The incremental utility of maladaptive self and identity functioning over general functioning for borderline personality disorder features in adolescents.
The incremental utility of maladaptive self and identity functioning over general functioning for borderline personality disorder features in adolescents.
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DOI：
10.1037/per0000547
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发表时间：
2022-09
影响因子：
2.8
通讯作者：
Barkauskiene, Rasa
中科院分区：
文献类型：
--
作者：
Sharp, Carla;Kerr, Sophie;Barkauskiene, Rasa
关于人格障碍的另一种模式的诊断和统计手册第五版人格功能水平(LPF；标准A)的性质出现了一场辩论。本研究的目的是通过评估LPF对青少年人格障碍的增量效用，来评估LPF的一个方面，即适应不良的自我和认同功能，与一般的心理社会残疾的区别。为此，在测量一般精神障碍、同伴问题、生活满意度和学习功能的同时，对2个青少年样本进行了自我适应不良和身份认同功能的测量：社区居住样本(n=379；MAGE=14.70，SD=1.74)和临床转诊青少年样本(n=74；MAGE=15.05，SD=1.47)。使用分层回归分析来检验我们的假设，并与成人研究的结果相一致，我们的发现表明，当把临床样本和社区样本放在一起和分开考虑时，不适应的自我和认同功能会增加一般的心理社会残疾，并与具有相似程度的边界特征相关联。结果是在当前关于LPF的性质和意义的观点的背景下讨论的。
A debate has emerged regarding the nature of Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition Level of Personality Functioning (LPF; Criterion A) of the alternative model of personality disorder. The aim of the current study was to evaluate the distinctiveness of an aspect of LPF, namely, maladaptive self and identity function, from general psychosocial disability by evaluating its incremental utility over that of general psychosocial disability for personality disorder in adolescents. To this end, a measure of maladaptive self and identity function was administered alongside measures of general psychiatric impairment, peer problems, life satisfaction, and academic functioning in 2 samples of adolescents: a community-dwelling sample (n = 379; Mage = 14.70, SD = 1.74) and a sample of clinically-referred adolescents (n = 74; Mage = 15.05, SD = 1.47). Using hierarchical regression analyses to test our hypotheses, and consistent with the results from studies in adults, our findings showed that maladaptive self and identity function incremented general psychosocial disability in the association with borderline features with similar magnitude for clinical and community samples when considered together and separately. Results are discussed in the context of current views on the nature and meaning of LPF.