Smith Tracey L, Klein Marjorie H, Benjamin Lorna S
Wisconsin Psychiatric Institute and Clinics, Department of Psychiatry, University of Wisconsin, Madison 53719-1176, USA.
J Pers Disord. 2003 Jun;17(3):173-87. doi: 10.1521/pedi.17.3.173.22150.
The Wisconsin Personality Disorders Inventory (WISPI-IV; Klein & Benjamin, 1996) is the latest version of a self-report measure of DSM-IV personality disorders (PDs) derived from an interpersonal perspective. When categorical diagnoses derived from the WISPI-IV were compared with independent SCID-II diagnoses, the majority of the kappas were poor (>.40). However, all but one of the effect sizes for the differences in WISPI-IV means between groups with and without SCID-II diagnoses were large (>.80). When SCID-II and WISPI-IV dimensional scores were considered, the average r between profiles was .61 (median = .58) and correlations between corresponding PD scales (mean diagonal r = .48; mean off-diagonal r = .18) indicated good convergent and discriminant validity for five of the WISPI-IV scales. These results add to the cumulating evidence suggesting greater reliability and validity of dimensional over categorical scores for PDs. Researchers and clinicians interested in having an efficient method of assessing PDs may consider using a dimensional approach such as the WISPI-IV as an alternative to diagnostic interview.
威斯康星人格障碍量表(WISPI-IV;克莱因和本杰明,1996年)是从人际关系角度衍生出来的用于测量《精神疾病诊断与统计手册》第四版(DSM-IV)人格障碍(PDs)的最新自陈式量表。当将从WISPI-IV得出的分类诊断与独立的《精神障碍诊断访谈问卷》第二版(SCID-II)诊断进行比较时,大多数卡帕值较差(>.40)。然而,在有和没有SCID-II诊断的组之间,WISPI-IV均值差异的效应量中,除了一个之外,其他所有效应量都很大(>.80)。当考虑SCID-II和WISPI-IV的维度分数时,各量表之间的平均r为.61(中位数=.58),并且相应人格障碍量表之间的相关性(平均对角线r=.48;平均非对角线r=.18)表明WISPI-IV的五个量表具有良好的聚合效度和区分效度。这些结果进一步证明了越来越多的证据表明,人格障碍的维度分数比分类分数具有更高的可靠性和效度。对拥有一种评估人格障碍的有效方法感兴趣的研究人员和临床医生可能会考虑使用维度方法,如WISPI-IV,作为诊断访谈的替代方法。