A compromise solution between overlapping and overlooking DSM personality disorders in Chinese psychiatric practice

Zhu, SuoYu, Zhang, TianHong, Yang, ChengQing, Wei, YanYan, Xu, LiHua, Wang, JunJie, Chow, Annabelle, Liu, XiaoHua, Jiang, KaiDa, Xiao, ZePing, Zhou, Hui, and Wang, JiJun (2018) A compromise solution between overlapping and overlooking DSM personality disorders in Chinese psychiatric practice. Social Psychiatry and Psychiatric Epidemiology, 53 (1). pp. 99-106.

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Abstract

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.

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.

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.

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.

Item ID: 52526
Item Type: Article (Research - C1)
ISSN: 1433-9285
Keywords: Diagnosis, Personality disorder, Comorbidity, Classification, China
Copyright Information: © Springer-Verlag GmbH Germany 2017.
Funders: National Natural Science Foundation of China (NNSFC), Ministry of Science and Technology of China (MSTC), Shanghai Science and Technology Committee (SSTC), Shanghai Shenkang Hospital Development Center (SSHDC), Shanghai Key Laboratory of Psychotic Disorders (SKLPD), Shanghai Jiao Tong University Foundation (SJTUF), Shanghai Mental Health Center Foundation (SMHCF), SHSMU-ION Research Center for Brain Disorders, Program of Shanghai Academic Research Leader (PSARL)
Projects and Grants: NNSFC 81671329, NNSFC 81671332, MSTC 2016YFC1306803, SSTC 15411967200, SSHDC 16CR2015A, SSHDC 16CR3016A, SKLPD 13dz2260500, Division of early psychosis 2013-YJTSZK-05, SJTUF 14JCRY04, SJTUF YG2014MS40, SMHCF 2016-FX-01, SHSMU-ION 2015NKX001, PSARL 16XD1402400
Date Deposited: 14 Feb 2018 07:45
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110319 Psychiatry (incl Psychotherapy) @ 100%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920410 Mental Health @ 50%
97 EXPANDING KNOWLEDGE > 970111 Expanding Knowledge in the Medical and Health Sciences @ 50%
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