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验证《精神障碍诊断与统计手册第五版人格量表》(PID-5)算法在精神科样本中评估《国际疾病分类第 11 版》人格特质领域的适用性。

Validation of Personality Inventory for DSM-5 (PID-5) algorithms to assess ICD-11 personality trait domains in a psychiatric sample.

机构信息

Department of Psychology.

Department of Psychology, University of Toronto.

出版信息

Psychol Assess. 2020 Jan;32(1):40-49. doi: 10.1037/pas0000746. Epub 2019 Jun 17.

Abstract

The International Classification of Disease (11th ed.; ICD-11) personality disorder (PD) proposal characterizes personality psychopathology using an overall impairment severity dimension as well as dysfunctional personality style on the basis of five trait domain qualifiers: Negative Affectivity, Detachment, Dissociality, Disinhibition, and Anankastia. Recent research has indicated that trait facet scales from the Personality Inventory for DSM-5 (PID-5) can be used to index these five broad domains with promising construct validity. Our goal in the current study was to validate the PID-5 algorithms for the five ICD-11 trait domains with some minor adjustments based on the updated ICD-11 text. To this end, we used 343 psychiatric outpatients from a large Canadian metropolitan area, who had completed the PID-5, the Structured Clinical Interview for DSM-IV Axis II Disorders-Personality Questionnaire, the Minnesota Multiphasic Personality Inventory-2 Restructured Form, and the Revised NEO Personality Inventory. The factor structure of the ICD-11 domains was upheld, as expected, and associations with external measures of five-factor model and Personality Psychopathology Five personality traits as well as PD symptom counts adhered to a conceptually expected pattern. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

摘要

《国际疾病分类》(第 11 版;ICD-11)人格障碍(PD)提案使用整体损伤严重程度维度以及基于五个特质领域限定词的功能障碍人格风格来描述人格心理病理学:负性情绪、超脱、反社会、冲动和强迫。最近的研究表明,DSM-5 人格量表(PID-5)的特质方面量表可以用于索引这五个广泛的领域,具有有前途的结构效度。我们在当前研究中的目标是验证 PID-5 算法对于五个 ICD-11 特质领域的有效性,这些算法基于更新的 ICD-11 文本进行了一些小的调整。为此,我们使用了来自加拿大一个大都市区的 343 名精神科门诊患者,他们完成了 PID-5、DSM-IV 轴 II 障碍人格问卷的结构临床访谈、明尼苏达多相人格测验-2 重构形式和修订版 NEO 人格量表。与五因素模型和人格心理病理学五个人格特质以及 PD 症状计数的外部测量相关的 ICD-11 领域的因子结构得到了维持,这符合预期,符合概念上预期的模式。(PsycINFO 数据库记录(c)2019 APA,保留所有权利)。

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