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边缘型人格障碍与明尼苏达多相人格测验(MMPI)

Borderline personality disorder and the MMPI.

作者信息

Abramowitz S I, Carroll J, Schaffer C B

出版信息

J Clin Psychol. 1984 Mar;40(2):410-3. doi: 10.1002/1097-4679(198403)40:2<410::aid-jclp2270400204>3.0.co;2-b.

Abstract

Fourteen patients diagnosed as borderline on the basis of the Diagnostic Interview for Borderlines obtained a mean group profile of 8-2-7 similar in configuration, but more elevated than that obtained by a group of 7 diagnostically heterogeneous controls. The borderline patients manifested significantly greater hypochondriasis, depression and hysteria, slightly more schizotypal features, a more deviant self-presentation, and lesser defensiveness. However, considerable heterogeneity in symptomatology was found within the borderline subsample. Further, clinical scales comprised of a higher proportion of relatively subtle and presumably less structured items did not discriminate borderline from control patients more effectively than did those scales made up of a lower proportion of such items. The results offer partial support for the construct validity of the borderline syndrome and for the usefulness of the MMPI in differentiating it from other psychiatric disorders.

摘要

通过边缘性人格障碍诊断访谈被诊断为边缘性人格障碍的14名患者获得了平均分为8 - 2 - 7的群体剖面图,其形态相似,但比一组7名诊断结果各异的对照组患者的剖面图得分更高。边缘性人格障碍患者表现出明显更严重的疑病症、抑郁症和癔症,有稍多的分裂样特征,自我呈现更异常,防御性更低。然而,在边缘性子样本中发现症状学存在相当大的异质性。此外,由相对微妙且可能结构较少的项目占较高比例组成的临床量表,在区分边缘性人格障碍患者和对照组患者方面,并不比由此类项目占较低比例组成的量表更有效。这些结果为边缘性人格障碍综合征的结构效度以及明尼苏达多相人格问卷(MMPI)在将其与其他精神障碍区分开来方面的有用性提供了部分支持。

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