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瑞典抑郁性人格障碍量表:从《精神疾病诊断与统计手册》第四版及拟议中的第五版角度看心理测量学及临床相关性

The Swedish Depressive Personality Disorder Inventory: psychometrics and clinical correlates from a DSM-IV and proposed DSM-5 perspective.

作者信息

Maddux Rachel E, Lundh Lars-Gunnar, Bäckström Martin

机构信息

Department of Psychology, Lund University, Lund, Sweden.

出版信息

Nord J Psychiatry. 2012 Jun;66(3):167-77. doi: 10.3109/08039488.2011.611251. Epub 2011 Sep 22.

Abstract

BACKGROUND

Depressive personality is commonly seen in clinical practice, and today only one exclusive self-report instrument-the Depressive Personality Disorder Inventory (DPDI)-is available for its assessment based on the DSM-IV description of the construct.

AIMS

The purpose of this research was to evaluate a Swedish version of this measure (DPDI-Swe) in terms of its reliability, internal structure, and convergent validity using related variables from the DSM-IV criteria for depressive personality disorder (DPD) and the proposed DPD trait set for DSM-5.

METHODS

A non-clinical sample of 255 adults in southern Sweden completed a self-report package, which, in addition to DPD, included the assessment of self-esteem, optimism, hope, rumination, worry, depression, and anxiety. Quality of life was also measured.

RESULTS

Results indicated that the DPDI-Swe was internally consistent (α = 0.96). Exploratory factor analysis with oblique rotation yielded three components, together accounting for 48.21% of the variance in DPDI-Swe scores. There were strong positive associations between the DPDI-Swe and measures of depression, anxiety, rumination, and worry, and strong negative associations between the DPDI-Swe and measures of self-esteem, optimism, hope, and quality of life. These significant relationships remained, albeit slightly diminished, after statistically controlling for current depressed mood.

CONCLUSIONS AND CLINICAL IMPLICATIONS

The DPDI-Swe appears to be a reliable and valid measure of DPD, and it is available for clinical and research use.

摘要

背景

抑郁型人格在临床实践中较为常见,目前基于《精神疾病诊断与统计手册第四版》(DSM-IV)对该结构的描述,仅有一项专门的自我报告工具——抑郁型人格障碍量表(DPDI)可用于其评估。

目的

本研究旨在根据DSM-IV中抑郁型人格障碍(DPD)的标准以及DSM-5中提议的DPD特质集相关变量,评估该量表的瑞典语版本(DPDI-Swe)在可靠性、内部结构和聚合效度方面的表现。

方法

瑞典南部255名成年人组成的非临床样本完成了一份自我报告问卷包,除DPD外,还包括自尊、乐观、希望、沉思、担忧、抑郁和焦虑的评估。同时也测量了生活质量。

结果

结果表明DPDI-Swe具有内部一致性(α = 0.96)。采用斜交旋转的探索性因素分析产生了三个因素,共同解释了DPDI-Swe得分中48.21%的方差。DPDI-Swe与抑郁、焦虑、沉思和担忧的测量指标之间存在强正相关,与自尊、乐观、希望和生活质量的测量指标之间存在强负相关。在对当前抑郁情绪进行统计控制后,这些显著关系依然存在,尽管略有减弱。

结论及临床意义

DPDI-Swe似乎是一种可靠且有效的DPD测量工具,可用于临床和研究。

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