use)and SCL-90 sub-scales were r=0.444-0.668(all P<0.01).Conclusions The applicability of DSM-5 level 1 cross-cutting sympt

关 键 词：学兵 DSM-5一级跨界症状量表成人版 SCL-90 精神健康状况 

分 类 号：R181.2[医药卫生—流行病学]