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《精神疾病诊断与统计手册》第五版人格量表(PID-5)的潜在结构:人格精神病理学的一个一般因素。

The underlying structure of the Personality Inventory for DSM-5 (PID-5): a general factor of personality psychopathology.

作者信息

Montes Silvana A, Sanchez Roberto O

机构信息

CONICET (National Scientific and Technical Research Council), Buenos Aires, Argentina.

Faculty of Psychology, National University of Mar del Plata, Mar del Plata, Argentina.

出版信息

Curr Issues Personal Psychol. 2023 Jun 1;12(2):79-90. doi: 10.5114/cipp/163182. eCollection 2024.

DOI:10.5114/cipp/163182
PMID:38807698
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11129047/
Abstract

BACKGROUND

The psychopathology of personality is currently undergoing a paradigm shift from a categorical to a dimensional approach. This work aimed to study the underlying structure of pathological personality traits of the DSM-5 Alternative Model for Personality Disorders (AMPD). For this purpose, the internal structure of a version of the Personality Inventory for the DSM-5 (PID-5) was examined by a confirmatory factor analysis. This version assesses the five higher-order pathological personality domains (negative affectivity, detachment, antagonism, disinhibition, and psychoticism) and the 25 lower-order pathological personality facets through a reduced number of items. Four alternative models were compared: five-factor oblique; second-order (five first-order factors and one second-order factor); bifactor (five specific factors and a general factor), and one-factor.

PARTICIPANTS AND PROCEDURE

We worked with an Argentinean sample of = 525 subjects from the general population who answered the Argentine version of the PID-5.

RESULTS

The five-factor model was slightly superior to the second order model, and the bifactor model presented the best fit.

CONCLUSIONS

These findings, while preliminary, suggest that the PID-5 facets could reflect five specific pathological personality traits (which correspond to AMPD domains) but also a general factor (which would reflect a general propensity for psychopathology).

摘要

背景

人格的精神病理学目前正经历从分类法到维度法的范式转变。这项研究旨在探究《精神疾病诊断与统计手册》第五版人格障碍替代模型(AMPD)中病理性人格特质的潜在结构。为此,通过验证性因素分析对《精神疾病诊断与统计手册》第五版人格问卷(PID-5)一个版本的内部结构进行了检验。该版本通过减少项目数量来评估五个高阶病理性人格领域(消极情感性、脱离、敌对性、放纵和精神病性)以及25个低阶病理性人格方面。比较了四种替代模型:五因素斜交模型;二阶模型(五个一阶因素和一个二阶因素);双因素模型(五个特定因素和一个一般因素)以及单因素模型。

参与者与程序

我们研究了来自阿根廷普通人群的525名受试者组成的样本,他们回答了PID-5的阿根廷版本。

结果

五因素模型略优于二阶模型,双因素模型拟合度最佳。

结论

这些结果虽然是初步的,但表明PID-5的方面可能反映了五种特定的病理性人格特质(对应于AMPD领域),也反映了一个一般因素(这将反映精神病理学的一般倾向)。