Diagnosis of personality disorders in adolescents: a study among psychologists.

Diagnosis of personality disorders in adolescents: a study among psychologists.
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DOI:
10.1186/1753-2000-7-3
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发表时间:
2013-02-11
影响因子:
5.6
通讯作者:
Luyten P
Luyten P
中科院分区:
医学3区
文献类型:
--
作者:
Laurenssen EM;Hutsebaut J;Feenstra DJ;Van Busschbach JJ;Luyten P

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最近关于人格障碍(PD)治疗的指南建议在青少年中诊断PD。然而,目前尚不清楚这些指导方针是否会影响精神卫生保健专业人员目前的观点和做法。566名心理学家完成了一项关于青少年人格障碍的在线调查,其中367名专业人员报告了与青少年有关的工作。调查包括人口统计学问题(年龄、性别、职业、工作环境)和与青春期帕金森病有关的具体问题。虽然大多数从事青少年工作的心理学家承认青少年中存在PD(57.8%),但只有一小部分人在青春期诊断PD(8.7%),并提供专门针对PD病理的治疗(6.5%)。不诊断青春期人格障碍的原因主要是相信青少年人格问题是暂时性的(41.2%),以及DSM-IV-TR不允许诊断青春期人格障碍(25.9%)。尽管实践指南可能影响了临床医生对青春期PD的看法,但到目前为止,它们对常规临床实践的影响很小。
Recent guidelines concerning the treatment of personality disorders (PDs) recommend diagnosing PDs in adolescents. However, it remains unclear whether these guidelines influence the current opinions and practices of mental health care professionals. Five hundred sixty-six psychologists completed an online survey concerning PDs in adolescents, of whom 367 professionals reported working with adolescents. The survey contained demographical questions (age, gender, profession, work setting) and specific questions related to PD in adolescence. Although a majority of psychologists working with adolescents acknowledged the existence of PDs in adolescents (57.8%), only a small minority diagnoses PDs in adolescence (8.7%) and offers a treatment specifically aimed at targeting PD pathology (6.5%). Reasons for not diagnosing PDs in adolescence mainly concerned the belief that adolescent personality problems are transient (41.2%) and that the DSM-IV-TR does not allow diagnosing PDs in adolescence (25.9%). Although practice guidelines might have influenced clinicians’ opinions about PDs in adolescence, they have had little impact so far on routine clinical practice.
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