军人精神疾病预测量表在新兵精神疾病复检中的应用价值

摘要

目的 探讨军人精神疾病预测量表对新兵精神疾病复检的价值,为新兵精神疾病筛查工作提供依据.方法 对2007-2009年某部入伍新兵采用军人精神疾病预测量表进行复检,同时采用线索调查、心理访谈以及中国精神病与分类诊断标准第三版(CCMD-3),经三级检诊明确临床诊断,比较军人精神疾病预测量表和临床诊断的一致性.结果 预测量表筛选阳性与临床确诊一致者共172例.预测量表对新兵精神疾病复检的敏感度为85.57％,特异度为94.19％,对各类精神疾病筛查的敏感度和特异度分别为:精神分裂症87.50％和86.11％,抑郁症81.58％和87.82％,神经症90.48％和91.11％,人格障碍80.00％和92.84％.结论 军人精神疾病预测量表检测结果与CCMD-3临床诊断结果无明显差异,该量表对新兵精神疾病复检敏感性及特异性均较高,可作为军人精神疾病的筛查工具.%Objective To explore the significance of the screening value of the Mental Disorder Prediction Scale for Military Personnel in re-examining new recruits for mental illness and to provide a basis for screening recruits for mental disorder. Methods The recruits who joined the army from 2007 to 2009 were re-examined using the Mental Disorder Prediction Scale for Military Personnel. They were subjected to three levels of diagnosis, which included a trace survey, a psychological interview, and the Chinese Classification and Diagnostic Criteria for Mental Disorders, Third edition (CCMD-3). Moreover, the clinical diagnosis was determined according to the three levels of diagnosis to analyze the concordance between the Mental Disorder Prediction Scale for Military Personnel and clinical diagnosis. Results More than 3,900 recruits were diagnosed with mental disorder using the Mental Disorder Prediction Scale for Military Personnel, whereas 201 recruits were diagnosed clinically with mental disorders. Among these recruits, 172 have the same diagnosis. The sensitivity of the scale for re-examining the new recruits was 85. 57%, whereas the specificity of the scale was 94. 19%. The sensitivity and specificity of the scale to all kinds of mental disorders were as follows, respectively: Schizophrenia, 87. 50% and 86. 11%; depressive disorder, 81. 58% and 87. 82%; neurosis, 90. 48% and 91.11%; and personality disorder, 80.00% and 92. 84%. Conclusions No obvious differences were observed between the measurement results of the scale and clinical diagnosis using CCMD-3. The scale has a high sensitivity and specificity for screening mental illness among new recruits. The test can be used as a tool for screening for mental disorders among military personnel.