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在德尔菲研究中比较临床医生和研究人员对强迫症购物障碍拟议诊断标准的评分。

Comparison of clinicians' and researchers' ratings of proposed diagnostic criteria for compulsive buying-shopping disorder within a Delphi study.

机构信息

Medical Faculty, University Clinic for Psychosomatic Medicine and Psychotherapy, Campus East-Westphalia, Ruhr-University Bochum, Luebbecke, Germany.

Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hannover, Germany.

出版信息

PLoS One. 2023 Apr 4;18(4):e0283978. doi: 10.1371/journal.pone.0283978. eCollection 2023.

Abstract

Diagnostic criteria for compulsive buying shopping disorder were recently proposed based on a Delphi consensus study including 138 experts from 35 countries. The present study represents a secondary analysis of those data. To provide further support for the validity of expert responses in the Delphi study, the sample was retrospectively divided into clinician and researcher subgroups. The two groups were compared with respect to demographic variables, their importance ratings of clinical features, possible diagnostic criteria, differential diagnoses and specifiers of compulsive buying shopping disorder. Researchers reported less years of treating/assessing individuals with compulsive buying shopping disorder and stated that they have treated/assessed individuals with compulsive buying shopping disorder less often in the last 12 months than clinicians. Responses from the two groups concerning the importance ratings of possible diagnostic criteria of compulsive buying shopping disorder converged with only few minor differences with small to moderate group effects. However, even for those criteria, the consensus threshold (≥75% agreement with the proposed criterion) was reached in both groups. The lack of differences in the responses of the two groups indicates good validity for the proposed diagnostic criteria. Future research should address the clinical applicability and diagnostic validity of the criteria.

摘要

最近,根据一项包括来自 35 个国家的 138 名专家的德尔菲共识研究,提出了强迫性购买障碍的诊断标准。本研究代表了对这些数据的二次分析。为了进一步支持德尔福研究中专家回复的有效性,将样本回顾性地分为临床医生和研究人员亚组。比较了两组在人口统计学变量、他们对临床特征、可能的诊断标准、鉴别诊断和强迫性购买障碍的特征的重要性评分方面的差异。研究人员报告说,他们治疗/评估患有强迫性购买障碍的个体的年限较少,并且比临床医生报告说在过去 12 个月中治疗/评估患有强迫性购买障碍的个体的频率较低。两组对强迫性购买障碍可能的诊断标准的重要性评分的回复趋于一致,只有一些较小的差异,具有小到中等的组间效应。然而,即使对于这些标准,两组都达到了共识阈值(≥75%同意所提出的标准)。两组反应无差异表明所提出的诊断标准具有良好的有效性。未来的研究应该解决这些标准的临床适用性和诊断有效性。

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