Diagnosing borderline patients with a semistructured interview.

Diagnosing borderline patients with a semistructured interview.
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通过半结构化访谈诊断边缘患者。

DOI:
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发表时间:
1980
影响因子:
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通讯作者:
J. Gunderson
J. Gunderson
中科院分区:
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文献类型:
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作者:
J. Kolb;J. Gunderson

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作为正在进行的为边缘型人格障碍的诊断提供操作标准的努力的一部分,已经开发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,评估五个边缘病理特征领域-社会适应,冲动/行动模式。情感、精神病症状和人际关系。对70名住院患者进行了DIB治疗,并与出院时的临床诊断进行了比较。DIB将边缘型患者与其他患者区分开来,特别是与精神分裂症和神经性抑郁症患者区分开来。它反映了临床诊断,对于边缘诊断更一致的患者,得分更高。该仪器可以灵活地用于识别研究目的的边缘患者人群。
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.