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《精神疾病诊断与统计手册》第三版人格障碍的评估:询问知情者的重要性。

Assessment of DSM-III personality disorders: the importance of interviewing an informant.

作者信息

Zimmerman M, Pfohl B, Stangl D, Corenthal C

出版信息

J Clin Psychiatry. 1986 May;47(5):261-3.

PMID:3700346
Abstract

The Structured Interview for DSM-III Personality Disorders was used to interview 82 patients. In addition, a close relative or friend of the patient was interviewed regarding each patient's normal personality. After the informant interview, the diagnosis of the presence or absence of any personality disorder was changed in almost 20% of the sample. In general, the information given by the informants revealed additional pathology in the patients and was less frequently used to retract a diagnosis. Despite conflicting information from the patients and informants, the reliability of personality disorder assessment remained high.

摘要

使用《精神疾病诊断与统计手册》第三版(DSM-III)人格障碍结构化访谈对82名患者进行了访谈。此外,还就每位患者的正常人格对其一位近亲或朋友进行了访谈。在 informant 访谈之后,几乎20%的样本中关于是否存在人格障碍的诊断发生了变化。总体而言, informant 提供的信息揭示了患者更多的病理情况,且较少用于撤销诊断。尽管患者和 informant 提供的信息相互矛盾,但人格障碍评估的可靠性仍然很高。

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