法医学杂志2018，Vol.34Issue(1)：44-48,5.DOI:10.3969/j.issn.1004-5619.2018.01.009
日常生活活动量表在轻度精神伤残评定中的应用
Application of Activities of Daily Living Scale in Mild Psychiatric Impairment As-sessment
摘要
Abstract
Objective To explore the application of activities of daily living(ADL)scale in mild psy-chiatric impairment assessment under the guideline of Classification of Human Body Disability Caused by Injury. Methods A total of 124 subjects with organic mental disorders and mild psychiatric impair-ments(levels 7 to 10), and 106 healthy controls were included in. All participants were assessed by the ADL scale, physical self-maintenance scale(PSMS)and instrumental activities of daily living(IADL) scale. The difference between the scores of control group and study group, and the relationship of im-pairment level and the scores were compared, and the threshold value was determined according to the ROC curve. Results The total scores of ADL, IADL and PSMS were significantly different between the control group and the study group(P<0.05). The scores of ADL,IADL,PSMS were significantly different among the impairment levels(P<0.05), which showed a relativity with impairment level. The scores of ADL corresponding to levels 10, 9, 8 and 7 were 14-17, 18-23, 24-29 and 30-34, respectively, which showed a good correlation between the conclusion according to the scale and the expert's opinion(k=0.914, P<0.05). Conclusion The score of ADL was significantly related to mild psychiatric impairment, and the higher ADL score represents the more severe disability, which can be used as a reference index for preliminarily judging the level of mild psychiatric impairment.关键词
司法精神病学/精神障碍/脑损伤/日常生活活动/精神伤残Key words
forensic psychiatry/mental disorders/brain injuries/activities of daily living/psychiatric im-pairment分类
社会科学引用本文复制引用
刘露,李豪喆,陈琛,刘超,蔡伟雄..日常生活活动量表在轻度精神伤残评定中的应用[J].法医学杂志,2018,34(1):44-48,5.基金项目
"十三五"国家重点研发计划资助项目(2016YFC0800701) （2016YFC0800701）
中央级科研院所基本科研业务费资助项目(GY2018G-7) （GY2018G-7）
国家社会科学基金资助项目(13BFX054) （13BFX054）
上海市法医学重点实验室资助项目(17DZ2273200) （17DZ2273200）
上海市司法鉴定专业技术服务平台资助项目(16DZ2290900) （16DZ2290900）
