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新加坡武装部队新兵的心理健康筛查:基本原理、目标与设计

The mental health screening of conscripts for the Singapore Armed Forces: rationale, objectives, and design.

作者信息

Chong Siow-Ann, Wong John, Verma Swapna, Subramaniam Mythily, Pek Elaine, Chan Yiong Huak, Lee I-Min, Cheok Christopher

机构信息

Institute of Mental Health and Woodbridge Hospital, 10 Buangkok View, Singapore 539747.

出版信息

Mil Med. 2007 Dec;172(12):1245-9. doi: 10.7205/milmed.172.12.1245.

DOI:10.7205/milmed.172.12.1245
PMID:18274022
Abstract

Identification of mentally ill military conscripts is crucial, since these individuals may experience an exacerbation of their illness during training with dire consequences for them and the organization. This article describes the design of a study to validate a screening instrument for psychiatric disorders as well as to establish their prevalence among male army conscripts in Singapore. It involved a two-stage process: the conscripts were screened with a new instrument which we termed the Mental Wellness Screening Questionnaire; those who screened positive, and a random sample of those who did not, were administered the computerized Composite International Diagnostic Interview which was the gold standard in making the diagnosis. This study is unusual in that it involved almost the entire male population in 1 year but its relevance is the development of a screening instrument that can be used with ease in a large population of conscripts.

摘要

识别患有精神疾病的应征入伍军人至关重要,因为这些人在训练期间病情可能会加重,这对他们自身以及部队都会造成严重后果。本文描述了一项研究的设计,该研究旨在验证一种用于精神疾病的筛查工具,并确定其在新加坡男性应征入伍军人中的患病率。该研究包括两个阶段:先用一种我们称为“心理健康筛查问卷”的新工具对新兵进行筛查;对筛查呈阳性的新兵以及部分筛查呈阴性的新兵进行随机抽样,让他们接受计算机化综合国际诊断访谈,这是进行诊断的金标准。这项研究的特别之处在于,它在一年内涵盖了几乎所有男性新兵,但它的意义在于开发出一种可以轻松应用于大量新兵群体的筛查工具。

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Soc Psychiatry Psychiatr Epidemiol. 2012 Jan;47(1):137-44. doi: 10.1007/s00127-010-0318-8. Epub 2010 Nov 3.
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Academic attainment: a predictor of psychiatric disorders?学业成就:精神疾病的一个预测指标?
Soc Psychiatry Psychiatr Epidemiol. 2009 Nov;44(11):999-1004. doi: 10.1007/s00127-009-0027-3. Epub 2009 Mar 18.