From 5e9de851e338e1b8274d73bc51aaa15f3762694f Mon Sep 17 00:00:00 2001 From: "xiao12feng@outlook.com" Date: Sat, 20 Dec 2025 18:30:48 +0800 Subject: [PATCH] =?UTF-8?q?=E6=B7=BB=E5=8A=A0=E6=B1=89=E5=AF=86=E9=A1=BF?= =?UTF-8?q?=E7=84=A6=E8=99=91=E9=87=8F=E8=A1=A8(HAMA)=E9=85=8D=E7=BD=AE?= =?UTF-8?q?=E5=92=8C=E6=9B=B4=E6=96=B0=E9=87=8F=E8=A1=A8=E9=85=8D=E7=BD=AE?= =?UTF-8?q?=E6=8C=87=E4=BB=A4?= MIME-Version: 1.0 Content-Type: text/plain; charset=UTF-8 Content-Transfer-Encoding: 8bit 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 --- .../量表/完美的量表/汉密顿焦虑量表(HAMA).json | 389 ++++++++++++++++++ 项目介绍/量表/指令 | 103 +++++ 2 files changed, 492 insertions(+) create mode 100644 项目介绍/量表/完美的量表/汉密顿焦虑量表(HAMA).json create mode 100644 项目介绍/量表/指令 diff --git a/项目介绍/量表/完美的量表/汉密顿焦虑量表(HAMA).json b/项目介绍/量表/完美的量表/汉密顿焦虑量表(HAMA).json new file mode 100644 index 00000000..b634707d --- /dev/null +++ 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"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} + ] + }, + { + "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 + } + ] +} \ No newline at end of file diff --git a/项目介绍/量表/指令 b/项目介绍/量表/指令 new file mode 100644 index 00000000..6add8bd4 --- /dev/null +++ b/项目介绍/量表/指令 @@ -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