@article{ref1,
title="A compromise solution between overlapping and overlooking DSM personality disorders in Chinese psychiatric practice",
journal="Social psychiatry and psychiatric epidemiology",
year="2018",
author="Zhu, SuoYu and Zhang, Tianhong and Yang, ChengQing and Wei, YanYan and Xu, LiHua and Wang, Junjie and Chow, Annabelle and Liu, Xiaohua and Jiang, Kaida and Xiao, Zeping and Zhou, Hui and Wang, Jijun",
volume="53",
number="1",
pages="99-106",
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. <br><br>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. <br><br>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. <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="0933-7954",
doi="10.1007/s00127-017-1444-3",
url="http://dx.doi.org/10.1007/s00127-017-1444-3"
}