a Child and Adolescent Psychiatric Hospital , Psychiatric University Hospitals , Basel , Switzerland.
b Child and Adolescent Psychiatric Hospital , Psychiatric University Hospitals , Zürich , Switzerland.
J Pers Assess. 2018 Nov-Dec;100(6):680-690. doi: 10.1080/00223891.2018.1489258.
The classification of personality disorders (PDs) is in transition. The shortcomings of the categorical PD diagnoses led to the development of the Alternative Model for Personality Disorders (AMPD) in Section III of the DSM-5 regarding a dimensional differentiation of severity of personality pathology. Impairments in personality functioning are defined as a general Criterion A for PD. Inspired by the AMPD, the LoPF-Q 12-18 was developed to assess Levels of Personality Functioning (LoPF) dimensionally in adolescents from 12 to 18 years old in self-report. The questionnaire shows good scale reliabilities, good construct validity by demonstrating a systematic variation with pathology in line with theory, and a valuable clinical utility. The results suggest that the LoPF-Q 12-18 questionnaire is a clinically useful instrument to assess personality pathology in young people and that the concept of personality functioning is useful in detecting and describing central impairments of PD pathology at an early stage of development.
人格障碍（PD）的分类正在发生转变。基于分类 PD 诊断的缺陷，DSM-5 第三部分开发了人格障碍替代模型（AMPD），以对人格病理严重程度进行维度区分。人格功能障碍的损害被定义为 PD 的一般标准 A。受 AMPD 的启发，LoPF-Q 12-18 被开发出来，用于在自我报告中对 12 至 18 岁的青少年进行人格功能水平（LoPF）的维度评估。该问卷具有良好的量表信度，通过表现出与理论一致的病理系统变化来证明良好的结构有效性，具有有价值的临床实用性。结果表明，LoPF-Q 12-18 问卷是一种在年轻人中评估人格病理的临床有用工具，人格功能的概念有助于在 PD 病理的早期发展阶段检测和描述核心损害。
