摘要目的 编制并检验赔偿性神经症评定量表的信效度,为该病症与普通神经症及诈病的诊断与鉴别提供客观量化评定依据.方法 根据赔偿性神经症的起病及其相关因素、临床病症特点、检查中的表现、治疗与转归等,编制赔偿性神经症评定量表,对相关被试进行初试、修改及条目筛选后,再用于有赔偿因素的司法精神鉴定案例和有精神应激事件的普通神经症患者,其中普通神经症116例,赔偿性神经症58例,伪装组66例.结果 (1)量表总分对普通神经症、赔偿性神经症和伪装组的划界分分别为<36分、36～52分、>52分.(2)全量表的Cronnbach's α系数为0.940,Guttman分半信度为0.944,重测相关在0.820以上,评分者相关在0.812以上.(3)与专家诊断比较,判断总准确率88.3%,对赔偿性神经症判定的特异性91.2%,灵敏度79.3%.结论 赔偿性神经症评定量表符合心理测量学的基本要求,能为赔偿性神经症与普通神经症及伪装的区分鉴别提供相对客观量化的评定依据.

abstractsObjective To examine the reliability and validity of compensative neurosis assessing scale (CNAS) and in order to develop the quantitative assessing method for distinguishing the compensation neurosis from malingering and typical neurosis. Methods The reliability and validity of the scale was tested based on the subjects including the cases involved forensic problems, the patients with typical neurosis in general psychiatric 0.944. The test-retest reliability was more than 0.820. The scorer reliability was more than 0. 812. The total accu-racy rate of CNAS for evaluating three groups of subjects based on the experts diagnosis, and with 91.2% of speci-ficity and 79.3% of sensitivity for evaluating compensation neurosis. Condusion The CNAS has acceptable psy-chometrics properties on reliability and validity. It will provide method to distinguish the compensation neurosis from malingering and typical neuroses.