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A DSM-5 AMPD and ICD-11 compatible measure for an early identification of personality disorders in adolescence-LoPF-Q 12-18 latent structure and short form.
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 4653094
Author(s) Zimmermann, Ronan; Steppan, Martin; Zimmermann, Johannes; Oeltjen, Lara; Birkhölzer, Marc; Schmeck, Klaus; Goth, Kirstin
Author(s) at UniBasel Zimmermann, Ronan
Steppan, Martin
Schmeck, Klaus
Goth, Kirstin
Year 2022
Title A DSM-5 AMPD and ICD-11 compatible measure for an early identification of personality disorders in adolescence-LoPF-Q 12-18 latent structure and short form.
Journal PloS one
Volume 17
Number 9
Pages / Article-Number e0269327
Mesh terms Adolescent; Diagnostic and Statistical Manual of Mental Disorders; Humans; International Classification of Diseases; Personality; Personality Disorders, diagnosis; Personality Inventory; Reproducibility of Results
Abstract

The LoPF-Q 12-18 (Levels of Personality Functioning Questionnaire) was designed for clinical use and to promote early detection of personality disorder (PD). It is a self-report measure with 97 items to assess personality functioning in adolescents from 12 years up. It operationalizes the dimensional concept of personality disorder (PD) severity used in the Alternative DSM-5 Model for Personality Disorders and the ICD-11. In this study, we investigated the factorial structure of the LoPF-Q 12-18. Additionally, a short version was developed to meet the need of efficient screening for PD in clinical and research applications. To investigate the factorial structure, several confirmatory factor analysis models were compared. A bifactor model with a strong general factor and four specific factors showed the best nominal fit (CFI = .91, RMSEA = .04, SRMR = .07). The short version was derived using the ant colony optimization algorithm. This procedure resulted in a 20-item version with excellent fit for a hierarchical model with four first order factors to represent the domains and a secondary higher order factor to represent personality functioning (CFI = .98, RMSEA = .05, SRMR = .04). Clinical validity (effect size d = 3.1 between PD patients and controls) and clinical utility (cutoff ≥ 36 providing 87.5% specificity and 80.2% sensitivity) for detecting patients with PD were high for the short version. Both, the long and short LoPF-Q 12-18 version are ready to be used for research and diagnostic purposes.

ISSN/ISBN 1932-6203
Full Text on edoc
Digital Object Identifier DOI 10.1371/journal.pone.0269327
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/36129913
   

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