Invited essay: Sex biases in the diagnosis of personality disorders
Invited essay: Sex biases in the diagnosis of personality disorders
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DOI：
10.1521/pedi.1998.12.2.95
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发表时间：
1998-06-01
影响因子：
2.3
通讯作者：
Widiger, TA
中科院分区：
文献类型：
--
作者：
Widiger, TA
在美国精神病学协会的《精神疾病诊断和统计手册》(DSM)的每个版本的开发过程中，更困难的问题之一是人格障碍诊断中可能存在的性别偏见，自1980年DSM第三版出版以来，关于这个问题的讨论和研究已经发生了大量的讨论和研究，现在很明显，DSM-IV人格障碍的不同性别患病率可以通过许多不同的方式反映性别偏见，包括有偏见的诊断结构、有偏见的诊断阈值、有偏见的人口抽样、有偏见的诊断标准的应用、有偏见的评估工具和有偏见的诊断标准。了解这些不同形式的性别偏见是很重要的，因为每种形式的性别偏见都可以独立发生，相互混淆，相互作用。本文的目的是区分这些不同形式的性别偏见，并描述对它们的支持，以期有助于认识它们并最终解决它们。
One of the more difficult issues in the development of each edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM) has been a possible sex bias in the personality disorder diagnoses, A substantial amount of discussion and research on this issue has occurred since the 1980 publication of the third edition of the DSM, It is now apparent that there are a number of different ways in which the differential sex prevalence rates for the DSM-IV personality disorders could reflect a sex bias, including biased diagnostic constructs, biased thresholds for diagnosis, biased population sampling, biased application of diagnostic criteria, biased instruments of assessment, and biased diagnostic criteria. It is important to understand these different forms of sex bias, as each can occur independently of, be confused with, and interact with one another. The purpose of this paper is to differentiate among, and to describe the support for, each of these different forms of sex bias, with the hope of contributing to their recognition and ultimate resolution.