A comparison of passive-aggressive and negativistic personality disorders.

A comparison of passive-aggressive and negativistic personality disorders.
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被动攻击性人格障碍和消极性人格障碍的比较。

DOI:
10.1080/00223891.2012.655819
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发表时间:
2012
影响因子:
3.4
通讯作者:
Wright,AidanGC
Wright,AidanGC
中科院分区:
心理学3区
文献类型:
--
作者:
Hopwood,ChristopherJ;Wright,AidanGC

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被动-攻击型人格障碍(PAPD)在历史上在临床理论中扮演了重要角色,在《精神障碍诊断与统计手册》(第4版[DSM-IV];美国精神病学协会,1994)之前就已被诊断出来,在该手册中,该结构被重新标记为消极性(NEGPD),扩展到包括消极情感症状,并被认可。在这项研究中,我们测试的假设,扩大PAPD,包括内容相关的负面情绪和非特异性人格病理损害其判别效度。在一个大学生样本(N= 1,215)中,PAPD的自我报告测量与NEGPD仅中度相关,并且与其他人格障碍的诊断重叠比NEGPD少。此外,联合因素分析得出了一个强有力的第一个因素(喜怒无常),似乎不太具体的被动攻击行为比其他3个因素(不负责任,不足和蔑视)。我们的结论是,这个潜在的重要临床结构的未来研究应该集中在核心的被动攻击的功能,并放弃了消极的内容,已被添加到它在连续版本的theDSM。
Passive–aggressive personality disorder (PAPD) has historically played an important role in clinical theorizing and was diagnosable prior to theDiagnostic and Statistical Manual of Mental Disorders(4th ed. [DSM–IV]; American Psychiatric Association, 1994), in which the construct was relabeled negativistic (NEGPD), expanded to include negative affective symptoms, and appendicized. In this study we tested the hypothesis that the expansion of PAPD to include content related to negative moods and nonspecific personality pathology compromised its discriminant validity. In an undergraduate sample (N= 1,215), a self-report measure of PAPD was only moderately related to NEGPD and showed less diagnostic overlap with other personality disorders than NEGPD. Furthermore, a conjoint factor analysis yielded a strong first factor (moodiness) that appeared less specific to passive–aggressive behavior than 3 other factors (irresponsibility, inadequacy, and contempt). We conclude that future research on this potentially important clinical construct should focus on core passive–aggressive features and abandon the negativistic content that has been added to it in successive editions of theDSM.
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