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首页> 外文期刊>The journal of sexual medicine >Report of findings in a dsm-5 field trial for hypersexual disorder
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Report of findings in a dsm-5 field trial for hypersexual disorder

机译：有关性欲障碍的dsm-5田间试验结果的报告

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Introduction. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for hypersexual disorder (HD) have been proposed to capture symptoms reported by patients seeking help for out-of-control sexual behavior. The proposed criteria created by the DSM-5 Work Group on Sexual and Gender Identity Disorders require evaluation in a formal field trial. Aim. This DSM-5 Field Trial was designed to assess the reliability and validity of the criteria for HD in a sample of patients seeking treatment for hypersexual behavior, a general psychiatric condition, or a substance-related disorder. Method. Patients (N=207) were assessed for psychopathology and HD by blinded raters to determine inter-rater reliability of the HD criteria and following a 2-week interval by a third rater to evaluate the stability of the HD criteria over time. Patients also completed a number of self-report measures to assess the validity of the HD criteria. Main Outcome Measures. HD and psychopathology were measured by structured diagnostic interviews, the Hypersexual Behavior Inventory, Sexual Compulsivity Scale, and Hypersexual Behavior Consequences Scale. Emotional dysregulation and stress proneness were measured by facets on the NEO Personality Inventory-Revised. Results. Inter-rater reliability was high and the HD criteria showed good stability over time. Sensitivity and specificity indices showed that the criteria for HD accurately reflected the presenting problem among patients. The diagnostic criteria for HD showed good validity with theoretically related measures of hypersexuality, impulsivity, emotional dysregulation, and stress proneness, as well as good internal consistency. Patients assessed for HD also reported a vast array of consequences for hypersexual behavior that were significantly greater than those diagnosed with a general psychiatric condition or substance-related disorder. Conclusions. The HD criteria proposed by the DSM-5 Work Group on Sexual and Gender Identity Disorders appear to demonstrate high reliability and validity when applied to patients in a clinical setting among a group of raters with modest training on assessing HD.
机译：介绍。已经提出了《精神障碍诊断和统计手册》第五版（DSM-5）的性欲亢进症（HD）标准，以捕获寻求失控性行为帮助的患者报告的症状。由DSM-5有关性和性别认同障碍的工作组创建的拟议标准需要在正式的现场试验中进行评估。目标。该DSM-5现场试验旨在评估在寻求治疗性欲过度，一般精神病或与物质有关的疾病的患者样本中HD标准的可靠性和有效性。方法。通过盲目评估者对患者（N = 207）的精神病理学和HD进行评估，以确定HD准则在评估者之间的可靠性，并在3周内由三位评估者评估HD准则随时间的稳定性。患者还完成了许多自我报告措施，以评估HD标准的有效性。主要观察指标。通过结构性诊断性访谈，性欲行为量表，性强迫量表和性欲行为后果量表对高清和心理病理学进行测量。情绪失调和压力倾向通过《 NEO人格量表》修订版中的各个方面进行衡量。结果。评估者间的可靠性很高，HD标准随时间推移显示出良好的稳定性。敏感性和特异性指数表明，HD的标准准确反映了患者中的存在问题。对HD的诊断标准显示出良好的有效性，并具有理论上与性欲，冲动，情绪失调和压力倾向有关的措施，以及良好的内部一致性。接受HD评估的患者还报告说，性欲行为的各种后果明显大于被诊断出患有一般精神病或与物质有关的疾病的后果。结论。由DSM-5性别和性别认同障碍工作组提出的HD标准似乎适用于一组评估者，并在经过评估HD的适当培训的临床环境中应用于患者时具有很高的可靠性和有效性。

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