限定刑事责任能力评定量表扩展应用的信效度

Validity and reliability of extended usage of diminished criminal responsibility rating scale

目的探讨限定刑事责任能力评定量表在责任能力评定中的扩展运用价值。方法采用DCRRS(内容包括现实作案动机,先兆,诱因,时间、地点、对象、工具选择,作案时情绪反应,作案后各种行为表现,生活自理能力、工作学习能力、自知力、现实检验能力损害和自我控制能力等)对108例符合要求的患者进行评定并与专家鉴定结果进行比较。结果DCRRS各条目间及其与总量表分间的相关均具有统计学意义(r=0.145～0.944,P<0.001),分半信度为0.868。根据DCRRS参考划界分分组,无、限定和完全责任能力3组间及两两间量表总分均具有显著统计学差异(P<0.001)。DCRRS与专家鉴定结果一致性较高(Kappa=0.958,P<0.001),经判别方程回代具有较高的正确率(97.2%)。结论DCRRS的信效度良好,可作为辅助参考使用。

Objective To explore the applicability of extended usage of the diminished criminal responsibility rating scale（DCRRS） to criminal responsibility assessment.Methods 108 patients were evaluated with DCRRS（containing items such as criminal motive,foreboding,induction factor,choice of time,choice of place,choice of object,choice of tool,emotional response in the act,behavioral expression after the act,activities of daily life,learning and working capacity,insight,insult of perceptibility of fact,insult of self-controlling capability）,which was compared with the expert opinion.Results The correlation of DCRRS between each item and between each item and the total score was statistically significant（r=0.145～0.944,P0.001）,and the split half reliability was 0.868.When the cases were graded into three groups（non,diminished and full responsibility group） based to cut-off score of DCRRS,the scores revealed statistically significant among the three groups and within groups （P0.001）.DCRRS had a high consistency with the expert opinions on the grade of criminal responsibility （Kappa=0.958,P0.001）.Classification results suggested that there was a higher correct rate as evaluated discriminant function（97.2%）.Conclusion DCRRS reveals good reliability and validity,which can be used as a reference for the assessment.