在符合边缘型人格障碍（BPD）诊断标准的样本与正常范围对照组中，ZKPQ的区分效度。

Discriminant validity of the ZKPQ in a sample meeting BPD diagnosis vs. normal-range controls.

作者信息

Gomà-i-Freixanet Montserrat, Soler Joaquim, Valero Sergi, Pascual Juan Carlos, Sola Victor Pérez

机构信息

Department of Health Psychology, Universitat Autònoma de Barcelona, Catalonia, Spain.

出版信息

J Pers Disord. 2008 Apr;22(2):178-90. doi: 10.1521/pedi.2008.22.2.178.

DOI:10.1521/pedi.2008.22.2.178

PMID:18419237

Abstract

Widiger and Simonsen (2005) state that given the limitations of the categorical model of Personality Disorders classification proposals are to be expected for dimensional classifications. The purpose of this paper is to test the alternative five factorial model (AFFM) of personality in a sample with PDs. Subjects were administered the ZKPQ to test the discriminant capacity of the AFFM in classifying subjects diagnosed with BPD (n = 74) vs normal-range controls (n = 148) paired by age and sex, and identifying sensitive and/or specific dimensions that can be of help in diagnosing BPD. The results showed that high scores on N-Anx and Imp-SS, and low scores on Act are prognostic factors for being diagnosed with BPD. Likewise, this model correctly classified 88% of subjects with a kappa index of 0.73. The AFFM of personality appears to have a substantial power for predicting SCID-II interview-based BPD diagnosis.

摘要

维迪格和西蒙森（2005年）指出，鉴于人格障碍分类的类别模型存在局限性，维度分类的提议是可以预期的。本文的目的是在患有边缘型人格障碍（BPD）的样本中测试替代性五因素人格模型（AFFM）。对受试者进行了ZKPQ测试，以检验AFFM在对按年龄和性别配对的被诊断为BPD的受试者（n = 74）与正常范围对照组（n = 148）进行分类时的判别能力，并确定有助于诊断BPD的敏感和/或特定维度。结果表明，N-焦虑和冲动-社交性得分高以及行动得分低是被诊断为BPD的预后因素。同样，该模型正确分类了88%的受试者，卡帕指数为0.73。人格的AFFM似乎在预测基于SCID-II访谈的BPD诊断方面具有强大的能力。