Hualparuca-Olivera Luis, Caycho-Rodríguez Tomás, Torales Julio, Ramos-Vera Cristian, Ramos-Campos Dayana, Córdova-Gónzales Luis, Bach Bo
Escuela de Psicología, Universidad Continental, Huancayo, Peru.
Facultad de Psicología, Universidad Científica del Sur, Lima, Peru.
Personal Ment Health. 2024 Nov;18(4):357-368. doi: 10.1002/pmh.1631. Epub 2024 Jul 31.
A number of measures and scales have been developed for the ICD-11 personality disorder (PD) diagnosis, including severity and trait dimensions. The present systematic review and meta-analysis sought to evaluate the internal consistency of these measures across different populations and cultures. A systematic search was conducted across four databases where relevant studies were subjected to explicit eligibility criteria resulting in 49 included studies and 370 effect sizes. Study characteristics were tabulated, their methodological quality was evaluated, and findings were synthesized using random effects meta-analysis. Findings overall indicated that measures of ICD-11 PD severity and trait domains have adequate levels of internal consistency (α/ω = 0.82, 95% CI [0.81; 0.83], I = 97.3%). Aspects such as sample, country, language, format, and measured construct were significant sources of variation. Additional meta-analyses revealed that some measures performed better than others for certain dimensions. Internal consistency was overall supported across ICD-11 measures of severity and trait domains. Future research should further investigate the interrater reliability, test-retest reliability and stability, and alignment with interview-based PD diagnoses.
已经开发了许多用于国际疾病分类第11版（ICD-11）人格障碍（PD）诊断的测量方法和量表，包括严重程度和特质维度。本系统评价和荟萃分析旨在评估这些测量方法在不同人群和文化中的内部一致性。在四个数据库中进行了系统检索，相关研究需符合明确的纳入标准，最终纳入49项研究和370个效应量。将研究特征制成表格，评估其方法学质量，并使用随机效应荟萃分析对结果进行综合分析。总体结果表明，ICD-11人格障碍严重程度和特质领域的测量方法具有足够的内部一致性水平（α/ω = 0.82，95%可信区间[0.81；0.83]，I = 97.3%）。样本、国家、语言、形式和测量的结构等方面是变异的重要来源。额外的荟萃分析表明，某些测量方法在某些维度上比其他方法表现更好。ICD-11严重程度和特质领域的测量方法总体上支持内部一致性。未来的研究应进一步调查评分者间信度、重测信度和稳定性，以及与基于访谈的人格障碍诊断的一致性。
