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A compromise solution between overlapping and overlooking DSM personality disorders in Chinese psychiatric practice.
- Source :
-
Social Psychiatry & Psychiatric Epidemiology . Jan2018, Vol. 53 Issue 1, p99-106. 8p. - Publication Year :
- 2018
-
Abstract
- <bold>Objective: </bold>This study aimed to examine the overlaps between the Diagnostic and Statistical Manual-5 (DSM-5) Personality Disorders (PDs) in a high-risk clinical population and to explore a transitional model for implementing DSM-5 PDs.<bold>Method: </bold>A sample population of 982 outpatients with at least one diagnosed PD was selected from 3,075 outpatients of the Shanghai Mental Health Center. The diagnostic process comprised of a personality diagnostic questionnaire and a structured clinical interview.<bold>Results: </bold>685 (22.3%) patients were diagnosed with at least one of six PDs (antisocial, avoidant, borderline, narcissistic, obsessive-compulsive, and schizotypal) under the alternative DSM-5 model for personality disorders proposed in Section III of the DSM-5. Nearly 20.3% of the subjects with PD met criteria for at least two PDs (of the 685 PD patients/6 PD model). Cluster and principal component analyses suggest a transitional model for the 7 specific PD categories (among the 722 PD patients, the overlapping rate was 24.1%) will be more appropriate for PD diagnosis in China.<bold>Conclusions: </bold>Using the simplified PD categories in the alternative DSM-5 model for personality disorders will reduce the overlaps in PD diagnoses in Chinese psychiatric practice, and should be preferred over the DSM-5 PD diagnostic system. [ABSTRACT FROM AUTHOR]
- Subjects :
- *PERSONALITY disorder diagnosis
*CHINESE people
*COMORBIDITY
*MEDICAL practice
*MENTAL health facilities
*PRINCIPAL components analysis
*DISEASES
*ANTISOCIAL personality disorders
*COMPARATIVE studies
*RESEARCH methodology
*MEDICAL cooperation
*CLASSIFICATION of mental disorders
*PATIENTS
*PERSONALITY
*QUESTIONNAIRES
*RESEARCH
*RESEARCH funding
*EVALUATION research
*DIAGNOSIS
Subjects
Details
- Language :
- English
- ISSN :
- 09337954
- Volume :
- 53
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Social Psychiatry & Psychiatric Epidemiology
- Publication Type :
- Academic Journal
- Accession number :
- 127734777
- Full Text :
- https://doi.org/10.1007/s00127-017-1444-3