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儿童期人格障碍:Coolidge 人格和神经心理学儿童量表(CPNI)的效度。

Personality Disorders in Childhood: Validity of the Coolidge Personality and Neuropsychological Inventory for Children (CPNI).

机构信息

Department of Dynamic and Clinical Psychology, and Health Studies, "Sapienza", University of Rome, Via degli Apuli 1, 00185 Rome, Italy.

出版信息

Int J Environ Res Public Health. 2022 Mar 29;19(7):4050. doi: 10.3390/ijerph19074050.

DOI:10.3390/ijerph19074050
PMID:35409734
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8998288/
Abstract

BACKGROUND

A growing body of evidence has shown that maladaptive traits and emerging patterns of personality can be traced to an early stage of development and may be assessed in childhood. The goal of present study was to provide preliminary data on the validity of the Coolidge Personality and Neuropsychological Inventory for Children (CPNI), an instrument designed to assess personality pathologies and other clinical conditions in childhood.

METHOD

A sample of 146 clinicians completed the CPNI, as well as the Child Behavior Checklist (CBCL) to evaluate the behavioral problems and social competencies, regarding a child (aged 6-11 years) who had been in their care between 2 and 12 months. The clinicians also filled out a clinical questionnaire to provide information on the children, their families, and psychotherapies.

RESULTS

There were significant and clinically consistent associations between the CPNI and CBCL. They confirmed the good concurrent (convergent and discriminant) validity of the CPNI.

CONCLUSIONS

The findings seem to support the validity of the CPNI as diagnostic instrument, taking children's PDs and behavioral problems into account. Despite some limitations, the CPNI represents a helpful measure to evaluate the children's personality configurations according to the DSM model. It may be employed along with other tools based on other diagnostic frameworks within the context of a multi-method and multi-informant assessment to provide an accurate and comprehensive formulation of children's overall functioning.

摘要

背景

越来越多的证据表明,适应不良的特征和新兴的人格模式可以追溯到早期发展阶段,并可以在儿童时期进行评估。本研究的目的是提供有关 Coolidge 儿童人格和神经心理检查表(CPNI)有效性的初步数据,该工具旨在评估儿童时期的人格病理和其他临床状况。

方法

146 名临床医生完成了 CPNI 以及儿童行为检查表(CBCL),以评估过去 2 至 12 个月内接受他们治疗的一名 6-11 岁儿童的行为问题和社交能力。临床医生还填写了一份临床问卷,提供有关儿童及其家庭和心理治疗的信息。

结果

CPNI 与 CBCL 之间存在显著且具有临床一致性的关联。它们证实了 CPNI 的良好同期(收敛和区分)有效性。

结论

这些发现似乎支持了 CPNI 作为诊断工具的有效性,同时考虑了儿童的 PD 和行为问题。尽管存在一些限制,但 CPNI 是一种有用的衡量标准,可根据 DSM 模型评估儿童的人格结构。它可以与其他基于其他诊断框架的工具一起使用,在多方法和多信息来源评估的背景下,为儿童的整体功能提供准确和全面的描述。

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