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转诊和非转诊儿童和青少年的一般人格和精神病理学:连续性、病理发生和并发症模型的调查。

General personality and psychopathology in referred and nonreferred children and adolescents: an investigation of continuity, pathoplasty, and complication models.

机构信息

Department of Developmental, Personality, and Social Psychology, Ghent University, Faculty of Psychology and Educational Sciences, Henri Dunantlaan 2, Ghent, Belgium.

出版信息

J Abnorm Psychol. 2012 Nov;121(4):958-70. doi: 10.1037/a0027742. Epub 2012 Mar 26.

Abstract

This study investigated the continuity, pathoplasty, and complication models as plausible explanations for personality-psychopathology relations in a combined sample of community (n = 571) and referred (n = 146) children and adolescents. Multivariate structural equation modeling was used to examine the structural relations between latent personality and psychopathology change across a 2-year period. Item response theory models were fitted as an additional test of the continuity hypothesis. Even after correcting for item overlap, the results provided strong support for the continuity model, demonstrating that personality and psychopathology displayed dynamic change patterns across time. Item response theory models further supported the continuity conceptualization for understanding the association between internalizing problems and emotional stability and extraversion as well as between externalizing problems and benevolence and conscientiousness. In addition to the continuity model, particular personality and psychopathology combinations provided evidence for the pathoplasty and complication models. The theoretical and practical implications of these results are discussed, and suggestions for future research are provided.

摘要

本研究在一个包含社区(n=571)和转诊(n=146)儿童和青少年的综合样本中,探讨了连续性、病理发生和并发症模型,以作为人格-精神病理学关系的合理解释。多变量结构方程模型用于检验潜在人格与精神病理学在 2 年期间的变化之间的结构关系。项目反应理论模型被拟合作为连续性假设的额外检验。即使在纠正项目重叠后,结果仍强烈支持连续性模型,表明人格和精神病理学在时间上表现出动态变化模式。项目反应理论模型进一步支持连续性概念化,以理解内化问题与情绪稳定性和外向性之间以及外化问题与善良和尽责性之间的关联。除了连续性模型之外,特定的人格和精神病理学组合为病理发生和并发症模型提供了证据。讨论了这些结果的理论和实践意义,并提出了未来研究的建议。

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