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常见临床障碍与人格障碍症状的元结构模型。

A Meta-Structural Model of Common Clinical Disorder and Personality Disorder Symptoms.

机构信息

Department of Psychological Sciences, College of William & Mary, Williamsburg, Virginia.

Department of Psychology, Georgia State University, Atlanta.

出版信息

J Pers Disord. 2020 Feb;34(1):88-106. doi: 10.1521/pedi_2019_33_383. Epub 2019 Jan 16.

Abstract

A large and consistent research literature demonstrates the superiority of dimensional models of mental disorder. Factor analytic research has mapped the latent dimensions underlying separate sets of mental disorders (e.g., emotional disorders), but a common framework-unencumbered by arbitrary historical boundaries between disorder groups-requires additional research. Using empirically derived measures of three key domains of psychopathological variation, the overarching goal of the current study was to explicate dimensions connecting internalizing, externalizing, and personality disorders. Participants included 1,144 racially diverse undergraduates. Exploratory structural equation modeling analyses revealed seven latent dimensions: core internalizing, core externalizing, antagonism, impulsivity, dutifulness, detachment, and suspiciousness. This meta-structure reflects a more comprehensive model of the architecture of mental disorders than accounts derived from less inclusive assessment batteries. Future empirical work is needed to evaluate the utility of this structural model in etiological research, assessment, and treatment arenas.

摘要

大量一致的研究文献证明了精神障碍维度模型的优越性。因子分析研究已经绘制了潜在的维度,这些维度是基于不同的精神障碍(例如情感障碍)的,但是一个共同的框架——不受障碍组之间任意历史边界的限制——需要进一步的研究。本研究使用经验得出的三个关键心理病理学变异领域的衡量标准,旨在阐明连接内化、外化和人格障碍的维度。参与者包括 1144 名不同种族的本科生。探索性结构方程模型分析显示了七个潜在的维度:核心内化、核心外化、对抗、冲动、尽责、超脱和多疑。这个元结构反映了一种比从包容性较差的评估工具得出的描述更全面的精神障碍结构模型。未来的实证工作需要评估这种结构模型在病因学研究、评估和治疗领域的效用。

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