心理测验在司法精神医学鉴定中的应用研究

目的探讨心理测验在司法精神医学鉴定中的应用。方法运用BPRS、SCL-90、EPQ对30例司法精神疾病鉴定的被鉴定者进行心理测验,并与30例住院精神病患者比较。结果(1)BPRS研究组中精神病组BPRS总分、缺乏活力因子、思维障碍因子、激活性因子、敌对猜疑因子均明显高于无精神病组(P<0.01);研究组中精神病组BPRS总分、思维障碍因子、激活性因子、敌对猜疑因子均明显高于对照组(P<0.01);研究组中无精神病组BPRS总分、缺乏活力因子、思维障碍因子、激活性因子、敌对猜疑因子均明显低于对照组(P<0.01)。(2)SCL-90研究组抑郁、焦虑及偏执因子分明显高于与对照组(P<0.05或P<0.01)。研究组中无精神病组抑郁、焦虑因子分明显高于精神病组(P<0.01)。研究组中精神病组偏执因子分明显高于对照组(P<0.05)。研究组及研究组中精神病组、无精神病组SCL-90所有因子分均明显高于全国常模(P<0.05或P<0.01)。(3)EPQ研究组内无精神病及研究组N分均明显高于对照组(P<0.05);研究组精神病组L分明显高于对照组(P<0.05)。结论心理测验具有较强的科学性和实用性,作为一种定量的心理评估方法,可以应用于司法精神医学鉴定领域的评估、诊断、评价等方面,有助于多维度的诊断和鉴别诊断,具有推广使用价值。

A Study on the Psychological Test for Jurisdictional Identifications of Mental Diseases

Objective To explore the feasibility of psychological test to jurisdictional identifications of mental diseases. Methods There were 30 casess in psychiatric expertise and 30 schizophrenia patients to be in hospital. The psychological test were used respectively to these cases.Results Subscales norms of BPRS in investigation group and investigation group with psychinosis significantly higher than that in control group(P<0.01). Subscales norms of BPRS in investigation group without psychinosis significantly lower than that in control group(P<0.01).The depression,anxiety and paranoia score of SCL-90 in investigation group significantly higher than that in control group(P<0.05 or P<0.01); The depression and anxiety score of SCL-90 in investigation group without psychinosis significantly higher than that in nvestigation group with psychinosis(P<0.01). Subscales norms of SCL-90 in investigation group significantly higher than that the norm of 1986(P<0.05 or P<0.01). Neuroticism in investigation group and investigation group without psychinosis significantly higher than that in control group(P<0.05). Lie in investigation group with psychinosis significantly higher than that in control group(P<0.05).Conclusion Psychological test has high practicality and validity in jurisdictional identifications of mental diseases.