{ "scale": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "scaleId": null, "scaleCode": "汉密顿抑郁量表HAMD", "scaleName": "汉密顿抑郁量表(HAMD)", "scaleEnName": "", "scaleType": "psychological assessment", "scaleVersion": "1.0", "scaleIntro": "抑郁症通常指的是情绪障碍，是一种以心境低落为主要特征的综合症。这种障碍可能从情绪的轻度不佳到严重的抑郁，它有别于正常的情绪低落。", "scaleDescription": "请仔细阅读每一个问题，根据您的实际情况进行选择。", "itemCount": 24, "estimatedTime": 12, "targetPopulation": "一般人群", "author": "", "source": "", "reference": "", "status": "0", "sortOrder": 0, "sourceType": "scale", "originalId": null }, "factors": [ { "factor": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "factorId": null, "scaleId": null, "factorCode": "F1", "factorName": "汉密顿抑郁总分", "factorEnName": "HAMD Total Score", "factorDescription": "综合反映个体在汉密顿抑郁量表(HAMD)上总体抑郁严重程度的指标，是对各条目评分累加后的总分。该分数大体代表了抑郁情绪、兴趣与活动水平、躯体症状、睡眠、焦虑、自杀观念等多个方面的整体负荷，可用来进行抑郁严重程度的分级判断和疗效随访。但总分本身不能替代专业诊断，仍需结合临床访谈、既往病史及其他量表综合评估，方能更准确地了解抑郁状态的性质和原因。", "factorOrder": 1 }, "rules": [ { "itemNumber": 1, "rule": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": null, "updateTime": null, "remark": null, "ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum" } }, { "itemNumber": 2, "rule": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": null, "updateTime": null, "remark": null, "ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum" } }, { "itemNumber": 3, "rule": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": null, "updateTime": null, "remark": null, "ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum" } }, { "itemNumber": 4, "rule": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": null, "updateTime": null, "remark": null, "ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum" } }, { "itemNumber": 5, "rule": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": null, "updateTime": null, "remark": null, "ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum" } }, { "itemNumber": 6, "rule": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": null, "updateTime": null, "remark": null, "ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum" } }, { "itemNumber": 7, "rule": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": null, "updateTime": null, "remark": null, "ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum" } }, { "itemNumber": 8, "rule": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": null, "updateTime": null, "remark": null, "ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum" } }, { "itemNumber": 9, "rule": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": null, "updateTime": null, "remark": null, "ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum" } }, { "itemNumber": 10, "rule": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": null, "updateTime": null, "remark": null, "ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum" } }, { "itemNumber": 11, "rule": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": null, "updateTime": null, "remark": null, "ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum" } }, { "itemNumber": 12, "rule": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": null, "updateTime": null, "remark": null, "ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum" } }, { "itemNumber": 13, "rule": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": null, "updateTime": null, "remark": null, "ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum" } }, { "itemNumber": 14, "rule": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": null, "updateTime": null, "remark": null, "ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum" } }, { "itemNumber": 15, "rule": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": null, "updateTime": null, "remark": null, "ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum" } }, { "itemNumber": 16, "rule": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": null, "updateTime": null, "remark": null, "ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum" } }, { "itemNumber": 17, "rule": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": null, "updateTime": null, "remark": null, "ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum" } }, { "itemNumber": 18, "rule": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": null, "updateTime": null, "remark": null, "ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum" } }, { "itemNumber": 19, "rule": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": null, "updateTime": null, "remark": null, "ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum" } }, { "itemNumber": 20, "rule": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": null, "updateTime": null, "remark": null, "ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum" } }, { "itemNumber": 21, "rule": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": null, "updateTime": null, "remark": null, "ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum" } }, { "itemNumber": 22, "rule": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": null, "updateTime": null, "remark": null, "ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum" } }, { "itemNumber": 23, "rule": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": null, "updateTime": null, "remark": null, "ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum" } }, { "itemNumber": 24, "rule": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": null, "updateTime": null, "remark": null, "ruleId": null, "factorId": null, "itemId": null, "optionIds": null, "weight": 1.0, "calculationType": "sum" } } ] }, { "factor": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "factorId": null, "scaleId": null, "factorCode": "F2", "factorName": "情绪与认知症状", "factorEnName": "Emotional and Cognitive Symptoms", "factorDescription": "主要反映抑郁发作中最核心的情绪和认知改变，包括显著、持续的抑郁心境，有罪感与过度自责、自杀观念或行为、绝望感、自卑感以及对自身能力的明显否定等。这一因子高分提示个体在情绪上长期处于负性体验主导状态，并在思维层面形成较为固着的悲观解释框架，是评估抑郁严重程度和自杀风险时需要重点关注的维度，对治疗方式选择和风险管理具有重要临床意义。", "factorOrder": 2 }, "rules": [ { "itemNumber": 1, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } }, { "itemNumber": 2, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } }, { "itemNumber": 3, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } }, { "itemNumber": 7, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } }, { "itemNumber": 15, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } }, { "itemNumber": 17, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } }, { "itemNumber": 19, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } }, { "itemNumber": 20, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } }, { "itemNumber": 21, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } }, { "itemNumber": 22, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } }, { "itemNumber": 23, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } }, { "itemNumber": 24, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } } ] }, { "factor": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "factorId": null, "scaleId": null, "factorCode": "F3", "factorName": "睡眠障碍", "factorEnName": "Sleep Disturbance", "factorDescription": "由入睡困难、睡眠不深和早醒三部分构成，反映抑郁状态下典型的初段、中段和末段失眠表现。该因子高分提示个体在入睡时间延长、夜间多次醒来、清晨过早醒来且难以再次入睡等方面存在持续困扰，往往伴随白天精力下降、注意力不集中和易疲劳。睡眠问题既是抑郁的重要症状之一，也可能是维持和加重抑郁的关键因素，因此在制定干预方案时需要针对性评估和治疗。", "factorOrder": 3 }, "rules": [ { "itemNumber": 4, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } }, { "itemNumber": 5, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } }, { "itemNumber": 6, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } } ] }, { "factor": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "factorId": null, "scaleId": null, "factorCode": "F4", "factorName": "焦虑与躯体症状", "factorEnName": "Anxiety and Somatic Symptoms", "factorDescription": "聚焦于抑郁发作中常见的焦虑成分及其身体化表现，包括精神性焦虑、躯体性焦虑、胃肠道症状、全身不适、性功能改变以及与焦虑相关的精神运动性激越或阻滞等。该因子高分提示个体除了情绪低落外，还承受着明显的紧张不安、心身不适和生理功能紊乱，这类患者在就诊时往往以“身体不舒服”为主要诉求，更容易被误归为单纯躯体疾病，需要在综合评估中加以识别与干预。", "factorOrder": 4 }, "rules": [ { "itemNumber": 8, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } }, { "itemNumber": 9, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } }, { "itemNumber": 10, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } }, { "itemNumber": 11, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } }, { "itemNumber": 12, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } }, { "itemNumber": 13, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } }, { "itemNumber": 14, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } } ] }, { "factor": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "factorId": null, "scaleId": null, "factorCode": "F5", "factorName": "功能损害与生理改变", "factorEnName": "Functional Impairment and Physical Change", "factorDescription": "反映抑郁对个体日常功能和生理状态的整体影响，包括工作和兴趣下降、体重减轻、全身乏力和躯体不适、性功能和日夜节律改变，以及能力减退感等。该因子高分往往意味着抑郁不再局限于“心情不好”，而是已经显著损害学习工作效率、日常生活自理和社会角色履行，对生活质量造成实质性打击，也是判断病程严重程度和治疗效果的重要参考指标。", "factorOrder": 5 }, "rules": [ { "itemNumber": 5, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } }, { "itemNumber": 7, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } }, { "itemNumber": 12, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } }, { "itemNumber": 13, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } }, { "itemNumber": 16, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } }, { "itemNumber": 18, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } }, { "itemNumber": 22, "rule": { "createBy": "admin","createTime": "2025-12-14 14:47:04","updateBy": null,"updateTime": null,"remark": null,"ruleId": null,"factorId": null,"itemId": null,"optionIds": null,"weight": 1.0,"calculationType": "sum" } } ] } ], "items": [ { "item": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "itemId": null, "scaleId": null, "itemNumber": 1, "itemContent": "抑郁情绪", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 1 }, "options": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "A", "optionContent": "没有", "optionScore": 0.0, "sortOrder": 1 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "B", "optionContent": "只在问到时才诉述", "optionScore": 1.0, "sortOrder": 2 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "C", "optionContent": "在访谈中自发地表达", "optionScore": 2.0, "sortOrder": 3 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "D", "optionContent": "不用言语也可以从表情-姿势-声音或欲哭中流露出这种情绪", "optionScore": 3.0, "sortOrder": 4 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "E", "optionContent": "病人的自发言语和非语言表达几乎完全表现为这种情绪", "optionScore": 4.0, "sortOrder": 5 } ] }, { "item": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "itemId": null, "scaleId": null, "itemNumber": 2, "itemContent": "有罪感", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 2 }, "options": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "A", "optionContent": "没有", "optionScore": 0.0, "sortOrder": 1 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "B", "optionContent": "责备自己,感到自己已连累他人", "optionScore": 1.0, "sortOrder": 2 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "C", "optionContent": "认为自己犯了罪,或反复思考以往的过失和错误", "optionScore": 2.0, "sortOrder": 3 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "D", "optionContent": "认为目前的疾病,是对自己错误的惩罚,或有罪恶妄想", "optionScore": 3.0, "sortOrder": 4 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "E", "optionContent": "罪恶妄想伴有指责或威胁性幻觉", "optionScore": 4.0, "sortOrder": 5 } ] }, { "item": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "itemId": null, "scaleId": null, "itemNumber": 3, "itemContent": "自杀", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 3 }, "options": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "A", "optionContent": "没有", "optionScore": 0.0, "sortOrder": 1 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "B", "optionContent": "觉得活着没有意义", "optionScore": 1.0, "sortOrder": 2 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "C", "optionContent": "希望自己已经死去,或常想到与死有关的事", "optionScore": 2.0, "sortOrder": 3 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "D", "optionContent": "消极观念自杀念头", "optionScore": 3.0, "sortOrder": 4 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "E", "optionContent": "有严重自杀行为", "optionScore": 4.0, "sortOrder": 5 } ] }, { "item": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "itemId": null, "scaleId": null, "itemNumber": 4, "itemContent": "入睡困难（初段失眠）", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 4 }, "options": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "A", "optionContent": "没有", "optionScore": 0.0, "sortOrder": 1 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "B", "optionContent": "主诉有入睡困难,上床半小时后仍不能入睡。（要注意平时病人入睡的时间）", "optionScore": 1.0, "sortOrder": 2 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "C", "optionContent": "主诉每晚均有入睡困难", "optionScore": 2.0, "sortOrder": 3 } ] }, { "item": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "itemId": null, "scaleId": null, "itemNumber": 5, "itemContent": "睡眠不深（中段失眠）", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 5 }, "options": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "A", "optionContent": "没有", "optionScore": 0.0, "sortOrder": 1 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "B", "optionContent": "睡眠浅,多恶梦", "optionScore": 1.0, "sortOrder": 2 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "C", "optionContent": "半夜（晚12点钟以前）曾醒来（不包括上厕所）", "optionScore": 2.0, "sortOrder": 3 } ] }, { "item": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "itemId": null, "scaleId": null, "itemNumber": 6, "itemContent": "早醒（末段失眠）", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 6 }, "options": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "A", "optionContent": "没有", "optionScore": 0.0, "sortOrder": 1 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "B", "optionContent": "有早醒,比平时早醒1小时,但能重新入睡,应排除平时习惯", "optionScore": 1.0, "sortOrder": 2 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "C", "optionContent": "早醒后无法重新入睡", "optionScore": 2.0, "sortOrder": 3 } ] }, { "item": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "itemId": null, "scaleId": null, "itemNumber": 7, "itemContent": "工作和兴趣", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 7 }, "options": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "A", "optionContent": "没有", "optionScore": 0.0, "sortOrder": 1 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "B", "optionContent": "提问时才诉述", "optionScore": 1.0, "sortOrder": 2 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "C", "optionContent": "自发地直接或间接表达对活动-工作或学习失去兴趣,如感到没精打彩-犹豫不决-不能坚持或需强迫自己去工作或活动", "optionScore": 2.0, "sortOrder": 3 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "D", "optionContent": "活动时间减少或成效下降,住院病人每天参加病房劳动或娱乐不满3小时", "optionScore": 3.0, "sortOrder": 4 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "E", "optionContent": "因目前的疾病而停止工作,住院者不参加任何活动或者没有他人帮助便不能完成病室日常事务", "optionScore": 4.0, "sortOrder": 5 } ] }, { "item": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "itemId": null, "scaleId": null, "itemNumber": 8, "itemContent": "阻滞（指思维和言语缓慢,注意力难以集中,主动性减退）", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 8 }, "options": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "A", "optionContent": "没有", "optionScore": 0.0, "sortOrder": 1 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "B", "optionContent": "精神检查中发现轻度阻滞", "optionScore": 1.0, "sortOrder": 2 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "C", "optionContent": "精神检查中发现明显阻滞", "optionScore": 2.0, "sortOrder": 3 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "D", "optionContent": "精神检查进行困难", "optionScore": 3.0, "sortOrder": 4 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "E", "optionContent": "完全不能回答问题木僵", "optionScore": 4.0, "sortOrder": 5 } ] }, { "item": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "itemId": null, "scaleId": null, "itemNumber": 9, "itemContent": "激越", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 9 }, "options": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "A", "optionContent": "没有", "optionScore": 0.0, "sortOrder": 1 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "B", "optionContent": "检查时有些心神不定", "optionScore": 1.0, "sortOrder": 2 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "C", "optionContent": "明显心神不定或小动作多", "optionScore": 2.0, "sortOrder": 3 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "D", "optionContent": "不能静坐,检查中曾起立", "optionScore": 3.0, "sortOrder": 4 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "E", "optionContent": "搓手、咬手指、扯头发、咬嘴唇", "optionScore": 4.0, "sortOrder": 5 } ] }, { "item": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "itemId": null, "scaleId": null, "itemNumber": 10, "itemContent": "精神性焦虑", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 10 }, "options": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "A", "optionContent": "没有", "optionScore": 0.0, "sortOrder": 1 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "B", "optionContent": "问及时诉述", "optionScore": 1.0, "sortOrder": 2 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "C", "optionContent": "自发地表达", "optionScore": 2.0, "sortOrder": 3 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "D", "optionContent": "表情和言谈流露出明显忧虑", "optionScore": 3.0, "sortOrder": 4 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "E", "optionContent": "明显惊恐", "optionScore": 4.0, "sortOrder": 5 } ] }, { "item": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "itemId": null, "scaleId": null, "itemNumber": 11, "itemContent": "躯体性焦虑（指焦虑的生理症状,包括:口干、腹胀、腹泻、打呃、腹绞痛、心悸、头痛、过度换气和叹气，以及尿频和出汗）", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 11 }, "options": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "A", "optionContent": "没有", "optionScore": 0.0, "sortOrder": 1 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "B", "optionContent": "轻度", "optionScore": 1.0, "sortOrder": 2 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "C", "optionContent": "中度,有肯定的上述症状", "optionScore": 2.0, "sortOrder": 3 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "D", "optionContent": "重度,上述症状严重,影响生活或需要处理", "optionScore": 3.0, "sortOrder": 4 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "E", "optionContent": "严重影响生活和活动", "optionScore": 4.0, "sortOrder": 5 } ] }, { "item": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "itemId": null, "scaleId": null, "itemNumber": 12, "itemContent": "胃肠道症状", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 12 }, "options": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "A", "optionContent": "没有", "optionScore": 0.0, "sortOrder": 1 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "B", "optionContent": "食欲减退,但不需他人鼓励便自行进食", "optionScore": 1.0, "sortOrder": 2 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "C", "optionContent": "进食需他人催促或请求和需要应用泻药或助消化药", "optionScore": 2.0, "sortOrder": 3 } ] }, { "item": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "itemId": null, "scaleId": null, "itemNumber": 13, "itemContent": "全身症状", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 13 }, "options": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "A", "optionContent": "没有", "optionScore": 0.0, "sortOrder": 1 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "B", "optionContent": "四肢,背部或颈部沉重感,背痛、头痛、肌肉疼痛、全身乏力或疲倦", "optionScore": 1.0, "sortOrder": 2 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "C", "optionContent": "症状明显", "optionScore": 2.0, "sortOrder": 3 } ] }, { "item": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "itemId": null, "scaleId": null, "itemNumber": 14, "itemContent": "性症状（指性欲减退,月经紊乱等）", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 14 }, "options": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "A", "optionContent": "没有", "optionScore": 0.0, "sortOrder": 1 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "B", "optionContent": "轻度", "optionScore": 1.0, "sortOrder": 2 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "C", "optionContent": "重度", "optionScore": 2.0, "sortOrder": 3 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "D", "optionContent": "不能肯定，或该项对被评者不适合", "optionScore": 3.0, "sortOrder": 4 } ] }, { "item": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "itemId": null, "scaleId": null, "itemNumber": 15, "itemContent": "疑病", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 15 }, "options": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "A", "optionContent": "没有", "optionScore": 0.0, "sortOrder": 1 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "B", "optionContent": "对身体过分关注", "optionScore": 1.0, "sortOrder": 2 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "C", "optionContent": "反复考虑健康问题", "optionScore": 2.0, "sortOrder": 3 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "D", "optionContent": "有疑病妄想", "optionScore": 3.0, "sortOrder": 4 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "E", "optionContent": "伴幻觉的疑病妄想", "optionScore": 4.0, "sortOrder": 5 } ] }, { "item": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "itemId": null, "scaleId": null, "itemNumber": 16, "itemContent": "体重减轻:按病史评定", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 16 }, "options": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "A", "optionContent": "没有", "optionScore": 0.0, "sortOrder": 1 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "B", "optionContent": "患者诉述可能有体重减轻", "optionScore": 1.0, "sortOrder": 2 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "C", "optionContent": "肯定体重减轻", "optionScore": 2.0, "sortOrder": 3 } ] }, { "item": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "itemId": null, "scaleId": null, "itemNumber": 17, "itemContent": "自知力", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 17 }, "options": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "A", "optionContent": "知道自己有病,表现为抑郁", "optionScore": 0.0, "sortOrder": 1 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "B", "optionContent": "知道自己有病,但归咎伙食太差,环境问题,工作过忙,病毒感染或需要休息", "optionScore": 1.0, "sortOrder": 2 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "C", "optionContent": "完全否认有病", "optionScore": 2.0, "sortOrder": 3 } ] }, { "item": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "itemId": null, "scaleId": null, "itemNumber": 18, "itemContent": "日夜变化（如果症状在早晨或傍晚加重，先指出哪一种，然后按其变化程度评分）", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 18 }, "options": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "A", "optionContent": "早晚情绪无区别", "optionScore": 0.0, "sortOrder": 1 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "B", "optionContent": "早晨或傍晚轻度加重", "optionScore": 1.0, "sortOrder": 2 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "C", "optionContent": "早晨或傍晚严重", "optionScore": 2.0, "sortOrder": 3 } ] }, { "item": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "itemId": null, "scaleId": null, "itemNumber": 19, "itemContent": "人格解体或现实解体（指非真实感或虚无妄想）", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 19 }, "options": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "A", "optionContent": "没有", "optionScore": 0.0, "sortOrder": 1 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "B", "optionContent": "问及时才诉述", "optionScore": 1.0, "sortOrder": 2 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "C", "optionContent": "自然诉述", "optionScore": 2.0, "sortOrder": 3 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "D", "optionContent": "有虚无妄想", "optionScore": 3.0, "sortOrder": 4 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "E", "optionContent": "伴幻觉的虚无妄想", "optionScore": 4.0, "sortOrder": 5 } ] }, { "item": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "itemId": null, "scaleId": null, "itemNumber": 20, "itemContent": "偏执症状", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 20 }, "options": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "A", "optionContent": "没有", "optionScore": 0.0, "sortOrder": 1 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "B", "optionContent": "有猜疑", "optionScore": 1.0, "sortOrder": 2 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "C", "optionContent": "有牵连观念", "optionScore": 2.0, "sortOrder": 3 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "D", "optionContent": "有关系妄想或被害妄想", "optionScore": 3.0, "sortOrder": 4 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "E", "optionContent": "伴有幻觉的关系妄想或被害妄想", "optionScore": 4.0, "sortOrder": 5 } ] }, { "item": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "itemId": null, "scaleId": null, "itemNumber": 21, "itemContent": "强迫症状（指强迫思维和强迫行为）", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 21 }, "options": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "A", "optionContent": "没有", "optionScore": 0.0, "sortOrder": 1 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "B", "optionContent": "问及时才诉述", "optionScore": 1.0, "sortOrder": 2 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "C", "optionContent": "自发诉述", "optionScore": 2.0, "sortOrder": 3 } ] }, { "item": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "itemId": null, "scaleId": null, "itemNumber": 22, "itemContent": "能力减退感", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 22 }, "options": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "A", "optionContent": "没有", "optionScore": 0.0, "sortOrder": 1 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "B", "optionContent": "仅于提问时方引出主观体验", "optionScore": 1.0, "sortOrder": 2 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "C", "optionContent": "病人主动表示有能力减退感", "optionScore": 2.0, "sortOrder": 3 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "D", "optionContent": "需鼓励-指导和安慰才能完成病室日常事务或个人卫生", "optionScore": 3.0, "sortOrder": 4 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "D", "optionContent": "穿衣、梳洗、进食、铺床或个人卫生均需他人协助", "optionScore": 4.0, "sortOrder": 5 } ] }, { "item": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "itemId": null, "scaleId": null, "itemNumber": 23, "itemContent": "绝望感", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 23 }, "options": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "A", "optionContent": "没有", "optionScore": 0.0, "sortOrder": 1 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "B", "optionContent": "有时怀疑情况是否会好转,但解释后能接受", "optionScore": 1.0, "sortOrder": 2 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "C", "optionContent": "持续感到没有希望,但解释后能接受", "optionScore": 2.0, "sortOrder": 3 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "D", "optionContent": "对未来感到灰心-悲观和失望,解释后不能解除", "optionScore": 3.0, "sortOrder": 4 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "E", "optionContent": "自动地反复诉述“我的病好不了啦” 或诸如此类的情况", "optionScore": 4.0, "sortOrder": 5 } ] }, { "item": { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "itemId": null, "scaleId": null, "itemNumber": 24, "itemContent": "自卑感", "itemType": "single", "required": "1", "reverseScore": "0", "sortOrder": 24 }, "options": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "A", "optionContent": "没有", "optionScore": 0.0, "sortOrder": 1 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "B", "optionContent": "仅在询问时诉述有自卑感不如他人", "optionScore": 1.0, "sortOrder": 2 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "C", "optionContent": "自动地诉述有自卑感", "optionScore": 2.0, "sortOrder": 3 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "D", "optionContent": "病人主动诉述自己一无是处或低人一等", "optionScore": 3.0, "sortOrder": 4 }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "optionId": null, "itemId": null, "optionCode": "E", "optionContent": "自卑感达妄想的程度,如“我是废物”等类似情况", "optionScore": 4.0, "sortOrder": 5 } ] } ], "interpretations": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "interpretationId": null, "scaleId": null, "factorId": null, "scoreRangeMin": 0.0, "scoreRangeMax": 19.2, "level": "正常", "levelName": "抑郁程度在正常范围", "interpretationTitle": "当前未见明显抑郁状态", "interpretationContent": "您在汉密顿抑郁量表(HAMD)上的总分处于较低范围，整体提示目前没有明显的临床抑郁症状，或者仅存在轻微、短暂、在正常压力下常见的情绪波动。从条目结构来看，您在情绪低落、兴趣减退、睡眠、食欲、躯体不适、自杀观念等方面的评分都较低，说明这些领域对日常生活的影响有限。需要注意的是，量表结果只反映最近一段时间的状态，不能完全代表您一生的情况，也无法替代与专业人员的面对面评估。", "suggestions": "建议继续保持目前的生活节奏和应对方式，适度关注情绪和身体变化。当面临压力事件时，可以多运用已对您有效的减压方式，如规律作息、运动、与信任的人交流等。若今后出现持续两周以上的明显心情低落、兴趣丧失、睡眠和食欲明显改变，或出现自伤自杀想法，仍建议尽早寻求专业帮助，而不是仅依赖自我判断。", "sortOrder": 0, "factorCode": null }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "interpretationId": null, "scaleId": null, "factorId": null, "scoreRangeMin": 19.2, "scoreRangeMax": 38.5, "level": "轻度", "levelName": "轻度抑郁水平", "interpretationTitle": "存在轻度抑郁症状或情绪低落", "interpretationContent": "您的汉密顿抑郁量表(HAMD)总分处于轻度升高区间，提示近期在情绪、睡眠、兴趣、精力或躯体感受等方面可能出现了一定程度的不适，例如心情变得更容易低落、疲乏、对原本感兴趣的活动热情下降、睡眠质量有所变差等。这种水平的抑郁常见于工作/学业压力、生活事件打击或长期疲劳之后，部分人仍能勉强维持日常功能，但主观感受已受到影响。如果任其持续而不加调整，症状可能逐渐加重。", "suggestions": "建议您首先尝试通过自我调节和社会支持进行干预，例如规律作息、适度运动、安排愉快活动、减少不必要的压力源，主动与信任的亲友沟通感受。如果轻度症状持续超过两周，且明显影响睡眠、食欲或工作学习效率，建议咨询心理咨询师或精神科医生进行进一步评估，以便及早干预，防止发展为中重度抑郁。", "sortOrder": 1, "factorCode": null }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "interpretationId": null, "scaleId": null, "factorId": null, "scoreRangeMin": 38.5, "scoreRangeMax": 57.8, "level": "中度", "levelName": "中度抑郁水平", "interpretationTitle": "抑郁症状已较为明显，需要重视", "interpretationContent": "您的汉密顿抑郁量表(HAMD)总分处于中度升高范围，提示抑郁症状已经较为突出，并可能对工作学习、人际关系和日常生活造成了明显影响。在这一水平上，较常见的情况包括：持续的心情低落和兴趣减退、显著的疲乏感与动力不足、睡眠与食欲明显改变、对未来感到悲观或绝望、对自身评价降低，甚至可能伴随自伤或自杀的想法。这类状态往往难以仅靠个人意志和简单的自我调节完全缓解，如不及时干预，症状有进一步加重的风险。", "suggestions": "建议尽快寻求专业帮助，可前往正规医院的精神科或心理科、或联系资质合格的心理咨询师进行全面评估和治疗建议。专业干预可能包括心理治疗、药物治疗或二者结合，同时也需要家人或重要他人的理解与支持。在专业帮助到位之前，尽可能减少重大决策和高压任务，保证饮食和睡眠基本规律，避免孤立自己；如出现自伤自杀计划或行为冲动，应立即告知身边的人并紧急就医。", "sortOrder": 2, "factorCode": null }, { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "interpretationId": null, "scaleId": null, "factorId": null, "scoreRangeMin": 57.8, "scoreRangeMax": 77.0, "level": "重度", "levelName": "重度抑郁水平", "interpretationTitle": "存在严重抑郁症状，需尽快干预", "interpretationContent": "您的汉密顿抑郁量表(HAMD)总分已处于明显升高的重度范围，提示当前抑郁症状相当突出，并很可能已严重干扰到日常生活、人际关系以及工作或学习功能。常见的临床表现包括：持续而强烈的情绪低落与绝望感、几乎对所有活动丧失兴趣、明显的躯体不适与疲惫、睡眠和食欲严重紊乱、显著的自责自罪感以及频繁出现的自伤或自杀念头，甚至已经有相关行为。需要明确的是，本量表结果不能单独作为诊断依据，但在这一分数水平上，应将其视为高度危险信号。", "suggestions": "强烈建议您尽快前往正规医疗机构（如综合医院或专科医院的精神科/心理科）就诊，接受全面的临床评估和治疗。就医时如果方便，最好由信任的家人或朋友陪同，以便提供更多病情信息和现实支持。在接受专业治疗之前和过程中，请尽量避免独处过久，远离可能带来危险的工具或场所，并将自己的真实感受（尤其是自伤自杀想法）如实告知专业人员和重要他人，以便获得及时有效的安全保护和治疗安排。", "sortOrder": 3, "factorCode": null } ], "warningRules": [ { "createBy": "admin", "createTime": "2025-12-14 14:47:04", "updateBy": "", "updateTime": null, "remark": null, "ruleId": null, "scaleId": null, "factorId": null, "ruleName": "汉密顿抑郁量表(HAMD)高分预警", "warningLevel": "紧急", "scoreMin": 38.5, "scoreMax": 77.0, "percentileMin": 0.0, "percentileMax": 0.0, "autoRelief": "0", "reliefCondition": null, "status": "1", "factorName": null, "scaleName": null, "factorCode": null } ] }