J Pers Disord. 2014 Apr;28(2):198-211. doi: 10.1521/pedi_2013_27_114. Epub 2013 Jun 20.
In DSM-5, the categorical model and criteria for the 10 personality disorders included in DSM-IV will be reprinted in Section II. Moreover, an alternative dimensional classification model will appear in Section III. This alternative DSM-5 proposal for the diagnosis of a personality disorder is based on two fundamental criteria: impairments in personality functioning (Criterion A) and the presence of pathological personality traits (Criterion B). In the maladaptive trait model that has been developed to operationalize Criterion B, 25 pathological traits are organized according to five higher order dimensions. The current study focuses on the convergence of the proposed DSM-5 trait model (as measured by the Personality Inventory for DSM-5 [PID-5]) with the Dimensional Assessment of Personality Pathology (DAPP) model (as measured by the Dimensional Assessment of Personality Pathology-Basic Questionnaire [DAPP-BQ]) in a sample of older people. A joint hierarchical factor analysis showed clear convergence between four PID-5 dimensions (Negative Affect, Detachment, Antagonism, Disinhibition) and conceptually similar DAPP-BQ components. Moreover, the PID-5 and the DAPP-BQ showed meaningful associations on different levels of their joint hierarchical factor structure. Methodological and theoretical implications of these initial results for the conceptualization of personality pathology are discussed.
在 DSM-5 中，DSM-IV 中包含的 10 种人格障碍的分类模型和标准将在第二部分重新印刷。此外，第三部分还将出现一种替代的维度分类模型。这种替代的 DSM-5 人格障碍诊断建议是基于两个基本标准：人格功能障碍（标准 A）和病理性人格特征的存在（标准 B）。为了实现标准 B，在已开发的用于操作化标准 B 的适应不良特质模型中，根据五个高阶维度组织了 25 种病理性特质。本研究关注的是在老年人样本中，拟议的 DSM-5 特质模型（由 DSM-5 人格量表 [PID-5] 测量）与人格病理的维度评估（DAPP）模型（由人格病理的维度评估-基础问卷 [DAPP-BQ] 测量）之间的收敛性。联合层次因素分析表明，PID-5 的四个维度（负性情绪、疏离、敌对、冲动）与概念上相似的 DAPP-BQ 成分之间存在明显的收敛。此外，PID-5 和 DAPP-BQ 在其联合层次因子结构的不同水平上表现出有意义的关联。这些初步结果对人格病理概念化的方法学和理论意义进行了讨论。
