在人格病理学的诊断模型中对耻辱的感知
Katherine E Hein1, Shakur J Dennis1, Logan F Folger1
1Department of Psychology, Oklahoma State University.
Personality disorders
|September 5, 2024
概括
与精神疾病诊断和统计手册第五版 (DSM-5) 相比,精神健康提供者认为心理病学等级分类 (HiTOP) 系统的耻辱感较小. 这一发现可能会减少人格障碍诊断和治疗中的耻辱感.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 心理健康 心理健康
背景情况:
- 围绕精神疾病,特别是人格障碍 (PD) 的污名化语言,可能会对临床期望和患者护理产生负面影响.
- 以前的研究还没有检查与PD的诊断分类术语相关的耻辱感.
- 诊断标签可能会导致歧视和过早终止治疗.
研究的目的:
- 调查人格病理学诊断术语所感知的耻辱感.
- 为了比较与三个分类系统相关的耻辱:DSM-5第二节,DSM-5人格障碍的替代模型,以及心理病理学层次分类 (HiTOP).
主要方法:
- 调查了三个不同的样本:有个性病理学生活经验的个人 (n=218),精神卫生保健提供者 (n=75) 和本科心理学学生 (n=732).
- 参与者完成了在线调查,评估他们对与诊断术语相关的耻辱感的看法.
- 统计分析检查了三种分类系统和三种样本之间对感知耻辱的差异.
主要成果:
- 精神卫生保健提供者认为HiTOP系统的耻辱性明显低于DSM-5的分类标签.
- 在有生活经验或本科生的人群中,在分类系统之间没有发现感知到的耻辱的显著差异.
- 精神卫生提供者认为DSM-5的分类标签是最具耻辱性的.
结论:
- 诊断分类系统的选择可能会影响人们的耻辱感,特别是在临床医生中.
- HiTOP系统在减少与人格障碍术语相关的耻辱方面表现有前途.
- 对诊断语言的进一步研究对于改善临床实践和减少心理健康护理中的歧视至关重要.
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