Livesley W J
Am J Psychiatry. 1987 Jun;144(6):772-7. doi: 10.1176/ajp.144.6.772.
The author describes a structured approach to the definition of personality disorder diagnoses using traits or generalized behavioral dimensions as the basic unit of definition. Features of personality disorder diagnoses, identified from the clinical literature and rated by psychiatrists for the degree to which they were prototypical of each diagnosis, were classified into 79 behavioral dimensions. A sorting task used to establish whether other clinicians agreed on the classification of highly prototypical features into dimensions yielded satisfactory levels of agreement. A mail survey of a random sample of psychiatrists indicated that these dimensions possessed satisfactory content validity.
作者描述了一种结构化方法,该方法以特质或广义行为维度作为基本定义单位来定义人格障碍诊断。从临床文献中识别出人格障碍诊断的特征,并由精神科医生对其作为每种诊断的典型程度进行评级,这些特征被分类为79个行为维度。一项用于确定其他临床医生是否同意将高度典型特征分类到维度中的排序任务产生了令人满意的一致性水平。对精神科医生随机样本的邮件调查表明,这些维度具有令人满意的内容效度。