詐病癥狀定式訪談量表中文版信效度研究
發(fā)布時(shí)間：2019-01-07 18:24
【摘要】：目的：檢驗(yàn)詐病癥狀定式訪談量表(Structured Interview of Reported Symptoms, SIRS)中文版的信度和效度,為我國司法鑒定和詐病臨床評(píng)估應(yīng)用提供一個(gè)有效的測(cè)評(píng)工具。 方法：采用仿真模擬設(shè)計(jì)和已知團(tuán)體組設(shè)計(jì)兩種方法。仿真模擬設(shè)計(jì)中,選擇按《疾病及有關(guān)健康問題的國際分類》第十版(International Classification of Diseases and Related Health Problem, Tenth Revision, ICD-10)診斷為精神分裂癥、情感障礙及其他精神障礙的住院患者共40名(普通精神病例組)及正常大學(xué)生120名(未經(jīng)培訓(xùn)的模擬詐病組40名、接受專業(yè)醫(yī)學(xué)知識(shí)培訓(xùn)的模擬詐病組40名,正常誠實(shí)組40名,)；已知團(tuán)體組設(shè)計(jì)中,選擇按精神疾病診斷與統(tǒng)計(jì)手冊(cè)第四版(DSM-IV)診斷為精神分裂癥、情感障礙及其他精神障礙的司法鑒定被試共80名(非詐病組)及可疑詐病者20名(可疑詐病組)。由1名接受過培訓(xùn)的精神科專業(yè)人員使用SIRS中文版進(jìn)行評(píng)估,并對(duì)其中120名正常大學(xué)生同時(shí)評(píng)定明尼蘇達(dá)多相人格調(diào)查表(MMPI-2)。采用相關(guān)分析和Cronbach a系數(shù)檢驗(yàn)量表內(nèi)部一致性信度。以MMPI-2中的說謊(L)、稀有回答(F)、校正／防衛(wèi)(K)3個(gè)效度因子為效標(biāo)。以不同組SIRS中文版的得分差異檢驗(yàn)量表的實(shí)證效度。 結(jié)果：SIRS中文版的Cronbach a系數(shù)為0.70-0.89。SIRS中文版的詐病維度(不一致的癥狀與夸大癥狀)得分與MMPI-2的F分呈正相關(guān)(r=0.30～0.74,P0.05),與L和K分呈負(fù)相關(guān)(r=-0.22--0.53,P0.05)。仿真模擬設(shè)計(jì)中,未經(jīng)培訓(xùn)的模擬詐病組在SIRS中文版的13個(gè)因子上的得分均高于正常誠實(shí)組和接受專業(yè)醫(yī)學(xué)知識(shí)培訓(xùn)的模擬詐病組,[如罕見癥狀因子分(10.2±3.3)vs.(0.7±1.3),(8.8±3.1)；P0.05))；已知團(tuán)體組設(shè)計(jì)中,SIRS中文版13個(gè)因子在可疑詐病組上的得分均高于非詐病組以及普通精神病人組[如罕見癥狀(7.6±1.8)VS.(2.5±3.2),(2.44±1.9),P0.05))。SIRS中文版在仿真模擬設(shè)計(jì)和已知團(tuán)體組設(shè)計(jì)中的敏感度分別為60%和95%,特異度分別為92.5%和94.37%。 結(jié)論：詐病癥狀定式訪談量表中文版具有良好的信度和效度,為詐病的診斷提供了重要的依據(jù)。
[Abstract]:Objective: to test the reliability and validity of the (Structured Interview of Reported Symptoms, SIRS) Chinese version of the treacherous symptom pattern interview scale (Structured Interview of Reported Symptoms, SIRS), and to provide an effective evaluation tool for forensic identification and clinical evaluation of falsehood in China. Methods: two methods of simulation design and known group design were used. In the simulation design, schizophrenia was diagnosed according to the 10th edition of the International Classification of Diseases and related Health problems (International Classification of Diseases and Related Health Problem, Tenth Revision, ICD-10). A total of 40 inpatients with affective disorder and other mental disorders (general mental case group) and 120 normal college students (40 untrained simulated fraud group, 40 simulated fraud group trained with professional medical knowledge, 40 normal honesty group), ; In the known group design, schizophrenia was selected according to the fourth edition of the Manual for the diagnosis and Statistics of Mental Diseases (DSM-IV). A total of 80 subjects (non-fraud group) and 20 suspected fraud patients (suspected fraud group) were involved in the forensic identification of affective disorders and other mental disorders. A trained psychiatrist was evaluated using the Chinese version of SIRS and 120 normal college students were assessed with the Minnesota Multiphasic Personality questionnaire (MMPI-2). Correlation analysis and Cronbach a coefficient were used to test the reliability of internal consistency of the scale. The three validity factors of (L), rare answer (F), correction / defense (K) in MMPI-2 were used as the criterion. The empirical validity of the score difference Test scale of Chinese version of SIRS in different groups was used. Results: the Cronbach a coefficient of the Chinese version of SIRS was positively correlated with the F score of MMPI-2 in the 0.70-0.89.SIRS Chinese version (inconsistent symptom and exaggerated symptom) (P 0.05). There was a negative correlation between L and K score (r = -0.22--0.53, P 0.05). In the simulation design, the scores of untrained simulated fraud patients on the 13 factors of the Chinese version of SIRS were higher than those of the normal honest patients and the simulated patients who received professional medical knowledge training. [for example, the factor score of rare symptoms (10.2 鹵3.3) vs. (, 0.7 鹵1.3), (, 8.8 鹵3.1); P0.05); In the known group design, the scores of 13 factors in the Chinese version of SIRS in suspected fraud group were higher than those in non-fraud group and general mental patient group [such as rare symptoms (7.6 鹵1.8) VS. (2.5 鹵3.2), (2.44 鹵1.9)]. The sensitivity of P05). SIRS in simulation design and known group design was 60% and 95%, and the specificity was 92.5% and 94.37%, respectively. Conclusion: the Chinese version of treacherous symptom pattern interview scale has good reliability and validity, which provides an important basis for the diagnosis of falsehood.
【學(xué)位授予單位】：中南大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R749
本文編號(hào)：2403984
[Abstract]:Objective: to test the reliability and validity of the (Structured Interview of Reported Symptoms, SIRS) Chinese version of the treacherous symptom pattern interview scale (Structured Interview of Reported Symptoms, SIRS), and to provide an effective evaluation tool for forensic identification and clinical evaluation of falsehood in China. Methods: two methods of simulation design and known group design were used. In the simulation design, schizophrenia was diagnosed according to the 10th edition of the International Classification of Diseases and related Health problems (International Classification of Diseases and Related Health Problem, Tenth Revision, ICD-10). A total of 40 inpatients with affective disorder and other mental disorders (general mental case group) and 120 normal college students (40 untrained simulated fraud group, 40 simulated fraud group trained with professional medical knowledge, 40 normal honesty group), ; In the known group design, schizophrenia was selected according to the fourth edition of the Manual for the diagnosis and Statistics of Mental Diseases (DSM-IV). A total of 80 subjects (non-fraud group) and 20 suspected fraud patients (suspected fraud group) were involved in the forensic identification of affective disorders and other mental disorders. A trained psychiatrist was evaluated using the Chinese version of SIRS and 120 normal college students were assessed with the Minnesota Multiphasic Personality questionnaire (MMPI-2). Correlation analysis and Cronbach a coefficient were used to test the reliability of internal consistency of the scale. The three validity factors of (L), rare answer (F), correction / defense (K) in MMPI-2 were used as the criterion. The empirical validity of the score difference Test scale of Chinese version of SIRS in different groups was used. Results: the Cronbach a coefficient of the Chinese version of SIRS was positively correlated with the F score of MMPI-2 in the 0.70-0.89.SIRS Chinese version (inconsistent symptom and exaggerated symptom) (P 0.05). There was a negative correlation between L and K score (r = -0.22--0.53, P 0.05). In the simulation design, the scores of untrained simulated fraud patients on the 13 factors of the Chinese version of SIRS were higher than those of the normal honest patients and the simulated patients who received professional medical knowledge training. [for example, the factor score of rare symptoms (10.2 鹵3.3) vs. (, 0.7 鹵1.3), (, 8.8 鹵3.1); P0.05); In the known group design, the scores of 13 factors in the Chinese version of SIRS in suspected fraud group were higher than those in non-fraud group and general mental patient group [such as rare symptoms (7.6 鹵1.8) VS. (2.5 鹵3.2), (2.44 鹵1.9)]. The sensitivity of P05). SIRS in simulation design and known group design was 60% and 95%, and the specificity was 92.5% and 94.37%, respectively. Conclusion: the Chinese version of treacherous symptom pattern interview scale has good reliability and validity, which provides an important basis for the diagnosis of falsehood.
【學(xué)位授予單位】：中南大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R749
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