Department of Human Studies, LUMSA University, Rome, Italy, and San Raffaele Hospital, Milan, Italy.
Department of Human Studies, LUMSA University, Rome, Italy, and San Raffaele Hospital, Milan, Italy.
Compr Psychiatry. 2016 Oct;70:141-51. doi: 10.1016/j.comppsych.2016.07.006. Epub 2016 Jul 21.
The DSM-5 Alternative Model of Personality Disorders (AMPD) provides the opportunity to integrate the needed developmental perspective in the assessment of personality pathology. Based on this model, Krueger and colleagues (2012) developed the Personality Inventory for DSM-5 (PID-5), which operationalizes the proposed DSM-5 traits.
Eighty-five consecutively admitted Italian adolescent inpatients were administered the Italian translation of the PID-5, in order to obtain preliminary data on PID-5 reliability and clinical usefulness in clinically referred adolescents.
With the possible exception of the PID-5 Suspiciousness scale, all other PID-5 scales evidenced adequate internal consistency reliability (i.e., Cronbach's α values of at least .70, most being greater than .80). Our data seemed to yield at least partial support for the construct validity of the PID-5 scales also in clinical adolescents, at least in terms of patterns of associations with dimensionally assessed DSM-5 Section II PDs that were also included in the DSM-5 AMPD (excluding Antisocial PD because of the participants' minor age). Finally, our data suggested that the clinical usefulness of the PID-5 in adolescent inpatients may extend beyond PDs to profiling adolescents at risk for life-threatening suicide attempts. In particular, PID-5 Depressivity, Anhedonia, and Submissiveness trait scales were significantly associated with adolescents' history of life-threatening suicide attempts, even after controlling for a number of other variables, including mood disorder diagnosis.
As a whole, our study may provide interesting, albeit preliminary data as to the clinical usefulness of PID-5 in the assessment of adolescent inpatients.
DSM-5 人格障碍替代模型（AMPD）为评估人格病理提供了整合必要发展视角的机会。基于该模型，Krueger 等人（2012 年）开发了用于 DSM-5 的人格量表（PID-5），该量表操作性地体现了 DSM-5 提出的特质。
85 名连续入院的意大利青少年住院患者接受了 PID-5 的意大利语翻译版本，以获得 PID-5 在临床转诊青少年中的信度和临床实用性的初步数据。
除 PID-5 可疑性量表外，其他 PID-5 量表的内部一致性信度均足够（即 Cronbach's α 值至少为.70，大多数大于.80）。我们的数据似乎至少部分支持了 PID-5 量表的结构效度，至少在与 DSM-5 第二部分 PD 的维度评估相关的模式方面，这些 PD 也包含在 DSM-5 AMPD 中（由于参与者年龄较小，排除反社会性 PD）。最后，我们的数据表明，PID-5 在青少年住院患者中的临床实用性可能超出 PD 范围，用于对有生命危险自杀企图风险的青少年进行分析。具体而言，PID-5 抑郁、快感缺失和顺从特质量表与青少年有生命危险自杀企图的历史显著相关，即使在控制了许多其他变量，包括心境障碍诊断之后也是如此。
总的来说，我们的研究可能为 PID-5 在评估青少年住院患者中的临床实用性提供了有趣的、尽管是初步的数据。
