Cargando…
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
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 dimensiona...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9491532/ https://www.ncbi.nlm.nih.gov/pubmed/36129913 http://dx.doi.org/10.1371/journal.pone.0269327 |
_version_ | 1784793293778845696 |
---|---|
author | Zimmermann, Ronan Steppan, Martin Zimmermann, Johannes Oeltjen, Lara Birkhölzer, Marc Schmeck, Klaus Goth, Kirstin |
author_facet | Zimmermann, Ronan Steppan, Martin Zimmermann, Johannes Oeltjen, Lara Birkhölzer, Marc Schmeck, Klaus Goth, Kirstin |
author_sort | Zimmermann, Ronan |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-9491532 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-94915322022-09-22 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 Zimmermann, Ronan Steppan, Martin Zimmermann, Johannes Oeltjen, Lara Birkhölzer, Marc Schmeck, Klaus Goth, Kirstin PLoS One Research Article 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. Public Library of Science 2022-09-21 /pmc/articles/PMC9491532/ /pubmed/36129913 http://dx.doi.org/10.1371/journal.pone.0269327 Text en © 2022 Zimmermann et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Zimmermann, Ronan Steppan, Martin Zimmermann, Johannes Oeltjen, Lara Birkhölzer, Marc Schmeck, Klaus Goth, Kirstin 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 |
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 |
title_full | 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 |
title_fullStr | 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 |
title_full_unstemmed | 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 |
title_short | 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 |
title_sort | 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 |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9491532/ https://www.ncbi.nlm.nih.gov/pubmed/36129913 http://dx.doi.org/10.1371/journal.pone.0269327 |
work_keys_str_mv | AT zimmermannronan adsm5ampdandicd11compatiblemeasureforanearlyidentificationofpersonalitydisordersinadolescencelopfq1218latentstructureandshortform AT steppanmartin adsm5ampdandicd11compatiblemeasureforanearlyidentificationofpersonalitydisordersinadolescencelopfq1218latentstructureandshortform AT zimmermannjohannes adsm5ampdandicd11compatiblemeasureforanearlyidentificationofpersonalitydisordersinadolescencelopfq1218latentstructureandshortform AT oeltjenlara adsm5ampdandicd11compatiblemeasureforanearlyidentificationofpersonalitydisordersinadolescencelopfq1218latentstructureandshortform AT birkholzermarc adsm5ampdandicd11compatiblemeasureforanearlyidentificationofpersonalitydisordersinadolescencelopfq1218latentstructureandshortform AT schmeckklaus adsm5ampdandicd11compatiblemeasureforanearlyidentificationofpersonalitydisordersinadolescencelopfq1218latentstructureandshortform AT gothkirstin adsm5ampdandicd11compatiblemeasureforanearlyidentificationofpersonalitydisordersinadolescencelopfq1218latentstructureandshortform AT zimmermannronan dsm5ampdandicd11compatiblemeasureforanearlyidentificationofpersonalitydisordersinadolescencelopfq1218latentstructureandshortform AT steppanmartin dsm5ampdandicd11compatiblemeasureforanearlyidentificationofpersonalitydisordersinadolescencelopfq1218latentstructureandshortform AT zimmermannjohannes dsm5ampdandicd11compatiblemeasureforanearlyidentificationofpersonalitydisordersinadolescencelopfq1218latentstructureandshortform AT oeltjenlara dsm5ampdandicd11compatiblemeasureforanearlyidentificationofpersonalitydisordersinadolescencelopfq1218latentstructureandshortform AT birkholzermarc dsm5ampdandicd11compatiblemeasureforanearlyidentificationofpersonalitydisordersinadolescencelopfq1218latentstructureandshortform AT schmeckklaus dsm5ampdandicd11compatiblemeasureforanearlyidentificationofpersonalitydisordersinadolescencelopfq1218latentstructureandshortform AT gothkirstin dsm5ampdandicd11compatiblemeasureforanearlyidentificationofpersonalitydisordersinadolescencelopfq1218latentstructureandshortform |