利用人格组织结构化访谈(STIPO-R)确定人格功能等级:潜在特征分析。

IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Journal of personality assessment Pub Date : 2024-11-01 Epub Date: 2024-04-02 DOI:10.1080/00223891.2024.2330502
Marko Biberdzic, Julia F Sowislo, Nicole Cain, Kevin B Meehan, Emanuele Preti, Rossella Di Pierro, Eve Caligor, John F Clarkin
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引用次数: 0

摘要

新的《国际疾病分类》(ICD-11)和最新的《DSM-5人格障碍替代模型》都将自我和人际功能作为人格病理学的核心特征,同时也承认人格障碍是按照严重程度的连续维度组织起来的。这一修订版的理解与长期以来对人格病理学的心理动力学概念,尤其是克恩伯格的客体关系人格组织模型相一致。尽管已有证据证明衍生的人格组织结构访谈(STIPO-R)具有临床实用性,但在确定不同人格功能水平之间的明确分界点方面还缺乏经验支持。为此,我们在两个临床(门诊病人和住院病人)环境(n = 250)和两个非临床(大学生和普通社区)样本(n = 514)中共招募了 764 名成年参与者。混合建模的结果表明,在临床和非临床样本中存在五个群体,包括:健康的人格功能、适应不良的人格僵化,以及轻度、中度和重度人格病态。研究发现,所有五个人格组织指标都能可靠地预测人格病理学。在 STIPO-R 的五个指标中,攻击性和道德价值观在区分轻度、中度和重度人格障碍组别方面最具鉴别力。本文讨论了这些研究结果的意义。
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Establishing Levels of Personality Functioning Using the Structured Interview of Personality Organization (STIPO-R): A Latent Profile Analysis.

Both the new ICD-11 and the latest Alternative DSM-5 Model for Personality Disorders focus on self and interpersonal functioning as the central feature of personality pathology, also acknowledging that personality disorders are organized along a dimensional continuum of severity. This revised understanding is in line with long-standing psychodynamic conceptualisations of personality pathology, in particular Kernberg's object relations model of personality organization. Despite existing evidence for the clinical utility of the derived Structured Interview of Personality Organization (STIPO-R), empirical support for the identification of clear cut-points between the different levels of personality functioning is missing. For this purpose, a total of 764 adult participants were recruited across two clinical (outpatient and inpatient) settings (n = 250) and two non-clinical (university students and general community) samples (n = 514). Results from the mixture modeling suggested the existence of five groups across the clinical and non-clinical samples that covered: healthy personality functioning, maladaptive personality rigidity, and mild, moderate, and severe levels of personality pathology. All five indicators of personality organization were found to be reliable predictors of personality pathology. Of the five STIPO-R indicators, Aggression and Moral Values had the most discriminative power for differentiating between the Mild, Moderate, and Severe personality disorder groups. Implications of these findings are discussed.

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来源期刊
CiteScore
7.20
自引率
8.80%
发文量
67
期刊介绍: The Journal of Personality Assessment (JPA) primarily publishes articles dealing with the development, evaluation, refinement, and application of personality assessment methods. Desirable articles address empirical, theoretical, instructional, or professional aspects of using psychological tests, interview data, or the applied clinical assessment process. They also advance the measurement, description, or understanding of personality, psychopathology, and human behavior. JPA is broadly concerned with developing and using personality assessment methods in clinical, counseling, forensic, and health psychology settings; with the assessment process in applied clinical practice; with the assessment of people of all ages and cultures; and with both normal and abnormal personality functioning.
期刊最新文献
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