Zhang Qin-Ting, Pang Yan-Xia, Cai Wei-Xiong, Tang Tao, Huang Fu-Yin
Shanghai Key Laboratory of Forensic Medicine, Institute of Forensic Science, Ministry of Justice, PR China, Shanghai 200063, China.
Fa Yi Xue Za Zhi. 2010 Oct;26(5):353-6.
To create civil capacity rating scale for mentally disabled patients, and explore its feasibility during the forensic psychiatric expertise.
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.
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 alpha of the rating scale was 0.9724, and during the split-reliability test, the two-splited part of the rating scale were highly correlated (r = 0.9729, 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 (kappa = 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.
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.
编制精神残疾患者民事行为能力评定量表，并探讨其在法医精神病鉴定中的可行性。
经讨论和咨询确定与民事行为能力相关的项目。建立精神残疾患者民事行为能力评定量表，并根据评定的逻辑顺序编制手册。在4家机构的民事评定中使用该评定量表。
精神残疾患者民事行为能力评定量表有14个项目。招募了202名受试者，根据专家对其民事行为能力的意见分为三组：完全民事行为能力、部分民事行为能力和无民事行为能力。三组的平均得分分别为2.32±2.45、11.62±4.01和25.02±3.90，组间有统计学差异。评定量表的Cronbach α系数为0.9724，在分半信度检验中，评定量表的两部分高度相关（r = 0.9729，P = 0.000）。各项目与评定量表得分的Spearman相关系数为0.643至0.882（P = 0.000）。评定量表得出的结论与专家意见之间有良好的相关性（kappa = 0.841，P = 0.000）。采用判别分析时，7个项目被纳入判别方程，使用该方程92.6%的受试者被正确分组。
精神残疾患者民事行为能力评定量表具有满意的信度和效度。该评定量表可作为法医鉴定中对其民事行为能力分级的有效工具。
