添加汉密顿焦虑量表(HAMA)配置和更新量表配置指令
1. 新增汉密顿焦虑量表(HAMA)完整配置 - 14道题目，每题0-4分，总分0-56分 - 3个因子：心理性焦虑、躯体性焦虑、睡眠与认知功能 - 完整的因子解释和总分解释配置 - 中度和重度焦虑预警规则 2. 更新量表配置指令文件 - 新增量表编码规则（scaleCode唯一性） - 新增预警规则配置说明 - 完善检查清单
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项目介绍/量表/完美的量表/汉密顿焦虑量表(HAMA).json
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389
项目介绍/量表/完美的量表/汉密顿焦虑量表(HAMA).json
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{
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"scale": {
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"createBy": "admin",
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"createTime": "2025-12-14 14:47:04",
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"updateBy": "",
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"updateTime": null,
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"remark": null,
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"scaleId": null,
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"scaleCode": "HAMA-14",
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"scaleName": "汉密顿焦虑量表(HAMA)",
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"scaleEnName": "Hamilton Anxiety Scale",
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"scaleType": "psychological assessment",
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"scaleVersion": "1.0",
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"scaleIntro": "汉密顿焦虑量表（Hamilton Anxiety Scale，HAMA）由Hamilton于1959年编制。它是精神科临床中常用的量表之一，主要用于评定神经症及其他病人的焦虑症状的严重程度，但不大宜于估计各种精神病时的焦虑状态。HAMA能很好地评定治疗效果，以及比较治疗前后症状变化。然而，对于焦虑症与抑郁症不能很好地进行鉴别。",
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"scaleDescription": "请认真阅读下面的每个题目，结合您的实际情况进行选择。",
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"itemCount": 14,
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"estimatedTime": 7,
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"targetPopulation": "一般人群",
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"author": "Hamilton",
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"source": "",
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"reference": "",
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"status": "0",
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"sortOrder": 0,
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"sourceType": "scale",
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"originalId": null
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},
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"factors": [
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{
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"factor": {
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"createBy": "admin",
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"createTime": "2025-12-14 14:47:04",
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"updateBy": "",
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"updateTime": null,
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"remark": null,
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"factorId": null,
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"scaleId": null,
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"factorCode": "F1",
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"factorName": "心理性焦虑",
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"factorEnName": "Psychic Anxiety",
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"factorDescription": "聚焦情绪与认知层面的焦虑体验，包括持续担忧、紧张、预期性恐惧、易激惹及抑郁色彩等表现，反映个体对威胁的主观感受与思维加工负荷，是识别心理性焦虑核心症状的重要维度。",
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"factorOrder": 1
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},
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"rules": [
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{"itemNumber": 1, "rule": {"ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum"}},
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{"itemNumber": 2, "rule": {"ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum"}},
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{"itemNumber": 3, "rule": {"ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum"}},
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{"itemNumber": 6, "rule": {"ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum"}},
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{"itemNumber": 14, "rule": {"ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum"}}
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]
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},
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{
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"factor": {
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"createBy": "admin",
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"createTime": "2025-12-14 14:47:04",
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"updateBy": "",
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"updateTime": null,
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"remark": null,
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"factorId": null,
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"scaleId": null,
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"factorCode": "F2",
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"factorName": "躯体性焦虑",
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"factorEnName": "Somatic Anxiety",
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"factorDescription": "关注肌肉紧张、颤抖、刺痛、冷热感、心血管及呼吸系统症状等躯体表现，反映焦虑对自主神经系统和肌肉系统的影响，有助于识别身体警觉与生理性觉醒程度。",
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"factorOrder": 2
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},
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"rules": [
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{"itemNumber": 7, "rule": {"ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum"}},
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{"itemNumber": 8, "rule": {"ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum"}},
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{"itemNumber": 9, "rule": {"ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum"}},
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{"itemNumber": 10, "rule": {"ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum"}},
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{"itemNumber": 13, "rule": {"ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum"}}
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]
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},
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{
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"factor": {
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"createBy": "admin",
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"createTime": "2025-12-14 14:47:04",
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"updateBy": "",
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"updateTime": null,
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"remark": null,
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"factorId": null,
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"scaleId": null,
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"factorCode": "F3",
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"factorName": "睡眠与认知功能",
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"factorEnName": "Sleep and Cognitive Function",
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"factorDescription": "评估焦虑对睡眠节律、恢复质量以及认知效率的影响，并涵盖胃肠、生殖泌尿等自主功能表现，帮助识别因持续紧张导致的身心耗竭和功能性困扰。",
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"factorOrder": 3
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},
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"rules": [
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{"itemNumber": 4, "rule": {"ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum"}},
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{"itemNumber": 5, "rule": {"ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum"}},
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{"itemNumber": 11, "rule": {"ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum"}},
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{"itemNumber": 12, "rule": {"ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum"}}
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]
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}
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],
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"items": [
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{
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"item": {"itemId": null, "scaleId": null, "itemNumber": 1, "itemContent": "焦虑心境：担心、担忧，感到有最坏的事将要发生，容易激惹：", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 1},
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"options": [
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{"optionId": null, "itemId": null, "optionCode": "A", "optionContent": "无症状", "optionScore": 0.0, "sortOrder": 1},
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{"optionId": null, "itemId": null, "optionCode": "B", "optionContent": "轻微", "optionScore": 1.0, "sortOrder": 2},
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{"optionId": null, "itemId": null, "optionCode": "C", "optionContent": "中等", "optionScore": 2.0, "sortOrder": 3},
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{"optionId": null, "itemId": null, "optionCode": "D", "optionContent": "较重", "optionScore": 3.0, "sortOrder": 4},
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{"optionId": null, "itemId": null, "optionCode": "E", "optionContent": "严重", "optionScore": 4.0, "sortOrder": 5}
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]
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},
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{
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"item": {"itemId": null, "scaleId": null, "itemNumber": 2, "itemContent": "紧张：紧张感、易疲劳、不能放松。情绪反应，易哭、颤抖、感到不安：", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 2},
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"options": [
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{"optionId": null, "itemId": null, "optionCode": "A", "optionContent": "无症状", "optionScore": 0.0, "sortOrder": 1},
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{"optionId": null, "itemId": null, "optionCode": "B", "optionContent": "轻微", "optionScore": 1.0, "sortOrder": 2},
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{"optionId": null, "itemId": null, "optionCode": "C", "optionContent": "中等", "optionScore": 2.0, "sortOrder": 3},
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{"optionId": null, "itemId": null, "optionCode": "D", "optionContent": "较重", "optionScore": 3.0, "sortOrder": 4},
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{"optionId": null, "itemId": null, "optionCode": "E", "optionContent": "严重", "optionScore": 4.0, "sortOrder": 5}
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]
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},
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{
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"item": {"itemId": null, "scaleId": null, "itemNumber": 3, "itemContent": "害怕：害怕黑暗、陌生人、一人独处、动物、乘车或旅行及人多的场合：", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 3},
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"options": [
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{"optionId": null, "itemId": null, "optionCode": "A", "optionContent": "无症状", "optionScore": 0.0, "sortOrder": 1},
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{"optionId": null, "itemId": null, "optionCode": "B", "optionContent": "轻微", "optionScore": 1.0, "sortOrder": 2},
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{"optionId": null, "itemId": null, "optionCode": "C", "optionContent": "中等", "optionScore": 2.0, "sortOrder": 3},
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{"optionId": null, "itemId": null, "optionCode": "D", "optionContent": "较重", "optionScore": 3.0, "sortOrder": 4},
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{"optionId": null, "itemId": null, "optionCode": "E", "optionContent": "严重", "optionScore": 4.0, "sortOrder": 5}
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]
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},
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{
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"item": {"itemId": null, "scaleId": null, "itemNumber": 4, "itemContent": "失眠：难以入睡、易醒、睡得不深、多梦、夜惊、醒后感疲倦：", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 4},
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"options": [
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{"optionId": null, "itemId": null, "optionCode": "A", "optionContent": "无症状", "optionScore": 0.0, "sortOrder": 1},
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{"optionId": null, "itemId": null, "optionCode": "B", "optionContent": "轻微", "optionScore": 1.0, "sortOrder": 2},
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{"optionId": null, "itemId": null, "optionCode": "C", "optionContent": "中等", "optionScore": 2.0, "sortOrder": 3},
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{"optionId": null, "itemId": null, "optionCode": "D", "optionContent": "较重", "optionScore": 3.0, "sortOrder": 4},
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{"optionId": null, "itemId": null, "optionCode": "E", "optionContent": "严重", "optionScore": 4.0, "sortOrder": 5}
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]
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},
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{
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"item": {"itemId": null, "scaleId": null, "itemNumber": 5, "itemContent": "认知功能：注意力不能集中，记忆力差：", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 5},
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"options": [
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{"optionId": null, "itemId": null, "optionCode": "A", "optionContent": "无症状", "optionScore": 0.0, "sortOrder": 1},
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{"optionId": null, "itemId": null, "optionCode": "B", "optionContent": "轻微", "optionScore": 1.0, "sortOrder": 2},
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{"optionId": null, "itemId": null, "optionCode": "C", "optionContent": "中等", "optionScore": 2.0, "sortOrder": 3},
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{"optionId": null, "itemId": null, "optionCode": "D", "optionContent": "较重", "optionScore": 3.0, "sortOrder": 4},
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{"optionId": null, "itemId": null, "optionCode": "E", "optionContent": "严重", "optionScore": 4.0, "sortOrder": 5}
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]
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},
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{
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"item": {"itemId": null, "scaleId": null, "itemNumber": 6, "itemContent": "抑郁心境：丧失兴趣、对以往爱好缺乏快感、抑郁、早醒、昼重夜轻：", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 6},
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"options": [
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{"optionId": null, "itemId": null, "optionCode": "A", "optionContent": "无症状", "optionScore": 0.0, "sortOrder": 1},
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{"optionId": null, "itemId": null, "optionCode": "B", "optionContent": "轻微", "optionScore": 1.0, "sortOrder": 2},
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{"optionId": null, "itemId": null, "optionCode": "C", "optionContent": "中等", "optionScore": 2.0, "sortOrder": 3},
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{"optionId": null, "itemId": null, "optionCode": "D", "optionContent": "较重", "optionScore": 3.0, "sortOrder": 4},
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{"optionId": null, "itemId": null, "optionCode": "E", "optionContent": "严重", "optionScore": 4.0, "sortOrder": 5}
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]
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},
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{
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"item": {"itemId": null, "scaleId": null, "itemNumber": 7, "itemContent": "躯体性焦虑(肌肉系统)：肌肉酸痛、活动不灵活、肌肉抽动、肢体抽动、牙齿打颤、声音发抖：", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 7},
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"options": [
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{"optionId": null, "itemId": null, "optionCode": "A", "optionContent": "无症状", "optionScore": 0.0, "sortOrder": 1},
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{"optionId": null, "itemId": null, "optionCode": "B", "optionContent": "轻微", "optionScore": 1.0, "sortOrder": 2},
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{"optionId": null, "itemId": null, "optionCode": "C", "optionContent": "中等", "optionScore": 2.0, "sortOrder": 3},
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{"optionId": null, "itemId": null, "optionCode": "D", "optionContent": "较重", "optionScore": 3.0, "sortOrder": 4},
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{"optionId": null, "itemId": null, "optionCode": "E", "optionContent": "严重", "optionScore": 4.0, "sortOrder": 5}
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]
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},
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{
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"item": {"itemId": null, "scaleId": null, "itemNumber": 8, "itemContent": "躯体性焦虑(感觉系统)：视物模糊、发冷发热、软弱无力感、浑身刺痛：", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 8},
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"options": [
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{"optionId": null, "itemId": null, "optionCode": "A", "optionContent": "无症状", "optionScore": 0.0, "sortOrder": 1},
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{"optionId": null, "itemId": null, "optionCode": "B", "optionContent": "轻微", "optionScore": 1.0, "sortOrder": 2},
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{"optionId": null, "itemId": null, "optionCode": "C", "optionContent": "中等", "optionScore": 2.0, "sortOrder": 3},
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{"optionId": null, "itemId": null, "optionCode": "D", "optionContent": "较重", "optionScore": 3.0, "sortOrder": 4},
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{"optionId": null, "itemId": null, "optionCode": "E", "optionContent": "严重", "optionScore": 4.0, "sortOrder": 5}
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]
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},
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{
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"item": {"itemId": null, "scaleId": null, "itemNumber": 9, "itemContent": "心血管系统症状：心动过速、心悸、胸痛、血管跳动感、昏倒感、心搏脱漏：", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 9},
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"options": [
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{"optionId": null, "itemId": null, "optionCode": "A", "optionContent": "无症状", "optionScore": 0.0, "sortOrder": 1},
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{"optionId": null, "itemId": null, "optionCode": "B", "optionContent": "轻微", "optionScore": 1.0, "sortOrder": 2},
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{"optionId": null, "itemId": null, "optionCode": "C", "optionContent": "中等", "optionScore": 2.0, "sortOrder": 3},
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{"optionId": null, "itemId": null, "optionCode": "D", "optionContent": "较重", "optionScore": 3.0, "sortOrder": 4},
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{"optionId": null, "itemId": null, "optionCode": "E", "optionContent": "严重", "optionScore": 4.0, "sortOrder": 5}
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]
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},
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{
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"item": {"itemId": null, "scaleId": null, "itemNumber": 10, "itemContent": "呼吸系统症状：胸闷、窒息感、叹息、呼吸困难：", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 10},
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"options": [
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{"optionId": null, "itemId": null, "optionCode": "A", "optionContent": "无症状", "optionScore": 0.0, "sortOrder": 1},
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{"optionId": null, "itemId": null, "optionCode": "B", "optionContent": "轻微", "optionScore": 1.0, "sortOrder": 2},
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{"optionId": null, "itemId": null, "optionCode": "C", "optionContent": "中等", "optionScore": 2.0, "sortOrder": 3},
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{"optionId": null, "itemId": null, "optionCode": "D", "optionContent": "较重", "optionScore": 3.0, "sortOrder": 4},
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{"optionId": null, "itemId": null, "optionCode": "E", "optionContent": "严重", "optionScore": 4.0, "sortOrder": 5}
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]
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},
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{
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"item": {"itemId": null, "scaleId": null, "itemNumber": 11, "itemContent": "胃肠道症状：吞咽困难、嗳气、消化不良、腹痛、腹胀、恶心、肠鸣、腹泻、便秘：", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 11},
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"options": [
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{"optionId": null, "itemId": null, "optionCode": "A", "optionContent": "无症状", "optionScore": 0.0, "sortOrder": 1},
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{"optionId": null, "itemId": null, "optionCode": "B", "optionContent": "轻微", "optionScore": 1.0, "sortOrder": 2},
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{"optionId": null, "itemId": null, "optionCode": "C", "optionContent": "中等", "optionScore": 2.0, "sortOrder": 3},
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{"optionId": null, "itemId": null, "optionCode": "D", "optionContent": "较重", "optionScore": 3.0, "sortOrder": 4},
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{"optionId": null, "itemId": null, "optionCode": "E", "optionContent": "严重", "optionScore": 4.0, "sortOrder": 5}
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]
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},
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{
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"item": {"itemId": null, "scaleId": null, "itemNumber": 12, "itemContent": "生殖泌尿系统症状：尿意频数、尿急、停经、性冷淡、早泄、阳萎：", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 12},
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"options": [
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{"optionId": null, "itemId": null, "optionCode": "A", "optionContent": "无症状", "optionScore": 0.0, "sortOrder": 1},
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{"optionId": null, "itemId": null, "optionCode": "B", "optionContent": "轻微", "optionScore": 1.0, "sortOrder": 2},
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{"optionId": null, "itemId": null, "optionCode": "C", "optionContent": "中等", "optionScore": 2.0, "sortOrder": 3},
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{"optionId": null, "itemId": null, "optionCode": "D", "optionContent": "较重", "optionScore": 3.0, "sortOrder": 4},
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{"optionId": null, "itemId": null, "optionCode": "E", "optionContent": "严重", "optionScore": 4.0, "sortOrder": 5}
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]
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},
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{
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"item": {"itemId": null, "scaleId": null, "itemNumber": 13, "itemContent": "植物神经系统症状：口干、潮红、苍白、易出汗、起鸡皮疙瘩、紧张性头痛、毛发竖起：", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 13},
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"options": [
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{"optionId": null, "itemId": null, "optionCode": "A", "optionContent": "无症状", "optionScore": 0.0, "sortOrder": 1},
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{"optionId": null, "itemId": null, "optionCode": "B", "optionContent": "轻微", "optionScore": 1.0, "sortOrder": 2},
|
||||
{"optionId": null, "itemId": null, "optionCode": "C", "optionContent": "中等", "optionScore": 2.0, "sortOrder": 3},
|
||||
{"optionId": null, "itemId": null, "optionCode": "D", "optionContent": "较重", "optionScore": 3.0, "sortOrder": 4},
|
||||
{"optionId": null, "itemId": null, "optionCode": "E", "optionContent": "严重", "optionScore": 4.0, "sortOrder": 5}
|
||||
]
|
||||
},
|
||||
{
|
||||
"item": {"itemId": null, "scaleId": null, "itemNumber": 14, "itemContent": "会谈时行为表现：紧张、不能松弛、忐忑不安，咬手指、紧紧握拳、面肌抽动、不宁顿足、手发抖、皱眉、表情僵硬、肌张力高，叹气样呼吸、面色苍白、吞咽、心率快、呼吸快、腱反射亢进、震颤、瞳孔散大、眼睑跳动、易出汗：", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 14},
|
||||
"options": [
|
||||
{"optionId": null, "itemId": null, "optionCode": "A", "optionContent": "无症状", "optionScore": 0.0, "sortOrder": 1},
|
||||
{"optionId": null, "itemId": null, "optionCode": "B", "optionContent": "轻微", "optionScore": 1.0, "sortOrder": 2},
|
||||
{"optionId": null, "itemId": null, "optionCode": "C", "optionContent": "中等", "optionScore": 2.0, "sortOrder": 3},
|
||||
{"optionId": null, "itemId": null, "optionCode": "D", "optionContent": "较重", "optionScore": 3.0, "sortOrder": 4},
|
||||
{"optionId": null, "itemId": null, "optionCode": "E", "optionContent": "严重", "optionScore": 4.0, "sortOrder": 5}
|
||||
]
|
||||
}
|
||||
],
|
||||
"interpretations": [
|
||||
{
|
||||
"factorId": null, "factorCode": "F1", "scoreRangeMin": 0.0, "scoreRangeMax": 5.0,
|
||||
"level": "正常", "levelName": "心理性焦虑正常",
|
||||
"interpretationTitle": "心理性焦虑水平正常",
|
||||
"interpretationContent": "您在心理性焦虑维度的得分处于正常范围，表明您目前的情绪状态较为稳定，没有明显的担忧、紧张或恐惧感。您能够较好地应对日常生活中的压力，情绪调节能力良好，心理韧性较强。",
|
||||
"suggestions": "继续保持积极的生活态度和健康的应对方式，适当进行放松活动以维持良好的心理状态。",
|
||||
"sortOrder": 1
|
||||
},
|
||||
{
|
||||
"factorId": null, "factorCode": "F1", "scoreRangeMin": 5.0, "scoreRangeMax": 10.0,
|
||||
"level": "轻度", "levelName": "心理性焦虑轻度",
|
||||
"interpretationTitle": "心理性焦虑轻度偏高",
|
||||
"interpretationContent": "您在心理性焦虑维度的得分略高于正常范围，可能存在一定程度的担忧、紧张或易激惹情绪。这种轻度焦虑通常与近期的压力事件有关，属于正常的应激反应，但需要关注其发展趋势。",
|
||||
"suggestions": "建议学习放松技巧如深呼吸、渐进性肌肉放松，保持规律作息，适当运动，必要时与信任的人倾诉。",
|
||||
"sortOrder": 2
|
||||
},
|
||||
{
|
||||
"factorId": null, "factorCode": "F1", "scoreRangeMin": 10.0, "scoreRangeMax": 15.0,
|
||||
"level": "中度", "levelName": "心理性焦虑中度",
|
||||
"interpretationTitle": "心理性焦虑中度偏高",
|
||||
"interpretationContent": "您在心理性焦虑维度的得分明显偏高，表明您可能经常感到担忧、紧张、害怕或情绪低落。这种持续的心理性焦虑可能已经影响到您的日常生活和工作效率，需要积极干预。",
|
||||
"suggestions": "建议寻求专业心理咨询，学习认知行为技术来调整负面思维模式，同时配合放松训练和规律运动。",
|
||||
"sortOrder": 3
|
||||
},
|
||||
{
|
||||
"factorId": null, "factorCode": "F1", "scoreRangeMin": 15.0, "scoreRangeMax": 20.0,
|
||||
"level": "重度", "levelName": "心理性焦虑重度",
|
||||
"interpretationTitle": "心理性焦虑重度偏高",
|
||||
"interpretationContent": "您在心理性焦虑维度的得分处于重度范围，表明您可能正在经历严重的担忧、恐惧、紧张和情绪困扰。这种程度的心理性焦虑已经严重影响您的生活质量和社会功能，需要立即寻求专业帮助。",
|
||||
"suggestions": "强烈建议尽快就医，接受专业的心理评估和治疗，可能需要结合药物治疗和心理治疗。",
|
||||
"sortOrder": 4
|
||||
},
|
||||
{
|
||||
"factorId": null, "factorCode": "F2", "scoreRangeMin": 0.0, "scoreRangeMax": 5.0,
|
||||
"level": "正常", "levelName": "躯体性焦虑正常",
|
||||
"interpretationTitle": "躯体性焦虑水平正常",
|
||||
"interpretationContent": "您在躯体性焦虑维度的得分处于正常范围，表明您的身体没有明显的焦虑相关躯体症状，如肌肉紧张、心悸、呼吸困难等。您的自主神经系统功能良好，身体处于相对放松的状态。",
|
||||
"suggestions": "继续保持健康的生活方式，规律运动，充足睡眠，以维持良好的身心状态。",
|
||||
"sortOrder": 5
|
||||
},
|
||||
{
|
||||
"factorId": null, "factorCode": "F2", "scoreRangeMin": 5.0, "scoreRangeMax": 10.0,
|
||||
"level": "轻度", "levelName": "躯体性焦虑轻度",
|
||||
"interpretationTitle": "躯体性焦虑轻度偏高",
|
||||
"interpretationContent": "您在躯体性焦虑维度的得分略高于正常范围，可能偶尔出现肌肉紧张、心跳加快、出汗等躯体症状。这些症状通常是身体对压力的正常反应，但需要注意自我调节。",
|
||||
"suggestions": "建议进行规律的有氧运动，学习渐进性肌肉放松技术，注意劳逸结合，避免过度疲劳。",
|
||||
"sortOrder": 6
|
||||
},
|
||||
{
|
||||
"factorId": null, "factorCode": "F2", "scoreRangeMin": 10.0, "scoreRangeMax": 15.0,
|
||||
"level": "中度", "levelName": "躯体性焦虑中度",
|
||||
"interpretationTitle": "躯体性焦虑中度偏高",
|
||||
"interpretationContent": "您在躯体性焦虑维度的得分明显偏高，可能经常出现肌肉酸痛、心悸、胸闷、呼吸困难、出汗等躯体症状。这些症状可能已经影响到您的日常活动和生活质量，建议进行医学检查排除器质性疾病。",
|
||||
"suggestions": "建议先进行全面体检排除躯体疾病，同时学习放松技术，必要时寻求心理咨询或精神科评估。",
|
||||
"sortOrder": 7
|
||||
},
|
||||
{
|
||||
"factorId": null, "factorCode": "F2", "scoreRangeMin": 15.0, "scoreRangeMax": 20.0,
|
||||
"level": "重度", "levelName": "躯体性焦虑重度",
|
||||
"interpretationTitle": "躯体性焦虑重度偏高",
|
||||
"interpretationContent": "您在躯体性焦虑维度的得分处于重度范围，表明您可能正在经历严重的躯体症状，如持续的肌肉紧张、频繁的心悸、呼吸困难、头晕等。这些症状已经严重影响您的身体功能和生活质量，需要立即就医。",
|
||||
"suggestions": "强烈建议立即就医，进行全面的身体检查和心理评估，可能需要药物治疗来缓解躯体症状。",
|
||||
"sortOrder": 8
|
||||
},
|
||||
{
|
||||
"factorId": null, "factorCode": "F3", "scoreRangeMin": 0.0, "scoreRangeMax": 4.0,
|
||||
"level": "正常", "levelName": "睡眠认知功能正常",
|
||||
"interpretationTitle": "睡眠与认知功能正常",
|
||||
"interpretationContent": "您在睡眠与认知功能维度的得分处于正常范围，表明您的睡眠质量良好，认知功能正常，消化系统和泌尿生殖系统没有明显的焦虑相关症状。您能够保持良好的精力和注意力。",
|
||||
"suggestions": "继续保持规律的作息时间和健康的饮食习惯，适当进行脑力活动以维持认知功能。",
|
||||
"sortOrder": 9
|
||||
},
|
||||
{
|
||||
"factorId": null, "factorCode": "F3", "scoreRangeMin": 4.0, "scoreRangeMax": 8.0,
|
||||
"level": "轻度", "levelName": "睡眠认知功能轻度异常",
|
||||
"interpretationTitle": "睡眠与认知功能轻度受损",
|
||||
"interpretationContent": "您在睡眠与认知功能维度的得分略高于正常范围，可能存在入睡困难、睡眠质量下降、注意力不集中或轻度消化不适等问题。这些症状通常与压力和焦虑有关，需要关注和调整。",
|
||||
"suggestions": "建议建立规律的睡眠习惯，睡前避免使用电子设备，可尝试冥想或放松音乐助眠，注意饮食规律。",
|
||||
"sortOrder": 10
|
||||
},
|
||||
{
|
||||
"factorId": null, "factorCode": "F3", "scoreRangeMin": 8.0, "scoreRangeMax": 12.0,
|
||||
"level": "中度", "levelName": "睡眠认知功能中度异常",
|
||||
"interpretationTitle": "睡眠与认知功能中度受损",
|
||||
"interpretationContent": "您在睡眠与认知功能维度的得分明显偏高，可能存在明显的失眠、记忆力下降、注意力难以集中、消化系统或泌尿生殖系统功能紊乱等问题。这些症状已经影响到您的日常生活和工作效率。",
|
||||
"suggestions": "建议寻求专业帮助，可能需要进行睡眠评估和认知功能检查，必要时接受针对性治疗。",
|
||||
"sortOrder": 11
|
||||
},
|
||||
{
|
||||
"factorId": null, "factorCode": "F3", "scoreRangeMin": 12.0, "scoreRangeMax": 16.0,
|
||||
"level": "重度", "levelName": "睡眠认知功能重度异常",
|
||||
"interpretationTitle": "睡眠与认知功能重度受损",
|
||||
"interpretationContent": "您在睡眠与认知功能维度的得分处于重度范围，表明您可能正在经历严重的睡眠障碍、认知功能明显下降、消化系统和泌尿生殖系统功能严重紊乱。这些症状已经严重影响您的身心健康和社会功能。",
|
||||
"suggestions": "强烈建议立即就医，接受全面的身心评估和治疗，可能需要药物干预和综合治疗方案。",
|
||||
"sortOrder": 12
|
||||
},
|
||||
{
|
||||
"factorId": null, "factorCode": null, "scoreRangeMin": 0.0, "scoreRangeMax": 14.0,
|
||||
"level": "正常", "levelName": "焦虑水平正常",
|
||||
"interpretationTitle": "总体焦虑水平正常",
|
||||
"interpretationContent": "您的汉密顿焦虑量表总分处于正常范围，表明您目前没有明显的焦虑症状。您的心理状态稳定，情绪调节能力良好，身体没有明显的焦虑相关躯体症状，睡眠和认知功能正常。您能够较好地应对日常生活中的各种压力和挑战，保持积极健康的心态。",
|
||||
"suggestions": "继续保持健康的生活方式，包括规律作息、适度运动、均衡饮食和良好的社交关系。定期进行自我心理状态评估，及时识别和处理压力源。",
|
||||
"sortOrder": 20
|
||||
},
|
||||
{
|
||||
"factorId": null, "factorCode": null, "scoreRangeMin": 14.0, "scoreRangeMax": 21.0,
|
||||
"level": "轻度", "levelName": "轻度焦虑",
|
||||
"interpretationTitle": "总体焦虑水平轻度偏高",
|
||||
"interpretationContent": "您的汉密顿焦虑量表总分显示轻度焦虑倾向。您可能在情绪层面出现一定程度的担忧或紧张，并可能伴随部分躯体感受或睡眠与注意力的轻微波动。这种程度的焦虑通常与近期的压力事件有关，属于正常的应激反应，但需要关注其发展趋势，避免进一步加重。",
|
||||
"suggestions": "建议通过自我调节来改善焦虑状态，如学习放松技巧（深呼吸、冥想）、保持规律运动、优化睡眠习惯、与亲友倾诉等。如果症状持续或加重，建议寻求专业心理咨询。",
|
||||
"sortOrder": 21
|
||||
},
|
||||
{
|
||||
"factorId": null, "factorCode": null, "scoreRangeMin": 21.0, "scoreRangeMax": 29.0,
|
||||
"level": "中度", "levelName": "中度焦虑",
|
||||
"interpretationTitle": "总体焦虑水平中度偏高",
|
||||
"interpretationContent": "您的汉密顿焦虑量表总分提示中度焦虑。您可能同时存在心理性症状（如持续担忧、易激惹、恐惧）和躯体表现（如肌肉紧张、心悸、胃肠不适），睡眠质量和认知效率也可能受到影响。这种程度的焦虑已经开始影响您的日常生活和工作学习效率，需要积极干预。",
|
||||
"suggestions": "建议尽快寻求专业心理咨询或精神科评估，了解焦虑的具体原因，制定针对性的干预方案。可以结合放松训练、认知行为治疗等方法，必要时考虑药物辅助治疗。",
|
||||
"sortOrder": 22
|
||||
},
|
||||
{
|
||||
"factorId": null, "factorCode": null, "scoreRangeMin": 29.0, "scoreRangeMax": 56.0,
|
||||
"level": "重度", "levelName": "重度焦虑",
|
||||
"interpretationTitle": "总体焦虑水平重度偏高",
|
||||
"interpretationContent": "您的汉密顿焦虑量表总分处于重度焦虑范围，提示您可能正在经历严重的情绪困扰、明显的躯体症状以及睡眠和认知功能的显著受损。这种程度的焦虑已经严重影响您的日常生活、工作学习和社会功能，可能伴随显著的痛苦体验，需要立即寻求专业帮助。",
|
||||
"suggestions": "强烈建议立即就医，接受精神科或临床心理专业的全面评估和治疗。治疗方案可能包括药物治疗、心理治疗及生活方式干预的综合方案。同时请确保有家人或朋友的支持和陪伴。",
|
||||
"sortOrder": 23
|
||||
}
|
||||
],
|
||||
"warningRules": [
|
||||
{
|
||||
"ruleId": null, "scaleId": null, "factorId": null,
|
||||
"ruleName": "汉密顿焦虑量表(HAMA)中度焦虑预警",
|
||||
"warningLevel": "关注",
|
||||
"scoreMin": 21.0, "scoreMax": 29.0,
|
||||
"percentileMin": 0.0, "percentileMax": 0.0,
|
||||
"autoRelief": "0", "reliefCondition": null,
|
||||
"status": "1", "factorName": null, "scaleName": null, "factorCode": null
|
||||
},
|
||||
{
|
||||
"ruleId": null, "scaleId": null, "factorId": null,
|
||||
"ruleName": "汉密顿焦虑量表(HAMA)重度焦虑预警",
|
||||
"warningLevel": "紧急",
|
||||
"scoreMin": 29.0, "scoreMax": 56.0,
|
||||
"percentileMin": 0.0, "percentileMax": 0.0,
|
||||
"autoRelief": "0", "reliefCondition": null,
|
||||
"status": "1", "factorName": null, "scaleName": null, "factorCode": null
|
||||
}
|
||||
]
|
||||
}
|
||||
103
项目介绍/量表/指令
Normal file
103
项目介绍/量表/指令
Normal file
|
|
@ -0,0 +1,103 @@
|
|||
你是一个专业的心理测量学专家，请帮我优化心理量表的JSON配置文件。
|
||||
|
||||
## 任务目标
|
||||
为量表添加完整的因子结构和解释配置，确保导入系统后能正确生成测评报告。
|
||||
|
||||
## 配置规则
|
||||
|
||||
### 1. 因子设计规则
|
||||
- 根据量表的心理学维度设计3-8个因子
|
||||
- 每个因子应包含相关联的题目（通过itemNumber关联）
|
||||
- 因子按心理学维度划分（如认知、情绪、躯体、行为、睡眠等）
|
||||
- 所有题目必须被分配到某个因子中，不能遗漏
|
||||
- 每道题目只能属于一个因子，不能重复分配
|
||||
- 每个因子的factorDescription不少于50字
|
||||
- 系统会自动将所有因子得分相加作为总分，无需创建"总分"因子
|
||||
|
||||
### 2. 分数范围计算规则（重要！）
|
||||
- 选项得分：根据量表实际情况设置（通常为0-3或1-4）
|
||||
- 因子分数范围 = 该因子包含的题目数 × 选项最低分 ~ 该因子包含的题目数 × 选项最高分
|
||||
- 总分范围 = 总题目数 × 选项最低分 ~ 总题目数 × 选项最高分
|
||||
- 例如：20题量表，每题0-3分，总分范围 = 0-60分
|
||||
|
||||
### 3. 解释配置规则
|
||||
|
||||
#### 因子解释（interpretations数组中factorCode不为null的项）
|
||||
- 每个因子配置3-4个等级（如：低、中等、高 或 正常、轻度、中度、重度）
|
||||
- 分数范围要覆盖该因子的完整分数区间，不能有遗漏
|
||||
- interpretationContent不少于50字
|
||||
- suggestions不少于30字
|
||||
- 必须包含factorCode字段（如"F1"、"F2"等）
|
||||
|
||||
#### 总体解释（interpretations数组中factorCode和factorId都为null的项）
|
||||
- 配置3-4个等级
|
||||
- 分数范围要覆盖总分的完整区间（所有因子分数之和）
|
||||
- interpretationContent不少于100字（综合所有因子的整体评估）
|
||||
- suggestions不少于50字
|
||||
- factorCode和factorId必须都设为null
|
||||
- sortOrder从20开始（避免与因子解释冲突）
|
||||
|
||||
### 4. JSON结构示例
|
||||
|
||||
```json
|
||||
{
|
||||
"interpretations": [
|
||||
{
|
||||
"factorId": null,
|
||||
"factorCode": "F1",
|
||||
"scoreRangeMin": 0.0,
|
||||
"scoreRangeMax": 10.0,
|
||||
"level": "低",
|
||||
"levelName": "因子水平较低",
|
||||
"interpretationTitle": "因子水平较低",
|
||||
"interpretationContent": "不少于50字的解释内容...",
|
||||
"suggestions": "建议内容...",
|
||||
"sortOrder": 1
|
||||
},
|
||||
{
|
||||
"factorId": null,
|
||||
"factorCode": null,
|
||||
"scoreRangeMin": 0.0,
|
||||
"scoreRangeMax": 50.0,
|
||||
"level": "良好",
|
||||
"levelName": "总体良好",
|
||||
"interpretationTitle": "总体评估：良好",
|
||||
"interpretationContent": "不少于100字的综合评估...",
|
||||
"suggestions": "综合建议...",
|
||||
"sortOrder": 20
|
||||
}
|
||||
]
|
||||
}
|
||||
```
|
||||
|
||||
### 5. 重要检查清单
|
||||
- [ ] scaleCode 唯一，不与已有量表重复
|
||||
- [ ] 所有题目都被分配到因子中，没有遗漏
|
||||
- [ ] 每道题目只属于一个因子，没有重复
|
||||
- [ ] 因子分数范围正确覆盖（题目数 × 分数范围）
|
||||
- [ ] 每个因子都有完整的解释配置（覆盖全部分数区间）
|
||||
- [ ] 总分范围 = 所有因子分数范围之和
|
||||
- [ ] 总体解释覆盖完整的总分区间
|
||||
- [ ] 总体解释的factorCode和factorId都是null
|
||||
- [ ] 总体解释的sortOrder从20开始
|
||||
- [ ] 解释内容专业、准确、符合心理学规范
|
||||
- [ ] 配置了适当的预警规则（中度及以上）
|
||||
|
||||
### 6. 量表编码规则（重要！）
|
||||
- scaleCode 必须唯一，不能与系统中已有量表重复
|
||||
- 建议使用英文缩写+版本号格式，如：HAMA-14、SAS-20、SCL-90
|
||||
- 如果导入时提示"量表编码已存在"，需要修改scaleCode
|
||||
|
||||
### 7. 预警规则配置
|
||||
- warningRules 用于配置自动预警触发条件
|
||||
- warningLevel 分为：关注、警告、紧急
|
||||
- 建议为中度及以上异常配置预警规则
|
||||
- scoreMin 和 scoreMax 定义触发预警的分数区间
|
||||
|
||||
## 输出要求
|
||||
- 输出完整的JSON文件
|
||||
- 确保所有分数范围正确覆盖，不能有遗漏区间
|
||||
- 确保每个因子和总分都有完整的解释配置
|
||||
- 确保总体解释的factorCode和factorId都是null
|
||||
- 确保解释内容专业、准确、符合心理学规范
|
||||
- 确保scaleCode唯一，避免与已有量表冲突
|
||||
Loading…
Reference in New Issue
Block a user