中国心身健康量表与SCL-90作为筛查工具的应用和适用性比较

The use and applicability of CPSHS and SCL-90 as screening tools for normal people

目的 比较中国心身健康量表 (CPSHS)和SCL 90在筛选正常人群心理障碍方面的品质和适用性。方法 采用CPSHS和SCL 90同时测试 45 7例学生。结果 CPSHS与SCL 90的筛查结果虽在判别阴、阳病例的总体上有显著性差异(P <0 0 1) ,但两者的阳性率 (13 6 % ,10 9% )经Mcnemar检验无显著性差异 (P >0 0 5 ) ,一致性检验具有显著性意义(Kappa =0 45 1)。在各量表筛查阳性病例中 ,CPSHS躯体化因子的贡献率明显高于SCL 90 (88 7% ,2 4 0 % )。CPSHS与SCL 90的总分以及所有各因子均存在密切相关 (r =0 139～ 0 70 7,P均 <0 0 1) ,结论 CPSHS既与SCL 90有较好的平行效度 ,同时躯体症状因子和测试项目的增多更符合中国国情 ,对无效或不合作测试也能进行较好判别 ,完全可以作为中国正常人群心身问题的筛查工具。与SCL 90相比 ,具有更好的适用性。

Objective[WT5”BZ] To compare the use and applicability of Chinese Psychosomatic Health Scale(CPSHS) and SCL 90 as Screening Tools for Normal People [WT5”HZ]Method[WT5”BZ] 457 college students were tested using CPSHS and SCL 90 respectively The CPSHS screening criteria of psychosomatic disorder: T of one factor at least ≥70 and T of L(Lie) <70 The SCL 90 screening criteria: Total score >160 or the number of positive items >43 or the average score of any factor >2 [WT5”HZ]Results[WT5”BZ] 50 cases of all( 10 9%) were diagnosed as psychosomatic disorder by SCL 90,but 60 cases(13 6%) were by CPSHS(χ 2=94 526,P<0 01;Kappa=0 451,P<0 01) Mcnemar test of positive percentage of two groups shows P=0 134 The contribution of somatization factor in CPSHS is much greater than SCL 90 for positive results [WT5”HZ]Conclusion[WT5”BZ] CPSHS has better parallel validity with SCL 90, and physical and other increased items accord with the situation of China much more L scale can discrimate invalid test or noncooperation easily CPSHS maybe a feasible tool than SCL 90 in screening psychsomatic disorders of normal chinese people [WT5”HZ]