A comparison of latent class, latent trait, and factor mixture models of DSM-IV borderline personality disorder criteria in a community setting: implications for DSM-5.

A comparison of latent class, latent trait, and factor mixture models of DSM-IV borderline personality disorder criteria in a community setting: implications for DSM-5.
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DOI:
10.1521/pedi.2012.26.5.793
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发表时间:
2012-10
影响因子:
2.3
通讯作者:
Brennan P
Brennan P
中科院分区:
医学2区
文献类型:
--
作者:
Conway C;Hammen C;Brennan P

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随着第五版精神障碍诊断和统计手册 (DSM-5) 计划于 2013 年出版,研究人员继续争论边缘型人格障碍 (BPD) 的最佳分类。大多数讨论都集中在 BPD 的维度分类方案与分类分类方案的相对优点上。统计技术的进步使得使用定量方法判断 BPD 的连续模型和分类模型成为可能,但之前没有研究尝试进行这样的比较。目前的研究直接比较了由于母亲抑郁症发病率升高而面临精神病理学风险的大量社区样本(N = 700)中 BPD 的拟合维度、分类和混合模型。使用 DSM-IV 轴 II 人格障碍结构化临床访谈 (SCID-II) 评估 BPD 症状。评估了 SCID-II 症状的潜在类别、潜在特征和因子混合模型,并且潜在特征模型提供了与数据的良好拟合,支持边缘病理学的维度概念化。这些结果的疾病分类学意义将针对目前正在考虑用于 DSM-5 的 BPD 诊断“混合”模型进行讨论。
With the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) scheduled for publication in 2013, researchers continue to debate the optimal classification of borderline personality disorder (BPD). Much of the discussion has focused on the relative merits of dimensional versus categorical classification schemes for BPD. Advances in statistical technologies have made it possible to adjudicate between continuous and categorical models of BPD using quantitative methods, yet no prior studies have attempted such a comparison. The current study directly compares the fit dimensional, categorical, and hybrid models of BPD in a large community sample (N = 700) of young adults at risk for psychopathology due to elevated rates of maternal depression. BPD symptoms were assessed using the Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II). Latent class, latent trait, and factor mixture models of SCID-II symptoms were estimated, and a latent trait model provided superior fit to the data, supporting a dimensional conceptualization of borderline pathology. The nosological implications of these results are discussed with respect to a “hybrid” model of BPD diagnosis currently under consideration for DSM-5.
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