ASSESSMENT OF PERSONALITY DISORDERS

人格障碍的评估

• 批准号: 3382686
• 负责人: Lee Anna Clark
• 金额: $ 4.82万
• 依托单位: SOUTHERN METHODIST UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1988
• 资助国家: 美国
• 起止时间: 1988-08-01 至 1992-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3382686
• 关键词: diagnosis design /evaluation; human subject; interview; mental disorder diagnosis; personality disorders; personality tests

The present study investigates a dimensional scheme for assessing the domain of Personality Disorder (PD) and compares such an approach to the current categorical system. Three samples of patients (state hospital inpatients, metropolitan hospital in- and out-patients, and university counseling center patients; n = 50 each) will be extensively evaluated using traditional methods of clinical diagnosis (e.g., structured interviews), measures of social and occupational functioning, and scales specifically developed to measure dimensions underlying the personality disorders. These three diverse samples are included to assure a broad representation of the relevant pathology, because they are expected to show differing prevalence rates of the various personality traits and disorders. The date will permit direct comparison of the categorical (diagnoses derived by interview) and dimensional (trait profiles generated by the scale scores) approaches to assessment of personality disorder. Given expected correspondences between certain diagnoses and scales (e.g., Paranoid PD with Mistrust), one question of primary interest will be whether the scales are bimodal, thus supporting a categorical approach; or normally distributed, indicating that continuous dimensions may more accurately describe personality pathology. Examination of the distributions will be followed by chi-square analyses to test whether the traits are specific to particular diagnoses or are broadly distributed across diagnoses. Relations between the diagnoses and trait scores will be further examined through a series od multivariate analyses, including factor and cluster analyses, and multiple regression. Finally, relations between various indicators of social/occupational adjustment and both the diagnoses and trait scores will be examined, also using multivariate techniques. It is possible that each approach--the dimensional and categorical--will provide appropriate for assessing some types of personality disorder, but not for all. In any case, the trait scale data will provide valuable information regarding personality disorder, and even if a categorical approach is supported, the scales (used individually or in configural combinations) will likely offer a convenient, cost-effective method of assessment. If, on the other hand, a dimensional approach is suggested, the scales can provide the foundation for a reconceptualization of the domain of personality disorder in subsequent DSM revisions.

本研究调查了评估的维度方案 人格障碍（PD）领域并比较了这样的 当前分类系统的方法。 三个样本 患者（公立医院住院患者、大都会医院住院患者和 门诊患者和大学咨询中心患者；人数 = 50 每个）将使用传统方法进行广泛评估 临床诊断（例如结构化访谈）、社会测量 和职业功能，以及专门开发的量表 测量人格障碍背后的维度。 这些 包括三个不同的样本，以确保广泛的 相关病理学的代表，因为它们是 预计将显示不同的患病率 人格特质和障碍。 日期将允许直接 分类比较（通过访谈得出的诊断） 和维度（由量表分数生成的特征概况） 人格障碍的评估方法。 鉴于预期 某些诊断和量表之间的对应关系（例如， 偏执的 PD 与不信任），主要兴趣的一个问题将 是尺度是否是双峰的，从而支持分类 方法;或正态分布，表明连续 维度可以更准确地描述人格病理。 检查分布后将进行卡方检验 分析以测试这些特征是否特定于特定的 诊断或广泛分布于各个诊断中。 关系 将进一步检查诊断和特征评分之间的关​​系 通过一系列 od 多变量分析，包括因素和 聚类分析和多元回归。 最后，关系 社会/职业调整的各种指标之间 诊断和特征评分都将被检查，也使用 多变量技术。 每种方法都有可能——维度和 绝对的——将提供适当的评估某些类型的 人格障碍，但不是所有人。 无论如何，特质量表 数据将提供有关个性的有价值的信息 无序，即使支持绝对方法， 尺度（单独使用或以配置组合的形式使用）可能会 提供一种方便、经济有效的评估方法。 如果，在 另一方面，建议采用维度方法，即尺度 可以为重新概念化提供基础 随后 DSM 修订中的人格障碍领域。