Warszawski Uniwersytet Medyczny, Klinika Psychiatrii Wieku Rozwojowego.
Psychiatr Pol. 2021 Oct 31;55(5):1139-1155. doi: 10.12740/PP/OnlineFirst/119778.
Assessment of criterion validity and temporal stability of personality disorder diagnosis in adolescents and relationships between attachment styles and personality disorder diagnosis.
50 adolescents (46 girls and 4 boys, aged 15-17) hospitalized at the department of child and adolescent psychiatry were assessed with the Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II) and the Inventory of Parent and Peer Attachment (IPPA). After one year, adolescents meeting the criteria for apersonality disorder (PD) diagnosis were reassessed with the SCID-II.
In the first stage of assessment, diagnostic criteriafor different types of personality disorders were met by 41 adolescents (82%) (mean number of criteria = 5.9). Criteria were met most often for borderline personality disorder (BPD) (n = 26; mean number of criteria = 7.9). In the second stage of assessment, the interview was re-administered to 21 (51%) adolescents; the mean number of criteria was = 6.6. A statistically significant relationship between the number of PD diagnostic criteria in assessment one and the number of criteria in assessment two was obtained (r = 0.58; p < 0.01). 82% of the participants with PD were insecurely attached to their mothers. In the borderline group, 83% of the participants reported anxious-avoidant attachment style.
PD traits in adolescence, specifically BPD, are stable across one year.
评估青少年人格障碍诊断的标准效度和时间稳定性，以及依恋模式与人格障碍诊断之间的关系。
50 名青少年（46 名女孩和 4 名男孩，年龄 15-17 岁）在儿童和青少年精神病学系住院，使用 DSM-IV 轴 II 人格障碍结构化临床访谈（SCID-II）和父母与同伴依恋量表（IPPA）进行评估。一年后，符合人格障碍（PD）诊断标准的青少年再次使用 SCID-II 进行评估。
在第一阶段评估中，41 名青少年（82%）符合不同类型人格障碍的诊断标准（平均标准数=5.9）。最常见的诊断标准符合边缘型人格障碍（BPD）（n=26；平均标准数=7.9）。在第二阶段评估中，对 21 名（51%）青少年重新进行了访谈；平均标准数=6.6。评估一和评估二的 PD 诊断标准数量之间存在统计学显著关系（r=0.58；p<0.01）。82%的 PD 患者与母亲的依恋关系不安全。在边缘组中，83%的参与者报告焦虑回避依恋模式。
青少年时期的 PD 特征，特别是 BPD，在一年内是稳定的。
