González Flores Sergio, Goth Kirstin, Díaz-Hernandez Ruben A
Escuela de Psicología, Universidad Santa María La Antigua, Panama City, Panama.
Department of Child and Adolescent Psychiatry, University Clinics of Basel, Basel, Switzerland.
Front Psychiatry. 2022 Mar 31;13:806033. doi: 10.3389/fpsyt.2022.806033. eCollection 2022.
The Assessment of Identity Development in Adolescence (AIDA) is a self-report instrument to detect pathological development of Identity. In Panamá, psychometric instruments for assessment of psychopathology in adolescence are lacking. Our aim was to develop a valid and reliable version of the AIDA Inventory for Panamanian Population. AIDA was adapted to Spanish considering cultural aspects of Panamanian population. Two pilot tests were performed prior to main test to assess item-total correlation at subscale, primary scale and total scale levels and internal consistency at subscale level. A mixed sample of students and PD patients ( = 315) completed the AIDA inventory, the "Strength and Difficulties Questionnaire" and "Defense Style Questionnaire-40." AIDA was retested in a sub sample from school population ( = 98). The Structured Clinical Interview for Axis II Disorders was used for diagnosis of personality disorders in the patient sample ( = 25). Psychometric properties were tested to assess internal consistency, reliability, factorial validity, convergent validity, and criterion validity. AIDA Panama showed excellent internal consistency for the total scale Identity Diffusion with Cronbach's α:0.94 and a retest reliability of 0.84. A Bifactorial CFA was modeled to assess the dimensionality of the inventory. The proportion between OmegaH and Omega at total scales 96% of the variance is explained by a general factor. Furthermore, the Explained Common Variance for the General Factor is 73% supporting unidimensionality. In line with theory, AIDA total scale showed a high positive correlation ( = 0.67) with Total Difficulties scale and high positive correlation ( = 0.71) with Immature Defense scale. The AIDA total score differed highly significant ( = 0.000) between the patient sample and the students with a large effect size ( = 1.02).
The adaptation and validation of AIDA for Panamanian adolescent population was successful with good psychometric properties and significant correlations with related psychopathological constructs. AIDA showed high clinical validity by providing a valid discrimination between the school sample and a diagnosed PD sample, in line with the assumption that impaired identity functioning is at the core of personality disorders, especially in adolescence.
青少年身份发展评估量表(AIDA)是一种用于检测身份病理发展的自陈式工具。在巴拿马,缺乏用于评估青少年心理病理学的心理测量工具。我们的目标是为巴拿马人群开发一个有效且可靠的AIDA量表版本。考虑到巴拿马人群的文化因素,对AIDA进行了西班牙语改编。在主测试之前进行了两次预测试,以评估分量表、主量表和总量表水平上的项目-总分相关性以及分量表水平上的内部一致性。一个由学生和人格障碍患者组成的混合样本(n = 315)完成了AIDA量表、“长处与困难问卷”和“防御方式问卷-40”。对学校人群中的一个子样本(n = 98)进行了AIDA量表的重测。使用轴II障碍的结构化临床访谈对患者样本(n = 25)中的人格障碍进行诊断。对心理测量特性进行了测试,以评估内部一致性、信度、因子效度、收敛效度和效标效度。巴拿马版AIDA量表在身份弥散总量表上显示出出色的内部一致性,克朗巴哈α系数为0.94,重测信度为0.84。构建了双因素验证性因素分析模型以评估量表的维度。在总量表中,OmegaH与Omega之间的比例表明,96%的方差由一个一般因素解释。此外,一般因素的解释共同方差为73%,支持单维性。与理论一致,AIDA总量表与总困难量表显示出高度正相关(r = 0.67),与不成熟防御量表显示出高度正相关(r = 0.71)。患者样本与学生样本之间的AIDA总分差异具有高度显著性(p = 0.000),效应量较大(d = 1.02)。
AIDA量表针对巴拿马青少年人群的改编和验证取得成功,具有良好的心理测量特性,且与相关心理病理结构存在显著相关性。AIDA量表通过在学校样本和已诊断的人格障碍样本之间提供有效的区分,显示出较高的临床效度,这与身份功能受损是人格障碍核心,尤其是在青少年期这一假设相符。