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目的:研究中国军人心理健康量表(CMMHS)在新兵心理疾病筛查中的应用价值。方法:采用CMMHS对整群抽取的某部新兵27298例进行心理健康水平测评,并将测评结果与中国军人常模比较;以中国精神疾病分类方案与诊断标准(第3版)(CCMD-3)为诊断金标准对新兵进行临床诊断;计算CMMHS评估的灵敏度、特异性和Youden指数。结果:新兵CMMHS总分及各因子分值显著低于中国军人常模(P<0.01);以CCMD-3为临床诊断标准,CMMHS评估灵敏度为91.9%、特异性95.1%和Youden指数87.0%。结论:CMMHS对新兵心理疾病评估的灵敏度和特异性好,在新兵心理疾病筛查中具有较高的应用价值。
Objective: To study the value of CMMHS in screenings of recruits psychological disorders. Methods: A total of 27 298 recruits from the cluster were evaluated with CMMHS, and the results were compared with those of Chinese soldiers. According to the Chinese Classification of Mental Illnesses and Diagnostic Criteria (3rd Edition) (CCMD-3) The clinical diagnosis of recruits was made for the gold standard of diagnosis; the sensitivity, specificity, and Youden index for the CMMHS assessment were calculated. Results: The scores of CMMHS recruits and scores of all factors were significantly lower than those of Chinese soldiers (P <0.01). The sensitivity, specificity and 95.0% of CMMHS were 91.9%, 95.1% and 87.0%, respectively, using CCMD-3 as the diagnostic criteria. Conclusion: The sensitivity and specificity of CMMHS in the assessment of recruits mental illness are good, and it has a high value in the screening of recruits mental illness.