Personality Assessment

人格评估
  • 文章类型: Journal Article
    The Borderline Personality Feature Scale for Children (BPFSC) is a widely used instrument and currently the only dimensional measure to investigate Borderline Personality features in children and adolescents. The present study aimed to investigate the factor structure and measurement invariance across age and sex in a community sample of 634 adolescents (mean age = 16.72, standard deviation = 1.31). To test for measurement invariance, we conducted multi-group confirmatory factor analysis (MG-CFA). Analysis showed residual invariance across age and sex. Based on the results, we conclude that BPFSC is a valid and reliable instrument to assess Borderline Personality features in adolescents. Implications for evidence-based assessment of Borderline Personality features in adolescence are discussed.
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  • 文章类型: Journal Article
    The aims of this study were to evaluate the utility of therapeutic assessment (therapeutic assessment) as a brief intervention to target reduction in A1C levels and to assess the levels of personality functioning and broad trait domains described in the DSM-5 Alternative Model for Personality Disorders in a sample of patients with Type 2 diabetes and their relationship to A1C levels at baseline and follow-up. Participants (n = 99) were recruited from a primary care office and provided feedback on how their personality functioning and pathological personality traits might influence their diabetes management. Results indicated that 66.25% of participants receiving TA feedback decreased their A1C levels below 7. Those who improved reported less difficulty with intimacy and trends toward higher levels of personality functioning and lower levels of interpersonal detachment. Results suggest that providing TA feedback is worthy of further investigation for considering its therapeutic effects in helping patients to manage Type 2 diabetes.
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  • 文章类型: Journal Article
    目的:强迫症(OCD)被认为是一种异质性精神疾病。识别这种异质性可以导致更好的诊断和治疗。两种最常见的OCD亚型包括污染/清洁和危险/检查。本研究旨在确定强迫症症状的网络结构,个性,以及对这些强迫症亚型的痴迷信念。方法:将333例强迫症患者纳入研究(危险/检查亚型156例,污染/清洁亚型177例)。此外,276名健康个体参与了这项研究。我们使用网络分析方法来确定OCD中心症状[节点]。人格信念问卷-简表[PBQ-SF],强迫性库存-修订[OCI-R],和强制性信念问卷-44[OBQ-44]用于网络估计。结果:结果表明,健康个体的网络结构与强迫症患者的网络结构不同[PwOCD]。在健康的个体中,“强迫性”人格信念和“危险”强迫性信念是最强大的节点,是这些受试者症状之间中心交流的核心。关于污染/清洁子类型,最主要的症状包括“洗涤”强迫症状,“危险”痴迷的信念,和“洗”强迫症状。然而,“完美”的痴迷信念,“检查”强迫症状,和“回避型”人格信念是危险/检查亚型中最主要的症状。这些结果表明,每个研究组都有独特的网络结构,这与强迫症的异质性是一致的。结论:不同OCD亚型具有不同的认知行为网络结构。根据这项研究的结果,这些症状应在强迫症理论模型和治疗策略中优先考虑.
    Objective: Obsessive-Compulsive Disorder (OCD) has been considered a heterogeneous psychiatric disorder. Identifying this heterogeneity can lead to better diagnosis and treatment. The two most common OCD subtypes include contamination/cleaning and danger/checking. This study aimed to identify the network structure of OCD symptoms, personality, and obsessive beliefs in these OCD subtypes. Method : 333 patients with OCD were included in the study (156 patients with the danger/check subtype and 177 patients with the contamination/cleaning subtype). In addition, 276 healthy individuals participated in this study. We used a network analysis approach to determine the OCD central symptoms [nodes]. The Personality Beliefs Questionnaire-Short Form [PBQ-SF], Obsessive-Compulsive Inventory-Revised [OCI-R], and Obsessional Beliefs Questionnaire-44 [OBQ-44] were used for network estimation. Results: The results indicated that the network structure in healthy individuals was different from the network structure in patients with obsessive-compulsive disorder [PwOCD]. In healthy individuals, \"obsessive\" personality belief and \"danger\" obsessive belief were the most strength nodes and formed the core of the central communication between symptoms in these subjects. Regarding the contamination/cleaning subtype, the most central symptoms include \"washing\" obsessive symptom, \"danger\" obsessive belief, and \"wash\" obsessive symptom. However, \"perfect\" obsessive beliefs, \"check\" obsessive symptoms, and \"avoidant\" personality beliefs were the most central symptoms in the danger/check subtype. These results demonstrated that each of the studied groups had a unique network structure, which is consistent with the heterogeneous nature of OCD. Conclusion: Different OCD subtypes have different cognitive-behavioral network structures. According to the results of this study, these symptoms should be given priority in OCD theoretical models and treatment strategies.
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  • 文章类型: Journal Article
    在过去的十年中,人格障碍(AMPD)的替代模型得到了广泛的研究,但迄今为止,在生态有效设计中,AMPD模型相对于第II节人格障碍(PD)模型的临床效用还没有直接比较.当前的研究检查了患者和临床医生在随机对照试验中评估的AMPD知情评估程序和第二节PD评估程序的临床实用性。119名患者的样本被随机分配到AMPD或第二部分PD评估程序。在评估结束时,患者填写了与临床效用有关的问卷,满意,治疗的动机,和评估的一般经验。随后开始对这些患者进行治疗的临床医生也完成了两个临床效用问卷。AMPD和第二节PD评估程序对患者报告的临床效用无显著差异,治疗的动机,满意,和一般评估经验,在临床医生报告的临床效用模型之间也没有显着差异。探索性分析显示,对于患者来说,与评估者的正相关可以预测有经验的效用。这项研究显示AMPD在临床效用方面没有优势,但表明与评估者的联盟是临床效用中特别突出的因素。(PsycInfo数据库记录(c)2024APA,保留所有权利)。
    The alternative model for personality disorders (AMPD) has been extensively studied over the past decade, but to date there is no direct comparison of the clinical utility of the AMPD model relative to the Section II personality disorder (PD) model in an ecologically valid design. The current study examined the clinical utility of an AMPD-informed assessment procedure and Section II PD assessment procedure as assessed by both patients and clinicians in a randomized controlled trial. A sample of 119 patients were randomly assigned to either an AMPD or a Section II PD assessment procedure. At the end of the assessment, patients filled out questionnaires pertaining to clinical utility, satisfaction, motivation for treatment, and general experience of the assessment. Clinicians who subsequently started treatment with these patients also completed two clinical utility questionnaires. There were no significant differences between the AMPD and Section II PD assessment procedure on patients\' reported clinical utility, motivation for treatment, satisfaction, and general experience of the assessment nor were there significant differences between the models on clinician reported clinical utility. Explorative analyses revealed that, for patients, a positive relationship with the assessor was predictive of experienced utility. This study shows no superiority of the AMPD in terms of clinical utility but suggests that the alliance with the assessor is a particularly salient factor in clinical utility. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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  • 文章类型: Journal Article
    罗伯茨儿童感知测验(RATC)是麦克阿瑟和罗伯茨(1982)开发的一种投射方法,用于评估儿童和青少年的行为,社会和情感功能,关注,冲突和情绪管理策略,通过他们对日常生活中常见的人际交往情况的看法。本研究的目的是在法医样本(N=75)[由一群被拘留在教育中心的少年犯(n=40,12-17岁,1-10年的学校教育)和一组被虐待的青少年纳入住宿护理(n=35,11-16岁,5-10年的学校教育)],研究它的心理测量特性,如信度和标准效度(收敛效度和判别效度),考虑在其他仪器中获得的结果作为外部验证标准:韦氏儿童智力量表-第三版(WISC-III)和青年自我报告(YSR)。它还旨在搜索一些基于均值和标准差的指标,以解释在这些法医背景下在RATC中获得的分数,通过法医小组内部的比较以及法医小组与社区样本的比较。RATC显示出最低限度的可接受的可靠性和足够的有效性指数,考虑到这个仪器是一种投影方法。这种限制是由从个人的思想投影获得的数据的临床价值补偿,关注,冲突和解决问题的方式,这有助于评估他们的情绪和行为特征以及心理功能。结果还显示了两个法医组在RATC量表上的统计学差异,以及他们和社区样本之间,正如预期的那样,强调他们不同的特点。
    The Roberts Apperception Test for Children (RATC) is a projective method developed by McArthur and Roberts (1982) to assess children and adolescents\' behavioural, social and emotional functioning, concerns, conflicts and emotional management strategies through their perceptions of common interpersonal situations of everyday life. The aim of the present study is to contribute to the validation of the RATC in a forensic sample (N = 75) [constituted by a group of juvenile delinquents detained in educational centres (n = 40, 12-17 years old, 1-10 years of schooling) and a group of maltreated adolescents integrated in residential care (n = 35, 11-16 years old, 5-10 years of schooling)], studying its psychometric properties, such as reliability and criterion validity (convergent and discriminant validity), considering the results obtained in other instruments as external validation criteria: Wechsler Intelligence Scale for Children - Third Edition (WISC-III) and Youth Self-Report (YSR). It also aims to search for some indicators based on means and standard deviations to interpret the scores obtained in RATC for these forensic contexts, through the comparisons within forensic groups and the comparisons of the forensic groups with a community sample. The RATC showed minimally acceptable reliability and adequate validity indices, considering that this instrument is a projective method. This limitation is compensated by the clinical value of the data obtained from the projection of individuals\' thoughts, concerns, conflicts and problem-solving styles, which are useful to assess their emotional and behavioural characteristics and psychological functioning. The results also show statistically significant differences between the two forensic groups on RATC scales, as well as between them and the community sample, as expected, underlining their different characteristics.
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  • 文章类型: Journal Article
    精神病的三位一体模型强调三个表型人格域(大胆,卑鄙,和解除抑制)已使用完善的多维人格问卷进行了操作。本研究试图进一步验证MPQ-Tri量表,并从达尼丁多学科健康与发展研究的两个时间点(18岁和26岁)检查其时间稳定性和预测有效性。人口代表性和纵向样本(N=1,037)。这项调查需要修改MPQ-Tri量表,以便在更广泛的样品中使用。包括达尼丁研究.修订后的MPQ-Tri量表显示出良好的时间稳定性,相关性和多元线性回归分析主要显示与理论预期一致的关联。总的来说,这些发现为MPQ-Tri量表提供了可靠的支持,稳定,以及三位一体结构的有效度量,这提供了一个独特的机会,可以在各种样本中检查有关精神病的高度新颖的研究问题。
    The triarchic model of psychopathy emphasizes the role of three phenotypic personality domains (boldness, meanness, and disinhibition) that have been operationalized using the well-established Multidimensional Personality Questionnaire. The present study sought to further validate the MPQ-Tri scales and examine their temporal stability and predictive validity across two time points (ages 18 and 26) from the Dunedin Multidisciplinary Health and Development Study, a population-representative and longitudinal sample (N = 1,037). This investigation necessitated modification of the MPQ-Tri scales to enable their use in a broader range of samples, including the Dunedin Study. The revised MPQ-Tri scales demonstrated good temporal stability, and correlation and multiple linear regression analyses predominantly revealed associations consistent with theoretical expectations. Overall, the findings provide support for the MPQ-Tri scales as reliable, stable, and valid measures of the triarchic constructs, which provide a unique opportunity to examine highly novel research questions concerning psychopathy in a wide variety of samples.
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  • 文章类型: Journal Article
    背景:由于非常高的申请人/入学比率,同种异体医学面临着选择最佳申请人的艰巨挑战。毕业生的质量最终反映了医疗实践的质量。令人震惊的是医生倦怠的最新趋势,不当行为和自杀引发了我们是否在选择合适的候选人的问题。美国(US)在医学院招生的非认知测试研究方面远远落后于英国(UK)和欧洲。虽然最近,英国的医学院,欧洲和美国已经开始使用情境判断测试,例如基于计算机的抽样个人特征评估(CASPer)和情境判断测试(SJT),最近由美国医学院协会(AAMC)开发,这些测试是,从某种意义上说,自然界中的非认知,直接人格测试本身没有被利用。我们在历史上使用过,在美国的招生过程中,知识,推理和考试成绩,所有这些都在很大程度上受到智力的影响,并且随着实践而得到改善。个性,尽管无疑也受到智力的影响,根本不同,并且受到不同类型的测量。
    方法:过去二十年来在美国商业和工业中使用的一种流行的人格测量,但不是医学院的新人格量表-修订版(NEO-PI-R)测试。由于缺乏探索性回顾性和验证性前瞻性研究,因此未在对抗疗法医学中定期使用该测试。我们测试的假设是NEO-PI-R特征是否在两个机构之间表现出一致性,以及它们的测量结果是否在预测学业成绩方面具有证明价值。
    结果:我们的回顾性研究结果表明,机构间的一致性以及某些特征的阳性和阴性预测值,这些特征的相关优势超过了传统的预科指标:医学院入学测试(MCAT)分数,平均成绩(GPA),等。早期的学术表现。
    结论:我们的探索性研究应该催化更大和更详细的验证性研究,旨在验证人格特质的重要性,不仅在预测早期医学院的表现,而且在未来的整体医疗生涯中的表现。
    BACKGROUND: Allopathic medicine faces a daunting challenge of selecting the best applicants because of the very high applicant / matriculant ratio. The quality of graduates ultimately reflects the quality of medical practice. Alarming recent trends in physician burnout, misconduct and suicide raise questions of whether we are selecting the right candidates. The United States (US) lags far behind the United Kingdom (UK) and Europe in the study of non-cognitive tests in medical school admissions. Although more recently, medical schools in both the UK, Europe and the US have begun to use situational judgement tests such as the Computer-Based Assessment for Sampling Personal Characteristics (CASPer) and the situational judgement test (SJT), recently developed by the Association of American Medical Colleges (AAMC) and that these tests are, in a sense non-cognitive in nature, direct personality tests per se have not been utilized. We have historically used, in the admissions process within the US, knowledge, reasoning and exam performance, all of which are largely influenced by intelligence and also improved with practice. Personality, though also undoubtedly influenced by intelligence, is fundamentally different and subject to different kinds of measurements.
    METHODS: A popular personality measurement used over the past two decades within the US in business and industry, but not medical school has been the Neo Personality Inventory - Revised (NEO-PI-R) Test. This test has not been utilized regularly in allopathic medicine probably because of the paucity of exploratory retrospective and validating prospective studies. The hypothesis which we tested was whether NEO-PI-R traits exhibited consistency between two institutions and whether their measurements showed probative value in predicting academic performance.
    RESULTS: Our retrospective findings indicated both interinstitutional consistencies and both positive and negative predictive values for certain traits whose correlative strengths exceeded traditional premed metrics: medical college admission test (MCAT) scores, grade point average (GPA), etc. for early academic performance.
    CONCLUSIONS: Our exploratory studies should catalyze larger and more detailed confirmatory studies designed to validate the importance of personality traits not only in predicting early medical school performance but also later performance in one\'s overall medical career.
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  • 文章类型: Observational Study
    UNASSIGNED: The main function of the medical-psychological assessment to evaluate fitness to drive (FTD) is to safeguard the community against risks posed by drivers who, owing to psycho-physical disease, personality disturbances, abuse of psychotropic substances or drugs, can be a hazard to safety on the roads. In the context of psychodiagnostic investigations, the Minnesota Multiphasic Personality Inventory 2 (MMPI-2) test is the gold standard tool supporting clinical assessments conducted to evaluate a subject\'s capacity to predict her/his own actions, attitudes, risk propensity, level of conformity to social norms. Other important features of the tool include the specific scales aimed at individuating behaviors adopted with the intent to elude or hide existing personality problems. These behaviors are very frequent in the field of medicolegal, psychological and psychiatric assessments, including FTD evaluations. In this study, the MMPI 2 test was administered to 154 subjects for whom Driving Licence (DL) Medical Commissions based in the south of Italy had required specific personality assessments, compared to a control group of 186 subjects with no clinical or psychodiagnostic problems. The question posed in our study was to understand whether the test was able to detect differences between the personalities of the subjects belonging to the two groups. The results obtained demonstrated significant differences between the experimental group and the controls, shown by the MMPI-2 variables, in particular the clinical Hs scale,the supplementary scales: GF, Re, AAS, APS and the content scales DEP and TRT, as well as the PSY-5 Disc and Nege scales.
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  • 文章类型: Journal Article
    已在整个精神分裂症谱中观察到语义处理异常。然而,目前尚不清楚语义加工度量和分裂型性状之间的关联是否随时间稳定.本研究旨在探讨语义加工措施的时间稳定性及其与分裂型性状的相关性。在这项研究中,我们使用分裂型人格问卷(SPQ)来评估分裂型特征,并探索分裂型特征与语义加工测量之间的关联(即,N400-具有广泛头皮分布的大负面因素,在基线(时间1;n=63)和3个月后(时间2;n=44)出现任何潜在有意义的刺激后约400ms达到峰值。进行重复测量方差分析以检查语义处理措施的稳定性;使用组内相关系数(ICC)检查测试重测可靠性;计算Pearson'sr以探索分裂型性状与语义处理措施之间的关联。结果表明,行为(反应时间)和N400测量均显示出高可靠性,但时间稳定性较低。语义无关刺激的N400潜伏期与时间2的认知知觉和分裂型特征的无序维度相关。总之,语义处理措施普遍表现出良好的可靠性。分裂型性状与当前样本中的N400潜伏期相关,但需要进一步的研究来检查这种关联是否稳定。
    Semantic processing abnormalities have been observed across the schizophrenia spectrum. However, it is unclear whether associations between semantic processing measures and schizotypal traits are stable over time. The current study aimed to explore the temporal stability of semantic processing measures and their correlations with schizotypal traits. In this study, we used the Schizotypal Personality Questionnaire (SPQ) to assess schizotypal traits and explored the association between schizotypal traits and semantic processing measures (i.e., N400- a large negativity with a broad scalp distribution, peaking around 400 ms after the presentation of any potentially meaningful stimulus) at baseline (Time 1; n = 63) and 3 months later (Time 2; n = 44). Repeated-measure ANOVA was conducted to examine the stability of the semantic processing measures; the intraclass correlation coefficient (ICC) was used to examine test-retest reliability; Pearson\'s r was calculated to explore associations between schizotypal traits and semantic processing measures. Results showed that both behavioral (reaction times) and N400 measures showed high reliability but low temporal stability. N400 latency for semantically unrelated stimuli was correlated with the cognitive-perceptual and the disorganized dimensions of schizotypal traits at Time 2. In conclusion, semantic processing measures generally showed good reliability. Schizotypal traits were correlated with N400 latencies in the current sample, but further studies are needed to examine whether this association is stable.
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  • 文章类型: Journal Article
    目的:分析儿童和青少年炎症性肠病(IBD)患者中常见人格特质和焦虑状态的存在。
    方法:纵向,前景,并通过应用儿童人格问卷进行分析研究,高中人格问卷,儿童状态特质焦虑量表,在Aragon的参考IBD单位观察到的年龄在9至18岁之间的IBD患者的状态特征焦虑量表,西班牙。排除的参与者是患有活动性疾病的人,定义为小儿克罗恩病活动指数(PCDAI评分)评分>10或小儿溃疡性结肠炎活动指数(PUCAI评分)评分>10。
    结果:有26名患者参加(73%为男性)。61.5%的克罗恩病(CD)和38.5%的溃疡性结肠炎(UC)。无患者出现活动性疾病。作为一个群体的人格特征是开放的,情绪稳定,冷静,清醒,明智的,进取,令人印象深刻,依赖,安详,完美主义者,和放松。与无UC患者相比,50%的CD患者有进取心(p<0.05)。在比较基于IBD类型的其余人格因素时,没有统计学上显著的差异,年龄,或性。CD患者趋于平静(p=0.0511),UC患者更加内向(p=0.0549)。与人群平均值相比,样本呈现状态焦虑水平(A/E)-1.1±0.8SD。作为特征的焦虑水平(A/R)为-0.6±1SD。在A/E的情况下,男性的水平明显低于女性(p<0.05)。
    结论:IBD儿科人群中常见人格特质的存在突出,但没有比参考人群更大的焦虑。
    OBJECTIVE: to analyze the presence of common personality traits and anxiety states in children and adolescents with inflammatory bowel disease (IBD).
    METHODS: Longitudinal, prospecti ve, and analytical study by applying the questionnaires Children\'s Personality Questionnaire, High School Personality Questionnaire, State-Trait Anxiety Inventory for Children, and State-Trait Anxie ty Inventory for patients with IBD aged between 9 and 18 years seen at reference IBD units in Ara gon, Spain. The participants excluded were those with active disease, defined as a score > 10 on the Pediatric Crohn\'s Disease Activity Index (PCDAI Score) or > 10 on the Pediatric Ulcerative Colitis Activity Index (PUCAI Score).
    RESULTS: Twenty-six patients participated (73% male). 61.5% pre sented Crohn\'s disease (CD) and 38.5% ulcerative colitis (UC). No patient presented active disease. The personality profile as a group was characterized by being open, emotionally stable, calm, sober, sensible, enterprising, impressionable, dependent, serene, perfectionist, and relaxed. 50% of the CD patients were enterprising versus no UC patients (p < 0.05). There were no statistically significant di fferences when comparing the remaining personality factors based on IBD type, age, or sex. Patients with CD tended to be calmer (p = 0.0511) and patients with UC more introverted (p = 0.0549). The sample presented a state anxiety level (A/E) -1.1 ± 0.8 SD compared with the population average. The level of anxiety as a feature (A/R) was -0.6 ± 1 SD. Males had significantly lower levels than females in the case of A/E (p < 0.05).
    CONCLUSIONS: The presence of common personality traits in the pediatric population with IBD stands out but there was no greater anxiety than in the reference population.
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