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对克拉克和罗(2014年)的修正。

Correction to Clark and Ro (2014).

出版信息

Personal Disord. 2015 Jan;6(1):63. doi: 10.1037/per0000103. Epub 2014 Nov 3.

Abstract

Reports an error in "Three-pronged assessment and diagnosis of personality disorder and its consequences: Personality functioning, pathological traits, and psychosocial disability" by Lee Anna Clark and Eunyoe Ro (Personality Disorders: Theory, Research, and Treatment, 2014[Jan], Vol 5[1], 55-69). There was an error in the results. Under the subheading, Personality Traits-Functioning Relations, on page 63, the second, third, and fourth paragraph have been revised. The revisions are included in the erratum. (The following abstract of the original article appeared in record 2014-07188-003.) The alternative dimensional model of personality disorder (PD) in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5; American Psychiatric Association, 2013), Section III, has two main criteria: impairment in personality functioning and one or more pathological personality traits. The former is defined as disturbances in self-functioning (viz., identity, self-direction), and/or interpersonal functioning (viz., empathy, intimacy). Distinguishing personality functioning and traits is important conceptually, because simply having extreme traits is not necessarily pathological. However, adding personality functioning to PD diagnosis represents an empirical challenge, because the constructs overlap conceptually. Further, there is debate regarding whether diagnosis of mental disorder requires either distress or disability, concepts that also overlap with maladaptive-range personality traits and personality dysfunction. We investigated interrelations among these constructs using multiple self-report measures of each domain in a mixed community-patient sample (N = 402). We examined the structures of functioning (psychosocial disability and personality) and personality traits, first independently, then jointly. The disability/functioning measures yielded the 3 dimensions we have found previously (Ro & Clark, 2013). Trait measures had a hierarchical structure which, at the 5-factor level, reflected neuroticism/negative affectivity (N/NA), (low) sociability, disinhibition, (dis)agreeableness, and rigid goal engagement. When all measures were cofactored, a hierarchical structure again emerged which, at the 5-factor level, included (a) internalizing (N/NA and self-pathology vs. quality-of-life/satisfaction); (b) externalizing (social/interpersonal dysfunction, low sociability, and disagreeableness); (c) disinhibition; (d) poor basic functioning; and (e) rigid goal engagement. Results are discussed in terms of developing an integrated PD diagnostic model. (PsycINFO Database Record (c) 2015 APA, all rights reserved).

摘要

勘误

李·安娜·克拉克和罗允娥所著的《人格障碍的三方面评估与诊断及其后果:人格功能、病理特质和社会心理残疾》(《人格障碍:理论、研究与治疗》,2014年[1月],第5卷[1],第55 - 69页)。结果存在错误。在第63页“人格特质 - 功能关系”小标题下,第二、第三和第四段已修订。修订内容包含在勘误中。(原始文章的以下摘要出现在记录2014 - 07188 - 003中。)《精神疾病诊断与统计手册》第5版(DSM - 5;美国精神病学协会,2013年)第三部分中的人格障碍替代维度模型有两个主要标准:人格功能受损和一种或多种病理人格特质。前者被定义为自我功能(即身份认同、自我导向)和/或人际功能(即共情、亲密关系)的紊乱。在概念上区分人格功能和特质很重要,因为仅仅拥有极端特质不一定是病理性的。然而,将人格功能纳入人格障碍诊断是一项实证挑战,因为这些构念在概念上存在重叠。此外,关于精神障碍的诊断是否需要痛苦或残疾存在争议,这些概念也与适应不良范围的人格特质和人格功能障碍重叠。我们在一个混合的社区 - 患者样本(N = 402)中使用每个领域的多种自我报告测量方法研究了这些构念之间的相互关系。我们首先独立地,然后共同地研究了功能(社会心理残疾和人格)和人格特质的结构。残疾/功能测量产生了我们之前发现的三个维度(罗和克拉克,2013年)。特质测量具有层次结构,在五因素水平上反映了神经质/消极情感性(N/NA)、(低)社交性、抑制不足、(不)随和性以及僵化的目标投入。当所有测量共同进行因素分析时,再次出现了一个层次结构,在五因素水平上包括:(a)内化(N/NA和自我病理与生活质量/满意度);(b)外化(社会/人际功能障碍、低社交性和不随和性);(c)抑制不足;(d)基本功能差;以及(e)僵化的目标投入。结果将根据开发一个综合的人格障碍诊断模型进行讨论。(PsycINFO数据库记录(c)2015年美国心理学会,保留所有权利)

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