[基于DSM-5人格障碍替代模型的边缘性人格障碍查程序的验证]
Dominick Gamache1, Claudia Savard2, Maude Payant3
1Département de psychologie, Université du Québec à Trois-Rivières, Québec, Canada; Centre de recherche CERVO, Université Laval, Québec, Canada.
Sante mentale au Quebec
|June 6, 2023
概括
这项研究引入了一种新的方法来诊断边界性人格障碍 (BPD),使用人格障碍的替代模型 (AMPD). 经过验证的程序显示了基于当前概念化的BPD识别的希望.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 人格障碍 人格障碍 人格障碍
背景情况:
- 精神障碍的诊断和统计手册,第五版 (DSM-5) 人格障碍的替代模型 (AMPD) 提供了一个维度方法.
- 根据AMPD的定义,人格障碍是基于自我/人际功能严重程度 (标准A) 和病态人格领域 (标准B) 的定义.
- 在AMPD框架内,对像边界性人格障碍 (BPD) 这样的诊断进行操作的数据有限.
研究的目的:
- 引入和验证一种基于AMPD标准生成BPD诊断的程序.
- 评估拟议的基于AMPD的BPD诊断的患病率,诊断对应性和融合/增量有效性.
主要方法:
- 利用了287名在精神病中心住院的患者的数据.
- 通过使用验证的自我报告问卷对标准A (自我和人际功能量表) 和标准B (DSM-5面向简要表格的个性清单) 进行了BPD诊断.
主要成果:
- 基于AMPD的BPD诊断在临床样本中的39.7%中流行.
- 与传统的BPD诊断表现出适度的一致性,与边缘症状测量有很强的相关性.
- 确认了与攻击性和冲动性相对收的有效性,以及仅在B标准上增加的有效性.
结论:
- 基于AMPD的BPD诊断的拟议程序对临床应用有希望.
- 这种方法促进了对BPD的查,符合当代人格障碍的概念化.
相关概念视频
Borderline Personality Disorder
112
Borderline Personality Disorder is a complex and multifaceted mental health condition characterized by pervasive instability in interpersonal relationships, self-image, emotions, and impulse control. This instability manifests in extreme emotional reactions, fear of abandonment, and self-destructive behaviors. The disorder significantly impacts daily functioning, often leading to distress in both personal and professional domains.
Genetic and Environmental Contributions
Borderline Personality...
Genetic and Environmental Contributions
Borderline Personality...
112
Diagnostic and Statistical Manual of Mental Disorders (DSM)
101
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
101
Modeling in Therapy
128
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
128
Oppositional Defiant Disorder
97
A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
Diagnostic Criteria and...
97
Personality Disorders: Paranoid and Schizoid
106
Personality disorders represent enduring cognition, affect, and behavior patterns that significantly deviate from societal norms. These maladaptive traits often lead to difficulties in various domains, including interpersonal relationships, occupational settings, and overall psychological well-being. Paranoid personality disorder and schizoid personality disorder are two distinct conditions marked by odd or eccentric behavior.
Paranoid Personality Disorder
Paranoid personality disorder is...
Paranoid Personality Disorder
Paranoid personality disorder is...
106
Dissociative Identity Disorder
163
Dissociative Identity Disorder (DID), previously termed multiple personality disorder, is a complex psychological condition characterized by the presence of two or more distinct identities or personality states. Each identity exhibits unique patterns of behavior, voice, and mannerisms and may possess separate memories and emotional responses. The alternating control between identities can result in memory gaps and challenges in recalling daily activities, often exacerbating the individual's...
163


