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五因素模型人格障碍原型在社区样本中的表现:自我报告和知情者报告预测基于访谈的 DSM 诊断。

Five-factor model personality disorder prototypes in a community sample: self- and informant-reports predicting interview-based DSM diagnoses.

机构信息

Department of Psychology, Washington University in St. Louis, MO 63130, USA.

出版信息

Personal Disord. 2011 Oct;2(4):279-92. doi: 10.1037/a0022617.

Abstract

The need for an empirically validated, dimensional system of personality disorders is becoming increasingly apparent. While a number of systems have been investigated in this regard, the five-factor model of personality has demonstrated the ability to adequately capture personality pathology. In particular, the personality disorder prototypes developed by Lynam and Widiger (2001) have been tested in a number of samples. The goal of the present study is to extend this literature by validating the prototypes in a large, representative community sample of later middle-aged adults using both self and informant reports. We found that the prototypes largely work well in this age group. Schizoid, Borderline, Histrionic, Narcissistic, and Avoidant personality disorders demonstrate good convergent validity, with a particularly strong pattern of discriminant validity for the latter four. Informant-reported prototypes show similar patterns to self reports for all analyses. This demonstrates that informants are not succumbing to halo representations of the participants, but are rather describing participants in nuanced ways. It is important that informant reports add significant predictive validity for Schizoid, Antisocial, Borderline, Histrionic, and Narcissistic personality disorders. Implications of our results and directions for future research are discussed.

摘要

对一个经过实证验证的、人格障碍的维度系统的需求变得越来越明显。虽然已经在这方面研究了许多系统,但人格的五因素模型已经表现出了能够充分捕捉人格病理的能力。特别是,莱纳姆和威德格(2001)开发的人格障碍原型已经在许多样本中进行了测试。本研究的目的是通过使用自我报告和知情者报告,在一个大型的、有代表性的中老年社区样本中验证这些原型,从而扩展这一文献。我们发现,这些原型在这个年龄组中基本运行良好。分裂型、边缘型、表演型、自恋型和回避型人格障碍表现出良好的会聚效度,后四种障碍的判别效度尤其强。在所有分析中,知情者报告的原型与自我报告的模式相似。这表明知情者没有屈服于参与者的光环描述,而是以细致入微的方式描述参与者。知情者报告对分裂型、反社会型、边缘型、表演型和自恋型人格障碍有显著的预测效度,这一点很重要。我们讨论了研究结果的意义和未来研究的方向。

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