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人格功能水平量表简版2.0:因素结构与临床临界值

Level of Personality Functioning Scale-Brief Form 2.0: Factor Structure and Clinical Cutoffs.

作者信息

Ran Tongyao, Balzen Kennedy M, Kerr Sophie, Hutsebaut Joost, Sharp Carla

机构信息

Department of Psychological Sciences, University of Missouri.

Department of Psychology, University of Houston.

出版信息

J Pers Disord. 2025 Jun;39(3):185-205. doi: 10.1521/pedi.2025.39.3.185.

Abstract

The Alternative Model for Personality Disorders identifies the level of personality functioning (LPF) as the entry criterion for personality disorder. The Level of Personality Functioning-Brief Form 2.0 (LPFS-BF 2.0) has demonstrated adequate psychometric properties, although mixed evidence on its factor structure and the lack of established clinical cutoffs limit its utility. In the present study, we first examined the factor structure of the LPFS-BF 2.0 using data from 365 young adults. Next, we examined the measure's convergent and discriminant validity, clinical utility, and cutoff score in a mixed college ( = 94) and clinical ( = 70) sample. Results revealed acceptable fit of a bifactor model with an essentially unidimensional structure and general support for convergent and discriminant validity. The LPFS-BF 2.0 distinguished those above versus below the clinical cutoff of the Semi-Structured Interview for Personality Functioning with strong sensitivity and specificity. The LPFS-BF 2.0 appears psychometrically sound and clinically useful in capturing personality dysfunction.

摘要

人格障碍替代模型将人格功能水平(LPF)确定为人格障碍的纳入标准。人格功能水平简表2.0(LPFS-BF 2.0)已显示出足够的心理测量学特性,尽管其因子结构的证据不一,且缺乏既定的临床临界值限制了其效用。在本研究中,我们首先使用来自365名年轻成年人的数据检验了LPFS-BF 2.0的因子结构。接下来,我们在一个混合的大学生样本(n = 94)和临床样本(n = 70)中检验了该测量方法的聚合效度和区分效度、临床效用及临界分数。结果显示,一个具有基本单维结构的双因子模型拟合良好,并普遍支持聚合效度和区分效度。LPFS-BF 2.0以较高的敏感性和特异性区分了高于和低于人格功能半结构化访谈临床临界值的人群。LPFS-BF 2.0在心理测量学上似乎是合理的,且在捕捉人格功能障碍方面具有临床实用性。

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