Huprich Steven K, Jowers Callie, Dowgwillo Emily, Ethridge Hannah, Nelson Sharon M, Porcerelli John H
Department of Psychology, University of Detroit Mercy, Detroit, Michigan, USA.
Department of Psychiatry and Behavioral Science, Michigan State University College of Human Medicine, Lansing, Michigan, USA.
Clin Psychol Psychother. 2025 Jan-Feb;32(1):e70034. doi: 10.1002/cpp.70034.
The goal of this study was to evaluate whether personality disorder prototypes derived from three different models have similar pathological trait profiles within the Alternative Model of Personality Disorders (AMPD). Trainee clinicians (N = 329) rated a patient they were currently treating using the Shedler-Westen Assessment Procedure, the DSM-5 hybrid model prototype match (modified from the original prototype DSM-5 proposal) and the Psychodynamic Diagnostic Manual prototype match. Correlations among each PD prototype model with the DSM-5 traits were assessed. Theoretically similar prototypes across the SWAP-II, DSM-5 hybrid model and PDM were correlated with several traits across models, ranging from small-to-large effect sizes. Similar prototypes also appeared to display similar trait profiles with some exceptions. Results suggest that the SWAP-II, DSM-5 and PDM prototype models tend to assess similar constructs overall, even though the methods are theoretically distinct. Implications of these findings for PD diagnosis are discussed.
本研究的目的是评估源自三种不同模型的人格障碍原型在人格障碍替代模型（AMPD）中是否具有相似的病理特征概况。实习临床医生（N = 329）使用谢德勒-韦斯顿评估程序、DSM-5混合模型原型匹配（根据DSM-5原始原型提案修改）和心理动力学诊断手册原型匹配对他们当前正在治疗的一名患者进行评分。评估了每个PD原型模型与DSM-5特征之间的相关性。SWAP-II、DSM-5混合模型和PDM中理论上相似的原型与跨模型的多个特征相关，效应大小从小到大都有。相似的原型似乎也显示出相似的特征概况，但有一些例外。结果表明，尽管方法在理论上不同，但SWAP-II、DSM-5和PDM原型模型总体上倾向于评估相似的结构。讨论了这些发现对PD诊断的意义。
