Gender bias of antisocial and borderline personality disorders among psychiatrists.

IF 3.2 3区医学 Q2 PSYCHIATRY

Archives of Women's Mental Health Pub Date : 2024-10-04 DOI:10.1007/s00737-024-01519-0

Beren Özel, Ezgi Karakaya, Fazilet Köksal, Ali Ercan Altinoz, Imran Gokcen Yilmaz-Karaman

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引用次数: 0

Abstract

Purpose: Antisocial Personality Disorder (ASPD) and Borderline Personality Disorder (BPD) challenge mental health professionals with similar maladaptive behaviors. However, these two disorders differ regarding available evidence-based treatments. The Diagnostic and Statistical Manual of Mental Disorders (DSM) has been criticized as being gender-biased diagnostic construct. The present study aimed to determine the gender bias of ASPD and BPD among Turkish psychiatrists.

Methods: Three case vignettes were randomly presented as male or female to the psychiatrists online. The first case was a patient with schizophrenia case to confirm the participant's ability to diagnose. The second case was a patient with ASPD, and the third one was a patient with BPD.

Results: Two hundred fifty participants diagnosed the first case correctly (n = 250). The results with statistical significance demonstrated that a female case with ASPD was 5.1 times more likely to get misdiagnosed than a male case with ASPD (p˂0.0001).

Conclusions: Categorical classification of personality disorders in DSM leads to gender bias in in the diagnosis of ASPD and BPD. The present study shows that female cases with ASPD are misdiagnosed as BPD which may result in treatment attempts without evidence.

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精神病学家对反社会人格障碍和边缘型人格障碍的性别偏见。

目的：反社会人格障碍（Antisocial Personality Disorder，ASPD）和边缘型人格障碍（Borderline Personality Disorder，BPD）以类似的适应不良行为挑战心理健康专业人员。然而，这两种障碍在现有的循证治疗方法上存在差异。精神障碍诊断与统计手册》（DSM）一直被批评为具有性别偏见的诊断结构。本研究旨在确定土耳其精神科医生对 ASPD 和 BPD 的性别偏见：方法：在网上随机向精神科医生展示三个男性或女性病例。第一个案例是一名精神分裂症患者，目的是确认参与者的诊断能力。第二个案例是一名 ASPD 患者，第三个案例是一名 BPD 患者：250 名参与者正确诊断了第一个病例（n = 250）。结果显示，女性 ASPD 患者被误诊的几率是男性 ASPD 患者的 5.1 倍（p˂0.0001）：结论：DSM对人格障碍的分类导致了ASPD和BPD诊断中的性别偏见。本研究表明，患有 ASPD 的女性病例被误诊为 BPD，这可能会导致在没有证据的情况下尝试治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Women's Mental Health 医学-精神病学

CiteScore

8.00

自引率

4.40%

发文量

审稿时长

6-12 weeks

期刊介绍： Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.