Rossi Gina, Debast Inge, van Alphen S P J
a Department of Clinical and Lifespan Psychology , Vrije Universiteit Brussel (VUB) , Brussels , Belgium.
Aging Ment Health. 2017 Jul;21(7):703-711. doi: 10.1080/13607863.2016.1154012. Epub 2016 Feb 29.
The dimensional personality disorders model in the Diagnostic and Statistical Manual (DSM)-5 section III conceptually differentiates impaired personality functioning (criterion A) from the presence of pathological traits (criterion B). This study is the first to specifically address the measurement of criterion A in older adults. Moreover, the convergent/divergent validity of criterion A and criterion B will be compared in younger and older age groups.
The Severity Indices of Personality Functioning - Short Form (SIPP-SF) was administered in older (N = 171) and younger adults (N = 210). The factorial structure was analyzed with exploratory structural equation modeling. Differences in convergent/divergent validity between personality functioning (SIPP-SF) and pathological traits (Personality Inventory for DSM-5; Dimensional Assessment of Personality Pathology-Basic Questionnaire) were examined across age groups.
Identity Integration, Relational Capacities, Responsibility, Self-Control, and Social Concordance were corroborated as higher order domains. Although the SIPP-SF domains measured unique variation, some high correlations with pathological traits referred to overlapping constructs. Moreover, in older adults, personality functioning was more strongly related to Psychoticism, Disinhibition, Antagonism and Dissocial Behavior compared to younger adults.
The SIPP-SF construct validity was demonstrated in terms of a structure of five higher order domains of personality functioning. The instrument is promising as a possible measure of impaired personality functioning in older adults. As such, it is a useful clinical tool to follow up effects of therapy on levels of personality functioning. Moreover, traits were associated with different degrees of personality functioning across age groups.
《精神疾病诊断与统计手册》（DSM）-5第三部分中的维度人格障碍模型在概念上区分了人格功能受损（标准A）和病理性特质的存在（标准B）。本研究首次专门探讨老年人中标准A的测量。此外，还将在年轻和老年人群体中比较标准A和标准B的聚合效度/区分效度。
对171名老年人和210名年轻人施测人格功能严重程度指数简表（SIPP-SF）。采用探索性结构方程模型分析其因子结构。考察了不同年龄组人格功能（SIPP-SF）和病理性特质（DSM-5人格量表；人格病理学维度评估-基本问卷）之间聚合效度/区分效度的差异。
身份整合、关系能力、责任感、自我控制和社会和谐被确认为高阶领域。虽然SIPP-SF各领域测量的是独特变异，但与病理性特质的一些高相关性表明存在重叠结构。此外，与年轻人相比，老年人的人格功能与精神质、去抑制、敌对和反社会行为的相关性更强。
SIPP-SF的结构效度在人格功能的五个高阶领域结构方面得到了验证。该工具有望成为测量老年人人格功能受损的一种可能方法。因此，它是一种有用的临床工具，可用于跟踪治疗对人格功能水平的影响。此外，不同年龄组的特质与不同程度的人格功能相关。
