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

To access, purchase, authenticate, or subscribe to the full-text of this article, please visit this link: http://dx.doi.org/10.1007/s00127-017-1444-3 Byline: SuoYu Zhu (1,2), TianHong Zhang (1,4,6), ChengQing Yang (1), YanYan Wei (1), LiHua Xu (1), JunJie Wang (1), Annabelle Chow (3), XiaoHua Liu (1... Full description

Journal Title: Social Psychiatry and Psychiatric Epidemiology 2018, Vol.53(1), pp.99-106
Main Author: Zhu, SuoYu
Other Authors: Zhang, TianHong , Yang, ChengQing , Wei, YanYan , Xu, LiHua , Wang, JunJie , Chow, Annabelle , Liu, XiaoHua , Jiang, KaiDa , Xiao, ZePing , Zhou, Hui , Wang, JiJun
Format: Electronic Article Electronic Article
Language: English
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ID: ISSN: 0933-7954 ; E-ISSN: 1433-9285 ; DOI: 10.1007/s00127-017-1444-3
Link: http://dx.doi.org/10.1007/s00127-017-1444-3
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recordid: springer_jour10.1007/s00127-017-1444-3
title: A compromise solution between overlapping and overlooking DSM personality disorders in Chinese psychiatric practice
format: Article
creator:
  • Zhu, SuoYu
  • Zhang, TianHong
  • Yang, ChengQing
  • Wei, YanYan
  • Xu, LiHua
  • Wang, JunJie
  • Chow, Annabelle
  • Liu, XiaoHua
  • Jiang, KaiDa
  • Xiao, ZePing
  • Zhou, Hui
  • Wang, JiJun
subjects:
  • Diagnosis
  • Personality disorder
  • Comorbidity
  • Classification
  • China
ispartof: Social Psychiatry and Psychiatric Epidemiology, 2018, Vol.53(1), pp.99-106
description: To access, purchase, authenticate, or subscribe to the full-text of this article, please visit this link: http://dx.doi.org/10.1007/s00127-017-1444-3 Byline: SuoYu Zhu (1,2), TianHong Zhang (1,4,6), ChengQing Yang (1), YanYan Wei (1), LiHua Xu (1), JunJie Wang (1), Annabelle Chow (3), XiaoHua Liu (1), KaiDa Jiang (1), ZePing Xiao (1), Hui Zhou (1), JiJun Wang (1,4,5,6) Keywords: Diagnosis; Personality disorder; Comorbidity; Classification; China Abstract: Objective 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. Method 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. Results 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. Conclusions 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. Author Affiliation: (1) 0000 0004 0368 8293, grid.16821.3c, Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, 600 South Wanping Road, Shanghai, 200030, People's Republic of China (2) 0000 0001 0125 2443, grid.8547.e, Department of Psychiatry, Huashan Hospital, Fudan University, Shanghai, 200021, China (3) grid.456586.c, Clinical Psychology, James Cook University, Singapore, 387380, Singapore (4) 0000 0004 1782 6212, grid.415630.5, Shanghai Key Laboratory of Psychotic Disorders, Shanghai, 200030, People's Republic of China (5) 0000 0004 0369 313X, grid.419897.a, Bio-X Institutes, Key Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders (Ministry of Education),
language: eng
source:
identifier: ISSN: 0933-7954 ; E-ISSN: 1433-9285 ; DOI: 10.1007/s00127-017-1444-3
fulltext: fulltext
issn:
  • 1433-9285
  • 14339285
  • 0933-7954
  • 09337954
url: Link


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titleA compromise solution between overlapping and overlooking DSM personality disorders in Chinese psychiatric practice
creatorZhu, SuoYu ; Zhang, TianHong ; Yang, ChengQing ; Wei, YanYan ; Xu, LiHua ; Wang, JunJie ; Chow, Annabelle ; Liu, XiaoHua ; Jiang, KaiDa ; Xiao, ZePing ; Zhou, Hui ; Wang, JiJun
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descriptionTo access, purchase, authenticate, or subscribe to the full-text of this article, please visit this link: http://dx.doi.org/10.1007/s00127-017-1444-3 Byline: SuoYu Zhu (1,2), TianHong Zhang (1,4,6), ChengQing Yang (1), YanYan Wei (1), LiHua Xu (1), JunJie Wang (1), Annabelle Chow (3), XiaoHua Liu (1), KaiDa Jiang (1), ZePing Xiao (1), Hui Zhou (1), JiJun Wang (1,4,5,6) Keywords: Diagnosis; Personality disorder; Comorbidity; Classification; China Abstract: Objective 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. Method 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. Results 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. Conclusions 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. Author Affiliation: (1) 0000 0004 0368 8293, grid.16821.3c, Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, 600 South Wanping Road, Shanghai, 200030, People's Republic of China (2) 0000 0001 0125 2443, grid.8547.e, Department of Psychiatry, Huashan Hospital, Fudan University, Shanghai, 200021, China (3) grid.456586.c, Clinical Psychology, James Cook University, Singapore, 387380, Singapore (4) 0000 0004 1782 6212, grid.415630.5, Shanghai Key Laboratory of Psychotic Disorders, Shanghai, 200030, People's Republic of China (5) 0000 0004 0369 313X, grid.419897.a, Bio-X Institutes, Key Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders (Ministry of Education), Shanghai, People's Republic of China (6) 0000 0004 0368 8293, grid.16821.3c, Brain Science and Technology Research Center, Shanghai Jiao Tong University, Shanghai, China Article History: Registration Date: 22/09/2017 Received Date: 25/03/2017 Accepted Date: 22/09/2017 Online Date: 27/09/2017 Article note: SuoYu Zhu, TianHong Zhang contributed equally to this work. Electronic supplementary material The online version of this article (doi:10.1007/s00127-017-1444-3) contains supplementary material, which is available to authorized users.
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