强迫症患者应用的症状自评量表

目的：了解强迫症患者的心理健康状况，分析症状自评量表（SCL-90）对强迫症患者的临床应用情况。方法：应用症状自评量表对抑郁症患者进行心理状况评估。人机对话，电脑评定。结果：强迫症患者症状自评量表心理评定结果显示，心理健康状况好占11%；心理健康状况良好占48%；心理健康状况一般占26%；心理健康状况较差占15%。各因子评分显示强迫症患者症状自评量表各因子分小于2（正常）和大于4的人数比较少，多数人处于2-4分之间，心理健康状况为轻度到中度异常。强迫症患者症状自评量表强迫和躯体化因子分明显增高，因子均分〉3。其他因子分轻度增高，因子均分〉2。阳性项目平均数69.46＆#177;13.22（〉43项）。各项因子均分都显著高于全国常模（P〈0.001）。结论：强迫症患者症状自评量表评定多数因子分偏高，对强迫症的诊断有很好的应用价值，但强迫症患者中还有11%的人症状自评量表心理评定结果正常，强迫症主要靠临床的综合诊断，心理评定作为一项参考指标。

The clinic application capability of the The Symptom Checklist （SCL-90） for the obsessive patients, and provide clinic data for the psychological assessment of obsessive patients. Use the Symptom Checklist to conduct psychological assessment for obsessive patients, man-machine dialogue, and computer assessment. The results of obsessive patients’Symptom Checklist assessment are shown：very good mental health condition accounting for 11%;good mental conditions accounting for 48%;in fair conditions, accounting for 26%;and relatively bad mental conditions accounting for 15%. Individual factor analysis shows that only a smal amount of the participates score each individual factor smal er than 2 or bigger than 4, instead, most of them score between 2-4 （normal range）, demonstrating that the mental health condition is in the wild to moderate abnormal. According to the Symptom Checklist, factor Somatization, obsessive have a considerably high score, average score of〉3;whereas, al the other factors have a relatively mild increase, average of〉2. Positive factors average score are 69.46＆#177;13.22（〉43 items）. Al individual factors’averages are significantly higher than the national norm （P〈0.001）. The obsessive patients have a relatively high score in most of the factors in the Symptom checklist, which gives a good application value for the diagnosis of the obsessive patients;However, 11%of the obsessive patients came through the Symptom checklist as normal condition, which means the diagnosis of obsessive stil relies mainly in the comprehensive clinic methods, and the Symptom Checklist should be used as one of the reference index.