パーソナリティ障害の重症度-ICD-11スケールとCPTSD ICD-11スケール:可能な心理学的性質と診断概念の重なりを調べる
1Paul Baerwald School of Social Work and Social Welfare, The Hebrew University of Jerusalem, Jerusalem, Israel.
European journal of psychotraumatology
|September 4, 2025
まとめ
新しいICD-11のパーソナリティ障害 (PD) の重度スケールは,重複する症状であっても,PDを複合性外傷後ストレス障害 (CPTSD) のクラスターと区別します. この2つの障害は トラウマの危険因子を共有しており 構造の妥当性を支持しています
科学分野:
- 精神科
- 臨床心理学
- トラウマ研究
背景:
- ICD-11のパーソナリティ障害 (PD) の分類は,カテゴリから重度の次元にシフトし,複雑なトラウマ後ストレス障害 (CPTSD),特に自己組織化障害 (DSO) クラスターとの重複の調査を促した.
- PDとCPTSDの両方には自己および人際的機能の障害があり,トラウマに関連しており,異なるエチオロギー的危険因子に関する疑問を提起しています.
研究 の 目的:
- パーソナリティ障害重症度 (PDS) -ICD-11の心理学的特性を高いPDとCPTSDを持つ男性親密なパートナー暴力の加害者集団で評価する.
- トラウマ被曝のタイプ,アタッチメントスタイル,PDとCPTSDのクラスタの間の差異的な関連性を探求する.
主な方法:
- 家庭内暴力センターで治療を受けている男性116人が参加しました.
- 国際トラウマアンケートとPDS-ICD-11 (ヘブライ語版) を用いてデータを収集した.
- PDS- ICD-11の構造を評価するために,確認因子分析を使用した.
主要な成果:
- PDS-ICD-11は,自己傷害項目を除外した後,因数的な妥当性を証明しました.
- 累積的な子供時代のトラウマと不安は PD,PTSD,DSOと相関しています
- 最近のトラウマ曝露と回避への執着が DSOと特異的に関連していた.
結論:
- PDS-ICD-11の枠組みの中で,自己および対人障害の共通の特徴にもかかわらず,PDとCPTSDの間の構造的な区別を検証しています.
- この発見は,PDとCPTSDは,特に子供のトラウマと心理的傷害に関する共通の病因的危険因子を共有していることを示唆しています.
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