Clinical Staging for Personality Disorders in Older Adults

被引：0

作者：

Conjaerts, Jeroen A. P. ^{[1
,7
]}

Videler, Arjan C. ^{[2
,3
,4
]}

Schepman, Roel ^{[2
]}

Elfeddali, Iman ^{[2
,3
,4
]}

Rosowsky, Erlene ^{[5
]}

van Alphen, Sebastiaan P. J. ^{[1
,6
]}

机构：

[1] Mondriaan Mental Hlth Ctr, Clin Ctr Excellence Personal Disorders Older Adult, Heerlen Maastricht, Netherlands

[2] GGz Breburg Mental Hlth Ctr, Clin Ctr Excellence Personal Disorders & Dev Disor, Tilburg, Netherlands

[3] Tilburg Univ, Tranzo Dept, Tilburg, Netherlands

[4] GGz Breburg Mental Hlth Ctr, Clin Ctr Excellence Body Mind & Hlth, Tilburg, Netherlands

[5] William James Coll, Dept Clin Psychol, Newton, MA USA

[6] Vrije Univ Brussel VUB, Dept Psychol PE, Personal & Psychopathol Res Grp PEPS, Brussels, Belgium

[7] Mondriaan Mental Hlth Ctr, Clin Ctr Excellence Personal Disorders Older Adult, Dept Old Age Psychiat, Maastricht, Netherlands

来源：

JOURNAL OF GERIATRIC PSYCHIATRY AND NEUROLOGY | 2025年 / 38卷 / 01期

关键词：

personality disorders; clinical staging; older adults; Delphi study; life course; DELPHI TECHNIQUE; PSYCHIATRIC-DISORDERS; EARLY INTERVENTION; AGE; DIAGNOSIS; CLASSIFICATION; PREVALENCE; HEALTH; COMORBIDITY; FRAMEWORK;

D O I：

10.1177/08919887241254467

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Objective This scientific research aimed to investigate the feasibility of implementing a clinical staging (CS) model for personality disorders (PDs) in older adults. The CS model could provide valuable insights into the life course of personality pathology, prognosis, and treatment decisions for PDs in older adults.Methods/Design The study employed an international Delphi methodology with three rounds and involved 21 experts.Results Consensus was achieved on 12 out of 17 statements, confirming the viability of a CS model for PDs in older adults. The proposed model incorporates the Alternative Model for PDs, criterion A, and integrates life course information, distinguishing between chronic PD, re-emergent PD, late-onset PD, and past PD.Conclusion The findings suggest that international experts support the implementation of a CS model for PDs in older adults, considering both the severity of personality functioning and the retrospective life course of PD expression.

引用

页码：32 / 43

页数：12

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