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人格障碍的高阶维度:层次结构及其与五因素模型、人际圈和精神病态的关系。

Higher-order dimensions of personality disorder: hierarchical structure and relationships with the five-factor model, the interpersonal circle, and psychopathy.

作者信息

Blackburn Ronald, Logan Caroline, Renwick Stanley J D, Donnelly John P

机构信息

Division of Clinical Psychology, University of Liverpool, UK.

出版信息

J Pers Disord. 2005 Dec;19(6):597-623. doi: 10.1521/pedi.2005.19.6.597.

DOI:10.1521/pedi.2005.19.6.597
PMID:16553558
Abstract

Two studies examined the higher-order factor structure of DSM-IV personality disorders using the International Personality Disorder Examination in male forensic psychiatric patients. In Study 1 (N = 168), exploratory factor analysis at the level of individual personality disorder criteria indicated nine primary factors. Exploratory and confirmatory factor analyses of these first-order factors supported a hierarchical structure in which two of three second-order factors covaried to yield a third-order factor. The two resulting superordinate factors were labelled Anxious-Inhibited and Acting Out. In Study 2 (N = 160), we used exploratory and confirmatory factor analyses to test hypotheses of common dimensions underlying these superordinate factors of personality disorder and superordinate factors of the five-factor model of personality, dimensions of the interpersonal circle, and psychopathy. Of three common factors, one combined Anxious-Inhibited disorders, "neurotic introversion," and hostile-submission. The other two factors of Acting Out/ psychopathy and antagonism/hostile-dominance covaried to yield a superordinate factor. Possible substrates underlying two superordinate dimensions common to normal and abnormal personality were identified in the theoretical literature.

摘要

两项研究使用《国际人格障碍检查表》对男性法医精神病患者的DSM-IV人格障碍高阶因素结构进行了检验。在研究1(N = 168)中,对个体人格障碍标准层面的探索性因素分析表明存在九个主要因素。对这些一阶因素的探索性和验证性因素分析支持了一种层次结构,其中三个二阶因素中的两个相互协变产生了一个三阶因素。由此产生的两个上级因素被标记为“焦虑抑制型”和“行为外化型”。在研究2(N = 160)中,我们使用探索性和验证性因素分析来检验关于人格障碍这些上级因素、人格五因素模型的上级因素、人际圈维度和精神病态背后共同维度的假设。在三个共同因素中,一个将“焦虑抑制型”障碍、“神经质内向”和敌对顺从组合在一起。“行为外化/精神病态”和“对抗/敌对主导”的另外两个因素相互协变产生了一个上级因素。在理论文献中确定了正常和异常人格共有的两个上级维度背后可能的基础。

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