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通过实证网络模型看人格障碍的替代模型。

Alternative Model for Personality Disorders Through the Lens of an Empirical Network Model.

机构信息

University of Huelva, Huelva, Spain.

University of Lleida, Lleida, Spain.

出版信息

Assessment. 2021 Apr;28(3):773-787. doi: 10.1177/1073191119897118. Epub 2020 Jan 12.

Abstract

The Alternative Model for Personality Disorders defined in () has recently attracted considerable interest in empirical research, with different hypotheses being proposed to explain the discordant results shown in previous research. Empirical network analysis has begun to be applied for complementing the study of psychopathological phenomena according to a new perspective. This article applies this analysis to personality facets measured in a sample of 626 patients with mental disorders and a 1,034 normative sample, using the Personality Inventory for . The results reveal five substructures partially equivalent to domains defined in the . Discordant facets (suspiciousness, hostility, rigid perfectionism, attention seeking, and restricted affectivity) play the role of connectors between substructures. Invariance between clinical and community networks was found except for the connection between unusual beliefs and perceptual dysregulation (stronger in the clinical sample). Considering the strength centrality index, anxiousness, emotional lability, and depressivity can be highlighted for their relative importance within both clinical and normative networks.

摘要

人格障碍替代模型()在实证研究中引起了相当大的兴趣,提出了不同的假设来解释先前研究中显示的不一致结果。实证网络分析开始根据新的视角应用于补充心理病理现象的研究。本文应用这种分析方法,对 626 名精神障碍患者和 1034 名正常样本中的人格特征进行分析,使用人格障碍检查表。结果显示,五个亚结构部分与人格障碍检查表中定义的领域等效。不一致的特征(多疑、敌意、僵化的完美主义、寻求关注和受限的情感)在亚结构之间起着连接作用。临床和社区网络之间存在不变性,除了异常信念和感知失调之间的连接(在临床样本中更强)。考虑到强度中心性指数,焦虑、情绪不稳定和抑郁在临床和正常网络中都可以突出显示其相对重要性。

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