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创伤暴露的社区居住女性中,从精神病理学谱和功能失调人格领域的层次分类角度看创伤后应激障碍症状的严重程度。

Post-traumatic disorder symptom severity in the perspective of hierarchical taxonomy of psychopathology spectra and dysfunctional personality domains among trauma-exposed community-dwelling women.

作者信息

Somma Antonella, Krueger Robert F, Markon Kristian E, Gialdi Giulia, Boscaro Linda, Fossati Andrea

机构信息

School of Psychology, Vita-Salute San Raffaele, Milan, Italy.

Department of Psychology, University of Minnesota, Minneapolis, Minnesota, USA.

出版信息

Personal Ment Health. 2022 Feb;16(1):47-58. doi: 10.1002/pmh.1525. Epub 2021 Jul 9.

Abstract

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.

摘要

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。

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