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青少年适应不良身份中年龄组潜在均值差异的评估。

An Evaluation of Age-Group Latent Mean Differences in Maladaptive Identity in Adolescence.

作者信息

Sharp Carla, Vanwoerden Salome, Schmeck Klaus, Birkhölzer Marc, Goth Kirstin

机构信息

Department of Psychology, University of Houston, Houston, TX, United States.

Department of Child and Adolescent Psychiatry, University Clinics of Basel, Basel, Switzerland.

出版信息

Front Psychiatry. 2021 Sep 17;12:730415. doi: 10.3389/fpsyt.2021.730415. eCollection 2021.

Abstract

Little is known about the differences between age groups in maladaptive personality function as denoted in Criterion A of the Alternative Model for Personality Disorder (AMPD) in the DSM-5, which is the entry criterion for diagnosing personality disorder in the upcoming ICD-11. The current study aimed to address this gap by evaluating latent mean age group differences in maladaptive identity, which is one aspect that has been identified as an important feature of maladaptive, general personality function as represented in the DSM-5 and ICD-11. We were also interested whether mean differences would track with mean differences in borderline personality disorder (BPD) features given prior data suggesting that general personality function overlap with the construct of BPD. A community sample of = 2,381 adolescents, representing a mix of different socio-economic and educational backgrounds, ages 12-18 ( = 14.92, = 1.94; 46% male) completed a measure of maladaptive identity. A subset ( = 1,165) completed a measure of borderline personality features. Latent variable modeling was used to evaluate latent mean differences across seven age bands. Results suggested a normative increase in maladaptive identity after age 12, which remained consistent until age 17 when it dropped back to levels observed in 12-year-olds. Maladaptive identity was significantly associated with mean-level increases in borderline personality features, with these constructs becoming more closely associated with increasing age.

摘要

对于《精神疾病诊断与统计手册》第5版(DSM-5)中人格障碍替代模型(AMPD)A标准所定义的适应不良人格功能在不同年龄组之间的差异,人们了解甚少,而该标准是即将发布的《国际疾病分类》第11版(ICD-11)中人格障碍的诊断入门标准。本研究旨在通过评估适应不良身份认同方面潜在的平均年龄组差异来填补这一空白,适应不良身份认同是DSM-5和ICD-11中所描述的适应不良的一般人格功能的一个重要特征。鉴于先前的数据表明一般人格功能与边缘型人格障碍(BPD)的结构存在重叠,我们还想了解平均差异是否会与边缘型人格障碍特征的平均差异相关。一个由2381名12至18岁青少年组成的社区样本(平均年龄=14.92,标准差=1.94;46%为男性),代表了不同社会经济和教育背景的混合群体,完成了一项适应不良身份认同的测量。其中一个子集(n = 1165)完成了一项边缘型人格特征的测量。使用潜在变量模型来评估七个年龄组之间潜在的平均差异。结果表明,12岁以后适应不良身份认同呈规范性增加,这种情况一直持续到17岁,之后又降至12岁时的水平。适应不良身份认同与边缘型人格特征的平均水平增加显著相关,并且随着年龄的增长,这些结构之间的关联更加紧密。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/320e/8484521/3b29b4a6cddd/fpsyt-12-730415-g0001.jpg

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