诈病症状定式访谈量表中文版信效度研究
发布时间：2019-01-07 18:24
【摘要】：目的：检验诈病症状定式访谈量表(Structured Interview of Reported Symptoms, 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《疾病及有关健康问题的国际分类》第十版(International Classification of Diseases and Related Health Problem, Tenth Revision, ICD-10)诊断为精神分裂症、情感障碍及其他精神障碍的住院患者共40名(普通精神病例组)及正常大学生120名(未经培训的模拟诈病组40名、接受专业医学知识培训的模拟诈病组40名,正常诚实组40名,)；已知团体组设计中,选择按精神疾病诊断与统计手册第四版(DSM-IV)诊断为精神分裂症、情感障碍及其他精神障碍的司法鉴定被试共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120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Cronbach a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Cronbach a系数为0.70-0.89。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=0.30～0.74,P0.05),与L和K分呈负相关(r=-0.22--0.53,P0.05)。仿真模拟设计中,未经培训的模拟诈病组在SIRS中文版的13个因子上的得分均高于正常诚实组和接受专业医学知识培训的模拟诈病组,[如罕见症状因子分(10.2±3.3)vs.(0.7±1.3),(8.8±3.1)；P0.05))；已知团体组设计中,SIRS中文版13个因子在可疑诈病组上的得分均高于非诈病组以及普通精神病人组[如罕见症状(7.6±1.8)VS.(2.5±3.2),(2.44±1.9),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60%和95%,特异度分别为92.5%和94.37%。 结论：诈病症状定式访谈量表中文版具有良好的信度和效度,为诈病的诊断提供了重要的依据。
[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 卤3.3) vs. (, 0.7 卤1.3), (, 8.8 卤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 卤1.8) VS. (2.5 卤3.2), (2.44 卤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.
【学位授予单位】：中南大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R749
本文编号：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 卤3.3) vs. (, 0.7 卤1.3), (, 8.8 卤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 卤1.8) VS. (2.5 卤3.2), (2.44 卤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.
【学位授予单位】：中南大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R749
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