PDF(Pubmed)
Abstract：
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 LoPF-Q 6-18 PR (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 LoPF-Q 12-18. Psychometric properties were investigated in a German-speaking clinical and school sample containing 599 subjects. The final 36-item version of LoPF-Q 6-18 PR 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 (d = 2.7 standard deviations) and (b) the younger patients (6-11-year-olds) with internalizing and externalizing disorders (d = 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 (CBCL 4-18, STiP-5.1, OPD-CA2-SQ PR) and maladaptive traits (PID5BF+ M CA IRF) 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.
摘要：
为了调查ICD-11和DSM-5AMPD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，遵循ICD-11对精神障碍的生命周期观点，需要针对特定年龄和信息适应的评估工具。开发了LoPF-Q6-18PR（人格功能水平问卷父母评分），以评估父母报告形式的6-18岁儿童的人格功能受损（IPF）。它基于已建立的自我报告问卷LoPF-Q12-18。在包含599名受试者的德语临床和学校样本中研究了心理测量特性。LoPF-Q6-18PR的最终36项版本显示出良好的量表可靠性，总量表IPF为0.96，领域量表为0.90-0.87。自我指导,移情,和亲密关系/附件以及可接受的模型在CFI=0.936，RMSEA=0.078和SRMR=0.068的分层CFA中拟合。总分在学校人口与（a）青少年PD患者（d=2.7个标准差）和（b）具有内在化和外在化障碍的年轻患者（6-11岁）之间存在显着差异，并且效果较大（d=2.2个标准差）。家长和自我报告之间的告密者协议良好，为0.47。可以假设良好的结构效度与相关的心理病理学指标（CBCL4-18，STiP-5.1，OPD-CA2-SQPR）和适应不良特征（PID5BFMCAIRF）符合理论并匹配在自我报告中的较早样本中获得的结果模式。结果表明，父母报告的IPF和适应不良特征评估相当于标准A和B的自我报告措施。早在六岁时评估IPF可能是促进早期发现PD的有价值的步骤，或者适应不良的人格发展，分别有风险的个人。
