Vittengl Jeffrey R, Clark Lee Anna, Thase Michael E, Jarrett Robin B
Truman State University, Kirksville, MO, USA.
University of Notre Dame, Notre Dame, IN, USA.
Assessment. 2022 Sep;29(6):1158-1171. doi: 10.1177/10731911211005183. Epub 2021 Apr 2.
Both personality impairment and maladaptive-range traits are necessary for diagnosis in the alternative model of personality disorder. We clarified personality impairment-trait connections using measures of the interpersonal problems circumplex and personality traits among adult outpatients ( = 351) with major depressive disorder receiving cognitive therapy (CT). The trait scales' circumplex projections were summarized by elevation (correlations with general interpersonal problems), amplitude (specific relations to the circumplex dimensions of dominance and affiliation), and angle (predominant orientation in the two-dimensional circumplex). Most trait scales showed hypothesized circumplex relations, including substantive elevation (e.g., negative temperament, mistrust), amplitude (e.g., aggression, detachment), and expected angles (e.g., positive temperament and manipulativeness oriented toward overly nurturant/intrusive or domineering/vindictive problems, respectively), that were stable across time during CT. These results revealed meaningful and consistent impairment-trait connections, even during CT when mean depressive affect decreased substantially.
在人格障碍的替代模型中，人格损害和适应不良范围的特质都是诊断所必需的。我们使用人际问题环形模型和人格特质测量方法，对351名接受认知疗法（CT）的成年门诊重度抑郁症患者的人格损害与特质之间的联系进行了阐明。特质量表的环形投影通过高度（与一般人际问题的相关性）、幅度（与支配和亲和的环形维度的特定关系）和角度（二维环形中的主要取向）进行总结。大多数特质量表显示出假设的环形关系，包括实质性高度（如消极气质、不信任）、幅度（如攻击性、超脱）和预期角度（如积极气质和操纵性，分别针对过度溺爱/侵入性或专横/报复性问题），这些在CT期间随时间保持稳定。这些结果揭示了有意义且一致的损害 - 特质联系，即使在CT期间平均抑郁情绪大幅下降时也是如此。
