Haslam Nick
Department of Psychology, University of Melbourne, Victoria, Australia.
Aust N Z J Psychiatry. 2003 Dec;37(6):696-704. doi: 10.1080/j.1440-1614.2003.01258.x.
To review studies of the categorical versus dimensional status of mental disorders that employ taxometric methodology.
A comprehensive qualitative review of all published taxometric studies of psychopathology.
Categorical and dimensional models each receive well-replicated support for some groups of mental disorders. Studies favour categorical models for melancholia, eating disorders, pathological dissociation, and schizotypal and antisocial personality disorders. Dimensional models tend to be favoured for the broad neurotic spectrum--general depression, generalized anxiety, posttraumatic stress disorder--and for borderline personality disorder.
Taxometric research clarifies the latent structure of psychopathology in ways that have implications for the classification, assessment, explanation and conceptualization of mental disorder.
回顾采用分类分析方法研究精神障碍分类与维度状态的相关研究。
对所有已发表的精神病理学分类分析研究进行全面的定性综述。
分类模型和维度模型在某些精神障碍组中均得到了充分重复的支持。研究表明，分类模型适用于忧郁症、饮食失调、病理性解离、分裂型人格障碍和反社会人格障碍。维度模型则更适用于广泛的神经症谱系——一般性抑郁、广泛性焦虑、创伤后应激障碍——以及边缘型人格障碍。
分类分析研究以对精神障碍的分类、评估、解释和概念化有影响的方式阐明了精神病理学的潜在结构。
