Conceptualizing adult ADHD with the DSM alternative model of personality disorder.

IF 2 3区 医学 Q3 PSYCHIATRY
Peter Jacobsson, Christopher J Hopwood, Robert F Krueger, Bo Söderpalm, Thomas Nilsson
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引用次数: 0

Abstract

Personality traits and personality disorders are related to ADHD and indicate dysfunction in clinical populations. The goals of this study were to examine how the DSM-5 Alternative Model of Personality Disorder (AMPD) a) indicates the presence of ADHD and b) communicates information about dysfunction over and above ADHD diagnosis. A sample of 330 adult psychiatric patients with and without ADHD (60% female; mean age 33 years) were assessed for ADHD symptoms, personality impairment, maladaptive personality traits, and functional life impairment domains. The maladaptive personality domain Disinhibition and particularly the lower order facet of Distractibility distinguished between individuals with psychiatric difficulties with and without ADHD. Distractibility is strongly related to the ADHD symptom dimension Inattentiveness, and Antagonism to Hyperactivity/impulsivity. General personality impairment augmented ADHD diagnosis in predicting life impairments. The AMPD has utility in ADHD assessments for diagnosis and prognosis.

用 DSM 人格障碍替代模型对成人多动症进行概念化。
人格特征和人格障碍与多动症有关,并表明临床人群中存在功能障碍。本研究的目的是探讨DSM-5人格障碍替代模型(AMPD)如何(a)显示ADHD的存在,以及(b)在ADHD诊断之外传达有关功能障碍的信息。我们对 330 名患有或不患有多动症的成年精神病患者(60% 为女性,平均年龄 33 岁)进行了多动症症状、人格障碍、适应不良型人格特征和生活功能障碍领域的评估。不良人格领域的抑制,尤其是低阶的分心面,区分了有精神障碍的多动症患者和没有多动症的患者。分心与多动症症状维度的注意力不集中和多动/冲动的对抗性密切相关。在预测生活障碍方面,一般人格障碍增强了多动症诊断。AMPD在多动症的诊断和预后评估中具有实用价值。
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来源期刊
CiteScore
4.80
自引率
14.80%
发文量
38
期刊介绍: Personality and Mental Health: Multidisciplinary Studies from Personality Dysfunction to Criminal Behaviour aims to lead and shape the international field in this rapidly expanding area, uniting three distinct literatures: DSM-IV/ICD-10 defined personality disorders, psychopathy and offending behaviour. Through its multi-disciplinary and service orientated approach, Personality and Mental Health provides a peer-reviewed, authoritative resource for researchers, practitioners and policy makers working in the areas of personality and mental health.
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