Assessing inter-model continuity between the Section II and Section III conceptualizations of borderline personality disorder in DSM-5.

Assessing inter-model continuity between the Section II and Section III conceptualizations of borderline personality disorder in DSM-5.
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DOI:
10.1037/per0000243
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发表时间:
2018-05
期刊:
Personality disorders
影响因子:
--
通讯作者:
Simms LJ
Simms LJ
中科院分区:
其他
文献类型:
--
作者:
Evans CM;Simms LJ

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DSM-5在第二节和第三节中包括了两种相互竞争的边缘型人格障碍(BPD)模型。需要对这些模型进行经验比较,以了解和改善模型间的连续性。我们比较了第三部分BPD特征和第二部分BPD标准,通过半结构化访谈评估了455名当前/最近的精神病患者,使用相关和回归分析,并评估了其他第三部分特征的增量预测能力。此外,我们测试了自我伤害比第三部分特征更能预测BPD标准5的假设。结果支持第三节BPD特征作为传统BPD症状的充分代表,尽管确定了可以增加模型间连续性的修改。最后,我们发现怀疑、快感缺乏、知觉失调和自我伤害的效度增加,这表明第三部分PD特征定义可能存在空白。
DSM-5 includes two competing models of Borderline Personality Disorder (BPD) in Sections II and III. Empirical comparisons between these models are required to understand and improve inter-model continuity. We compared Section III BPD traits to Section II BPD criteria assessed via semi-structured interviews in 455 current/recent psychiatric patients using correlation and regression analyses, and also evaluated the incremental predictive power of other Section III traits. In addition, we tested the hypothesis that self-harm would incrementally predict BPD Criterion 5 over the Section III traits. Results supported Section III BPD traits as an adequate representation of traditional BPD symptomatology, although modifications that would increase inter-model continuity were identified. Finally, we found support for the incremental validity of suspiciousness, anhedonia, perceptual dysregulation, and self-harm, suggesting possible gaps in the Section III PD trait definitions.
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