Are We Thinking about the Same Disorder? A Trifactor Model Approach to Understand Parents' and Their Adolescents' Reports of Borderline Personality Pathology.
Are We Thinking about the Same Disorder? A Trifactor Model Approach to Understand Parents' and Their Adolescents' Reports of Borderline Personality Pathology.
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我们正在考虑同样的疾病吗？
DOI：
10.1080/00223891.2022.2039165
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发表时间：
2023
影响因子：
3.4
通讯作者：
Sharp,Carla
中科院分区：
文献类型：
--
作者：
Vanwoerden,Salome;McLaren,Veronica;Stepp,StephanieD;Sharp,Carla
在青少年边缘性人格病理学（BPP）评估中，多个信息提供者评估是一种规范，特别是包括来自父母和青少年的报告。然而，这些报告往往是不一致的，目前还不清楚如何整合。目前的研究使用三因素模型来分离父母和青少年BPP报告的方差来源，因为他们在652名住院青少年（63%为女性;法师= 15.31，SD = 1.45）及其父母（81%为母亲）的样本中具有共同和独特的观点。共识/协议的特点是外化功能的BPP，而特质的青少年BPP的观点涵盖了完整的潜在BPP结构，这表明简单的聚合父母和青少年的报告是不合适的。测量不变性表明，独特的观点的特点是略有不同的操作化的BPP和响应偏差的BPP的具体功能。依恋安全感和父母的人际问题对男女青少年的共同观点和独特观点有不同的预测作用。最后，我们发现，共享和独特的观点差异预测面试为基础的BPP，逗留时间，和青少年的心理化。总之，研究结果复制了以前的证据，父母-孩子的告密者在青少年精神病理学的差异，广泛，并提供了具体的BPP的见解。讨论包括评估和解释BPP评估的实际建议。
Multiple informant assessment is the norm when evaluating borderline personality pathology (BPP) in adolescence, especially by including reports from both parents and adolescents. However, these reports tend to be discrepant, and it is unclear how to integrate. The current study used a trifactor model to isolate sources of variance in parents’ and adolescents’ reports of BPP due to their shared and unique perspectives in a sample of 652 inpatient adolescents (63% female; Mage= 15.31, SD = 1.45) and their parents (81% mothers). Consensus/agreement was characterized by the externalizing features of BPP whereas idiosyncratic views of adolescent BPP covered the full latent BPP construct, suggesting that simple aggregation of parent and adolescent reports is inappropriate. Measurement invariance suggested that unique perspectives were characterized by slightly different operationalizations of BPP and response biases for specific features of BPP. Attachment security and parents’ interpersonal problems predicted shared and unique perspectives differently for female and male adolescents. Lastly, we found that shared and unique perspectives differentially predicted interview based BPP, length of stay, and adolescent mentalizing. In sum, findings replicate previous evidence of parent-child informant discrepancy in youth psychopathology, broadly, and provide insights specific to BPP. Discussion includes practical recommendations for assessment and interpretation of BPP assessment.