概念化成人ADHD与DSM人格障碍的替代模型的人格障碍
Peter Jacobsson1,2, Christopher J Hopwood3, Robert F Krueger4
1Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, The Sahlgrenska Academy, University of Gothenburg, Sektionskansliet: Blå Stråket 15, vån 3, SU/Sahlgrenska University Hospital, Gothenburg, Sweden.
人格障碍 (AMPD) 的DSM-5替代模型有助于识别注意力缺陷/多动障碍 (ADHD) 和预测生活障碍. 特定的个性特征,如分心,是精神病患者ADHD的关键指标.
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
- 神经发育障碍 神经发育障碍
背景情况:
- 人格特征和障碍与注意力缺陷/多动障碍 (ADHD) 和临床功能障碍有关.
- 人格障碍的DSM-5替代模型 (AMPD) 提供了一个人格评估的维度方法.
研究的目的:
- 调查DSM-5 AMPD是否可以表明ADHD的存在.
- 为了确定AMPD是否提供了超出ADHD诊断之外的功能障碍信息.
主要方法:
- 评估了330名成年精神病患者 (有或没有ADHD) 的ADHD症状,人格障碍,不适应性特征和功能障碍.
- 使用DSM-5 AMPD框架进行人格评估.
主要成果:
- 适应不良的人格领域"抑制",特别是"分心"方面,区分了有和没有ADHD的个体.
- "分心"与ADHD的"不注意"相关",对抗"与"过度活跃/冲动"相关.
- 整体人格障碍在预测生活障碍方面增强了ADHD诊断.
结论:
- DSM-5 AMPD证明了ADHD评估对诊断和预后的有用性.
- 将人格评估与ADHD诊断相结合,可以更全面地了解患者的功能障碍.
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