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人格障碍的核心特征:区分一般人格功能障碍与人格特质。

Core features of personality disorder: differentiating general personality dysfunctioning from personality traits.

机构信息

GGz Centraal Psychiatric Center, Amersfoort, The Netherlands.

出版信息

J Pers Disord. 2012 Oct;26(5):704-16. doi: 10.1521/pedi.2012.26.5.704.

Abstract

The distinction between general personality dysfunctioning (GPD) and specific personality traits (SPT) is an important focus of attention in the proposed revisions of the DSM-5. The present study explores the distinction between GPD and SPT using the self-report questionnaires General Assessment of Personality Disorder (GAPD) and Severity Indices for Personality Problems (SIPP-118) to measure GPD, and the NEO-PI-R to measure SPT. The sample consisted of 424 psychiatric patients. Using principal component analysis, GPD and SPT appeared to be clearly distinct components of personality. Our GPD model consisted of three factors, i.e., Self-identity dysfunctioning, Relational dysfunctioning, and Prosocial functioning. This model remained by and large intact when combined with SFT factors. Our findings support the distinction between personality traits and personality dysfunction laid down in the recent proposal by the Personality and Personality Disorders Work Group of the DSM-5 Task Force.

摘要

一般人格障碍和特定人格特质的区分是 DSM-5 修订提案中的一个重要关注点。本研究使用自我报告问卷一般人格障碍评估问卷(GAPD)和人格问题严重程度指数(SIPP-118)来衡量一般人格障碍,并用 NEO-PI-R 来衡量特定人格特质,以探索一般人格障碍和特定人格特质之间的区别。样本由 424 名精神科患者组成。使用主成分分析,一般人格障碍和特定人格特质似乎是人格的两个明显不同的成分。我们的一般人格障碍模型由三个因素组成,即自我认同障碍、人际关系障碍和亲社会功能。当与 SFT 因素结合时,该模型基本保持完整。我们的研究结果支持 DSM-5 工作组人格和人格障碍工作小组最近提出的人格特质和人格障碍之间的区分。

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