Ro Eunyoe, Nuzum Hallie, Clark Lee Anna
Southern Illinois University Edwardsville, IL, USA.
Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA.
Assessment. 2025 Apr;32(3):321-334. doi: 10.1177/10731911241253409. Epub 2024 May 27.
The (; American Psychiatric Association, 2013), includes 10 categorical personality disorders (PD) in Section II (Section II PD) and a dimensional alternative model of PD (AMPD) in Section III. We compared the two models in explaining concurrent psychosocial functioning levels in psychiatric outpatients and community residents screened as at risk for PD pathology ( = 600). The AMPD's fully dimensional form showed stronger associations with psychosocial difficulties and explained more of their variance compared with the categorical Section II PD. AMPD Criterion A (personality functioning impairment) and Criterion B (pathological traits) incrementally predicted psychosocial functioning about equally with some unique predictions. Finally, AMPD's six categorical PD diagnoses did not show stronger associations with psychosocial functioning than the corresponding Section II PD diagnoses. Findings directly comparing the two models remain important and timely for informing future conceptualizations of PD in the diagnostic system.
《精神疾病诊断与统计手册》（第五版；美国精神病学协会，2013年）在第二部分（第二部分人格障碍）中包含10种分类人格障碍（PD），在第三部分中包含人格障碍的维度替代模型（AMPD）。我们比较了这两种模型在解释经筛查有PD病理风险的精神科门诊患者和社区居民（N = 600）的并发心理社会功能水平方面的差异。与分类的第二部分人格障碍相比，AMPD的完全维度形式与心理社会困难的关联更强，并且解释了更多的方差。AMPD标准A（人格功能损害）和标准B（病理特征）对心理社会功能的逐步预测大致相同，且有一些独特的预测。最后，AMPD的六种分类PD诊断与心理社会功能的关联并不比相应的第二部分PD诊断更强。直接比较这两种模型的研究结果对于为诊断系统中PD的未来概念化提供信息仍然很重要且及时。
