Blagov Pavel S, Bradley Rebekah, Westen Drew
Department of Psychology, Emory University, Atlanta, GA 30322, USA.
J Nerv Ment Dis. 2007 Jun;195(6):477-83. doi: 10.1097/NMD.0b013e318064e824.
Research suggests that personality pathology lies on a continuum from relatively severe to less severe and that subthreshold variants may not be adequately captured by axis II of DSM-IV. In this study, we used a measure of personality and psychopathology designed for experienced clinical observers (the SWAP-200) to derive subthreshold personality constellations in a sample of 159 psychotherapy patients who were high functioning but nevertheless suffered from maladaptive personality patterns. Using Q-factor analysis (an empirical clustering procedure), we identified 4 diagnostic groupings or SPC, which resembled the clinical concept of "neurotic styles": depressive, hostile-competitive, obsessive, and hysterical. The results of this study should stimulate further research on subthreshold personality configurations.
研究表明，人格病理学处于一个从相对严重到不太严重的连续体上，并且阈下变体可能无法被《精神疾病诊断与统计手册》第四版的轴II充分涵盖。在本研究中，我们使用了一种为经验丰富的临床观察者设计的人格与精神病理学测量工具（SWAP-200），以在159名高功能但仍患有适应不良人格模式的心理治疗患者样本中得出阈下人格组合。通过Q因子分析（一种实证聚类程序），我们识别出4种诊断分组或阈下人格组合，它们类似于“神经症风格”的临床概念：抑郁型、敌对竞争型、强迫型和癔症型。本研究结果应能激发对阈下人格结构的进一步研究。
