HCL-32在精神科门诊双相障碍诊断中的应用

目的 了解双相障碍的诊断现状及识别率.方法 将符合DSM-Ⅳ抑郁障碍诊断标准的36例门诊患者使用MDQ和HCL-32进行测评,然后按照DSM-Ⅳ诊断标准对所有完成测试的患者进行晤谈并做出诊断.结果 HCL-32的阳性筛检率（72％）高于MDQ（33％）,差异有统计学意义（x2=10.923,P=0.001）;DSM诊断系统晤谈诊断阳性率为47％与HCL-32的阳性率比较差异无统计学意义（x2=0.332,P=0.471）.结论 HCL-32筛查量表检测阳性率高,能够有效避免漏诊,可作为精神科门诊双相障碍诊断的初步筛查工具.

Application of HCL-32 for diagnosis of bipolar disorder in psychiatric outpatient

Objective To investigate the present situation and detection rate of the diagnosis of hipolar disorder in our hospital. Methods The 36 outpatients conform to the DSM--IV of depressive disorder were evaluated by MDQ and HCL--32, then the whole cases was interviewed and made a diagnosis according to the DSM- IV. Results The positive rate of MDQ and HCL- 32 was significant differenct （X2 = 10. 923,P = 0. 001）. The positive rate of HCL--32 was 72%, and that in the DSM di- agnostic system was 47%, it had no significant difference （chi --square = 0. 332,P =0. 471）. Condosions HCL--32 was high positive rate and effectively avoided the misdiagnosis, and can be used as a preliminary screening tool of bipolar disorder in psychiatric outpatient.