Clinicians' Use of Personality Disorder Models within a Particular Treatment Setting: A Longitudinal Comparison of Temporal Consistency and Clinical Utility.
Clinicians' Use of Personality Disorder Models within a Particular Treatment Setting: A Longitudinal Comparison of Temporal Consistency and Clinical Utility.
复制标题
临床医生在特定治疗环境中使用人格障碍模型：时间一致性和临床实用性的纵向比较。
DOI：
10.1002/pmh.152
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发表时间：
2011
影响因子：
2.7
通讯作者：
Widiger,ThomasA
中科院分区：
文献类型：
--
作者：
Samuel,DouglasB;Widiger,ThomasA
目前研究的一个活跃方向是人格障碍的五因素模型（FFM）如何被临床医生应用，特别是，与现有的命名法相比，该模型在临床上有多大用处。目前的研究首次调查了临床医生对自己的患者应用FFM和DSM - IV - TR的时间一致性。结果表明，FFM评分在6个月的治疗期间相对稳定，支持临床医生的使用，但也反映了潜在的重要临床变化。此外，临床医生提供的效用评级表明，FFM比DSM - IV - TR模型对临床决策更有用。我们理解在先前研究背景下的临床效用发现，表明FFM在非典型人格障碍患者中最有用。版权所有©2010 John Wiley & Sons， Ltd
An active line of current investigation is how the five‐factor model (FFM) of personality disorder might be applied by clinicians and particularly, how clinically useful this model is in comparison to the existing nomenclature. The current study is the first to investigate the temporal consistency of clinicians' application of the FFM and the DSM‐IV‐TR to their own patients. Results indicated that FFM ratings were relatively stable over 6 months of treatment, supporting their use by clinicians, but also indexed potentially important clinical changes. Additionally, ratings of utility provided by the clinicians suggested that the FFM was more useful for clinical decision‐making than was the DSM‐IV‐TR model. We understand the clinical utility findings within the context of previous research indicating that the FFM is most useful among patients who are not prototypic for a personality disorder. Copyright © 2010 John Wiley & Sons, Ltd.