从哪里来,到哪里去PD? 在DSM-5和ICD-11人格障碍诊断中最近的发展和未来的可能性
1Department of Psychology, University of Notre Dame, 390 Corbett Family Hall, IN, 46556, Notre Dame, France. la.clark@nd.edu.
另外的DSM-5人格障碍模型 (AMPD) 和ICD-11模型有相似之处,但在特征要求上有所不同. 研究强调了评估工具和有效性,对这两种诊断系统都进行了持续的修订.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 心理健康诊断 心理健康诊断
背景情况:
- 另外的DSM-5人格障碍模型 (AMPD) 和ICD-11诊断模型代表了人格障碍分类的重大转变.
- 这两种模式都旨在与分类方法一起或代替分类方法,结合维度方面.
研究的目的:
- 提供AMPD和ICD-11个性障碍诊断模型的全面概述.
- 审查评估措施并构建与这些模型相关的有效性.
- 描述它们的修订和实施的当前和持续状态.
主要方法:
- 对AMPD和ICD-11的结构和概念框架进行比较分析.
- 用相关措施评估人格障碍特征和功能研究的文献综述,包括DSM-5 (PID-5) 的人格清单.
- 检查结构元分析和相关性研究,以评估构造有效性和确定特征覆盖范围.
主要成果:
- 在AMPD和ICD-11之间存在显著的内容相似之处,主要区别在于适应不良特征的强制性和可选性.
- PID-5有大量的文献支持其临床实用性和构造有效性,尽管一些特征仍未评估.
- 报告指出,人们对AMPD措施和B标准之间的差异性有效性感到担忧,同时缺乏多方法评估文献.
- ICD-11对人格功能和可选的特征特征提供了有希望的措施,包括一个被广泛翻译的国际工具.
结论:
- AMPD很可能会在DSM-5主要部分内演变成一个维模型,尽管这还没有最终确定.
- ICD-11的下一步涉及开发研究诊断标准版本,时间不确定.
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