EVALUATION OF DIAGNOSTIC THRESHOLDS FOR CRITERION A IN THE ALTERNATIVE DSM-5 MODEL FOR PERSONALITY DISORDERS

被引:15
作者
Christensen, Tore Buer [1 ]
Hummelen, Benjamin [2 ,3 ]
Paap, Muirne C. S. [3 ,4 ]
Eikenaes, Ingeborg [5 ]
Selvik, Sara Germans [6 ,7 ]
Kvarstein, Elfrida [2 ]
Pedersen, Geir [2 ,8 ]
Bender, Donna S. [9 ]
Skodol, Andrew E. [10 ]
Nysaeter, Tor Erik [1 ]
机构
[1] Sorlandet Hosp, Dept Mental Hlth, Arendal, Norway
[2] Oslo Univ Hosp, Dept Personal Psychiat, Clin Mental Hlth & Addict, Oslo, Norway
[3] Oslo Univ Hosp, Dept Res & Dev, Clin Mental Hlth & Addict, Oslo, Norway
[4] Univ Groningen, Fac Behav & Social Sci, Dept Special Needs Educ & Youth Care, Groningen, Netherlands
[5] Vestfold Hosp Trust, Dept Personal Psychiat, Div Mental Hlth & Addict Treatment, Tonsberg, Norway
[6] Hosp Namsos, Dept Psychiat, Namsos, Norway
[7] Norwegian Univ Sci & Technol NTNU, Dept Mental Hlth, Trondheim, Norway
[8] Univ Oslo, KG Jebsen Ctr Psychosis Res, Inst Clin Med, NORMENT, Oslo, Norway
[9] Tulane Univ, Dept Psychiat & Behav Sci & Counseling & Psychol, New Orleans, LA 70118 USA
[10] Univ Arizona, Coll Med, Dept Psychiat, Tucson, AZ USA
关键词
personality disorder; DSM-5; Alternative Model for Personality Disorders; AMPD; Level of Personality Functioning Scale; LPFS; diagnostic threshold; Criterion A; SCID-5-AMPD; psychometrics; ASSESSING LEVEL; IV; INTERVIEW; AVOIDANT; VALIDATION; QUALITY;
D O I
10.1521/pedi_2019_33_455
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
The Level of Personality Functioning Scale (LPFS) of the Alternative DSM-5 Model for Personality Disorders (AMPD) was formulated to assess the presence and severity of personality disorders (PDs). Moderate impairment (Level 2) in personality functioning, as measured by the LPFS, was incorporated into the AMPD as a diagnostic threshold for PD in Criterion A of the general criteria, as well as for the "any two areas present" rule for assigning a specific PD diagnosis. This study represents the first evaluation of the diagnostic decision rules for Criterion A, in a clinical sample (N = 282). The results indicate that an overall diagnostic threshold for PDs should be used with caution because it may not identify all DSM-IV PDs. The "any two areas present" rule proved to be a reasonable alternative, although this finding should be interpreted with caution because the LPFS does not measure the disorder-specific A criteria.
引用
收藏
页码:40 / 61
页数:22
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