The structure of Diagnostic and Statistical Manual of Mental Disorders (4th edition, text revision) personality disorder symptoms in a large national sample.

The structure of Diagnostic and Statistical Manual of Mental Disorders (4th edition, text revision) personality disorder symptoms in a large national sample.
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DOI:
10.1037/a0027766
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发表时间:
2012-10
影响因子:
2.8
通讯作者:
Sher, Kenneth J.
Sher, Kenneth J.
中科院分区:
心理学2区
文献类型:
--
作者:
Trull, Timothy J.;Verges, Alvaro;Wood, Phillip K.;Jahng, Seungmin;Sher, Kenneth J.

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我们检查了DSM-IV-TR标准的潜在结构(,精神障碍诊断和统计手册(第4版,文本修订)。华盛顿:作者。)人格障碍在美国成年人的一个大的全国代表性样本。人格障碍症状数据的收集使用结构化的诊断访谈,从大约35,000名成年人评估了两波数据收集在全国流行病学调查酒精和相关条件。我们的分析表明,一个七因素的解决方案提供了最适合的数据,这些因素主要是由一个或最多两个人格障碍标准集。一系列回归分析使用外部验证器挖掘轴I精神病理学,治疗心理健康问题,功能评分,人际冲突,自杀意念和行为提供了支持的七因素解决方案。我们讨论了这些发现的背景下,以前的研究已经检查了人格障碍的标准,以及目前的建议DSM-5人格障碍的结构。
We examined the latent structure underlying the criteria for DSM–IV–TR (, Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author.) personality disorders in a large nationally representative sample of U.S. adults. Personality disorder symptom data were collected using a structured diagnostic interview from approximately 35,000 adults assessed over two waves of data collection in the National Epidemiologic Survey on Alcohol and Related Conditions. Our analyses suggested that a seven-factor solution provided the best fit for the data, and these factors were marked primarily by one or at most two personality disorder criteria sets. A series of regression analyses that used external validators tapping Axis I psychopathology, treatment for mental health problems, functioning scores, interpersonal conflict, and suicidal ideation and behavior provided support for the seven-factor solution. We discuss these findings in the context of previous studies that have examined the structure underlying the personality disorder criteria as well as the current proposals for DSM-5 personality disorders.
修订后的NESARC人格障碍诊断:性别,患病率和合并症,具有依赖性疾病。
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