School of Nursing and Health Sciences, Hong Kong Metropolitan University, Hong Kong.
Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong.
Asian J Psychiatr. 2024 Nov;101:104195. doi: 10.1016/j.ajp.2024.104195. Epub 2024 Aug 30.
There is an ongoing debate regarding whether ICD-11 complex PTSD and DSM-5 borderline personality disorder (BPD) are the same syndrome. Little is known about the extent to which these two conditions overlap and whether they exhibit distinct clinical correlates in Asian cultures. This study examined the co-occurrence of ICD-11 complex PTSD and DSM-5 BPD in a sample of treatment seekers in Hong Kong (N = 220). Participants completed validated self-report measures which assessed if they met the respective diagnostic criteria. In this sample, 30.9 % met the ICD-11 criteria for complex PTSD only, 10.0 % met the DSM-5 criteria for BPD only, and 28.2 % met the criteria for both conditions. Complex PTSD symptoms were most strongly associated with depressive symptoms (β =.347, p <.001) and trauma-related maladaptive beliefs (β =.337, p <.001), while BPD symptoms were most strongly associated with dissociative symptoms (β =.281, p <.001). This study is the first to show that ICD-11 complex PTSD and DSM-5 BPD commonly co-occurred but were not the same construct in the Asian context, and their symptoms were associated with different sets of demographic and clinical factors. Future editions of DSM and ICD should not merge the two conditions into a single diagnosis.
目前，关于 ICD-11 复杂性创伤后应激障碍和 DSM-5 边缘型人格障碍是否为同一种综合征存在争议。在亚洲文化中，这两种情况的重叠程度以及它们是否表现出不同的临床相关性，人们知之甚少。本研究在香港的一组治疗寻求者样本中检查了 ICD-11 复杂性创伤后应激障碍和 DSM-5 边缘型人格障碍的共病情况（N=220）。参与者完成了评估他们是否符合各自诊断标准的经过验证的自我报告量表。在该样本中，30.9%符合 ICD-11 复杂性创伤后应激障碍的标准，10.0%符合 DSM-5 边缘型人格障碍的标准，28.2%符合这两种疾病的标准。复杂性创伤后应激障碍症状与抑郁症状（β=.347，p<.001）和与创伤相关的适应不良信念（β=.337，p<.001）最密切相关，而边缘型人格障碍症状与解离症状（β=.281，p<.001）最密切相关。本研究首次表明，ICD-11 复杂性创伤后应激障碍和 DSM-5 边缘型人格障碍在亚洲背景下通常同时发生，但不是同一结构，它们的症状与不同的人口统计学和临床因素有关。未来版的 DSM 和 ICD 不应将这两种情况合并为单一诊断。
