Verification of five-factor models and reference scores for personality dysfunction and trait domains of the Personality Assessment Questionnaire for ICD-11 (PAQ-11), revised version.

IF 2 3区 医学 Q3 PSYCHIATRY Personality and Mental Health Pub Date : 2024-11-01 Epub Date: 2024-10-02 DOI:10.1002/pmh.1637
Youl-Ri Kim, Jisu Choi, Peter Tyrer
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Abstract

A brief self-reported measure of the Personality Assessment Questionnaire for the 11th edition of the World Health Organization's International Classification of Disease (ICD-11) (PAQ-11) was developed to evaluate ICD-11 personality traits. The aim of this study was to investigate the validity of the revised PAQ-11 version (PAQ-11R) with an additional item in the Dissociality domain and thresholds for the severity of personality dysfunction and domains. Study 1 examined the construct validity of the PAQ-11R in 192 university students in Korea. Study 2 estimated tentative reference scores of personality dysfunction and domains of the PAQ-11R in 91 patients in Korea. In study 1, the PAQ-11R had a five-factor structure and the revised Dissociality scale had better convergent and discriminant validities than the previous version. In study 2, the receiver operating characteristic (ROC) curve of the PAQ-11R identified a threshold score of 35. Reference scores for domains were estimated as 15 for Negative Affectivity, 10 for Detachment, 8 for Anankastia, and 5 each for Disinhibition and Dissociality. These scores contribute to severity of personality disturbance but remain qualifiers only; they are not diagnostic. The results suggest that the PAQ-11R is useful as a quick assessment tool for identifying the domains of personality dysfunction in clinical practice in harmony with the ICD-11 guidelines.

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验证 ICD-11 人格评估问卷(PAQ-11)修订版中人格功能障碍和特质领域的五因素模型和参考分数。
世界卫生组织第 11 版《国际疾病分类》(ICD-11)的人格评估问卷(PAQ-11)是为评估 ICD-11 人格特质而开发的一种简短的自我报告测量方法。本研究的目的是调查 PAQ-11 修订版(PAQ-11R)的有效性,该修订版增加了社会分裂领域的项目以及人格功能障碍和领域严重程度的阈值。研究1以韩国192名大学生为对象,对PAQ-11R的建构效度进行了检验。研究 2 估计了 91 名韩国患者的 PAQ-11R 人格功能障碍和领域的暂定参考分数。在研究1中,PAQ-11R具有五因素结构,修订后的 "非社会性 "量表比以前的版本具有更好的收敛效度和区分效度。在研究 2 中,PAQ-11R 的接收器操作特征曲线(ROC)确定了 35 分的临界值。据估计,各领域的参考分值分别为:消极情绪15分,离群10分,自闭8分,抑制和离群各5分。这些分数有助于判断人格障碍的严重程度,但仍只是修饰性的,不具有诊断意义。研究结果表明,PAQ-11R 可作为一种快速评估工具,在临床实践中识别人格功能障碍的各个领域,与 ICD-11 指南保持一致。
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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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