Departamento de Psicologia, Universidade São Francisco (USF), Campinas, SP, Brazil.
Departamento de Psicologia e Psicanálise, Universidade Estadual de Londrina (UEL), Londrina, PR, Brazil.
Braz J Psychiatry. 2019 Mar-Apr;41(2):148-152. doi: 10.1590/1516-4446-2018-0015. Epub 2019 Feb 7.
The Hierarchical Taxonomy of Psychopathology (HiTOP) posits that psychopathology is hierarchically structured. For personality disorder (PD) traits, there are five spectra: internalizing, thought disorder, disinhibited externalizing, antagonistic externalizing, and detachment. Empirical findings suggest a sixth group, compulsivity. In this research, we tried to recover the five HiTOP spectra, plus compulsivity, specifically for PD traits.
The sample was composed of 4,868 Brazilians (54.9% women, age ranging from 18 to 70; mean = 25.7; SD = 9.64). All participants answered the Dimensional Clinical Personality Inventory 2 (IDCP-2), a self-report inventory for adults, developed in Brazil, for assessment of pathological personality traits.
Parallel analysis yielded up to nine factors. On exploratory structural equation modeling (E-SEM), the balance between interpretability and fit index suggested the six-factor solution as the best solution. The fit indexes for the confirmatory factor analysis were slightly less adjusted in comparison to the empirical model.
The hypothesis was confirmed, as we did find the groups proposed at the spectrum level of the HiTOP. We also found a compulsivity factor, encompassing the main traits from the conscientiousness dimension of IDCP-2, which is related to obsessive-compulsive PD. Finding the six groupings of traits in the HiTOP model contributes to the validity of this model, and confirms the existence of proposed spectra.
精神病理学的层次分类(HiTOP)假设精神病理学是分层结构的。对于人格障碍(PD)特征,有五个谱:内化、思维障碍、去抑制的外化、敌对的外化和分离。实证研究结果表明存在第六组,即强迫性。在这项研究中,我们试图恢复 HiTOP 谱的五个,加上强迫性,特别是 PD 特征。
该样本由 4868 名巴西人组成(54.9%为女性,年龄在 18 至 70 岁之间;平均年龄=25.7;标准差=9.64)。所有参与者都回答了巴西开发的成人自我报告人格障碍特质评估量表——二维临床人格量表 2(IDCP-2)。
平行分析得出了多达九个因素。在探索性结构方程模型(E-SEM)中,解释性和拟合指数之间的平衡表明,六因素解决方案是最佳解决方案。与实证模型相比,验证性因子分析的拟合指标略有调整。
我们证实了假设,因为我们确实在 HiTOP 的频谱水平上找到了所提出的群体。我们还发现了一个强迫性因素,它包含了 IDCP-2 尽责性维度的主要特征,与强迫型人格障碍有关。在 HiTOP 模型中找到六个特征分组有助于该模型的有效性,并证实了所提出的谱的存在。