Ma Dandan, Wang Yufei, Wei Jing, Cao Jinya
Department of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, China.
Department of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, China.
Asian J Psychiatr. 2024 Dec;102:104259. doi: 10.1016/j.ajp.2024.104259. Epub 2024 Sep 29.
Updates regarding the dimensional model of personality disorder in the DSM-5 and ICD-11 have stimulated interest in the concept of personality functioning (PF). A growing number of literature has demonstrated the extensive empirical basis, validated evaluation tools, and clinical utility of the concept of PF. The concept of PF provides a construct for the diagnosis and evaluation of personality disorders. As a trans-diagnostic factor, PF is of great significance in the etiology and development of many mental and physical conditions. PF can be improved per se, primarily through psychotherapy. The evaluation and treatment of low PF should be considered in all relevant cases. The current study aims to provide a comprehensive review of the concept, pathogenesis, measurement, prevalence, psychopathological significance, as well as intervention for disordered PF.
《精神疾病诊断与统计手册》第五版（DSM - 5）和《国际疾病分类》第十一版（ICD - 11）中人格障碍维度模型的更新激发了人们对人格功能（PF）概念的兴趣。越来越多的文献证明了PF概念具有广泛的实证基础、经过验证的评估工具以及临床实用性。PF概念为诊断和评估人格障碍提供了一个结构。作为一个跨诊断因素，PF在许多精神和身体疾病的病因学及发展过程中具有重要意义。PF本身可以得到改善，主要通过心理治疗。在所有相关病例中都应考虑对低PF进行评估和治疗。本研究旨在对PF紊乱的概念、发病机制、测量、患病率、精神病理学意义以及干预措施进行全面综述。
