法医学杂志

法医学杂志 ›› 2010, Vol. 26 ›› Issue (5): 353-356.DOI: 10.3969/j.issn.1004-5619.2010.05.009

• 论著 • 上一篇    下一篇

精神障碍者民事行为能力评定量表研制

张钦廷，庞艳霞，蔡伟雄，汤  涛，黄富银   

  1. （司法部司法鉴定科学技术研究所 上海市法医学重点实验室，上海 200063）
  • 发布日期:2010-10-25 出版日期:2010-10-28
  • 作者简介:张钦廷（1975—），男，硕士，副主任法医师，主要从事司法精神病学鉴定、研究工作；E-mail：zhangqinting@126.com
  • 基金资助:

    社会公益专项项目（GY0904）

Preliminary Study on Civil Capacity Rating Scale for Mental Disabled Patients

ZHANG QIN-TING, PANG YAN-XIA, CAI WEI-XIONG, TANG TAO, HUANG FU-YIN   

  1. （Shanghai Key Laboratory of Forensic Medicine, Institute of Forensic Science, Ministry of Justice, P.R.China, Shanghai 200063, China）
  • Online:2010-10-25 Published:2010-10-28

被引次数

10

摘要： 目的 制定精神障碍者民事行为能力评定量表，并探讨其在司法精神病鉴定中的适用性。 方法 将民事行为能力的考量指标进行细化，经讨论、咨询专家后确定量表条目，按照评定逻辑顺序排列并完成操作手册，形成评定量表。在四家司法鉴定机构试用量表。 结果 精神障碍者民事行为能力评定量表共有14个条目。共纳入202例样本,根据专家意见划分为完全、限制和无民事行为能力3组。3组量表总分分别为2.32±2.45、11.62±4.01、25.02±3.90，两两得分差异均具有统计学意义。全量表Cronbach α为0.972 4，分半信度检验中两分半量表间具有较高的相关系数（r=0.972 9，P=0.000）；各条目与总分的Spearman相关系数在0.643～0.882（P=0.000）。量表得分结论与专家意见的分组结论一致性较高（?资=0.841，P=0.000）。7个因子被有效纳入判别方程，92.6%的样本回代划分正确。 结论 精神障碍者民事行为能力评定量表具有良好的信度和效度，能对精神障碍者的民事行为能力进行有效分类。

关键词: 司法精神病学, 精神障碍, 民事行为能力, 评定量表

Abstract: Objective To create civil capacity rating scale for mentally disabled patients, and explore its feasibility during the forensic psychiatric expertise. Methods The civil capacity-related items were determined after discussion and consultation. The civil capacity rating scale for mentally disabled patients was established and the manual was created according to the logistic sequence of the assessment. The rating scale was used during the civil assessment in four institutes. Results There were 14 items in civil capacity rating scale for mentally disabled patients. Two hundred and two subjects were recruited and divided into three groups according to the experts’ opinion on their civil capacities: full civil capacity, partial civil capacity and no civil capacity. The mean score of the three groups were 2.32±2.45, 11.62±4.01 and 25.02±3.90， respectively, and there was statistical differences among the groups. The Cronbach α of the rating scale was 0.972 4, and during the split-reliability test, the two-splited part of the rating scale were highly correlated（r=0.972 9, P=0.000）. The Spearman correlative coefficient between each item and the score of the rating scale was from 0.643 to 0.882（P=0.000）. There was good correlation between the conclusion according to the rating scale and the experts’ opinion（k=0.841, P=0.000）. When the discriminate analysis was used, 7 items were included into the discrimination equation, and 92.6% subjects were identified as the correct groups using the equation. Conclusion There is satisfied reliability and validity on civil capacity rating scale for mentally disabled patients. The rating scale can be used as effective tools to grade their civil capacity during the forensic expertise.

Key words: forensic psychiatry, mental disorders, civil capacity, rating scale

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