Kupfer David J
Department of Psychiatry, University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic, Pittsburgh, PA 15213, USA.
J Abnorm Psychol. 2005 Nov;114(4):557-9. doi: 10.1037/0021-843X.114.4.557.
This commentary focuses on the current dilemma regarding the application of dimensional models for research and diagnosis. Four articles are used to review the positive contributions of dimensional approaches. Although categorical approaches are integral in deciding the characteristics of the group to be studied (i.e., development of inclusion/exclusion criteria), the generation of cutpoints for categorical classification is, in reality, working with dimensional data. Ultimately, new methodological strategies need to be incorporated that address both categorical and dimensional aspects of the overall diagnostic framework. These refinements will be vital in determining the extent and reality of co-occurrence of disorder and the determination of boundaries across specific disorders.
本评论聚焦于当前维度模型在研究与诊断应用方面的困境。四篇文章用于回顾维度方法的积极贡献。尽管分类方法在确定待研究群体的特征(即制定纳入/排除标准)中不可或缺,但用于分类的切点生成实际上是在处理维度数据。最终,需要纳入新的方法策略,以兼顾整体诊断框架的分类和维度两个方面。这些改进对于确定疾病共现的程度和现实情况以及特定疾病之间界限的确定至关重要。