DSM-5 BPD和ICD-11复杂PTSD:在香港寻求治疗的人群中同时发生和相关因素
Hong Wang Fung1, Stanley Kam Ki Lam2, Janet Yuen-Ha Wong1
1School of Nursing and Health Sciences, Hong Kong Metropolitan University, Hong Kong.
Asian journal of psychiatry
|September 5, 2024
概括
复杂的创伤后应激障碍 (PTSD) 和边缘性人格障碍 (BPD) 经常同时发生,但是在亚洲人群中是不同的情况. 他们的症状与不同的临床因素有关,需要进行单独的诊断.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 跨文化心理学 跨文化心理学
背景情况:
- 在ICD-11复杂的PTSD和DSM-5 BPD之间的诊断重叠仍在争论中.
- 在亚洲文化背景下,它们的共同发生和独特的临床特征存在有限的研究.
研究的目的:
- 调查ICD-11复杂PTSD和DSM-5BPD的同时发生情况.
- 在香港寻求治疗的人群中检查这些疾病的明显临床相关性.
主要方法:
- 在香港的220名寻求治疗者的样本完成了验证的自我报告措施.
- 评估了ICD-11复杂PTSD和DSM-5 BPD的诊断标准.
主要成果:
- 30.9%的人仅满足复杂PTSD的标准,10%仅满足BPD的标准,28.2%满足两者的标准.
- 复杂的PTSD与抑郁症状和不适应的信念有很强的相关性.
- BPD与分离性症状有很强的相关性.
结论:
- ICD-11复杂PTSD和DSM-5 BPD通常同时发生,但在亚洲背景下它们不是相同的构造.
- 这些情况表现出明显的人口统计和临床关联.
- 这些发现支持维持复杂的PTSD和BPD的单独诊断.
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