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通过半结构化访谈对边缘型患者进行诊断。

Diagnosing borderline patients with a semistructured interview.

作者信息

Kolb J E, Gunderson J G

出版信息

Arch Gen Psychiatry. 1980 Jan;37(1):37-41. doi: 10.1001/archpsyc.1980.01780140039004.

DOI:10.1001/archpsyc.1980.01780140039004
PMID:7352838
Abstract

As a part of an ongoing effort to provide operational criteria for a diagnosis of borderline personality disorder, the Diagnostic Interview for Borderlines (DIB) has been developed. The DIB is an hour-long, semistructured interview that evaluates five areas of borderline pathologic features--social adaptation, impulse/action patterns. affects, psychotic symptoms, and interpersonal relations. The DIBs were administered to 70 hospitalized patients and compared with clinical diagnoses made at the time of discharge. The DIB discriminates borderline patients from others, especially from schizophrenic and neurotic depressives. It reflects clinical diagnosis, yielding higher scores for patients on whom there is more agreement on the diagnosis of borderline. The instrument can be used flexibly to identify populations of borderline patients for research purposes.

摘要

作为为边缘型人格障碍诊断提供操作标准的一项持续努力的一部分,已经开发出了边缘型人格障碍诊断访谈(DIB)。DIB是一个长达一小时的半结构化访谈,评估边缘型病理特征的五个方面——社会适应、冲动/行为模式、情感、精神病症状和人际关系。对70名住院患者进行了DIB访谈,并与出院时做出的临床诊断进行了比较。DIB能够将边缘型患者与其他患者区分开来,尤其是与精神分裂症患者和神经症性抑郁症患者区分开来。它反映了临床诊断,对于在边缘型诊断上有更多共识的患者给出了更高的分数。该工具可以灵活用于识别边缘型患者群体以用于研究目的。

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