Núcleo de Formação Específica em Neurociências da Escola de Medicina da Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil.
Departamento de Psicologia Clínica - Instituto de Psicologia, Universidade de Brasília (UnB), Brasília, DF, Brazil.
Personal Ment Health. 2019 Feb;13(1):24-39. doi: 10.1002/pmh.1436. Epub 2018 Oct 24.
The objective of this study was to test if the Personality Inventory for DSM-5 (PID-5) is an adequate instrument to evaluate psychiatric inpatients' pathological personality traits.
Inpatients (n = 130; mean age: 38.5 years; 62.3% female; 63.9% single) answered the PID-5 after clinical improvement of their psychiatric symptoms. The mean scores of the DSM-5 personality domains, facets and profiles, and ICD-11 domain traits were compared with the mean scores of a Brazilian normative sample (n = 656). We investigated the diagnostic performance of the scales to identify individuals with and without psychopathology.
The final sample included mainly diagnoses of mood disorders. Except for Antagonism and Disinhibition, all DSM-5 personality domains and most facets as well as almost all DSM-5 personality disorder profiles (except Narcissist) and ICD-11 trait domains (except Detachment and Dissociality) of the inpatients presented high differences compared with the normative sample. In general, the PID-5 scales presented a high negative predictive value and a low positive predictive value to identify individuals with severe psychopathology.
This study found high scores of pathological personality traits in a sample of Brazilian psychiatric inpatients. The PID-5 may be a promising instrument to measure pathological personality traits among psychiatric inpatients. Methodological and sample size limitations may have influenced the results. © 2018 John Wiley & Sons, Ltd.
本研究旨在检验 DSM-5 人格量表（PID-5）是否能够充分评估精神科住院患者的病理性人格特征。
在精神症状得到临床改善后，住院患者（n=130；平均年龄：38.5 岁；62.3%为女性；63.9%为单身）回答了 PID-5。DSM-5 人格领域、方面和特征以及 ICD-11 领域特征的平均分数与巴西常模样本（n=656）的平均分数进行了比较。我们调查了这些量表识别有和无精神病理学个体的诊断性能。
最终样本主要包括心境障碍诊断。除了对立和冲动控制障碍外，住院患者的所有 DSM-5 人格领域和大多数方面以及几乎所有 DSM-5 人格障碍特征（除自恋者）和 ICD-11 特征领域（除疏离和反社会）与常模样本相比都存在较大差异。总体而言，PID-5 量表对识别严重精神病理学个体具有较高的阴性预测值和较低的阳性预测值。
本研究在巴西精神病住院患者样本中发现了高水平的病理性人格特征。PID-5 可能是评估精神科住院患者病理性人格特征的一种有前途的工具。方法学和样本量的限制可能影响了结果。© 2018 约翰威立父子公司
