Ozamiz-Etxebarria Naiara, Ortiz-Jauregi Miren Agurtzane, Escobar Javier I
Neuroscience Department, Faculty of Medicine and Nursing, University of the Basque Country, Lejona, Vizcaya, Spain.
Global Health at Robert Wood Johnson Medical School, Institute of Health, New Brunswick, New Jersey.
J Nerv Ment Dis. 2019 Mar;207(3):199-202. doi: 10.1097/NMD.0000000000000948.
In 2010, the Working Group of Personality and Personality Disorders of the DSM-5 task force proposed a thorough diagnostic reformulation of the category of personality disorders. After debates and negotiations, these alternative criteria ended in Section III of the DSM-5 manual (diagnoses in need of further testing). We tested these alternative criteria in a sample of Basque-speaking patients from the Basque region of Spain who had clinical diagnoses of personality disorder, using instruments that had been developed and used as part of the DSM-5 field trials in the United States for assessing the proposed new diagnostic category. All study instruments were translated and adapted for use in the Basque language. Interviews were done twice (time 1 and time 2) and were scheduled at least 1 month apart to assess test-retest reliability. The results demonstrated that the DSM-5 alternative criteria worked well in this clinical sample, with highly satisfactory levels of reliability being attained and a good level of clinician's satisfaction related to the use of the new criteria. The alternative criteria in personality disorders seemed to work well in this European sample with unique linguistic features.
2010年，《精神疾病诊断与统计手册》（第五版）工作组的人格与人格障碍工作小组提议对人格障碍类别进行全面的诊断重新表述。经过辩论和协商，这些替代标准最终出现在《精神疾病诊断与统计手册》（第五版）手册的第三部分（需要进一步检验的诊断）。我们在来自西班牙巴斯克地区、临床诊断为人格障碍的讲巴斯克语的患者样本中，使用在美国作为《精神疾病诊断与统计手册》（第五版）现场试验一部分而开发和使用的工具，对这些替代标准进行了测试，以评估提议的新诊断类别。所有研究工具均被翻译成巴斯克语并进行了改编以供使用。访谈进行了两次（第一次和第二次），且安排的时间间隔至少为1个月，以评估重测信度。结果表明，《精神疾病诊断与统计手册》（第五版）的替代标准在这个临床样本中效果良好，获得了高度令人满意的信度水平，并且临床医生对使用新标准的满意度也很高。人格障碍的替代标准在这个具有独特语言特征的欧洲样本中似乎效果良好。
