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[边缘型人格障碍冲动与情绪调节失调量表(IED - 27)的聚合效度和因子效度]

[Convergent and Factorial Validity of the Impulsivity and Emotion Dysregulation Scale (IED-27) for Borderline Personality Disorder].

作者信息

Dreyße Kathrin, Zöllner Elena, Behrens Carolin, Armbrust Michael, Kröger Christoph

机构信息

Psychosomatische Klinik und Psychotherapie, Schön Klinik Bad Bramstedt, Deutschland.

Institut fur Psychologie, Klinische Psychologie und Psychotherapie, Universität Hildesheim, Deutschland.

出版信息

Psychother Psychosom Med Psychol. 2021 May;71(5):177-184. doi: 10.1055/a-1322-3334. Epub 2021 Jan 13.

Abstract

There is a growing consensus that emotion dysregulation is the defining feature of borderline personality disorder, but there are also persisting competing views on the pathology and dimensional structure of the disorder. The "Impulsivity and Emotion Dysregulation Scale" (IED-27) is already being used for assessing patients with borderline personality disorder. The particular aim of this study was to gain evidence of the dimensional structure of the disorder by confirmatory factorial analysis. A heterogeneous sample of patients with borderline personality disorder (n=484), attention deficit (hyperactivity) disorder (n=191) and eating disorders (n=197) of a psychosomatic clinic were given general and specific self-assessment inventories via computer-assisted testing system, including the IED-27. Results showed a bifactor model with a general factor and three specific factors: "emotional dysregulation", "relationship difficulties" and "self-injuries and suicidal behaviours", to be the model with the best fit (ΔCFI=0,032). The internal consistency of the sample seems to be good (ω=0,83-0,93) and expected correlations to similar subscales could be proved. Good psychometric criteria of the IED-27 were replicated in this study. Prospectively, the subscales allow a more detailed representation and specific treatment planning.

摘要

越来越多的人达成共识,即情绪调节障碍是边缘型人格障碍的决定性特征,但对于该障碍的病理学和维度结构也存在持续的不同观点。“冲动性和情绪调节障碍量表”(IED - 27)已被用于评估边缘型人格障碍患者。本研究的特定目的是通过验证性因素分析获得该障碍维度结构的证据。通过计算机辅助测试系统,向一家身心诊所的边缘型人格障碍患者(n = 484)、注意力缺陷(多动)障碍患者(n = 191)和饮食失调患者(n = 197)的异质样本发放了一般和特定的自我评估量表,包括IED - 27。结果显示,具有一个一般因素和三个特定因素的双因素模型:“情绪调节障碍”、“人际关系困难”和“自我伤害及自杀行为”,是拟合度最佳的模型(ΔCFI = 0.032)。样本的内部一致性似乎良好(ω = 0.83 - 0.93),并且可以证明与类似子量表的预期相关性。本研究重复了IED - 27良好的心理测量标准。前瞻性地看,这些子量表允许更详细的描述和具体的治疗计划。

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