诈病症状定式访谈中文版的信效度

发布时间：2018-02-22 09:27

本文关键词： 诈病诈病症状定式访谈信度效度心理测量学　出处：《中国心理卫生杂志》2014年02期 　论文类型：期刊论文

【摘要】：目的:检验诈病症状定式访谈(SIRS)中文版的信度和效度,为我国司法鉴定和诈病临床评估应用提供一个有效的测评工具。方法:采用仿真模拟设计和已知团体组设计两种方法。仿真模拟设计中,选择按国际疾病与相关健康问题分类第十版(ICD-10)诊断为精神分裂症、情感障碍及其他精神障的住院患者共40名(普通精神病例组)及正常大学生80名(模拟诈病组40名,正常诚实组40名);已知团体组设计中,选择按精神障碍诊断与统计手册第4版(DSM-IV)诊断为精神分裂症、情感障碍及其他精神障的司法鉴定被试共80名(非诈病组)及可疑诈病者20名(可疑诈病组)。由1名接受过培训的精神科专业人员使用SIRS中文版进行评估,并对其中80名正常大学生同时评定明尼苏达多相人格调查表(MMPI-2)。采用相关分析和Cronbachα系数检验量表内部一致性信度。以MMPI-2中的说谎(L)、稀有回答(F)、校正/防卫(K)3个效度因子为效标。以不同组SIRS中文版的得分差异检验量表的实证效度。结果:SIRS中文版的Cronbachα系数为0.66~0.98。各分量表之间的相关系数在0.47~0.85(P0.05)。SIRS中文版的诈病维度(不一致的症状与夸大症状)得分与MMPI-2的F分呈正相关(r=0.33~0.48,P0.05),与L和K分呈负相关(r=-0.23~-0.52,P0.05)。仿真模拟设计中,除SIRS中文版的评价诚实度的症状、防御性症状、过于特定症状3个因子外,模拟诈病组SIRS中文版10个因子得分均高于正常诚实组和普通精神病人组[如罕见症状因子分(10.2±3.3)vs.(0.7±1.3),(2.4±1.9);P0.05)];已知团体组设计中,可疑诈病组SIRS中文版13个因子得分均高于非诈病组[如罕见症状(7.4±1.7)vs.(2.8±2.6),P0.05)]。SIRS中文版在仿真模拟设计和已知团体组设计中的敏感度分别为20%和85%,特异度分别为83.75%和87.5%。结论:诈病症状定式访谈中文版具有良好的信度和效度,可为诈病的诊断提供重要依据。
[Abstract]:Objective: to test the reliability and validity of the Chinese version of SIRS. To provide an effective evaluation tool for forensic identification and clinical evaluation of fraud in China. Methods: two methods are adopted: simulation simulation design and group design of known groups. A total of 40 inpatients with schizophrenia, affective disorders and other mental disorders were selected according to the International Classification of Diseases and related Health problems (ICD-10 10th) and 80 normal university students (40 patients with simulated fraud). In the known group design, we selected DSM-IV4 to diagnose schizophrenia according to the fourth edition of the Manual of diagnosis and Statistics of Mental Disorders. A total of 80 subjects (non-treacherous group) and 20 suspected patients (suspected fraud group) of emotional disorders and other mental disorders were assessed by a trained psychiatrist using the Chinese version of SIRS. Among them, 80 normal college students were assessed MMPI-2P at the same time. Correlation analysis and Cronbach 伪 coefficient were used to test the reliability of internal consistency of the scale. Results the Cronbach 伪 coefficient of the Chinese version of Sirs was 0.660.98. The correlation coefficient among the subscales was 0.470.85 / P0.05.Sirs Chinese version had different symptoms. The scores of hyperbolic symptoms) were positively correlated with the F score of MMPI-2, and negatively correlated with the scores of L and K, and were negatively correlated with the scores of L and K, respectively. In addition to the SIRS Chinese version of the evaluation of honesty symptoms, defensive symptoms, too specific symptoms of the three factors, The scores of 10 factors in the Chinese version of SIRS in the simulated falsehood group were higher than those in the normal honest group and the general mental patient group [if the score of the rare symptom factor was 10.2 卤3.3 vs.0. 7 卤1. 3 + 2. 4 卤1. 9% P 0. 05]; in the design of the known group, The scores of 13 factors in Chinese version of suspected fraud group were higher than those in non-fraud group [such as rare symptom: 7.4 卤1.7 vs.2.8 卤2.6 P0.05] .Sirs Chinese version had sensitivity of 20% and 85 in simulation design and group design in known group, respectively. The specificity was 83.75% and 87.5 respectively. Conclusion:. The Chinese version of the interview for symptoms of falsehood has good reliability and validity. It can provide an important basis for the diagnosis of falsehood.
【作者单位】：中南大学湘雅二医院精神卫生研究所;台湾中原大学心理学系;新疆医科大学第二附属医院精神科;
【基金】：国家自然科学基金资助项目——躁狂相合抑郁相脑网络的自身对照研究(81171287);抑郁症同胞对默认脑网络的研究(30971053),精神分裂症脑功能连接异常的基因与环境相互作用机理的研究(81071092)
【分类号】：D919.3

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