DSM诊断标准与Gough偏见量表的关系:探讨偏见人格的临床表现。

E Dunbar
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引用次数: 11

摘要

对193例门诊心理治疗患者的精神病理、人格障碍症状与外群体偏见的关系进行了调查。主要的DSM-IV诊断、一般适应功能(GAF)评分、人格障碍标准和明尼苏达多相人格量表(MMPI)评分与Pr(偏见)量表得分和来访者外群体归因的关系进行了检查。3 × 10多变量方差分析(MANOVA)的结果表明,临床医生对外群体偏倚的评分与偏执型、边缘型和反社会障碍的轴II标准显著相关。外群体偏倚评分和MMPI评分的方差分析结果没有产生显著的多变量影响;然而,在MMPI F、HS、PD和MA量表上发现了显著的单变量方差分析结果。计算单变量方差分析结果表明,Pr量表得分在主要轴I和轴II DSM-IV诊断之间没有显著差异,但轴II聚类组的(分类)诊断确实存在显著差异。Pr量表得分和临床医生对客户外群体偏见的评分都与更大的精神病理学显著相关,这反映在治疗开始时分配的较低的GAF分数上。研究结果提供了初步证据,证明了人格障碍的特征,如冲动性、关系障碍和情感不稳定,与临床人群的外群体偏见之间的关系。
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The relationship of DSM diagnostic criteria and Gough's Prejudice Scale: exploring the clinical manifestations of the prejudiced personality.

The relationship of psychopathology, symptoms of personality disorder, and outgroup prejudice was examined with 193 outpatient psychotherapy clients. Primary DSM-IV diagnosis, General Adaptive Functioning (GAF) scores, personality disorder criteria, and Minnesota Multiphasic Personality Inventory (MMPI) scale scores were examined in relationship to Pr (Prejudice) Scale scores and client outgroup attributions. Results of a 3 x 10 Multivariate analysis of variance (MANOVA) indicated that clinician ratings of outgroup bias were significantly related with the Axis II criteria for Paranoid, Borderline, and Antisocial disorders. MANOVA results for ratings of outgroup bias and MMPI scores did not yield a significant multivariate effect; however, significant univariate ANOVA results were found with the MMPI F, HS, PD, and MA scales. Computed univariate ANOVA results indicated that Pr Scale scores did not significantly vary between primary Axis I and Axis II DSM-IV diagnosis, but did yield a significant difference for (categorical) diagnosis by Axis II Cluster groups. Both Pr Scale scores and clinician ratings of client outgroup bias were significantly related to greater psychopathology, as reflected by lower GAF scores assigned at the initiation of treatment. Findings provide preliminary evidence of the relationship of traits of personality disorder, as characterized by impulsivity, relational disturbance, and affective lability, to outgroup prejudice with a clinical population.

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