Vincent van Gogh, for Mental Health Care, The Netherlands.
J Clin Psychol. 2013 Jul;69(7):718-26. doi: 10.1002/jclp.21940. Epub 2012 Dec 20.
The aims of this research were to investigate gender differences in levels of autonomy-connectedness, Axis I Psychopathology, and higher order factors of internalizing and externalizing personality psychopathology and, second, to investigate the association between these variables.
The design of this research is cross-sectional and multicentered.
We used self-report questionnaires, factor analysis, and regression analysis.
We found evidence for a significant role of autonomy-connectedness in Axis I Psychopathology. This was especially true for women, who were found to be more sensitive to others and sensitivity to others was strongly associated with Axis I Psychopathology. Maybe due to the research sample no evidence was found for an association of autonomy-connectedness with externalizing psychopathology. As to the role of autonomy-connectedness in internalizing psychopathology, we found that a lack of self-awareness or a capacity of managing new situations, combined with a high sensitivity to others, were associated with internalizing psychopathology. Women appeared to be more sensitive to others and to report higher levels of Axis I Psychopathology than men.
We conclude that autonomy-connectedness plays an important role in Axis I Psychopathology as well as in internalizing Axis II pathology. Treatment of Axis I and internalizing Axis II psychopathology should therefore also focus on autonomy problems.
本研究旨在探讨自主性连接在性别之间的差异水平，以及轴 I 精神病理学、内化和外化人格精神病理学的高阶因素，其次，研究这些变量之间的关联。
本研究的设计是横断面和多中心的。
我们使用了自我报告问卷、因子分析和回归分析。
我们发现自主性连接在轴 I 精神病理学中有显著作用。对于女性来说，这一点尤为明显，她们对他人更加敏感，而对他人的敏感性与轴 I 精神病理学密切相关。也许由于研究样本的原因，没有证据表明自主性连接与外化精神病理学有关。至于自主性连接在内化精神病理学中的作用，我们发现缺乏自我意识或管理新情况的能力，加上对他人的高度敏感，与内化精神病理学有关。女性似乎比男性对他人更敏感，报告的轴 I 精神病理学水平也更高。
我们得出结论，自主性连接在轴 I 精神病理学以及内化轴 II 病理学中起着重要作用。因此，治疗轴 I 和内化轴 II 精神病理学也应该关注自主性问题。
