DSM-5 人格特质与 DSM-IV 人格障碍。
DSM-5 personality traits and DSM-IV personality disorders.
机构信息
Department of Psychology, Michigan State University, East Lansing, MI 48824-1116, USA.
出版信息
J Abnorm Psychol. 2012 May;121(2):424-32. doi: 10.1037/a0026656. Epub 2012 Jan 16.
Abstract
Two issues pertinent to the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) proposal for personality pathology, the recovery of DSM-IV personality disorders (PDs) by proposed DSM-5 traits and the validity of the proposed DSM-5 hybrid model, which incorporates both personality pathology symptoms and maladaptive traits, were evaluated in a large undergraduate sample (N = 808). Proposed DSM-5 traits as assessed with the Personality Inventory for DSM-5 explained a substantial proportion of variance in DSM-IV PDs as assessed with the Personality Diagnostic Questionnaire-4+, and trait indicators of the 6 proposed DSM-5 PDs were mostly specific to those disorders with some exceptions. Regression analyses support the DSM-5 hybrid model in that pathological traits, and an indicator of general personality pathology severity provided incremental information about PDs. Findings are discussed in the context of broader issues around the proposed DSM-5 model of personality disorders.
摘要
两个与《精神障碍诊断与统计手册》（第五版；DSM-5）人格病理学提案相关的问题，即通过拟议的 DSM-5 特征恢复 DSM-IV 人格障碍（PD），以及拟议的 DSM-5 混合模型的有效性，该模型结合了人格病理学症状和适应不良特征，在一个大型本科生样本中进行了评估（N=808）。使用 DSM-5 人格量表评估的拟议 DSM-5 特征解释了 DSM-IV PD 很大一部分方差，而使用人格诊断问卷-4+评估的 DSM-IV PD 特征也大多与这些障碍特异性相关，有一些例外。回归分析支持 DSM-5 混合模型，因为病理特征和一般人格病理学严重程度的指标为 PD 提供了额外的信息。研究结果在围绕拟议的 DSM-5 人格障碍模型的更广泛问题背景下进行了讨论。
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