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跨文化(中文)个性评估量表(CPAI-2)在中国男性物质使用障碍评估中的临床效用

Clinical utility of the Cross-Cultural (Chinese) Personality Assessment Inventory (CPAI-2) in the assessment of substance use disorders among Chinese men.

作者信息

Cheung Fanny M, Cheung Shu Fai, Leung Freedom

机构信息

Department of Psychology, The Chinese University of Hong Kong, Shatin, Hong Kong.

出版信息

Psychol Assess. 2008 Jun;20(2):103-13. doi: 10.1037/1040-3590.20.2.103.

Abstract

This study examined the clinical utility of the Cross-Cultural (Chinese) Personality Inventory (CPAI-2) in differentiating the personality characteristics of Chinese men with substance use disorders from other psychiatric patients and normal control participants. The CPAI-2 profile of 121 Chinese men with substance use disorders was contrasted with that of a matched psychiatric comparison group (n = 172) and a normal comparison group (n = 187). Multivariate analyses of variance and logistic regression results supported the utility of the CPAI-2 clinical scales, especially Pathological Dependence, Antisocial Behavior, and Depression, for assessing substance use disorders. The Pathological Dependence scale (cutoff T score of 64) achieved good sensitivity and specificity. Apart from the universal personality traits related to neuroticism, conscientiousness, and agreeableness found in Western studies, the indigenously derived CPAI-2 personality scales, including Family Orientation and Harmony, highlighted deficits in social adjustment and interpersonal relationship as important cultural features in the personality characteristics of these participants. The study provided a cross-cultural extension to research on the relationship between personality and substance use disorders and could assist clinicians in considering culturally relevant treatment approaches.

摘要

本研究考察了跨文化(中文)人格量表(CPAI-2)在区分患有物质使用障碍的中国男性与其他精神科患者及正常对照参与者的人格特征方面的临床效用。将121名患有物质使用障碍的中国男性的CPAI-2剖面图与匹配的精神科比较组(n = 172)和正常比较组(n = 187)的剖面图进行对比。多变量方差分析和逻辑回归结果支持CPAI-2临床量表,尤其是病理性依赖、反社会行为和抑郁量表,在评估物质使用障碍方面的效用。病理性依赖量表(临界T分数为64)具有良好的敏感性和特异性。除了西方研究中发现的与神经质、尽责性和宜人性相关的普遍人格特质外,本土开发的CPAI-2人格量表,包括家庭取向与和谐,突出了社会适应和人际关系方面的缺陷,作为这些参与者人格特征中的重要文化特征。该研究为关于人格与物质使用障碍之间关系的研究提供了跨文化扩展,并可协助临床医生考虑与文化相关的治疗方法。

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