Li Hongzheng,Wang Qian,Chen Haiyan,et al.Development of screening questionnaire for soldiers’ histrionic personality propensity[J].J Third Mil Med Univ,2016,38(20):2224-2231.

军人表演型人格倾向筛查问卷的初步编制(/HTML )




Development of screening questionnaire for soldiers’ histrionic personality propensity
Li Hongzheng Wang Qian Chen Haiyan Ren Jinwen Zhao Xiaojin 

Department of Clinical Mental Health, No.303 Hospital of PLA, Nanning , Guangxi Zhuang Autonomous Region, 530021, China

histrionic personality propensity histrionic personality disorder personality disorder traits screening questionnaire questionnaire development

目的       编制符合部队需要的表演型人格倾向筛查工具。方法       根据临床经验和文献研究的结果,从现有量表中提取条目,经专家评议后形成试测问卷。使用试测问卷、PDQ-4+的表演型人格分量表对400名部队官兵施测;筛选出PDQ-4+表演型人格分量表为阳性的官兵后,用SCID-Ⅱ对这部分官兵实施访谈。通过探索性因素分析初步构建问卷结构,分析条目的区分度,问卷的信度、效度、灵敏度和特异度,最终确定量表的划界分。结果          经专家评议的试测问卷有37个条目有效,30个条目存在部分争议,25个条目专家认为无效;修订后进行试测,理解力测评显示除条目32、41、51外,其余条目均有90%以上的官兵认为可以理解。探索性因素分析后量表划分为易变性、关系认知、肤浅性、自我中心、挫折反应和挑逗行为六个因子,共可解释41.08%的变异,各因子可解释的变异在3.43%~18.40%之间。6个条目区分度不佳,18个区分度尚可的条目应作调整。量表的内部一致性信度Cronbach’s α系数为0.776,分半信度系数为0.625,效标效度为0.357(P<0.05)。ROC曲线分析中AUC=0.910(P<0.05),31.5分的灵敏度为0.848,特异度为0.875;32.5分的灵敏度为0.881,特异度为0.750,选取32分为量表划界分。结论        初步编制的表演型人格倾向筛查问卷可用于部队筛查表演型人格倾向。


Objective       To develop the questionnaire for screening soldiers’ histrionic personality propensity for military personnel.  Methods       The pre-test questionnaire was established by selecting items from currently existing scales based on clinical experience and review of research literature, and approved by experts. Four hundred soldiers were participated in this investigation by taking the pretest questionnaire and personality diagnostic questionnaire-4th edition plus (PDQ-4+) for histrionic personality disorder. SCID-Ⅱ interview was additionally given for soldiers who were PDQ-4+ positive. By carrying out exploratory factor analysis (EFA), the pre-test questionnaire’s construction as well as its discrimination, reliability, validity, sensitivity and specificity were tested. In addition, receiver operating characteristic (ROC) curve was used for setting up the cutoff for finalizing the questionnaire. ResultsBased on experts’ evaluation, 37 items were valid, 30 were partly controversial and 25 were invalid in the pretest questionnaire. After modification, all of the items were considered as intelligible by above 90% soldiers in comprehension test, except items 32, 41 and 51. The questionnaire was categorized in 6 factors after EFA: variability, relationship cognition, superficial, self-center, frustrated reactions and flirt behaviors. All of these 6 factors could explain 41.08% variation, and each single factor could explain 3.43%~18.40% variation. Discrimination analysis showed that 6 items were poorly distinguished and 18 items with comparatively better discrimination were adjustable. The reliability and validity of questionnaire could be accepted (Cronbach’s α was 0.776, half reliability coefficient was 0.625, and validity coefficient was 0.357, P<0.05). The area under the curve (AUC) was 0.910 (P<0.05) by ROC analysis. Due to the result that the sensitivity and specificity were 0.848 and 0.875 at score 31.5, 0.881 and 0.750 at score 32.5, respectively, and score 32 was chosen as the cut-off of the questionnaire.  Conclusion      These results suggest that our developed questionnaire can be useful for screening histrionic personality propensity of soldiers.


[1]Park S, Hong J P, Lee H B, et al. Relationship between personality disorder dimensions and verbal memory functioning in a community population[J]. Psychiatry Res, 2012, 196(1): 109-114. DOI: 10. 1016/j. psychres. 2011. 08. 012
[2]傅文青, 姚树桥, 于宏华, 等. 3140例一、二年级大学生B群人格障碍患病率调查[J]. 中国心理卫生杂志, 2008, 22(2): 87-90.
[3]Calvo N, Gutiérrez F, Casas M. Diagnostic agreement between the Personality Diagnostic Questionnaire4+ (PDQ-4+) and its Clinical Significance Scale[J]. Psicothema, 2013, 25(4): 427-432. DOI: 10. 7334/psicothema2013. 59
[4]肖利军,  苗丹民,  肖玮,  等. 应征公民心理选拔的人格评估[J]. 心理学报,  2007,  39(2):  362-370.
[5]王周然. 新兵人格障碍诊断问卷(PDQ-4+)的信效度检验及应用[D]. 桂林: 桂林医学院, 2015.
[6]Farmer R, NelsonGray R O. Personality disorders and depression: Hypothetical relations, empirical findings, and methodological considerations[J]. Clinical Psychology Review, 1990, 10(4): 453-476. DOI:10.1016/0272-7358(90)90048-F
[7]Brieger P, Ehrt U, Marneros A. Frequency of comorbid personality disorders in bipolar and unipolar affective disorders[J]. Compr Psychiatry, 2003, 44(1): 28-34. DOI: 10. 1053/comp. 2003. 50009
[8]郭慧荣, 肖泽萍. 边缘型人格障碍的共病研究[J]. 国外医学: 精神病学分册, 2004, 31(1): 29-32.
[9]Nagata T, Yamada H, Teo A R, et al. Using the mood disorder questionnaire and bipolar spectrum diagnostic scale to detect bipolar disorder and borderline personality disorder among eating disorder patients[J]. Bmc Psychiatry, 2013, 13(1): 1-8. DOI: http: // www. biomedcetral. com/1471-244X/13/69
[10]戴云飞, 肖泽萍. 人格障碍的共病问题[J]. 上海精神医学, 2004, 16(1): 40-42.
[11]戴云飞, 肖泽萍. 心理门诊人格障碍共病调查[J]. 中国心理卫生杂志, 2008, 22(1): 5-7.
[12]孙倩, 陈图农, 徐静. 青少年人格障碍研究进展[J]. 南京医科大学学报: 社会科学版, 2013, 13(5): 407-410. DOI: 10. 7655/NYDXBSS20130506
[13]Skodol A E, Shea M T, Yen S, et al. Personality disorders and mood disorders: perspectives on diagnosis and classification from studies of longitudinal course and familial associations[J]. J Pers Disord, 2010, 24(1): 83-108. DOI: 10.1521/pedi.2010.24.1.83
[14]Grant B F, Hasin D S, Stinson F S, et al. Prevalence, Correlates, and Disability of Personality Disorders in the United States: Results From the National Epidemiologic Survey on Alcohol and Related Conditions[J]. J Clin Psychiatry, 2004, 65(7): 948-958.
[15]傅文清, 姚树桥. 2592例大学生人格诊断问卷(PDQ+4)测试结果分析[J]. 中国心理卫生杂志, 2004, 18(9): 621-623.
[16]纪文艳, 胡永华, 黄悦勤, 等. 人格障碍遗传度双生子研究[J]. 中华流行病学杂志, 2006, 27(2): 137-141.
[17]Sprock J. Gender-Typed Behavioral Examples of Histrionic Personality Disorder[J]. Journal of Psychopathology & Behavioral Assessment, 2000, 22(2): 107-122. DOI: 0882-2689/00/0600-0107
[18]Board B J, Fritzon K. Disordered personalities at work[J]. Psychology Crime & Law, 2005, 11(1): 17-32. DOI: 10. 1080/10683160310001634304
[19]Schotte C, De Doncker D, Maes M, et al. MMPI assessment of the DSM-Ⅲ-R histrionic personality disorder[J]. J Pers Assess, 1993, 60(3): 500-510. DOI:10.1207/s15327752jpa6003_7
[20]Blais M A, Hilsenroth M J, Fowler J C. Rorschach correlates of the DSMⅣ histrionic personality disorder[J]. J Per Assess, 1998, 70(2): 355-364. DOI:10.1207/s15327752jpa7002_12
[21]封文波, 王兰爽, 刘红艳, 等. 大学生人格障碍问卷的初步编制[J]. 中国心理卫生杂志, 2007, 21(4): 226-229. DOI: 1000-6729(2007)04-00226-04
[22]Blagov P S, Westen D. Questioning the coherence of histrionic personality disorder: borderline and hysterical personality subtypes in adults and adolescents[J]. J Nerv Men Dis, 2008, 196(11): 785-797. DOI: 10. 1097/NMD. 0b013e31818b502d
[23]Bornstein R F. Implicit and selfattributed dependency needs in dependent and histrionic personality disorders[J]. Journal of Personality Assessment, 1998, 71(1): 1-14.
[24]刘衔华. 大学生健康危险行为与人格障碍的关系研究[J]. 中华行为科学与脑科学杂志, 2014, 23(1): 57-59. DOI: 10. 3760/cma. j. issn. 1674-6554. 2014. 01. 017
[25]Coid J, Yang M, Tyrer P, et al. Prevalence and correlates of personality disorder in Great Britain[J]. Br J Psychiatry, 2006, 188(5): 423-431. DOI:10.1192/bjp.188.5.423
[26] Bakkevig J F, Karterud S. Is the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, histrionic personality disorder category a valid construct?[J]. Compr Psychiatry, 2010, 51(5): 462-470. DOI: 10. 1016/ j. comppsych. 2009. 11. 009

更新日期/Last Update: 2016-10-24