Department of Psychology, University of Colorado at Colorado Springs, Colorado Springs, Colorado, USA.
Personal Ment Health. 2023 Aug;17(3):220-231. doi: 10.1002/pmh.1576. Epub 2023 Jan 20.
The Alternative Model of Personality Disorders (AMPD) is a relatively new dimensional model of personality disorders (PDs) that assesses two diagnostic constructs: personality functioning and pathological personality traits. Thus far, research on the AMPD among older adults has been limited, but the research that does exist suggests limited generalizability to the unique biopsychosocial context of later life. To further examine the applicability of the AMPD to older adults, the purpose of this study was to examine relationships between the AMPD's two constructs with perceived physical health status among younger and older adult samples. Older adults (n = 222) and younger adults (n = 215) completed the Short Form-36 (SF-36), Levels of Personality Functioning Scale-Self-Report (LPFS-SR), and Personality Inventory for DSM-5-Brief Form (PID-5-BF). Correlations and Fisher's z-tests revealed significantly stronger relationships between the SF-36 with the LPFS-SR and PID-5-BF domains for older adults than younger adults. Additionally, age group significantly moderated the relationships between personality functioning and pathological personality traits and health. The stronger relationships between health and the AMPD's constructs for older adults suggest meaningful overlap between negative health outcomes and PD pathology. Future research should further investigate specific mechanisms in which personality pathology negatively impacts health in older adults.
人格障碍替代模型（AMPD）是一种相对较新的人格障碍（PD）维度模型，评估两个诊断结构：人格功能和病理性人格特质。迄今为止，针对老年人的 AMPD 研究有限，但现有研究表明，该模型在一定程度上难以推广到老年人独特的生物心理社会背景。为了进一步研究 AMPD 在老年人中的适用性，本研究旨在检查 AMPD 的两个结构与年轻和老年样本感知身体健康状况之间的关系。老年人（n=222）和年轻人（n=215）完成了简明健康调查问卷 36 项（SF-36）、人格功能水平量表自我报告版（LPFS-SR）和 DSM-5 人格障碍简明量表（PID-5-BF）。相关性和 Fisher's z 检验显示，老年人的 SF-36 与 LPFS-SR 和 PID-5-BF 域之间的关系明显强于年轻人。此外，年龄组显著调节了人格功能和病理性人格特质与健康之间的关系。对于老年人来说，健康与 AMPD 结构之间的关系更强，这表明负面健康结果和 PD 病理之间存在有意义的重叠。未来的研究应该进一步探讨人格病理如何对老年人的健康产生负面影响的具体机制。
