调查在边界性人格障碍诊断标准和基于性取向的内部化/外部化领域之间发挥作用的差异性项目
Shayan Asadi1, Takakuni Suzuki1, Craig Rodriguez-Seijas1
1Department of Psychology, University of Michigan-Ann Arbor.
Journal of psychopathology and clinical science
|September 12, 2024
概括
边界性人格障碍 (BPD) 诊断可能受到性少数群体 (SM) 群体规范的影响,而不仅仅是精神病理. 由于少数民族的压力,SM个体可能更容易认可某些BPD症状.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 边界性人格障碍 (BPD) 在性少数群体中更常被诊断出.
- SM个体报告了更高的内部化和外部化精神病理的比率,这与BPD有关.
- 在SM社区的文化因素可能会影响BPD症状的理解和报告.
研究的目的:
- 调查性少数群体 (SM) 个体与非SM个体相比,是否不同地认可BPD症状.
- 为了确定情境因素,而不是精神病理,影响BSD项目在SM群体的认可.
- 检查BPD标准与SM特定经验 (如少数群体压力) 的潜在混.
主要方法:
- 在一个大型的,全国代表性的美国样本 (N=35,723,SM n=1,150) 上使用了物品响应理论 (IRT).
- 分析了SM和非SM群体中BPD项目指标值的差异性项目功能 (DIF).
- 评估了损伤和性别如何影响DIF结果.
主要成果:
- 几个BPD指标显示了SM和非SM群体之间的差异性项目功能 (DIF) 在指标值中.
- 冲动性爱和慢性自杀倾向的认可与MS个体的低值有关.
- 在SM个体中,物品认可需要较低水平的BPD,内部化和外部化因素.
结论:
- 在性少数群体 (SM) 和非SM人群中,BPD诊断标准可能不完全相同.
- 慢性自杀倾向和冲动性项目可能反映SM特异性因素,包括少数民族压力,而不仅仅是BPD.
- 需要为更公平的BPD诊断和针对SM群体的有针对性的研究提出建议.
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