从标准A和B自我报告中提取人格障碍诊断的特定替代模型的初步步骤。

IF 2.1 3区 医学 Q3 PSYCHIATRY Journal of Personality Disorders Pub Date : 2022-08-01 Epub Date: 2022-01-05 DOI:10.1521/pedi_2012_35_541
Dominick Gamache, Philippe Leclerc, Maude Payant, Kristel Mayrand, Marie-Chloé Nolin, Louis-Alexandre Marcoux, Stéphane Sabourin, Marc Tremblay, Claudia Savard
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引用次数: 5

摘要

DSM-5人格障碍替代模型(AMPD)保留了六种特定的人格障碍(pd),可以根据标准A水平的损害和标准B的适应不良方面进行诊断。尽管大多数PD学者倾向于混合/混合分类,但这些特定的诊断仍未得到充分研究。本研究探讨了使用标准A和B自我报告问卷来提取特定AMPD诊断的可能性。在三个样本(门诊PD、私人诊所、社区;N = 766),采用关节突评分≥2和t评分> 65的方法确定B标准关节突的存在;诊断结果与外部变量有显著相关。这项研究提供了证据——尽管是初步的——从自我报告问卷中提取特定的AMPD pd可能是一个可行的途径。最终,它可以促进这些诊断在临床和研究环境中用于筛查目的的使用和传播。
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Preliminary Steps Toward Extracting the Specific Alternative Model for Personality Disorders Diagnoses From Criteria A and B Self-Reports.

The Alternative DSM-5 Model for Personality Disorders (AMPD) retains six specific personality disorders (PDs) that can be diagnosed based on Criterion A level of impairment and Criterion B maladaptive facets. Those specific diagnoses are still underresearched, despite the preference expressed by most PD scholars for a mixed/hybrid classification. This study explores the possibility of using Criterion A and B self-report questionnaires to extract the specific AMPD diagnoses. Plausible prevalence estimates were found in three samples (outpatient PD, private practice, community; N = 766) using the facet score ≥ 2 and t score > 65 methods for determining the presence of a Criterion B facet; diagnoses had meaningful correlations with external variables. This study provides evidence-albeit preliminary-that the extraction of the specific AMPD PDs from self-report questionnaires might be a viable avenue. Ultimately, it could promote the use and dissemination of those diagnoses for screening purposes in clinical and research settings.

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来源期刊
CiteScore
5.20
自引率
4.30%
发文量
31
期刊介绍: The Journal of Personality Disorders has long been the only forum devoted exclusively to the diagnosis and treatment of clinically significant personality disorders. The journal fosters dialogue among researchers and practitioners working from a variety of orientations and approaches. Its international impact is well established, with subscribers in over 30 countries. This multidisciplinary journal regularly features: - Research on normal and pathological personality and development - New methodologies for assessing personality - Etiologies and clinical classifications for personality disorders - Epidemiological studies and outcomes research on diagnostic criteria - Treatment techniques and innovations
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