Clinical validity of prototype personality disorder ratings in adolescents.
Clinical validity of prototype personality disorder ratings in adolescents.
复制标题
青少年原型人格障碍评级的临床有效性。
DOI：
10.1080/00223891.2014.979493
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发表时间：
2015
影响因子：
3.4
通讯作者：
Ditkowsky,Keith
中科院分区：
文献类型：
--
作者：
Defife,JaredA;Haggerty,Greg;Smith,ScottW;Betancourt,Luis;Ahmed,Zain;Ditkowsky,Keith
越来越多的研究表明，青少年的人格病理学在临床上是独特的，并且通常在成年后保持稳定。一个可靠和有用的方法来评估青少年患者的人格病理学有可能提高概念化，传播和治疗效果。本研究的目的是研究的原型匹配的方法（来自谢德勒韦斯顿评估程序青少年版）的临床有效性量化的性格病理在青少年住院样本。66名青少年住院患者及其父母或法律的监护人完成了儿童行为检查表（CBCL）评估情绪和行为问题的表格。临床标准变量，包括自杀史，物质使用，并与同龄人打架进行了评估。病人的个人和团体治疗师在住院单位完成人格原型评级。原型诊断表现出相当大的可靠性（中位数组内相关系数= 0.75）在独立的评级，从个人和团体治疗师。人格原型评分与CBCL量表和临床标准变量的预期和有意义的方式。正如先前对成人样本的研究所见，原型人格评级显示了独立的临床评估者的临床有效性，这些评估者以前不熟悉这种方法，并且它们与临床症状、行为问题和适应功能有意义地相关。
A growing body of research shows that personality pathology in adolescents is clinically distinctive and frequently stable into adulthood. A reliable and useful method for rating personality pathology in adolescent patients has the potential to enhance conceptualization, dissemination, and treatment effectiveness. The aim of this study is to examine the clinical validity of a prototype matching approach (derived from the Shedler Westen Assessment Procedure–Adolescent Version) for quantifying personality pathology in an adolescent inpatient sample. Sixty-six adolescent inpatients and their parents or legal guardians completed forms of the Child Behavior Checklist (CBCL) assessing emotional and behavioral problems. Clinical criterion variables including suicide history, substance use, and fights with peers were also assessed. Patients’ individual and group therapists on the inpatient unit completed personality prototype ratings. Prototype diagnoses demonstrated substantial reliability (median intraclass correlation coefficient =.75) across independent ratings from individual and group therapists. Personality prototype ratings correlated with the CBCL scales and clinical criterion variables in anticipated and meaningful ways. As seen in prior research with adult samples, prototype personality ratings show clinical validity across independent clinician raters previously unfamiliar with the approach, and they are meaningfully related to clinical symptoms, behavioral problems, and adaptive functioning.