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儿童心理诊断图表(PDC-C):一种用于制定针对患者的个性化干预计划的有效且临床敏感度高的诊断工具。

Psychodiagnostic Chart-Child (PDC-C): a valid and clinically sensitive diagnostic tool for patient-tailored intervention planning.

作者信息

Fortunato Alexandro, Tanzilli Annalisa, Lingiardi Vittorio, Speranza Anna Maria

机构信息

Department of Dynamic and Clinical Psychology, and Health Studies, La Sapienza University of Rome.

出版信息

Res Psychother. 2022 Mar 1;25(1):591. doi: 10.4081/ripppo.2022.591.

Abstract

The reliable clinical-diagnostic evaluation of child patients is crucial. The present research sought to examine the validity of the Psychodiagnostic Chart-Child (PDC-C) in assessing children's mental functioning and personality organization, according to the framework of the Psychodynamic Diagnostic Manual, Second Edition (PDM-2). A sample of 209 clinicians assessed 209 children (aged 4-11 years) who had been in their care between 2-12 months, using the PDC-C. Each clinician also completed a clinical questionnaire to provide demographic information, the Child Behavior Checklist to evaluate children's behavioral problems and social competences, and the Childhood Personality Assessment Q-Sort measure to assess children's emerging personality patterns. The findings suggest that the PDC-C is a valid diagnostic tool that considers children's full range of functioning. Moreover, the measure has good sensitivity and appears clinically useful in differentiating between certain clinical populations according to psychological characteristics. The PDC-C could promote more accurate assessment during childhood and inform the development of individualized therapies. One of the advantages of the tool is its ability to capture individual variations in child functioning (illuminating strengths and psychological vulnerabilities), even within children in the same diagnostic group. Of note, additional research is needed to establish the utility of PDC-C ratings in predicting clinically relevant constructs and to monitor the processes and outcomes of interventions.

摘要

对儿童患者进行可靠的临床诊断评估至关重要。本研究试图根据《精神动力诊断手册(第二版)》(PDM - 2)的框架,检验儿童心理诊断图表(PDC - C)在评估儿童心理功能和人格组织方面的有效性。209名临床医生使用PDC - C对209名在他们照料下2至12个月的儿童(年龄在4至11岁之间)进行了评估。每位临床医生还填写了一份临床问卷以提供人口统计学信息,完成了儿童行为清单以评估儿童的行为问题和社交能力,并完成了儿童人格评估Q分类测量以评估儿童正在形成的人格模式。研究结果表明,PDC - C是一种有效的诊断工具,它考虑了儿童的全面功能。此外,该测量方法具有良好的敏感性,并且在根据心理特征区分某些临床群体方面似乎具有临床实用性。PDC - C可以促进儿童期更准确的评估,并为个性化治疗的发展提供信息。该工具的优点之一是它能够捕捉儿童功能的个体差异(揭示优势和心理脆弱性),即使在同一诊断组的儿童中也是如此。值得注意的是,需要进一步的研究来确定PDC - C评分在预测临床相关构念以及监测干预过程和结果方面的效用。

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