Personality disorder models and their coverage of interpersonal problems.
Personality disorder models and their coverage of interpersonal problems.
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DOI：
10.1037/per0000140
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发表时间：
2016-01
期刊：
影响因子：
--
通讯作者：
Simms LJ
中科院分区：
文献类型：
--
作者：
Williams TF;Simms LJ
人际功能障碍是人格障碍（PD）的定义特征，可以作为比较PD模型的标准。在这项研究中，使用628名完成NEO人格量表-3前半部分的当前或近期精神病患者样本，检查了四种竞争性PD模型的人际覆盖范围（NEO-PI-3FH）、DSM-5的人格调查表（PID-5）、人格障碍的计算机化适应性测试-静态形式（CAT-PD-SF）和DSM-IV人格问卷的结构化临床访谈（SCID-II PQ）。参与者还完成了人际问题清单-短环（IIP-SC），以评估人际功能障碍。分析比较了PD模型的人际关系问题的严重程度和风格。以前的研究与DSM-5第二和第三节模型一般是重复的。外向性和不确定性方面与正常范围和病理特征中最明确的人际关系问题有关。病理性状模型提供了更多的优势问题的覆盖面，而正常范围的特征覆盖nonassertiveness更好。这些结果表明，可能需要更多的工作，以协调在特定结构的水平上的人格病理学的描述。
Interpersonal dysfunction is a defining feature of personality disorders (PDs) and can serve as a criterion for comparing PD models. In this study, the interpersonal coverage of four competing PD models was examined using a sample of 628 current or recent psychiatric patients who completed the NEO Personality Inventory-3 First Half (NEO-PI-3FH), Personality Inventory for the DSM-5 (PID-5), Computerized Adaptive Test of Personality Disorder-Static Form (CAT-PD-SF), and Structured Clinical Interview for DSM-IV Personality Questionnaire (SCID-II PQ). Participants also completed the Inventory of Interpersonal Problems-Short Circumplex (IIP-SC) to assess interpersonal dysfunction. Analyses compared the severity and style of interpersonal problems that characterize PD models. Previous research with DSM-5 Section II and III models was generally replicated. Extraversion and Agreeableness facets related to the most well defined interpersonal problems across normal-range and pathological traits. Pathological trait models provided more coverage of dominance problems, whereas normal-range traits covered nonassertiveness better. These results suggest that more work may be needed to reconcile descriptions of personality pathology at the level of specific constructs.