Heath Laura M, Drvaric Lauren, Hendershot Christian S, Quilty Lena C, Bagby R Michael
1Department of Psychology, University of Toronto, 1265 Military Trail, Toronto, ON M1C 1A4 Canada.
2Institute of Medical Science, University of Toronto, Toronto, ON Canada.
J Psychopathol Behav Assess. 2018;40(4):606-613. doi: 10.1007/s10862-018-9688-0. Epub 2018 Jun 13.
The Personality Inventory for (PID-5) is a questionnaire developed to assess the five domains represented in the alternative model for personality disorders proposed in Section III of the . This study examined the ability of the PID-5 to distinguish between different mental disorders compared to a questionnaire measure of the five-factor model (FFM) of normative personality. The study included the administration of the PID-5 and Revised NEO Personality Inventory (NEO PI-R), a measure of the FFM, to treatment-seeking individuals with Depressive, Bipolar, Psychotic, and Alcohol Use Disorders (AUD). Diagnostic groups were compared at the domain level of PID-5 and NEO PI-R, with sex and age as covariates. The main findings on the PID-5 included higher Detachment scores for Bipolar and Depressive Disorders than Psychotic and AUDs, lower Psychoticism/higher Disinhibition scores for the AUD group compared to all other groups, and lower Negative Affect for the Psychotic Disorders versus AUD group. On the NEO PI-R, the AUD diagnostic group was associated with lower Conscientiousness and Agreeableness scores compared to all other groups, and lower Neuroticism scores than the Bipolar and Depressive groups. Group pairwise comparisons did not appear to show many differences between the PID-5 and NEO PI-R. The results suggest that the alternative model for personality disorders may have clinical utility in distinguishing personality profiles between diagnostic groups. These findings emphasize the importance of additional research on the capacity of maladaptive personality to contribute to the assessment of differential diagnoses.
人格障碍五因素问卷（PID - 5）是一份为评估《精神障碍诊断与统计手册》第三版中提出的人格障碍替代模型所代表的五个领域而编制的问卷。本研究考察了与规范人格五因素模型（FFM）的问卷测量相比，PID - 5区分不同精神障碍的能力。该研究包括对患有抑郁症、双相情感障碍、精神病性障碍和酒精使用障碍（AUD）的寻求治疗个体施测PID - 5和修订版大五人格问卷（NEO PI - R，一种FFM测量工具）。以性别和年龄作为协变量，在PID - 5和NEO PI - R的领域水平上对诊断组进行比较。关于PID - 5的主要发现包括，双相情感障碍和抑郁症组的超脱分数高于精神病性障碍组和酒精使用障碍组；与所有其他组相比，酒精使用障碍组的精神病性倾向分数较低/抑制不足分数较高；与酒精使用障碍组相比，精神病性障碍组的消极情感分数较低。在NEO PI - R上，与所有其他组相比，酒精使用障碍诊断组的尽责性和宜人性分数较低，且神经质分数低于双相情感障碍组和抑郁症组。组间两两比较似乎未显示出PID - 5和NEO PI - R之间有许多差异。结果表明，人格障碍替代模型在区分诊断组之间的人格特征方面可能具有临床效用。这些发现强调了对适应不良人格在鉴别诊断评估中的作用进行更多研究的重要性。
