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目的对出入境人员精神卫生状况快速测评量表测评结果进行结构方程模型分析(Analysis Model Of Structuralequation,简称AMOS),并制定出入境人员精神状况快速测评量表常模。方法采用口岸精神卫生快速测评量表(Mental health fast self rating scale of port以下简称FSRS),对2012年4月—2014年12月在福建国际旅行卫生保健中心进行健康体检的出入境人员17 554人次进行测评,利用AMOS16.0及SPSS21.0软件对测评结果进行拟合度、信效度分析及常模制定。结果 FSRS模型拟合程度较好,有较高的信效度。验证性因子分析(以下简称CFA)从强迫、抑郁、偏执和精神病性这4个维度进行验证,得出模型拟合结果(CMIN/df=24.417,NFI=0.866,TLI=0.855,CFI=0.871,PNFI=0.773,RMSEA=0.048);该量表各维度间的相关系数均大于0.85;总量表信度Cronbach’sα系数为0.90,各维度的Cronbach’sα系数均大于0.80;分半信度为0.91;各维度的效标效度均大于0.65(P<0.001)。女性人员的强迫、抑郁、偏执、精神病性4项因子分高于男性,差异有统计学意义(P<0.05),且女性人员的测谎分也较高;不同类别的出入境人员分析结果显示:做家务类人员4项因子分均高于其他职业;年龄<20岁的人员,强迫、偏执因子分均高于其他年龄组旅客(P<0.05)。结论 FSRS可推广应用于口岸精神卫生测评;因测评结果区分度好,可制定福州口岸出入境人员FSRS常模标准(即正常值参考范围),为排除心理问题以及精神疾病提供比对标准。
Objective To analyze the results of the rapid assessment of mental health status of entry-exit personnel using Structural Equation Modeling (AMOS), and to develop a norm of rapid assessment of mental status of entry-exit personnel. Methods Mental health fast self rating scale of port (hereinafter referred to as FSRS) was used to estimate the number of exits and departures from Fujian International Travel Health Care Center from April 2012 to December 2014, 17 554 Evaluate, using AMOS16.0 and SPSS21.0 software to fit the evaluation results, reliability and validity analysis and norm-setting. Results The FSRS model fit better and has higher reliability and validity. Confirmatory Factor Analysis (CFA) was validated from the four dimensions of coercion, depression, paranoia and psychosis, and the model fitting results were obtained (CMIN / df = 24.417, NFI = 0.866, TLI = 0.855, CFI = 0.871, PNFI = 0.773, RMSEA = 0.048). The correlation coefficients between all the dimensions of the scale were all greater than 0.85. The Cronbach’s alpha coefficient of the total scale was 0.90, and the Cronbach’s α coefficients of all dimensions were all greater than 0.80. 0.91. The validity and validity of all dimensions were greater than 0.65 (P <0.001). There were significant differences in the four factors of forced, depressed, paranoid and psychotic in females as compared with males (P <0.05), and the polygamy scores of females were also higher. The results of different categories of immigrants The scores of four factors of housework staff were higher than those of other occupations. For those aged <20, the factors of compulsion and paranoia were higher than those of other age groups (P <0.05). Conclusion FSRS can be widely used in mental health assessment at port. Due to the well-differentiated evaluation results, the FSRS norm (that is, the normal reference range) can be formulated for exit and entry personnel at Fuzhou Port to provide criteria for the comparison of psychological problems and mental illness.