被动攻击型人格障碍的结构效度。
The construct validity of passive-aggressive personality disorder.
作者信息
Hopwood Christopher J, Morey Leslie C, Markowitz John C, Pinto Anthony, Skodol Andrew E, Gunderson John G, Zanarini Mary C, Shea M Tracie, Yen Shirley, McGlashan Thomas H, Ansell Emily B, Grilo Carlos M, Sanislow Charles A
机构信息
Michigan State University, East Lansing, MI 48824-1116, USA.
出版信息
Psychiatry. 2009 Fall;72(3):256-67. doi: 10.1521/psyc.2009.72.3.256.
Although Passive Aggressive personality disorder (PAPD) plays an important role in many theories of personality pathology, it was consigned to the appendix of the fourth edition of the DSM. The scientific basis of this decision has been questioned, but several controversies persist regarding PAPD, including its structure, content validity, overlap with other PDs, and relations to validating variables such as personality traits, childhood experiences, and clinically relevant correlates. This study examined these facets of PAPD's construct validity in a large clinical sample. Results suggest that the construct is unidimensional, internally consistent, and reasonably stable. Furthermore, PAPD appears systematically related to borderline and narcissistic personality disorders, sets of personality traits, and childhood experiences consistent with several theoretical formulations, dysfunction, substance abuse disorders, and history of hospitalizations. Overall, results support the construct validity of PAPD.
尽管被动攻击型人格障碍（PAPD）在许多人格病理学理论中都起着重要作用，但它在《精神疾病诊断与统计手册》第四版中被归入附录。这一决定的科学依据受到了质疑，但关于PAPD仍存在一些争议，包括其结构、内容效度、与其他人格障碍的重叠，以及与人格特质、童年经历和临床相关关联等验证变量的关系。本研究在一个大型临床样本中检验了PAPD结构效度的这些方面。结果表明，该结构是单维的、内部一致的且相当稳定。此外，PAPD似乎与边缘型和自恋型人格障碍、多组人格特质以及与几种理论表述、功能障碍、物质使用障碍和住院史一致的童年经历存在系统性关联。总体而言，结果支持PAPD的结构效度。
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