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《精神疾病诊断与统计手册》第三版修订本(DSM-III-R)中人格障碍的因素结构:对竞争模型的评估

The factor structure of the DSM-III-R personality disorders: an evaluation of competing models.

作者信息

Rodebaugh Thomas L, Chambless Dianne L, Renneberg Babette, Fydrich Thomas

机构信息

Department of Psychology, Temple University, USA.

出版信息

Int J Methods Psychiatr Res. 2005;14(1):43-55. doi: 10.1002/mpr.16.

Abstract

Confirmatory factor analysis was used to test a series of competing models to determine the best way to characterize the factor structure of the DSM-III-R personality disorder scores. Data were collected from 301 clients with a primary diagnosis of anxiety disorder. The Structured Clinical Interview for DSM-III-R (SCID) was used to determine Axis I and Axis II diagnoses, and adequate to good reliability was obtained for the number of criteria met for a given personality disorder. Several factor models were tested, including a single-factor model, a three-factor model based on the DSM grouping of odd, dramatic, and anxious personality disorders, and a four-factor model based on normal personality theories. Only the DSM three-factor model received strong and unequivocal support.

摘要

验证性因素分析用于检验一系列相互竞争的模型,以确定表征《精神疾病诊断与统计手册第三版修订本》(DSM-III-R)人格障碍分数的因素结构的最佳方法。数据收集自301名初步诊断为焦虑症的患者。使用《精神疾病诊断与统计手册第三版修订本》的结构化临床访谈(SCID)来确定轴I和轴II诊断,并且对于给定人格障碍满足的标准数量获得了足够至良好的信度。测试了几个因素模型,包括单因素模型、基于DSM对怪异型、戏剧型和焦虑型人格障碍分组的三因素模型,以及基于正常人格理论的四因素模型。只有DSM三因素模型得到了有力且明确的支持。

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