Debast Inge, Rossi Gina, van Alphen S P J
Department of Clinical and Lifespan Psychology, Vrije Universiteit Brussel, Brussels, Belgium.
J Pers Disord. 2017 Oct;31(5):671-688. doi: 10.1521/pedi_2017_31_274. Epub 2017 Jan 10.
The DSM-5 Section III model of personality disorders remains largely unexplored in older adults. More specifically, there is a need for further research on the generalizability of the five trait domains in old age. The development of a short operationalization to screen for maladaptive trait domains, the Personality Inventory for DSM-5 Brief Form (PID-5-BF), can stimulate the use of the alternative DSM-5 model in older adults by addressing the need for short instruments. The primary goal of this study was to examine the construct validity of the PID-5-BF by comparing its structural model and nomological network with the original PID-5 in terms of relations with domains of personality functioning and a gero-specific personality disorder indicator. A five-factor model was supported, but the domain Disinhibition was not replicated in the original PID-5, and some PID-5-BF items showed weak loadings. Nevertheless, the nomological network was similar and showed meaningful relations, supporting the use of the Brief PID-5 in older clinical samples.
《精神疾病诊断与统计手册》（第五版）第三部分的人格障碍模型在老年人中仍未得到充分探索。更具体地说，有必要进一步研究这五个特质领域在老年人群中的普遍性。一种用于筛查适应不良特质领域的简短操作化工具，即《精神疾病诊断与统计手册》（第五版）简版人格量表（PID-5-BF），通过满足对简短工具的需求，可以促进在老年人中使用《精神疾病诊断与统计手册》（第五版）的替代模型。本研究的主要目标是通过将其结构模型和法理网络与原始的PID-5在与人格功能领域和特定于老年人的人格障碍指标的关系方面进行比较，来检验PID-5-BF的结构效度。一个五因素模型得到了支持，但“抑制解除”领域在原始的PID-5中未得到重复，并且一些PID-5-BF项目的载荷较弱。尽管如此，法理网络是相似的并且显示出有意义的关系，支持在老年临床样本中使用简版PID-5。
