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一种用于分析心理功能概况的多方法心理测量方法——《心理动力诊断手册》第二版(Pdm-2)的M轴:聚焦于B类人格障碍

A Multimethod Psychometric Approach to Analyse the Profile of Mental Functioning ‒ M Axis of the Psychodynamic Diagnostic Manual, 2nd Edition (Pdm-2): A Focus on Cluster B Personality Disorders.

作者信息

Gori Alessio, Topino Eleonora, Muzi Laura, Lingiardi Vittorio, Stanghellini Giovanni

机构信息

Department of Health Sciences, University of Florence, Via di San Salvi 12, Pad. 26, 50135 Florence, Italy;

Department of Human Sciences, LUMSA University of Rome, Via della Traspontina 21, 00193 Rome, Italy;

出版信息

Clin Neuropsychiatry. 2025 Feb;22(1):53-65. doi: 10.36131/cnfioritieditore20250105.

Abstract

OBJECTIVE

Within the realm of international diagnostic systems, the (PDM-2) stands out as a particularly effective instrument for evaluating mental functioning based on a psychodynamic perspective. This research aimed to explore the psychometric properties of the M Axis and to investigate the dynamics among its 12 capacities for individuals with Cluster B personality disorders.

METHOD

A sample of 285 psychotherapists who regularly use the PDM-2 in their professional practice was involved in this research. The collected data were analysed using an integrated approach combining factor and network analyses.

RESULTS

The factor analytic approach supported the strong psychometric properties of the M Axis for the 4-factor model. Good indications of internal consistency emerged, along with evidence of both convergent and divergent validity. The network analysis approach suggested that the psychotherapists perceived the capacity for mentalization and reflective functioning as the most influential one within the network of capacities in Cluster B personality disorders.

CONCLUSIONS

The M Axis emerged as a psychometrically solid assessment measure with strong theoretical and empirical bases, which can provide valuable support for enhancing both research and clinical practice.

摘要

目的

在国际诊断系统领域,(人格障碍诊断手册第二版,PDM - 2)是基于心理动力学视角评估心理功能的一种特别有效的工具。本研究旨在探索M轴的心理测量特性,并研究其12种能力在B类人格障碍个体中的动态关系。

方法

本研究纳入了285名在专业实践中经常使用PDM - 2的心理治疗师作为样本。使用结合因子分析和网络分析的综合方法对收集到的数据进行分析。

结果

因子分析方法支持了4因子模型下M轴强大的心理测量特性。出现了良好的内部一致性指标,以及收敛效度和区分效度的证据。网络分析方法表明,心理治疗师认为心理化和反思功能能力在B类人格障碍的能力网络中是最具影响力的。

结论

M轴是一种心理测量坚实的评估工具,具有强大的理论和实证基础,可为加强研究和临床实践提供有价值的支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/584e/11956885/1b78181abc65/cn-22-053-f01.jpg

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