使用通用指标法,通过 DSM-IV 轴 II 筛选问卷的结构化临床访谈测量适应不良的人格特质。

IF 2 3区 医学 Q3 PSYCHIATRY
Personality and Mental Health Pub Date : 2024-08-01 Epub Date: 2024-03-25 DOI:10.1002/pmh.1607
Cameri Krasniqi, Steffen Müller, Leon P Wendt, Felix H Fischer, Carsten Spitzer, Johannes Zimmermann
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引用次数: 0

摘要

人格障碍(PD)的分类模式正在发生转变,分类定义的特定人格障碍正在被维度定义的适应不良特质领域所取代。为了连接这两种分类方法,本研究尝试使用 DSM-IV 中分类人格障碍模型中的项目来测量 DSM-5 第三部分/ICD-11 中描述的适应不良特质领域。由 1228 名参与者组成的普通人群样本完成了 DSM-IV 轴 II 结构化临床访谈筛查问卷(SCID-II-SQ)、DSM-5 人格量表(PID-5)和 ICD-11 人格量表(PiCD)的anankastia 量表。利用项目反应理论模型和心理测量联系技术,对 SCID-II-SQ 项目在测量适应不良特质域方面的贡献进行了评估。然后挑选出区分度最好的项目,推导出替代量表。我们发现,除了 PiCD anankastia 的替代量表外,这些替代量表的收敛效度与其他 PD 自我报告测量的收敛效度范围相似。然而,只有负性情感的替代量表显示出了可接受的可靠性,可以将其应用于研究环境中。未来的研究应使用特异性更高的自述量表或半结构化访谈,设法在特定的肢体障碍和适应不良特质领域之间建立共同的度量标准。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Measuring maladaptive personality traits with the Structured Clinical Interview for DSM-IV Axis II Screening Questionnaire using a common metrics approach.

The classification of personality disorder (PD) is undergoing a paradigm shift in which categorically defined specific PDs are being replaced by dimensionally defined maladaptive trait domains. To bridge the classificatory approaches, this study attempts to use items from the categorical PD model in DSM-IV to measure the maladaptive trait domains described in DSM-5 Section III/ICD-11. A general population sample comprising 1228 participants completed the Screening Questionnaire of the Structured Clinical Interview for DSM-IV Axis II (SCID-II-SQ), the Personality Inventory for DSM-5 (PID-5), and the anankastia scale of the Personality Inventory for ICD-11 (PiCD). Using item response theory models and a psychometric linking technique, SCID-II-SQ items were evaluated for their contribution to measuring maladaptive trait domains. The best discriminating items were then selected to derive proxy scales. We found that convergent validity of these proxy scales was in a similar range to that of other self-report measures for PD, except for the proxy scale for PiCD anankastia. However, only the proxy scale for negative affectivity showed acceptable reliability that would allow its application in research settings. Future studies should seek to establish a common metric between specific PDs and maladaptive trait domains using self-report measures with higher specificity or semi-structured interviews.

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来源期刊
CiteScore
4.80
自引率
14.80%
发文量
38
期刊介绍: Personality and Mental Health: Multidisciplinary Studies from Personality Dysfunction to Criminal Behaviour aims to lead and shape the international field in this rapidly expanding area, uniting three distinct literatures: DSM-IV/ICD-10 defined personality disorders, psychopathy and offending behaviour. Through its multi-disciplinary and service orientated approach, Personality and Mental Health provides a peer-reviewed, authoritative resource for researchers, practitioners and policy makers working in the areas of personality and mental health.
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