Gutiérrez Fernando, Aluja Anton, Ruiz José, García Luis F, Gárriz Miguel, Gutiérrez-Zotes Alfonso, Gallardo-Pujol David, Navarro-Haro Maria V, Alabèrnia-Segura Miquel, Mestre-Pintó Joan Ignasi, Torrens Marta, Peri Josep M, Sureda Bárbara, Soler Joaquim, Pascual Juan Carlos, Vall Gemma, Calvo Natalia, Ferrer Marc, Oltmanns Joshua R, Widiger Thomas A
Hospital Clinic, Barcelona, Spain.
IDIBAPS, Barcelona, Spain.
Assessment. 2021 Apr;28(3):759-772. doi: 10.1177/1073191120936357. Epub 2020 Jun 25.
The International Classification of Diseases-11th revision (ICD-11) classification of personality disorders is the official diagnostic system that is used all over the world, and it has recently been renewed. However, as yet very few data are available on its performance. This study examines the Personality Inventory for ICD-11 (PiCD), which assesses the personality domains of the system, and the Standardized Assessment of Severity of Personality Disorder (SASPD), which determines severity. The Spanish versions of the questionnaires were administered to a community ( = 2,522) and a clinical sample ( = 797). Internal consistency was adequate in the PiCD (α = .75 to .84) but less so in the SASPD (α = .64 and .73). Factor analyses suggested a unidimensional or bidimensional structure for severity, while revealing that the personality trait qualifiers are organized into four factors: negative affectivity, detachment, dissociality, and a bipolar domain of disinhibition-anankastia. The mutual relationships between traits and severity were analyzed, as well as the ability of the whole system to identify clinical subjects. Although further improvements are required, the results generally support the use of the PiCD and the SASPD and help substantiate the new ICD-11 taxonomy that underlies them.
《国际疾病分类第11次修订版》（ICD - 11）的人格障碍分类是全球通用的官方诊断系统，且最近进行了更新。然而，目前关于其性能的数据还非常少。本研究考察了用于评估该系统人格领域的《ICD - 11人格量表》（PiCD）以及用于确定严重程度的《人格障碍严重程度标准化评估》（SASPD）。对一个社区样本（n = 2522）和一个临床样本（n = 797）施测了问卷的西班牙语版本。PiCD的内部一致性良好（α = 0.75至0.84），而SASPD的内部一致性稍差（α = 0.64和0.73）。因素分析表明严重程度呈单维或二维结构，同时揭示人格特质限定词被组织为四个因素：消极情感性、超脱、反社会性以及一个由抑制障碍 - 强迫性构成的双极领域。分析了特质与严重程度之间的相互关系，以及整个系统识别临床受试者的能力。尽管仍需进一步改进，但结果总体上支持PiCD和SASPD的使用，并有助于证实作为其基础的新ICD - 11分类法。
