简易精神症状自陈量表对强制隔离戒毒所疑似精神障碍个体的甄别
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摘要
目的:探讨《简易精神症状自陈量表》甄别强制戒毒人群中诈病以及伪装的有效性和特异性,为强制隔离戒毒所判别疑似精神障碍病例的真伪提供参考。方法:选取强制隔离戒毒机构内疑似精神障碍(A组)的个体,正常强制戒毒人员(B组)各100例、正常人(C组)98例为研究对象,采用《简易精神症状自陈量表》(self-report scale ofbrief psychopathological symptoms,SBPS)、艾森克个性问卷(EPQ)对三组的精神障碍状况、心理健康状况和人格特征进行测试。结果:疑似精神障碍组中有19例SBPS评分≥13分,占≥13分总人数的67.85%。疑似精神障碍组中SBPS评分≥13分者,EPQ的掩饰分量表(L)的标准得分在倾向掩饰或典型掩饰的比值达68.42%。结论:采用《简易精神症状自陈量表》结合EPQ的掩饰分量表对强制隔离戒毒人员中疑似精神障碍进行甄别,可以在一定程度上区分出伪装、诈病的病例,但特异性仍有待修订提高。
Objective: To explore the effectiveness and specificity of the SBPS on identifying malingering of drug abus-ers, and to verify whether SBPS is an effective assessment tool to judge the authenticity of the cases with suspected mentaldisorders in compulsory rehabilitation center. Methods: Two hundred and ninety-eight subjects(100 participants with sus-pected mental disorders and 100 healthy participants in compulsory rehabilitation center, and 98 healthy volunteers in soci-ety) participated in this study, and were labeled as group A, B and C. Then, the mental and psychological state and the per-sonality characteristics of all participants were valued by using the SBPS and EPQ personality. Results: The number of par-ticipants whose SBPS score was not less than 13 was 19 in group A, which accounted for 67.85% of total number of partici-pants whose SBPS score≥13. The numbers whose both SBPS score was not less than 13 and the Lie subscale of EPQ wastempted to lie in group A, accouted for 68.42%. Conclusion: For the cases with suspected mental disorders in compulsoryrehabilitation center, the joint use of SBPS and the Lie subscale of EPQ could identify the malingering individuals to a cer-tain extent. but the specificity of this scale is low, which still need to be revised constantly.
Objective: To explore the effectiveness and specificity of the SBPS on identifying malingering of drug abus-ers, and to verify whether SBPS is an effective assessment tool to judge the authenticity of the cases with suspected mentaldisorders in compulsory rehabilitation center. Methods: Two hundred and ninety-eight subjects(100 participants with sus-pected mental disorders and 100 healthy participants in compulsory rehabilitation center, and 98 healthy volunteers in soci-ety) participated in this study, and were labeled as group A, B and C. Then, the mental and psychological state and the per-sonality characteristics of all participants were valued by using the SBPS and EPQ personality. Results: The number of par-ticipants whose SBPS score was not less than 13 was 19 in group A, which accounted for 67.85% of total number of partici-pants whose SBPS score≥13. The numbers whose both SBPS score was not less than 13 and the Lie subscale of EPQ wastempted to lie in group A, accouted for 68.42%. Conclusion: For the cases with suspected mental disorders in compulsoryrehabilitation center, the joint use of SBPS and the Lie subscale of EPQ could identify the malingering individuals to a cer-tain extent. but the specificity of this scale is low, which still need to be revised constantly.
引文
1胡军,黄鹏翔,王国永,钱跃升,等.518例男性强制戒毒人员心理状况及影响因素研究.中华疾病控制杂志,2012,16 (5):428-430
2王石斌,陈晗晖,孙海明,等.冰毒滥用伴发精神障碍的临床特征分析.中国药物滥用防治杂志,2007,13(2):79-82
3高申荣,杨顺才,舒兵.108例吸毒人员的心理状况分析.中国民康医学,2008,34(5):23-25
4高北陵,吴冬凌,李映萍,等.简易精神症状自陈量表对伪装精神障碍的评估及划界分.中国行为医学科学,2007,16 (9):840-841
5钱铭怡,武国城,朱荣春,张莘,等.艾森克人格问卷简式量表中国版(EPQ-RSC)的修订.心理学报,2000,32(2):317 -323
6 Rebecca L,Jackson,Richard Rogers,Kenneth W.Sewell,forensic applications of the miller forensic assessment ofsymptoms test(MFAST):Screening for feigned disorders incompetency to stand trial evaluations.Law and Human Be-havior,2005,23(2):23-25
2王石斌,陈晗晖,孙海明,等.冰毒滥用伴发精神障碍的临床特征分析.中国药物滥用防治杂志,2007,13(2):79-82
3高申荣,杨顺才,舒兵.108例吸毒人员的心理状况分析.中国民康医学,2008,34(5):23-25
4高北陵,吴冬凌,李映萍,等.简易精神症状自陈量表对伪装精神障碍的评估及划界分.中国行为医学科学,2007,16 (9):840-841
5钱铭怡,武国城,朱荣春,张莘,等.艾森克人格问卷简式量表中国版(EPQ-RSC)的修订.心理学报,2000,32(2):317 -323
6 Rebecca L,Jackson,Richard Rogers,Kenneth W.Sewell,forensic applications of the miller forensic assessment ofsymptoms test(MFAST):Screening for feigned disorders incompetency to stand trial evaluations.Law and Human Be-havior,2005,23(2):23-25