在模拟青少年患者之前的自杀企图时,个性功能障碍是否增加了对一般精神病理的增量实用性?
C Hertel1, M Cavelti1, S Lerch1
1University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.
Journal of affective disorders
|June 19, 2024
概括
人格功能障碍 (PD) 与青少年过去的自杀企图 (SA) 有关,即使考虑到其他心理健康状况. 评估PD可以帮助识别有风险的年轻人,并为自杀行为提供干预信息.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 青少年健康 青少年健康
背景情况:
- 识别有自杀企图 (SA) 风险的青少年对于心理健康护理至关重要.
- 以前的研究还没有完全阐明人格功能障碍 (PD) 在青少年SA中的作用.
研究的目的:
- 在青少年中调查人格功能障碍 (PD) 和以前的自杀企图 (SA) 之间的关联.
- 确定PD是否提供了超越现有精神病诊断的SA的额外预测价值.
主要方法:
- 498名青少年精神病患者 (平均年龄15.41岁,79.12%为女性) 的横截面研究.
- 通过半结构面试评估过去一年的SA,PD (DSM-5替代模型) 和精神病诊断.
- 使用后勤回归和主要组件分析来分析关联和模式.
主要成果:
- 一个有意义的模型表明,PD方面与过去的SA相关 (麦克法登的伪R2 = 0.17).
- 包括PD显著改善了模型解释过去SA变异的能力,而不是仅仅是精神病诊断 (伪R2 = 0.18).
结论:
- 人格功能障碍与青少年的自杀企图有显著的关联,独立于精神病诊断.
- 在青少年患者中对PD的常规评估可以确定SA风险较高的个体,并告知有针对性的干预措施.
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