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第五版《精神障碍诊断与统计手册》第二、三部分人格障碍诊断在预测临床结局方面的头对头比较。

Head-to-head comparisons of Diagnostic and Statistical Manual of Mental Disorders, fifth edition, Section II and Section III personality disorder in predicting clinical outcomes.

机构信息

Department of Psychology, University of Houston.

Department of Psychology, University of Georgia.

出版信息

Personal Disord. 2024 Sep;15(5):275-281. doi: 10.1037/per0000691.

Abstract

In 2022, published a 10-year retrospective on the fifth edition (DSM-5), Section III, Alternative Model for PDs (AMPD; American Psychiatric Association, 2013). The articles of the 10-year retrospective provided evidence in support of the validity, reliability, and clinical utility of the AMPD. Specifically, it provided evidence in support of the unidimensional factor structure of the LPF and the five-dimensional structure of the pathological trait domains. In addition, evidence in support of the construct validity of the LPF in its association with psychiatric severity, functional outcomes, traditional PDs, cognitive, emotional, and contextual correlates, and other indices of maladaptive self- and interpersonal functioning was provided. Despite this evidence, a significant gap has since been identified related to how the American Psychiatric Association (APA) decides to accept proposed revisions to diagnostic criteria. The goal of the current special issue is to address this gap. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

摘要

2022 年,发表了一篇关于第五版《精神疾病诊断与统计手册》(DSM-5)第三部分《人格障碍替代模型》(AMPD;美国精神病学协会,2013)的十年回顾。这组十年回顾文章提供了证据,支持了 AMPD 的有效性、可靠性和临床实用性。具体而言,它提供了证据支持 LPF 的单维因素结构和病理性特质领域的五维结构。此外,还提供了证据支持 LPF 与精神疾病严重程度、功能结果、传统人格障碍、认知、情感和情境相关性以及其他适应不良的自我和人际功能指标的关联性,这也证明了 LPF 的建构效度。尽管有这些证据,但此后发现美国精神病学协会(APA)在决定接受拟议的诊断标准修订方面存在重大差距。本期特刊的目标是解决这一差距。(PsycInfo 数据库记录(c)2024 APA,保留所有权利)。

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