Decuyper Mieke, De Caluwé Elien, De Clercq Barbara, De Fruyt Filip
J Pers Disord. 2014 Jun;28(3):334-57. doi: 10.1521/pedi_2013_27_120. Epub 2013 Dec 17.
The current study investigated how the Callous-Unemotional (CU) trait specifier is empirically associated with the proposed trait system for personality pathology in DSM-5, and addressed the use of multiple raters in the assessment of CU traits and additional maladaptive traits in an adolescent community sample. Both mothers and adolescents (N = 197) participated in the present study. Results showed that CU traits are located in different parts of the personality space, and are significantly associated with four broad maladaptive trait dimensions, Negative Affect, Detachment, Antagonism, and Disinhibition. Despite moderate agreement between raters, self- and maternal-rated CU traits were related in a congruent manner with PID-5 traits, and adolescents provided incremental information in CU trait assessment above maternal ratings. The present results have clear implications for the conceptualization of CU traits within the overarching model of personality pathology, proposed in DSM-5, and partially supported the application of a multi-informant approach in CU trait assessment.
本研究调查了冷酷无情（CU）特质指标与《精神疾病诊断与统计手册》第5版（DSM-5）中提出的人格病理学特质系统之间的实证关联，并探讨了在青少年社区样本中使用多个评定者来评估CU特质和其他适应不良特质的情况。母亲和青少年（N = 197）均参与了本研究。结果表明，CU特质位于人格空间的不同部分，并且与四个广泛的适应不良特质维度显著相关，即消极情感、疏离、敌对和放纵。尽管评定者之间存在适度的一致性，但自我评定和母亲评定的CU特质与人格障碍诊断与统计手册第5版（PID-5）特质以一致的方式相关，并且青少年在CU特质评估中提供了超出母亲评定的增量信息。本研究结果对DSM-5中提出的人格病理学总体模型内CU特质的概念化具有明确的启示，并部分支持了多信息提供者方法在CU特质评估中的应用。
