Department of Psychology, University of Toronto.
Departments of Psychology, University of Toronto.
Personal Disord. 2019 Mar;10(2):97-104. doi: 10.1037/per0000307. Epub 2018 Dec 6.
The alternative model for personality disorders (AMPD) is outlined in Section III of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. This model includes 25 dimensional trait facets that are used as criteria for six personality disorders in addition to impairment in functioning. Numerous previous studies have examined the degree to which the proposed trait facets converge with the Section II personality disorders (PDs) they are meant to capture, but the results from these various studies have been inconsistent. The current investigation sought to provide a meta-analysis of published and unpublished data, and in particular, to develop empirically derived trait criterion profiles for each of the six AMPD PDs. A total of 25 independent data sets utilizing diverse samples and methods that included measurement of AMPD traits and at least one Section II PD derived from both published and unpublished work were considered for this review. The findings indicated general support for the traits proposed for each of the six PDs within the AMPD, with obsessive-compulsive PD the notable exception. The discriminant validity, however, was questionable for several of the PDs; several nonproposed traits also correlated with the Section II PD counterparts at moderate to large degrees. Intraclass correlations used to model the agreement across the empirically derived trait profiles for each of the six PDs, however, revealed that most of the disorders were relatively distinct from one another. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
人格障碍的替代模型（AMPD）在《精神障碍诊断与统计手册》第五版的第三部分中进行了概述。该模型包括 25 个维度特质方面，这些特质方面被用作除功能障碍外，另外六种人格障碍的标准。许多先前的研究都检查了所提出的特质方面与它们旨在捕捉的第二部分人格障碍（PD）之间的趋同程度，但这些不同研究的结果并不一致。目前的研究旨在对已发表和未发表的数据进行荟萃分析，特别是为每个 AMPD PD 开发经验得出的特质标准概况。共有 25 个独立的数据集，利用来自已发表和未发表的工作的不同样本和方法，包括 AMPD 特质的测量和至少一种第二部分 PD，都被考虑用于本综述。研究结果表明，一般支持 AMPD 中提出的每一种 PD 的特质，而强迫症 PD 则是明显的例外。然而，几个 PD 的辨别效度存在问题；几个非提议的特质也与第二部分 PD 有中度到高度的相关性。用于为每个 PD 建模经验得出的特质概况之间的一致性的组内相关系数，然而，表明大多数障碍彼此之间相对独特。（PsycINFO 数据库记录（c）2019 APA，保留所有权利）。
