Akça Ömer Faruk, Cano Kiana, Sharp Carla
Necmettin Erbakan University, School of Medicine, Department of Child and Adolescent Psychiatry, Konya, Turkey.
Sam Houston State University, Department of Psychology and Philosophy, Spring, TX, USA.
Scand J Child Adolesc Psychiatr Psychol. 2025 Apr 11;13(1):20250001. doi: 10.2478/sjcapp-2025-0001. eCollection 2025 Jan.
Previous research has demonstrated a strong relationship between personality and psychopathology. However, the relationship between the traits listed in the Alternative Model for Personality Disorders (AMPD) and Disruptive Behavior Disorders (DBD) in adolescents has not been examined in detail. This study aimed to examine the relationship between the Personality Inventory for DSM-5 (PID-5) domains and DBD symptoms in an adolescent inpatient sample.
A total of 127 adolescents (71% female) aged 12-17 years (M = 15.24, SD = 1.33) were recruited from an inpatient psychiatric hospital. These participants exhibited a wide range of psychiatric disorders unresponsive to prior interventions. They completed the PID-5-Short Form, the Child Behavior Checklist (CBCL), and the Diagnostic Interview Schedule for Children - Computerized Version (DISC-IV).
The antagonism, disinhibition, and psychoticism domains showed significant correlations with DBD scores. Hierarchical regression models predicting total DISC-IV and CBCL scores indicated that the addition of the PID-5 Antagonism and Disinhibition scales did not provide incremental predictive validity over total DBD symptoms.
DBD symptoms are related to psychoticism, antagonism, and disinhibition. However, total Antagonism and Disinhibition scores did not contribute additional predictive power for overall psychopathology beyond DBD scores. These findings highlight questions about the discriminant validity of the PID-5 and suggest further research into the construct validity of these domains.
先前的研究已经证明人格与精神病理学之间存在密切关系。然而,青少年人格障碍替代模型(AMPD)中列出的特质与破坏性行为障碍(DBD)之间的关系尚未得到详细研究。本研究旨在探讨青少年住院样本中DSM-5人格问卷(PID-5)各领域与DBD症状之间的关系。
从一家住院精神病医院招募了127名年龄在12至17岁之间(M = 15.24,SD = 1.33)的青少年(71%为女性)。这些参与者表现出对先前干预无反应的广泛精神障碍。他们完成了PID-5简表、儿童行为检查表(CBCL)和儿童诊断访谈量表 - 计算机化版本(DISC-IV)。
敌对性、去抑制性和精神病性领域与DBD得分显著相关。预测DISC-IV和CBCL总分的分层回归模型表明,添加PID-5敌对性和去抑制性量表并没有比DBD总症状提供更多的预测效度。
DBD症状与精神病性、敌对性和去抑制性有关。然而,敌对性和去抑制性总分对整体精神病理学的预测能力并没有超出DBD得分。这些发现突出了关于PID-5区分效度的问题,并建议对这些领域的结构效度进行进一步研究。