Fossati Andrea, Citterio Alessandra, Grazioli Federica, Borroni Serena, Carretta Ilaria, Maffei Cesare, Battaglia Marco
Faculty of Psychology, Vita-Salute San Raffaele University, via Stamira D'Ancona, 20, 20127 Milan, Italy.
Psychiatry Res. 2005 Nov 15;137(1-2):71-85. doi: 10.1016/j.psychres.2005.02.008. Epub 2005 Oct 14.
This study used a multi-sample, multiple-instrument strategy to evaluate the hypothesis that schizotypal personality disorder (SPD) is taxonic. In Study 1, 721 consecutively admitted inpatients and outpatients were evaluated with the Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II) and the Personality Diagnostic Questionnaire-4+ (PDQ-4+). The data from both questionnaire types were submitted to multivariate normal mixture analysis, which was carried out on factor scores obtained from a three-factor model of SPD criteria; these results supported the hypothesis that SPD is taxonic. The same was true of Study 2, which administered the Semi-structured Interview for DSM-III-R Personality Disorders (SIDP-R) to an independent sample of 537 consecutively admitted outpatients. Similar findings were observed in Study 3, in which the SIDP-R was administered to 225 non-clinical subjects. The results show that the typology of DSM III-R and -IV SPD diagnosis is consistent with the latent structure of SPD features.
本研究采用多样本、多工具策略来评估分裂型人格障碍(SPD)是类别的这一假设。在研究1中,对721名连续收治的住院患者和门诊患者进行了《精神疾病诊断与统计手册第四版》轴II人格障碍结构化临床访谈(SCID-II)和人格诊断问卷-4+(PDQ-4+)评估。将两种问卷类型的数据提交至多变量正态混合分析,该分析是对从SPD标准三因素模型获得的因子得分进行的;这些结果支持了SPD是类别的这一假设。研究2也是如此,该研究对537名连续收治的门诊患者独立样本进行了《精神疾病诊断与统计手册第三版修订版》人格障碍半结构化访谈(SIDP-R)。在研究3中也观察到了类似的结果,该研究对225名非临床受试者进行了SIDP-R评估。结果表明,《精神疾病诊断与统计手册第三版修订版》和第四版SPD诊断的类型学与SPD特征的潜在结构一致。