在老年时,人格障碍是否可以准确评估? 对ICD-11库存的差异性项目功能分析
Gina Rossi1, Sebastiaan P J van Alphen1,2,3, Arjan C Videler4,5
1Personality and Psychopathology Research Group (PEPS), Department of Psychology, Vrije Universiteit Brussel (VUB), Brussels, Belgium.
International journal of geriatric psychiatry
|March 9, 2024
概括
对ICD-11 (PiCD) 和边界模式尺度 (BPS) 的人格库存显示,在老年人中评估人格障碍 (PD) 的年龄中立性. 对于人格障碍严重性标准化评估 (SASPD) 需要进一步的研究.
科学领域:
- 精神病学是一个精神病学.
- 心理测量 心理测量 心理测量
- 老年学是一门学科.
背景情况:
- 目前的分类人格障碍 (PD) 标准不适合在老年人中诊断PD.
- 对于PD分类的维度方法正在发生重大转变.
- 国际疾病分类,第11次修订 (ICD-11) 的维度模型开发没有专门针对老年人PD表达.
研究的目的:
- 调查ICD-11相关仪器的年龄中立性,以评估老年人的PD.
- 确定现有的ICD-11措施是否充分捕捉不同年龄组的PD,特别是老年人群.
主要方法:
- 检查了ICD-11自我报告措施的年龄中立性:人格障碍严重性标准化评估 (SASPD),ICD-11人格清单 (PiCD) 和边界模式尺度 (BPS).
- 在208名荷兰成年人样本中使用差异性项目功能 (DIF) 分析,根据性别对应,分为年轻 (18-64岁) 和老年 (65-93岁) 组.
- 定义非年龄中立性为25%或更多的项目展示DIF.
主要成果:
- DIF分析表明,SASPD,PiCD和BPS在很大程度上与年龄无关,只有不到25%的项目显示DIF.
- 差异性功能测试 (DTF) 分析揭示了DTF对SASPD总得分的影响,这表明在规模层面上可能存在与年龄相关的偏差.
- PiCD和BPS在测量ICD-11人格特征和边界模式方面表现出有希望的年龄中立性.
结论:
- 皮CD和BPS显示了可靠测量ICD-11人格特征和跨年龄组边界模式的潜力.
- 使用SASPD对PD严重程度的年龄中立测量需要进行额外的调查.
- 鉴于人口老龄化和充分检测的需要,对整个寿命 (包括老年人) 进行准确的PD评估至关重要.
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