Assessing the DSM-IV structure of personality disorder with a sample of Chinese psychiatric patients.
The validity of the three-cluster system of personality disorders (PDs) in the latest version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; APA, 1994) was examined in a sample of Chinese psychiatric patients (n = 227), who completed the self-report Personality Disorders Questionnaire for DSM-IV (PDQ-4; Hyler, 1994) and who were also administered the clinician-rated Personality Disorders Interview-IV (PDI-IV; Widiger, Mangine, Corbit, Ellis, & Thomas,). Using confirmatory factor analysis, a three-factor model corresponding to the DSM-IV clusters was tested and compared statistically to a one-factor model and a set of random, three-factor models. Only the clinician-rated instrument supported the DSM-IV three-cluster model, and then only when the factors were allowed to correlate. Results from the theoretically more rigorous uncorrelated model testing did not support the DSM-IV model for either assessment modality.
Yang
Jian
J
Research Section on Personality and Psychopathology, Centre for Addiction and Mental Health, Clarke Site, 250 College Street, Toronto, ON, Canada, M5T 1R8.
Bagby
R Michael
RM
Costa
Paul T
PT
Ryder
Andrew G
AG
Herbst
Jeffrey H
JH
D000328:Adult; D002681:China; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008960:Models, Psychological; D010554:Personality Disorders / Q000175:diagnosis* / Q000208:ethnology / Q000523:psychology; D011569:Psychiatric Status Rating Scales / Q000592:standards; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires