Epidemiology, public health and the problem of personality disorder
Epidemiology, public health and the problem of personality disorder
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DOI：
10.1192/bjp.182.44.s3
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发表时间：
2003-01-01
影响因子：
10.5
通讯作者：
Coid, J
中科院分区：
文献类型：
--
作者：
Coid, J
背景公共卫生问题解决范式是一个全面的方法，以前不适用于预防性干预personality disorder.Aims To present a overview for clinical psychologists.Method Review of epidemiological research into DSM-IVAxis II disorders and application to the paradigm.Results Personality disorder affects a substantial portion of the population.保健、社会和刑事司法机构的负担尚未准确量化。关于病例定义的争论仍在继续，但使用“广义”定义和病因学的流行率信息越来越多。一个基于发展的概念框架表明，预防性干预措施应针对儿童期。公共卫生的方法还需要监测的风险因素在人口level.Conclusions在英格兰和威尔士的人格障碍的人的服务是目前不足。解决问题的范例表明了新的预防干预措施。精神科医生应该重新谈判他们与政策制定者的关系，并重新考虑他们的预防作用。利益声明无。
Background The public health problem-solving paradigm is a comprehensive method not previously applied to preventive interventions for personality disorder.Aims To present an overview for clinical psychiatrists.Method Review of epidemiological research into DSM-IVAxis II disorders and application to the paradigm.Results Personality disorder affects a substantial proportion of the population. Burdens on health care, social and criminal justice agencies have yet to be accurately quantified. Debates continue over case definition, but there is increasing information on prevalence using 'broad' definitions and aetiology. A conceptual framework, based on development, suggests preventive interventions should be targeted in childhood. The public health approach also requires monitoring of risk factors operating at the population level.Conclusions Services in England and Wales for persons with personality disorder are currently inadequate. The problem-solving paradigm suggests new preventive interventions. Psychiatrists should renegotiate their relationship with policy-makers and reconsider their preventive role.Declaration of interest None.