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DSM-5 临床评定人格病理学量表的验证。

Validation of DSM-5 clinician-rated measures of personality pathology.

机构信息

Campbell Family Mental Health Research Institute.

Department of Psychiatry.

出版信息

Psychol Assess. 2021 Jan;33(1):84-89. doi: 10.1037/pas0000960. Epub 2020 Sep 24.

DOI:10.1037/pas0000960
PMID:32969671
Abstract

The American Psychiatric Association supported the development of several instruments to assess personality pathology according to the (5th ed.; ) Section III. These instruments include self- and informant report forms as well as clinician-rated measures of personality traits and impairment. To date, the psychometric properties of the Section III clinician-rated measures have received limited investigation. The objective of the current investigation was to evaluate the convergence between self-report and clinician-rated measures of personality pathology in a diagnostically heterogeneous psychiatric patient sample. A total of 201 outpatients with current psychiatric symptoms were recruited from a psychiatric hospital patient research registry. Participants completed both clinician-rated and self-reported measures of personality pathology. Self-reported personality traits converged with clinician-rated personality traits, with medium to large effect sizes. Current and Section III personality disorder criteria demonstrated significant convergence, most with medium to large effect sizes. Self-reported and clinician-rated personality impairment correlated with small to medium effect sizes. The current investigation incorporates a multi-informant assessment of personality in a psychiatric outpatient sample. These results provide evidence for the validity of the scores of the clinician-rated instruments used to implement this model. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

美国精神病学协会支持根据《精神障碍诊断与统计手册(第五版)》第三部分开发几种评估人格病理学的工具。这些工具包括自评和知情者报告表,以及临床医生评定的人格特质和障碍的测量工具。迄今为止,第三部分临床医生评定的测量工具的心理测量特性仅得到了有限的研究。本研究的目的是在诊断异质的精神科患者样本中评估人格病理学的自评和临床评定测量之间的一致性。总共从一家精神病院患者研究登记处招募了 201 名有当前精神症状的门诊患者。参与者完成了人格病理学的自评和临床评定测量。自评人格特质与临床评定人格特质相吻合,具有中到大的效应量。当前和第三部分人格障碍标准表现出显著的一致性,大多数具有中到大的效应量。自评和临床评定的人格障碍与小到中等的效应量相关。本研究在精神科门诊患者样本中纳入了多信息源的人格评估。这些结果为实施该模型的临床评定工具的评分提供了有效性证据。(取自 PsyCInfo 数据库记录)

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