Amini Mehdi, Pourshahbaz Abbas, Mohammadkhani Parvaneh, Ardakani Mohammad-Reza Khodaie, Lotfi Mozhgan
Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Int J Prev Med. 2014 Dec;5(12):1601-7.
The goal of this study was to examine the construct validity of the diagnostic and statistical manual of mental disorder-5 (DSM-5) conceptual model of antisocial and borderline personality disorders (PDs). More specifically, the aim was to determine whether the DSM-5 five-factor structure of pathological personality trait domains replicated in an independently collected sample that differs culturally from the derivation sample.
This study was on a sample of 346 individuals with antisocial (n = 122) and borderline PD (n = 130), and nonclinical subjects (n = 94). Participants randomly selected from prisoners, out-patient, and in-patient clients. Participants were recruited from Tehran prisoners, and clinical psychology and psychiatry clinics of Razi and Taleghani Hospital, Tehran, Iran. The SCID-II-PQ, SCID-II, DSM-5 Personality Trait Rating Form (Clinician's PTRF) were used to diagnosis of PD and to assessment of pathological traits. The data were analyzed by exploratory factor analysis.
Factor analysis revealed a 5-factor solution for DSM-5 personality traits. Results showed that DSM-5 has adequate construct validity in Iranian sample with antisocial and borderline PDs. Factors similar in number with the other studies, but different in the content.
Exploratory factor analysis revealed five homogeneous components of antisocial and borderline PDs. That may represent personality, behavioral, and affective features central to the disorder. Furthermore, the present study helps understand the adequacy of DSM-5 dimensional approach to evaluation of personality pathology, specifically on Iranian sample.
本研究的目的是检验《精神疾病诊断与统计手册》第五版（DSM-5）中反社会型和边缘型人格障碍（PD）概念模型的结构效度。更具体地说，目的是确定DSM-5病理性人格特质领域的五因素结构是否能在一个与衍生样本文化不同的独立收集样本中得到复制。
本研究的样本包括346名个体，其中反社会型人格障碍患者122名，边缘型人格障碍患者130名，非临床受试者94名。参与者从囚犯、门诊患者和住院患者中随机选取。参与者招募自伊朗德黑兰的囚犯以及德黑兰拉齐医院和塔莱哈尼医院的临床心理学和精神病学诊所。使用《精神障碍诊断与统计手册》第二版人格问卷（SCID-II-PQ）、《精神障碍诊断与统计手册》第二版（SCID-II）、DSM-5人格特质评定量表（临床医生版PTRF）来诊断人格障碍并评估病理性特质。数据通过探索性因素分析进行分析。
因素分析揭示了DSM-5人格特质的五因素结构。结果表明，DSM-5在患有反社会型和边缘型人格障碍的伊朗样本中具有足够的结构效度。因素数量与其他研究相似，但内容不同。
探索性因素分析揭示了反社会型和边缘型人格障碍的五个同质成分。这些成分可能代表了该障碍核心的人格、行为和情感特征。此外，本研究有助于理解DSM-5维度方法在评估人格病理学方面的充分性，特别是在伊朗样本中。
