非自杀性自我伤害:建议将名称从疾病转变为临床特征者
Gregory J Lengel1, Jennifer J Muehlenkamp2, Maria Zetterqvist3
1Department of Psychology & Neuroscience, Drake University, Des Moines, IA, USA.
The lancet. Psychiatry
|July 3, 2025
概括
非自杀性自我伤害障碍需要修订. 研究建议将其重新归类为临床特异因其跨诊断性质和与其他精神疾病的高共患性.
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
- 心理健康研究 心理健康研究
背景情况:
- 非自杀性自伤障碍在DSM-5中被提议进行进一步研究.
- 有关目前非自杀性自伤障碍标准的有效性,可靠性和临床实用性存在担忧.
- 与其他疾病的高并发症挑战其作为一个独特的诊断的地位.
研究的目的:
- 建议将非自杀性自我伤害从疾病重新归类为临床特征.
- 要概述这种诊断转变的理由.
- 引入关于非自杀性自伤规范的拟议标准.
主要方法:
- 关于非自杀自伤障碍标准的科学文献的综述.
- 对非自杀性自我伤害的并发症研究的分析.
- 包括来自生活经验研究的见解.
主要成果:
- 有证据表明,非自杀性自我伤害更好地被概念化为跨诊断性行为.
- 很少有人符合非自杀性自我伤害障碍的标准,没有并发性疾病.
- 转向指定模型可能会提高临床效用.
结论:
- 目前的非自杀性自伤障碍诊断需要进行重大修订.
- 建议将非自杀性自我伤害重新归类为临床特征.
- 研究了这种重新分类的潜在风险和好处.
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