The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, alternative model conceptualization of borderline personality disorder: A review of the evidence.
The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, alternative model conceptualization of borderline personality disorder: A review of the evidence.
复制标题
精神障碍诊断与统计手册，第五版，边缘型人格障碍的另类模型概念化：证据回顾。
DOI：
10.1037/per0000563
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发表时间：
2022-07
影响因子：
2.8
通讯作者：
Stepp, Stephanie D
中科院分区：
文献类型：
--
作者：
Vanwoerden, Salome;Stepp, Stephanie D
在《精神障碍诊断与统计手册》第五版（DSM-5）出版后的10年里，已经积累了一些研究来测试人格障碍替代模型（AMPD）在边缘型人格障碍（BPD）背景下的有效性和实用性。在这篇文章中，我们回顾了研究，测试如何以及AMPD的概念化BPD捕捉传统（DSM-5，第二节）的概念化BPD。虽然我们注意到，与关注AMPD单个方面的研究相比，测量AMPD-BPD完整概念化的研究有限，但回顾的研究表明，AMPD对BPD的概念化与第二节在很大程度上重叠，与类似范围的外部结构相关，并且可以用类似水平的评定者间可靠性进行测量。这一证据在AMPD开发者的目标方面是有希望的，即不丢失与BPD传统概念相关的相关和临床有意义的信息。然而，需要进一步的应用研究，以了解如何AMPD可以改善我们现有的分类概念的BPD。
In the 10 years following the publishing of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM–5), studies have accumulated testing the validity and utility of the alternative model for personality disorders (AMPD) in the context of borderline personality disorder (BPD). In this article, we review the studies that have tested how well the AMPD conceptualization of BPD captures the traditional (DSM–5, Section II) conceptualization of BPD. Although we note that studies that measure the full conceptualization of the AMPD-BPD are limited compared with studies focusing on a single aspect of the AMPD, studies reviewed suggest that the AMPD conceptualization of BPD largely overlaps with Section II, is associated with a similar range of external constructs, and can be measured with similar levels of interrater reliability. This evidence is promising in terms of the goal of the AMPD developers to not lose relevant and clinically meaningful information associated with traditional conceptualizations of BPD. However, further applied research is needed to understand how the AMPD may improve upon our existing categorical conceptualization of BPD.