四种人格障碍检测工具信度比较研究———人格障碍检测工具系列研究I  

Four Existing Instruments for Assessing Personality Disorders (Study I)

作　　者：卢宁[1] 刘协和[1] 朱昌明[1] 杨彦春[1] 谢聪 岳振雷 

机构地区：[1]华西医科大学附属第一医院心理卫生研究所,610041 [2]重庆市第一精神病医院 [3]贵州省遵义市康复医院精神科

出　　处：《中国心理卫生杂志》2001年第2期125-128,共4页Chinese Mental Health Journal

摘　　要：目的 :将来自西方的四种人格障碍检测工具IPDE、SCID -Ⅱ、SCID -ⅡPQ和PDI -Ⅳ中文版本 (简称IPDE、SCID -Ⅱ、SCID -ⅡPQ和PDI -Ⅳ )在中国文化背景下进行检测和信度比较研究。方法 :以上述四个人格障碍检测工具分别检测 15 3名被试 (缓解期重型精神病患者 42名 ,病情稳定的神经症患者 41名 ,人格障碍者 2 9名 ,正常对照被试 41名 )并对其信度进行了系统检验和比较。结果 :信度检验显示 ,强迫型、回避型 (IPDE中为焦虑 /回避型 )、依赖型、表演型、边缘型 (IPDE中为情绪不稳定型 )、反社会型(IPDE中为社交紊乱型 )、分裂样型和偏执型等 8个人格障碍分量表的重测信度、评定者信度、分半信度和同质性信度较好 ;在四个人格障碍检测工具中 ,IPDE的信度较其它人格障碍工具更好。结论 :强迫型、回避型 (IPDE中为焦虑 /回避型 )、依赖型、表演型、边缘型 (IPDE中为情绪不稳定型 )、反社会型 (IPDE中为社交紊乱型 )、分裂样型和偏执型等 8个人格障碍型别具有较好的稳定性、客观性、内部同源性。IPDE有较为完善的信度。Objective: To compare and study the reliability of the four instruments for assessment of personality disorders in Chinese subjects Method: 42 patients with psychosis in remission, 41 patients with neurosis in stable state, 29 subjects with personality disorder and 41 normal control were evaluated using the four instruments: IPDE (International Personality Disorder Examination), SCID-II (Structured Clinical Interview for DSM-III-R Personality Disorder), SCID-II PQ (SCID-II Patient Questionnaire), PDI-IV (Personality Disorder Interview for DSM-IV) Their reliabilities in Chinese subjects were tested Result: It was found that obsessive-compulsive, avoidant (IPDE: anxious/avoidant), deppendent, histrionic, borderline (IPDE: emotionally unstable), antisocial (IPDE: dissocial), schizoid, paranoid personality disorders had better test-retest reliability, inter-rater reliability, split-half reliability, inter-item consistency IPDE had better reliability Conclusion: Obsessive-compulsive, avoidant (IPDE: anxious/avoidant), dependent, histrionic, borderline (IPDE: emotionally unstable), antisocial (IPDE: dissocial), schizoid, paranoid personality disorders had better stability, consistency and inner homogeneity IPDE may be taken as principal reference information for our newly developed instruments for assessment of personality disorder for CCMD-2-R

关 键 词：人格障碍 检测工具 信度 比较研究 

分 类 号：R749.91[医药卫生—神经病学与精神病学]