Morey L C
Department of Psychology, Vanderbilt University, Nashville, TN 37240.
Am J Psychiatry. 1988 May;145(5):573-7. doi: 10.1176/ajp.145.5.573.
Although many sections of DSM-III-R reflect few changes from DSM-III, the diagnostic criteria for the personality disorders involve more substantial revisions. This study examined the impact of DSM-III-R revisions in terms of convergence with DSM-III, the diagnostic coverage of patients with personality disorders, and the internal consistency of the personality disorder criteria sets. The results demonstrated a substantial divergence between DSM-III and DSM-III-R diagnoses, increased coverage accompanied by a large increase in overlap among personality disorders, and internal consistency estimates of DSM-III-R criterion sets comparable to those in DSM-III.
尽管《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）的许多章节与《精神疾病诊断与统计手册》第三版（DSM-III）相比变化不大，但人格障碍的诊断标准却有更实质性的修订。本研究从与DSM-III的一致性、人格障碍患者的诊断覆盖范围以及人格障碍标准集的内部一致性等方面，考察了DSM-III-R修订的影响。结果表明，DSM-III与DSM-III-R的诊断之间存在很大差异，覆盖范围增加，同时人格障碍之间的重叠大幅增加，且DSM-III-R标准集的内部一致性估计与DSM-III中的相当。
