feat: 完善中文心理测评平台

2026-06-22 22:59:01 +02:00
commit 9227c687fc
160 changed files with 16974 additions and 0 deletions
@@ -0,0 +1,64 @@
+import { QuestionType } from "@/types";
+
+interface PHQ9CalculatorProps {
+    answers: { [key: number]: string };
+    questions: QuestionType[];
+}
+
+export const calculatePHQ9Results = ({ answers }: PHQ9CalculatorProps): any => {
+    // PHQ-9 calculation logic
+    let totalScore = 0;
+    let suicidalIdeation = false;
+
+    // Calculate total score (simple sum)
+    Object.entries(answers).forEach(([questionId, score]) => {
+        const scoreValue = parseInt(score);
+        totalScore += scoreValue;
+        
+        // Check question 9 (suicidal ideation)
+        if (parseInt(questionId) === 9 && scoreValue >= 1) {
+            suicidalIdeation = true;
+        }
+    });
+
+    // Determine depression severity level
+    let severity = "minimal";
+    if (totalScore >= 20) {
+        severity = "severe";
+    } else if (totalScore >= 15) {
+        severity = "moderately_severe";
+    } else if (totalScore >= 10) {
+        severity = "moderate";
+    } else if (totalScore >= 5) {
+        severity = "mild";
+    }
+
+    // Analyze item scores
+    const itemAnalysis = Object.entries(answers).map(([questionId, score]) => ({
+        questionId: parseInt(questionId),
+        score: parseInt(score),
+        isHigh: parseInt(score) >= 2  // Scores of 2 or above are considered high score items
+    }));
+
+    const highScoreItems = itemAnalysis.filter(item => item.isHigh);
+
+    // Determine possibility of major depressive episode (at least 5 symptoms, including at least one of the first two)
+    const coreSymptoms = itemAnalysis.slice(0, 2).filter(item => item.score >= 2);
+    const otherSymptoms = itemAnalysis.slice(2).filter(item => item.score >= 2);
+    const majorDepressionCriteria = coreSymptoms.length >= 1 && (coreSymptoms.length + otherSymptoms.length) >= 5;
+
+    return {
+        totalScore,
+        severity,
+        suicidalIdeation,
+        itemAnalysis,
+        highScoreItemCount: highScoreItems.length,
+        majorDepressionCriteria,
+        factorScores: {}, // PHQ-9 is a single-factor scale
+        positiveItemCount: highScoreItems.length,
+        positiveItemAverage: highScoreItems.length > 0 
+            ? highScoreItems.reduce((sum, item) => sum + item.score, 0) / highScoreItems.length 
+            : 0,
+        isSevere: severity === "severe" || severity === "moderately_severe" || suicidalIdeation
+    };
+};