Mazreku Gresa, Birkhölzer Marc, Cosgun Sefa, Kerber André, Schmeck Klaus, Goth Kirstin
Department of Forensic Child and Adolescent Psychiatry, Psychiatric University Hospitals Basel, 4002 Basel, Switzerland.
Private Clinic, 34740 Istanbul, Turkey.
Children (Basel). 2023 Jul 8;10(7):1186. doi: 10.3390/children10071186.
To investigate if the Personality Disorder (PD) severity concept (Criterion A) of the ICD-11 and DSM-5 AMPD is applicable to children and adolescents, following the ICD-11 lifespan perspective of mental disorders, age-specific and informant-adapted assessment tools are needed. The (Levels of Personality Functioning Questionnaire Parent Rating) was developed to assess Impaired Personality Functioning (IPF) in children aged 6-18 in parent-reported form. It is based on the established self-report questionnaire . Psychometric properties were investigated in a German-speaking clinical and school sample containing 599 subjects. The final 36-item version of showed good scale reliabilities with 0.96 for the total scale IPF and 0.90-0.87 for the domain scales Identity, Self-direction, Empathy, and Intimacy/Attachment and an acceptable model fit in a hierarchical CFA with CFI = 0.936, RMSEA = 0.078, and SRMR = 0.068. The total score discriminated significantly and with large effect sizes between the school population and (a) adolescent PD patients ( = 2.7 standard deviations) and (b) the younger patients (6-11-year-olds) with internalizing and externalizing disorders ( = 2.2 standard deviations). Informant agreement between parent and self-report was good at 0.47. Good construct validity can be assumed given sound covariation with related measures of psychopathology (, , ) and maladaptive traits () in line with theory and matching the result patterns obtained in older samples in self-report. The results suggest that parent-reported assessments of IPF and maladaptive traits are equivalent to self-reported measures for Criterion A and B. Assessing IPF as early as age six might be a valuable step to foster early detection of PD, or maladaptive personality development, respectively individuals at risk.
为了探究国际疾病分类第11版（ICD - 11）和精神障碍诊断与统计手册第5版（DSM - 5）替代模型人格障碍（AMPD）中的人格障碍（PD）严重程度概念（标准A）是否适用于儿童和青少年，按照ICD - 11中精神障碍的全生命周期视角，需要有针对特定年龄且适合 informant 的评估工具。（人格功能水平问卷家长评定版）旨在以家长报告的形式评估6至18岁儿童的人格功能受损（IPF）情况。它基于已有的自陈问卷编制而成。在一个包含599名受试者的德语临床和学校样本中对其心理测量学特性进行了研究。最终的36项版本的问卷显示出良好的量表信度，总体IPF量表信度为0.96，身份认同、自我导向、共情以及亲密关系/依恋等领域量表的信度在0.90至0.87之间，并且在分层验证性因素分析中具有可接受的模型拟合度，比较拟合指数（CFI）= 0.936，近似误差均方根（RMSEA）= 0.078，标准化残差均方根（SRMR）= 0.068。总分在学校人群与（a）青少年PD患者（差异为2.7个标准差）以及（b）患有内化和外化障碍的较年轻患者（6至11岁）（差异为2.2个标准差）之间有显著区分且效应量较大。家长报告与自陈报告之间的 informant 一致性良好，为0.47。鉴于与精神病理学相关测量指标（如[具体指标1]、[具体指标2]、[具体指标3]）以及适应不良特质（[具体特质指标]）存在合理的协变关系，符合理论且与在 older 样本中自陈报告获得的结果模式相匹配，可以假定具有良好的结构效度。结果表明，家长报告的IPF和适应不良特质评估等同于标准A和B的自陈测量。早在六岁时评估IPF可能是促进早期发现PD或适应不良人格发展，以及分别识别有风险个体的重要一步。
