Current dimensional taxonomies of personality disorder show a stronger empirical grounding than categories, but may lack the necessary level of detail to make accurate predictions and case formulations. We need to further develop the lower levels of the hierarchy until reaching the building blocks of personality pathology. The Dimensional Assessment of Personality Pathology-Basic Questionnaire (DAPP-BQ) is well-suited to this purpose due to its multilayered structure and its agreement with the official dimensional classifications. We disaggregated the 18 DAPP-BQ mid-level facets through exploratory and confirmatory factor analysis in a sample of 3233 community subjects and outpatients. We obtained a set of 72 clinically relevant, narrower subfacets, which were reliable, well-fitted to the data, and invariant between clinical and community subjects and between the sexes. This third level of abstraction increases by 4.7% the capacity to predict DSM categorical personality disorders, gives a particular advantage in capturing dependent, histrionic, paranoid, obsessive, and schizoid features and can provide the detailed information that clinical decisions demand.

中文翻译：

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人格病理学维度评估的第三层较窄特征 - 基本问卷

当前人格障碍的维度分类显示出比类别更强的经验基础，但可能缺乏必要的详细程度来做出准确的预测和案例表述。我们需要进一步发展较低层次的层次结构，直到达到人格病理学的基石。人格病理学维度评估-基本问卷（DAPP-BQ）由于其多层结构和与官方维度分类的一致性，非常适合此目的。我们通过对 3233 名社区受试者和门诊患者的样本进行探索性和验证性因素分析，分解了 18 个 DAPP-BQ 中级方面。我们获得了一组 72 个临床相关的、较窄的子方面，这些子方面是可靠的，与数据非常吻合，并且在临床和社区受试者之间以及性别之间保持不变。这第三级抽象将 DSM 分类人格障碍的预测能力提高了 4.7%，在捕捉依赖、表演、偏执、强迫和精神分裂特征方面具有特殊优势，并且可以提供临床决策所需的详细信息。