DSM-IV personality disorders and the five-factor model of personality:: A multi-method examination of domain- and facet-level predictions
DSM-IV personality disorders and the five-factor model of personality:: A multi-method examination of domain- and facet-level predictions
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DOI：
10.1002/per.563
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发表时间：
2005-06-01
影响因子：
5.9
通讯作者：
Marshall, M
中科院分区：
文献类型：
--
作者：
Bagby, RM;Costa, PT;Marshall, M
不同版本的《精神疾病诊断与统计手册》（DSM）中的人格障碍分类系统（轴II）一直是反复批评的目标，概念分析和经验证据证明了它的缺陷。作为回应，许多人提出了人格精神病理学评估的替代方法，包括人格五因素模型（FFM）的应用。然而，许多人仍然持怀疑态度，从一般人格功能模型的域和方面的特点是否可以成功地应用于临床人格障碍患者（PD）。本研究以115名精神病患者为样本，采用五因素结构化访谈模型（Structured Interview for the Five Factor Model），通过FFM的分面和领域特质成功预测了10种人格障碍症状（SIFFM;特吕尔尔和Widiger 1997）和自我报告问卷，修订的近地天体人格量表（近地天体PI-R; Costa和McCrae，1992）。这些结果提供了支持的观点，人格精神病理学可以捕获的一般人格维度。FFM有可能提供一个有效且科学合理的框架，以评估人格精神病理学，其方式涵盖了DSM中概念化的大部分领域，同时超越了当前对这些疾病的分类方法的局限性。版权所有（c）2005年约翰威利父子有限公司。
The personality disorder classification system (Axis II) in the various versions of the Diagnostic and Statistical Manuals of Mental Disorders (DSM) has been the target of repeated criticism, with conceptual analysis and empirical evidence documenting its flaws. In response, many have proposed alternative approaches for the assessment of personality psychopathology, including the application of the Five-Factor Model of personality (FFM). Many remain sceptical, however, as to whether domain and facet traits from a model of general personality functioning can be successfully applied to clinical patients with personality disorders (PDs). In this study, with a sample of psychiatric patients (n = 115), personality disorder symptoms corresponding to each of the 10 PDs were successfully predicted by the facet and domain traits of the FFM, as measured by a semi-structured interview, the Structured Interview for the Five Factor Model (SIFFM; Trull & Widiger 1997) and a self-report questionnaire, the Revised NEO Personality Inventory (NEO PI-R; Costa and McCrae, 1992). These results provide support for the perspective that personality psychopathology can be captured by general personality dimensions. The FFM has the potential to provide a valid and scientifically sound framework from which to assess personality psychopathology, in a way that covers most of the domains conceptualized in DSM while transcending the limitations of the current categorical approach to these disorders. Copyright (c) 2005 John Wiley & Sons, Ltd.