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DSM-5 特质的会聚、区别和效标效度。

Convergent, discriminant, and criterion validity of DSM-5 traits.

机构信息

Department of Psychology, Michigan State University.

出版信息

Personal Disord. 2016 Oct;7(4):394-404. doi: 10.1037/per0000165. Epub 2016 Jan 18.

Abstract

Section III of the Diagnostic and Statistical Manual of Mental Disorders (5th edi.; DSM-5; American Psychiatric Association, 2013) contains a system for diagnosing personality disorder based in part on assessing 25 maladaptive traits. Initial research suggests that this aspect of the system improves the validity and clinical utility of the Section II Model. The Computer Adaptive Test of Personality Disorder (CAT-PD; Simms et al., 2011) contains many similar traits as the DSM-5, as well as several additional traits seemingly not covered in the DSM-5. In this study we evaluate the convergent and discriminant validity between the DSM-5 traits, as assessed by the Personality Inventory for DSM-5 (PID-5; Krueger et al., 2012), and CAT-PD in an undergraduate sample, and test whether traits included in the CAT-PD but not the DSM-5 provide incremental validity in association with clinically relevant criterion variables. Results supported the convergent and discriminant validity of the PID-5 and CAT-PD scales in their assessment of 23 out of 25 DSM-5 traits. DSM-5 traits were consistently associated with 11 criterion variables, despite our having intentionally selected clinically relevant criterion constructs not directly assessed by DSM-5 traits. However, the additional CAT-PD traits provided incremental information above and beyond the DSM-5 traits for all criterion variables examined. These findings support the validity of pathological trait models in general and the DSM-5 and CAT-PD models in particular, while also suggesting that the CAT-PD may include additional traits for consideration in future iterations of the DSM-5 system. (PsycINFO Database Record

摘要

《精神障碍诊断与统计手册》(第五版;DSM-5;美国精神病学协会,2013 年)第三部分包含了一种基于评估 25 种适应不良特征来诊断人格障碍的系统。初步研究表明,该系统的这一方面提高了第二部分模型的有效性和临床实用性。《人格障碍计算机自适应测试》(CAT-PD;Simms 等人,2011 年)包含了许多与 DSM-5 相似的特征,以及一些似乎不在 DSM-5 范围内的额外特征。在这项研究中,我们评估了在本科生样本中,由《DSM-5 人格量表》(PID-5;Krueger 等人,2012 年)评估的 DSM-5 特征与 CAT-PD 之间的收敛和判别有效性,并检验 CAT-PD 中包含的而 DSM-5 中不包含的特征是否与临床相关的标准变量有关联时提供增量有效性。结果支持 PID-5 和 CAT-PD 量表在评估 25 个 DSM-5 特征中的 23 个特征的收敛和判别有效性。尽管我们有意选择了临床相关的标准构念,这些构念不是直接由 DSM-5 特征评估的,但 DSM-5 特征仍然与 11 个标准变量一致相关。然而,对于我们检查的所有标准变量,额外的 CAT-PD 特征提供了 DSM-5 特征之外的增量信息。这些发现支持病理性特征模型的有效性,特别是 DSM-5 和 CAT-PD 模型的有效性,同时也表明 CAT-PD 可能包含其他特征,以供未来 DSM-5 系统的迭代考虑。

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