诊断披露对边缘型人格障碍青少年的影响。
Impact of Diagnosis Disclosure on Adolescents with Borderline Personality Disorder.
作者信息
Courtney Darren B, Makinen Judy
机构信息
Staff psychiatrist at the Youth Addictions and Concurrent Disorders Service, Centre for Addiction and Mental Health, Toronto; Assistant Professor in the Department of Psychiatry at the University of Toronto, Ottawa, Ontario.
Psychologist at the Youth Program at The Royal Ottawa Mental Health Centre, Ottawa, Ontario.
出版信息
J Can Acad Child Adolesc Psychiatry. 2016 Fall;25(3):177-184. Epub 2016 Nov 1.
OBJECTIVE
Establishing a diagnosis of Borderline Personality Disorder (BPD) in adolescents is often met with controversy, in part, due to potential stigmatizing effects. We wished to explore the adolescent patient experience of being diagnosed with BPD.
METHOD
The Impact of Diagnosis Scale (IODS) is a self-report measure we developed with questions targeting patients' subjective experience of receiving a diagnosis of BPD. The IODS was administered to 23 adolescents approximately one month after a diagnosis of BPD had been disclosed to them.
RESULTS
Twenty-one participants had analyzable data. The internal consistency of the measure demonstrated Cronbach's alpha of 0.66. We found wide variability in responses. Patients tended to view the diagnosis as an accurate representation of their symptoms.
CONCLUSION
The IODS represents a novel means by which clinicians might better appreciate how disclosing the diagnosis of BPD may impact a patient's understanding of one's difficulties.
目的
青少年边缘型人格障碍（BPD）的诊断常常存在争议，部分原因是可能产生的污名化影响。我们希望探究青少年患者被诊断为BPD的经历。
方法
诊断影响量表（IODS）是我们开发的一种自我报告测量工具，其问题针对患者接受BPD诊断的主观体验。在向23名青少年披露BPD诊断约一个月后，对他们进行了IODS测试。
结果
21名参与者有可分析的数据。该测量工具的内部一致性显示克朗巴哈系数为0.66。我们发现回答存在很大差异。患者倾向于认为诊断准确反映了他们的症状。
结论
IODS代表了一种新方法，通过它临床医生可以更好地理解披露BPD诊断可能如何影响患者对自身困难的理解。
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