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通过 HiTOP 模型测量精神分裂型人格障碍的病理特征。

Measuring pathological traits of the schizotypal personality disorder through the HiTOP model.

机构信息

Department of Psychology, São Francisco University, Campinas, Brazil.

出版信息

Scand J Psychol. 2021 Dec;62(6):839-845. doi: 10.1111/sjop.12761. Epub 2021 Jul 9.

Abstract

Schizotypal personality disorder (STPD) is characterized by difficulties in intimate relationships, social and interpersonal deficits, and perceptual distortions. Encompassing this personality disorder and other mental conditions, the Hierarchical taxonomy of psychopathology (HiTOP) is an evidence-based, dimensional model covering pathological traits in its lower range. This study aimed to develop a self-report scale for screening pathological traits of STPD from the perspective of the HiTOP. The sample consisted of 474 Brazilian adults aged 18-70 years who answered the developed scale, the IDCP-STPD, facets of the Personality Inventory for DSM-5 (PID-5), and factors of the Computerized Adaptive Assessment of Personality Disorder Static Form (CAT-PD-SF). The scale was composed of 73 items distributed in two factors. Internal structure reliability was higher than 0.80 for all scores of the scale. The factors showed associations with the expected external measures, and the groups based on the STPD external measures (healthy and pathological) showed big to huge differences. Although initial, our findings suggested the IDCP-STPD as a helpful measure to the clinical context to screen the STPD pathological traits. Moreover, the structure observed for the IDCP-STPD confirms the spectrum level of the HiTOP.

摘要

分裂型人格障碍(STPD)的特点是人际关系困难、社交和人际交往缺陷以及感知扭曲。涵盖这种人格障碍和其他精神疾病,病理心理学的分层分类法(HiTOP)是一种基于证据的、维度模型,涵盖其较低范围的病理性特征。本研究旨在从 HiTOP 的角度开发一种用于筛查 STPD 病理性特征的自我报告量表。该样本由 474 名 18-70 岁的巴西成年人组成,他们回答了开发的量表、DSM-5 人格问卷的方面(PID-5)和计算机化自适应评估人格障碍静态形式的因素(CAT-PD-SF)。该量表由 73 个项目组成,分布在两个因素中。所有量表分数的内部结构信度均高于 0.80。这些因素与预期的外部测量指标相关,并且基于 STPD 外部测量指标(健康和病理)的组之间存在大到巨大的差异。尽管这只是初步的结果,但我们的发现表明 IDCP-STPD 是一种有助于临床环境筛查 STPD 病理性特征的有用措施。此外,IDCP-STPD 观察到的结构证实了 HiTOP 的谱系水平。

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