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Clinicians' judgments of clinical utility: a comparison of the DSM-IV with dimensional models of general personality.临床医生对临床效用的判断:《精神疾病诊断与统计手册第四版》与一般人格维度模型的比较
J Pers Disord. 2009 Jun;23(3):211-29. doi: 10.1521/pedi.2009.23.3.211.
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检验 Five-Factor Model 评分表上临床医生评分的信度和效度。

Examining the reliability and validity of clinician ratings on the Five-Factor Model Score Sheet.

机构信息

University of Georgia, Athens, GA 30602-3013, USA.

出版信息

Assessment. 2010 Dec;17(4):440-53. doi: 10.1177/1073191110372210. Epub 2010 Jun 2.

DOI:10.1177/1073191110372210
PMID:20519735
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3682410/
Abstract

Despite substantial research use, measures of the five-factor model (FFM) are infrequently used in clinical settings due, in part, to issues related to administration time and a reluctance to use self-report instruments. The current study examines the reliability and validity of the Five-Factor Model Score Sheet (FFMSS), which is a 30-item clinician rating form designed to assess the five domains and 30 facets of one conceptualization of the FFM. Studied in a sample of 130 outpatients, clinical raters demonstrated reasonably good interrater reliability across personality profiles and the domains manifested good internal consistency with the exception of Neuroticism. The FFMSS ratings also evinced expected relations with self-reported personality traits (e.g., FFMSS Extraversion and Schedule for Nonadaptive and Adaptive Personality Positive Temperament) and consensus-rated personality disorder symptoms (e.g., FFMSS Agreeableness and Narcissistic Personality Disorder). Finally, on average, the FFMSS domains were able to account for approximately 50% of the variance in domains of functioning (e.g., occupational, parental) and were even able to account for variance after controlling for Axis I and Axis II pathology. Given these findings, it is believed that the FFMSS holds promise for clinical use.

摘要

尽管大量研究使用了五因素模型(FFM),但由于与管理时间相关的问题以及对使用自我报告工具的抵触,该模型在临床环境中很少使用。本研究考察了五因素模型评分表(FFMSS)的信度和效度,该评分表是一个 30 项的临床评定表格,旨在评估一种 FFM 概念的五个领域和 30 个方面。在 130 名门诊患者的样本中进行研究,临床评分者在人格特征方面表现出相当好的评分者间信度,除了神经质外,各领域都表现出良好的内部一致性。FFMSS 评分还表现出与自我报告的人格特质(例如,FFMSS 外向性和非适应性及适应性人格特质积极气质量表)和共识评定的人格障碍症状(例如,FFMSS 宜人性和自恋型人格障碍)之间的预期关系。最后,平均而言,FFMSS 各领域能够解释大约 50%的功能领域(例如,职业、父母)的变异,甚至在控制了轴 I 和轴 II 病理之后,仍然能够解释变异。鉴于这些发现,人们相信 FFMSS 具有临床应用的潜力。