人格障碍的覆盖,患病率和趋同:DSM-5的两个人格障碍模型是否识别出相同的患者?
Lee Anna Clark1, Eunyoe Ro2, Hallie Nuzum3
1Department of Psychology, University of Notre Dame, Notre Dame, IN, USA.
Psychological medicine
|March 19, 2024
概括
与当前的DSM-5第二节模型相比,DSM-5人格障碍 (AMPD) 替代模型显示了良好的整体流行率和患者覆盖率. 这表明AMPD可以在临床上实施,解决现有模型的局限性.
科学领域:
- 精神病学是一个精神病学.
- 心理评估 心理评估
- 临床心理学 临床心理学
背景情况:
- 对人格障碍 (AMPD) 的替代DSM-5模型具有可接受的可靠性和有效性.
- 尽管AMPD具有优势,但在临床上仍未得到充分利用,部分原因是对诊断病情的担忧.
- 这项研究解决了临床医生的担忧,即AMPD与当前的DSM-5第II节模型相比如何.
研究的目的:
- 确定AMPD与当前DSM-5第II节模型之间的患病率和患者覆盖率的趋同.
- 评估AMPD是否诊断出与当前模型不同的一组患者.
- 为AMPD的临床实用性提供证据.
主要方法:
- 招募了305名精神病室门诊患者和302名社区居民.
- 参与者完成了爱荷华州人格障碍屏幕来评估值.
- 对DSM-5人格障碍 (PDs) 进行了半结构面试,并对第二部分和第三部分进行了评分.
主要成果:
- 对于特定的PD,AMPD和DSM-5第II节之间的趋同是可变的.
- 在聚合特定的PD时,观察到良好的趋同.
- 对于诊断"任何PD"总体而言,发现了非常好的趋同.
结论:
- 该AMPD显示了可比的总体患病率,并确定了与当前DSM-5模型相似的患者群体.
- 该AMPD解决了当前模型的局限性,并与ICD-11 PD模型保持一致.
- AMPD提供了更全面的表征,支持其临床实施.
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