How Transdiagnostic Factors of Personality and Psychopathology Can Inform Clinical Assessment and Intervention

How Transdiagnostic Factors of Personality and Psychopathology Can Inform Clinical Assessment and Intervention
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人格和精神病理学的跨诊断因素如何为临床评估和干预提供信息

DOI:
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发表时间:
2015
影响因子:
3.4
通讯作者:
R. Krueger
R. Krueger
中科院分区:
心理学3区
文献类型:
--
作者:
C. Rodriguez;N. Eaton;R. Krueger

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研究表明,许多精神障碍——情绪和焦虑、物质使用和人格精神病理——与相对较少的潜在的跨诊断因素有关。关于人格障碍和普通精神障碍的共病,内化-外化等因素结构已经在全球范围内的许多样本中得到了复制。跨诊断因素的一个关键特征是,它们是人格和精神病理学之间的交叉点,使它们与应用临床工作特别相关。尽管许多研究都支持跨诊断因素在研究和分类目的中的重要性,但相对而言,这些因素如何对临床评估医生有益的阐述较少。在此,我们提出的跨诊断因素研究成果的概述,并将这些发现应用于临床主题的评估,诊断和治疗。对于临床医生和研究人员来说,跨诊断结构的使用对于理解、描述和改善精神病理学——包括其表现为人格障碍——以一种有效、有效和高效的方式呈现出积极的意义。
Research suggests that many mental disorders—mood and anxiety, substance use, and personality psychopathology—are related through relatively few latent transdiagnostic factors. With regard to the comorbidity of personality disorders and common mental disorders, factor structures such as internalizing–externalizing have been replicated in numerous samples, across the life span, and around the globe. One critical feature of transdiagnostic factors is that they serve as a point of intersection between personality and psychopathology, making them particularly relevant phenomena for applied clinical work. Although numerous studies have supported the significance of transdiagnostic factors for research and classification purposes, there has been comparatively less articulation of how such factors might be of benefit to practicing assessment clinicians. Herein, we present an overview of transdiagnostic factor research findings, and we apply these findings to the clinical topics of assessment, diagnosis, and treatment. For clinicians as well as researchers, the use of transdiagnostic constructs presents positive implications for efforts to understand, characterize, and ameliorate psychopathology—including its manifestations as personality disorder—in a valid, effective, and efficient way.
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