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性别及性别角色对《精神疾病诊断与统计手册》第四版人格障碍症状感知到的适应不良性的影响。

Effects of sex and sex roles on the perceived maladaptiveness of DSM-IV personality disorder symptoms.

作者信息

Sprock J, Crosby J P, Nielsen B A

机构信息

Department of Psychology, Indiana State University, Terry Haute 47809, USA.

出版信息

J Pers Disord. 2001 Feb;15(1):41-59. doi: 10.1521/pedi.15.1.41.18648.

Abstract

This study investigated the influence of sex on the perceived maladaptiveness of DSM-IV personality disorder criteria based on previous findings that inconsistency of symptoms with sex roles affects the perception of personality disorder symptoms. The effects of rater characteristics (i.e., sex, sex role) were also examined. A total of 161 undergraduates (65 men, 96 women) rated the diagnostic criteria according to how maladaptive they were for males (male condition), females (female condition), or without regard to sex (neutral condition that served as a baseline) using a 7-point scale. Participants' sex role was determined using the Bem Sex Role (1981a) Inventory. Dependent and depressive personality disorder criteria (trend for borderline) were rated more maladaptive for females than males, whereas obsessive-compulsive personality disorder criteria were rated more maladaptive for males than females. Participant sex and sex role had little or no significant effects on the ratings. Results are compared with those of previous research. Methodological issues and implications for the diagnosis of personality disorders are discussed.

摘要

本研究基于先前的研究发现,即症状与性别角色的不一致会影响对人格障碍症状的认知,探讨了性别对《精神疾病诊断与统计手册》第四版(DSM-IV)人格障碍标准中所感知到的适应不良的影响。同时也考察了评估者特征(即性别、性别角色)的影响。共有161名本科生(65名男性,96名女性)使用7点量表,根据DSM-IV人格障碍诊断标准对男性(男性条件)、女性(女性条件)或不考虑性别的适应不良程度进行评分(中性条件作为基线)。参与者的性别角色通过贝姆性别角色量表(1981a)来确定。依赖型和抑郁型人格障碍标准(边缘型人格障碍有此趋势)对女性的适应不良评分高于男性,而强迫型人格障碍标准对男性的适应不良评分高于女性。参与者的性别和性别角色对评分几乎没有显著影响。将结果与先前的研究进行了比较。讨论了方法学问题以及对人格障碍诊断的意义。

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