心理健康测查表用于征兵体检筛选标准的探讨

An exploratory development of using psychological-health inventory as a criterion for conscription filtration

目的探讨心理健康测查表（PHI）用于征兵体检筛选的标准。方法使用PHI测评应征青年，用SPSS对PHI各因子分进行统计分析，检验因子分分别以60分和70分为界区分是否合格的可能性，提出组合判别假设，结合精神检查结果比较两种判别的敏感性和特异性。结果若以说谎、伪装、躯体化、抑郁、焦虑、病态人格、疑心、脱离现实和兴奋等各因子大于60分区分，则不合格率高达40．4％，63．6％，以大于70区分则为10．1％-15．7％，用精神检查结果进行敏感度和特异度检验，〉70分为界敏感度为47．37％，特异度为93．13％；〉60分为界则敏感度和特异度为100％和58．98％；而以组合判别则不合格率为1．19％-1．82％，敏感度为78．95％，特异度为99．08％；可能不合格率为6．74％～8．55％，敏感度和特异度分别为100％和92．52％。结论使用组合判别方式对应征青年进行征兵体检筛选，可以检出精神疾病患者，具有良好的灵敏度和特异度，可用作征兵体检筛选的标准。

Objective To explore use psychological-health inventory （PHI） was used as a criterion for conscription filtration. Method Any factors of PHI, used to evaluate young men entered into the draft-center, are statistically analysed by SPSS13.0. The possibility of taking factor score 60 or 70 as a borderline of distinguishing disqualification from eligibility are tested. A suppose of compounding differentiate are suggested, and evaluated by comparing sensitivity and specificity between two modes with psychiatric interview. Results The rate of disqualification was high to 40.4% - 63.6% if it was taken that any factor score was higher than 60 as borderline to distinguish,and to 10.1% - 15.7% if score was higher than 70 as borderline. The sensitivity was 47.37% for borderline 70, the specificity 93.13%, and the sensitivity and specificity were 100% ,58.89% for borderline 60, whereas for the suppose of compounding differentiate, the rate of disqualification was 1.19% - 1.82%, and potential-disqualification 6.74% - 8.55%, the sensitivity was 78.95%, the specificity 99.08% for disqualification, and the sensitivity and specificity were 100% and 92.52% for potential-disqualification, respectively. Conclusion Using compounding differentiate mode to filtrate young-men adopted to enter into army could check patients with mental disorders out. It has nicer sensitivity and specificity, and counld be used as a criterion for conscription filtration.