UNASSIGNED:随着2022年初第11版国际疾病分类(ICD-11)的实施,诊断人格障碍(PD)的框架和过程将发生根本变化,指示从分类模型到维度模型的过渡。尽管越来越多的证据表明PD不像以前假设的那样稳定,PD的长期稳定性仍存在重大争议。本文的目的是研究高风险样本中从青春期到成年期的PDs的分类和维度平均水平和等级顺序稳定性。
未经批准:总共,本研究包括115名在瑞士有居住儿童福利和少年司法安置史的年轻人。在基线和10年随访时评估PDs。在绝对层面上,通过从基线到随访的持久病例比例评估平均稳定性.通过科恩κ和四声相关系数评估排序稳定性。在维度层面上,基线和随访时PD性状评分之间的变化幅度通过Cohen'sd测量。通过Spearman'sρ评估排序稳定性。
UNASSIGNED:任何PD的患病率在基线时为20.0%,在随访时为30.4%。最常诊断的疾病是反社会的,边界线,和强迫性PD,基线和随访时。在绝对层面上,任何PD的平均水平稳定性都只有中等,特定PD的平均水平稳定性较低,除了分裂样PD.同样,任何PD类别的排序稳定性都是中等的,而从低到高的个人PD诊断。在维度层面上,大多数PD的分数显著增加,除了组织学特征,从基线到随访显着下降。效应大小通常较低。维度得分的等级顺序稳定性从低到中等。
UNASSIGNED:研究结果表明,从青春期到成年期,Pds和Pd性状的稳定性低至中等,这支持了越来越多的证据表明,对Pds的分类诊断非常不稳定。这反过来,强调即将到来的ICD-11的使用,承认pds只是“相对”稳定。
UNASSIGNED: With the implementation of the 11th edition of the International Classification of Diseases (ICD-11) in early 2022, there will be a radical change in the framework and process for diagnosing personality disorders (PDs), indicating a transition from the categorical to the dimensional model. Despite increasing evidence that PDs are not as stable as previously assumed, the long-term stability of PDs remains under major debate. The aim of the current paper was to investigate the categorical and dimensional mean-level and rank-order stability of PDs from adolescence into young adulthood in a high-risk sample.
UNASSIGNED: In total, 115 young adults with a history of residential child welfare and juvenile-justice placements in Switzerland were included in the current study. PDs were assessed at baseline and at a 10-year follow-up. On a categorical level, mean-level stability was assessed through the proportion of enduring cases from baseline to follow-up. Rank-order stability was assessed through Cohen\'s κ and tetrachoric correlation coefficients. On a dimensional level, the magnitude of change between the PD trait scores at baseline and at follow-up was measured by Cohen\'s d. Rank-order stability was assessed through Spearman\'s ρ.
UNASSIGNED: The prevalence rate for any PD was 20.0% at baseline and 30.4% at follow-up. The most frequently diagnosed disorders were antisocial, borderline, and obsessive-compulsive PDs, both at baseline and at follow-up. On a categorical level, the mean-level stability of any PD was only moderate, and the mean-level stability of specific PDs was low, except of schizoid PD. Likewise, the rank-order stability of any PD category was moderate, while ranging from low to high for individual PD diagnoses. On a dimensional level, scores increased significantly for most PDs, except for histrionic traits, which decreased significantly from baseline to follow-up. Effect sizes were generally low. The rank-order stability for dimensional scores ranged from low to moderate.
UNASSIGNED: The findings indicate low to moderate stability of Pds and Pd traits from adolescence to adulthood, which supports the growing evidence that categorical diagnoses of Pds are quite unstable. This in turn, emphasizes the use of the upcoming ICD-11 that Acknowledgments Pds to be only \"relatively\" stable.