用"临床检查"评估自我报告的长期悲伤障碍:一项原则证明研究
Mark Shevlin1, Philip Hyland2, Marylène Cloitre3,4
1School of Psychology, Ulster University, Coleraine, Northern Ireland.
Journal of traumatic stress
|August 20, 2024
概括
临床检查,简短的问题添加到自我报告措施,减少长期悲伤障碍 (PGD) 的高估. 在乌克兰的一项心理健康调查中,这种方法使PGD诊断减少了24.8%.
科学领域:
- 心理评估 心理评估 心理评估
- 临床心理学 临床心理学
- 心理测量 心理测量 心理测量
背景情况:
- 心理评估通常使用自我报告措施或临床访谈.
- 自我报告措施很快,但可能会高估症状存在 (类型1错误).
- 临床采访更准确,但耗时且需要培训.
研究的目的:
- 引入和评估"临床检查",作为自我报告措施中的补充问题.
- 评估临床检查对长期悲伤障碍 (PGD) 诊断的影响.
- 探索临床检查在心理评估中的更广泛适用性.
主要方法:
- 为国际悲伤问卷 (IGQ) 项目开发了临床检查.
- 在乌克兰社区心理健康调查中进行了IGQ与临床检查.
- 症状认可率和PGD诊断流行率的比较,有和没有临床检查.
主要成果:
- 当使用临床检查时,IGQ上的个体症状认可显著下降.
- 样本符合PCD的ICD-11诊断标准的百分比从13.6%降至10.2%.
- 这意味着已确诊的PGD病例减少了24.8%.
结论:
- 临床检查有效地减少了自我报告措施中对症状和诊断的高估.
- 这种方法提高了自我报告心理评估的准确性.
- 临床检查为提高诊断精度提供了一个有价值的,可能广泛适用的工具.
相关概念视频
Bonanno's Theory of Grieving
70
Grieving is a complex psychological and emotional process that varies significantly among individuals. George Bonanno's research on bereavement identified four distinct patterns of grieving, offering a nuanced understanding of how people cope with significant loss, such as the death of a spouse, over extended periods. These patterns — resilience, recovery, chronic dysfunction, and delayed grief — highlight the diversity in emotional responses and adaptive mechanisms.
Resilience
Resilience
70
Generalized Anxiety Disorder
73
Generalized Anxiety Disorder (GAD) is a chronic condition characterized by excessive and uncontrollable worry that persists for at least six months, significantly interfering with daily functioning. Unlike situational anxiety, which arises in response to specific stressors, GAD often occurs without a clear cause. Individuals may experience disproportionate worry about work, health, or relationships. For instance, a person might continuously fear poor health despite normal medical evaluations or...
73
Depressive Disorders: MDD and Dysthymia
71
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
71
Diagnostic and Statistical Manual of Mental Disorders (DSM)
50
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...
50
Kubler Ross's Stages of Dying
64
Elisabeth Kübler-Ross significantly advanced psychology's understanding of the process of dying with her influential book, On Death and Dying (1969). She focused on studying terminally ill individuals and outlined five stages commonly experienced when coping with death: denial, anger, bargaining, depression, and acceptance.
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from...
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from...
64
Self-Discrepancy Theory
18.3K
One influential perspective on what motivates people's behavior is detailed in Tory Higgin's self-discrepancy theory (Higgins, 1987). He proposed that people hold disagreeing internal representations of themselves that lead to different emotional states.
18.3K


