Somma Antonella, Krueger Robert F, Markon Kristian E, Gialdi Giulia, Boscaro Linda, Fossati Andrea
School of Psychology, Vita-Salute San Raffaele, Milan, Italy.
Department of Psychology, University of Minnesota, Minneapolis, Minnesota, USA.
Personal Ment Health. 2022 Feb;16(1):47-58. doi: 10.1002/pmh.1525. Epub 2021 Jul 9.
To assess the relationships between post-traumatic stress disorder (PTSD) components, Hierarchical Taxonomy of Psychopathology (HiTOP) spectra, and dysfunctional personality domains, the Post-Traumatic Checklist for DSM-5 (PCL-5); the Personality Inventory for DSM-5-Brief Form+ (PID-5BF+); and self-report measures of HiTOP Internalizing, Thought Disorders, and Externalizing spectra were administered to 387 trauma-exposed Italian community-dwelling women. Before structural equation modeling (SEM), measurement components of models were assessed using confirmatory factor analyses. Both taxometric and Gaussian mixture analysis results were consistent with a dimensional representation of the PCL-5 scores. SEM results showed that PTSD components, at least as they were operationalized by the PCL-5 scores, were positively, significantly, and substantially associated with HiTOP Internalizing and Thought Disorder Spectra latent dimensions, as well as with Negative Affectivity, Detachment, and Psychoticism personality domains.
为评估创伤后应激障碍(PTSD)各成分、精神病理学层次分类法(HiTOP)谱以及功能失调性人格领域之间的关系,对387名遭受创伤的意大利社区居住女性施测了《精神疾病诊断与统计手册》第5版创伤后清单(PCL-5)、《精神疾病诊断与统计手册》第5版简式人格量表+(PID-5BF+)以及HiTOP内化、思维障碍和外化谱的自我报告测量工具。在进行结构方程模型(SEM)分析之前,使用验证性因素分析评估模型的测量成分。分类分析和高斯混合分析结果均与PCL-5得分的维度表示一致。SEM结果表明,PTSD各成分,至少按照PCL-5得分所操作化的那样,与HiTOP内化和思维障碍谱潜在维度以及消极情感性、脱离和精神病性人格领域呈显著正相关且关联度较大。