TY  - JOUR
PY  - 2018//
TI  - A compromise solution between overlapping and overlooking DSM personality disorders in Chinese psychiatric practice
JO  - Social psychiatry and psychiatric epidemiology
A1  - Zhu, SuoYu
A1  - Zhang, Tianhong
A1  - Yang, ChengQing
A1  - Wei, YanYan
A1  - Xu, LiHua
A1  - Wang, Junjie
A1  - Chow, Annabelle
A1  - Liu, Xiaohua
A1  - Jiang, Kaida
A1  - Xiao, Zeping
A1  - Zhou, Hui
A1  - Wang, Jijun
SP  - 99
EP  - 106
VL  - 53
IS  - 1
N2  - 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>
LA  - en
SN  - 0933-7954
UR  - http://dx.doi.org/10.1007/s00127-017-1444-3
ID  - ref1
ER  -