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精神病理学的一般因素。

The General Factor of Psychopathology.

机构信息

Department of Psychology, University of Kentucky, Lexington, Kentucky 40506, USA; email:

出版信息

Annu Rev Clin Psychol. 2020 May 7;16:75-98. doi: 10.1146/annurev-clinpsy-071119-115848. Epub 2020 Feb 4.

Abstract

An important advance in understanding and defining mental disorders has been the development of empirical approaches to mapping dimensions of dysfunction and their interrelatedness. Such empirical approaches have consistently observed intercorrelations among the many forms of psychopathology, leading to the identification of a general factor of psychopathology (the p factor). In this article, we review empirical support for p, including evidence for the stability and criterion validity of p. Further, we discuss the strong relationship between p and both the general factor of personality and the general factor of personality disorder, substantive interpretations of p, and the potential clinical utility of p. We posit that proposed substantive interpretations of p do not explain the full range of symptomatology typically included in p. The most plausible explanation is that p represents an index of impairment that has the potential to inform the duration and intensity of a client's mental health treatment.

摘要

理解和定义精神障碍的一个重要进展是开发经验方法来映射功能障碍的维度及其相互关系。这种经验方法一致地观察到许多形式的精神病理学之间的相互关联,从而确定了精神病理学的一般因素(p 因素)。在本文中,我们回顾了对 p 的经验支持,包括对 p 的稳定性和标准有效性的证据。此外,我们还讨论了 p 与人格的一般因素和人格障碍的一般因素之间的强关系、p 的实质性解释以及 p 的潜在临床应用。我们假设,对 p 的实质性解释并不能解释通常包含在 p 中的全部症状范围。最合理的解释是,p 代表一种损伤指数,有可能为客户的心理健康治疗的持续时间和强度提供信息。

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