中国科学院心理研究所机构知识库

目的：结合临床医生访谈记录和DSM- V界定的病理性人格特质对反社会型、边缘型和偏执型人格障碍进行人格轮廓描述，赋予核心不适应行为、动机和内心体验以具体情境编制成危险人格情境化筛查量表并进行信效度检验。方法：通过网络招募志愿者对18岁以上人群发放电子问卷，对回收的577份有效问卷进行数据分析，效标量表采用Hyler博士编制的人格诊断问卷PDQ-4+（Personality Diagnostic Questionnaire）。结果：危险人格情境化筛查量表包含反社会量表（PD1）25个条目、边缘量表（PD2）22个条目和偏执量表（PD3）24个条目。PD1、PD2和PD3的内部一致性均为0.9(P

Objective：Combined with the interview records of clinicians and the pathological personality traits defined by DSM-V for the antisocial, borderline and paranoid PDs diagnosis，this study are to establish the new screening instrument named risk personality situational experiences inventory and examine its reliability and validity. Methods：In order to promote the accurate expression of the target personality as specified in DSM-V for the three PDs, the statements of these items were contextualized to present daily life events, and the specific situations were given to express its core maladaptive behaviors, motivations, inner emotions and experiences respectively. The Personality Diagnostic Questionnaire PDQ-4+ Chinese version was used as the criterion. A group of 577 people were administered the new situational experience inventory and PDQ-4+. Results：The results show for the 3 PDs the internal consistency reliability is above 0.9, the retest reliability ranges from 0.54 to 0.58(P<0.01), and the standard validity ranges from 0.43 to 0.56(P<0.01). Among the total 577 samples the first group was picked at random (N1=290) for exploratory factor analysis. After revision, 5-factor model was extracted from PD1, 4-factor model was extracted from both PD2 and PD3, which covered the core diagnostic criteria as defined by DSM-V. Confirmatory factor analysis was performed to verify the structural stability and model suitability using the remining samples (N2=287), and the result shows the agreement with the factor models. ROC curve analysis was conducted using the new inventory result as independent variables and PDQ-4+ result as dependent variables. When the cut-off value is set as 52.5, 53.5, and 54.5, the AUC value shows as 0.77, 0.75 and 0.74 respectively for PD1, PD2 and PD3. The analysis result shows the positive predictive value is in the moderate range while the negative predictive value is excellent. Conclusion：The new inventory proved the acceptable reliability and validity and can be used as a relatively efficient screening instrument for antisocial, borderline and paranoid PDs diagnosis.

中国科学院心理健康服务体系心理健康筛查（云测评）系统研发项目（编号：Y9CX341008）