This page was translated automatically from Turkish. Read the original

Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

EV0256

Preliminary experiences in identifying adolescents with maladaptive personality development

PRELIMINARY EXPERIENCES WITH THE IDENTIFICATION OF ADOLESCENTS WITH DISHARMONIOUS PERSONALITY DEVELOPMENT

The SCID-5-AMPD interview and the LoPF-Q 12-18 self-report questionnaire clearly distinguish adolescents in clinical and community samples according to their level of personality functioning.

The aim is to compare the SCID-5-AMPD clinical interview with the LoPF-Q 12-18 self-report questionnaire in Hungarian adolescent clinical and community samples to assess their suitability for the early identification of maladaptive personality development. The rationale is that diagnosing personality disorders in adolescence is largely avoided in Hungarian child and adolescent psychiatric practice, and national experience with objective assessment instruments in Hungarian is limited. In a cross-sectional design, participants first completed paper-based questionnaires and then underwent a structured clinical interview; the instruments were the Structured Clinical Interview for the DSM-5 Alternative Model for Personality Disorders (SCID-5-AMPD, Module I) and the Levels of Personality Functioning Questionnaire (LoPF-Q 12-18, LoPF-ID subscale). The sample comprises 53 adolescents aged 14 to 18 years (M = 15.98 years, SD = 1.232); the control group consists of 24 participants recruited through snowball sampling and community outreach, and the clinical group consists of 29 participants receiving child psychiatric care at two treatment centers in Budapest. The clinical group scored significantly higher than the control group on all SCID-5-AMPD dimensions (p < 0.001; Cohen's d = 0.97 to 2.51); mean scores were 2.75 versus 0.64 for identity, 2.09 versus 0.54 for self-direction, 1.48 versus 0.61 for empathy, 2.18 versus 0.28 for intimacy, and 2.13 versus 0.52 for level of personality functioning. The clinical group also scored significantly higher on the continuity and coherence dimensions of the LoPF-Q 12-18 (p < 0.001; Cohen's d = 1.81 to 1.88; continuity: 26.55 versus 12.92; coherence: 33.52 versus 18.13), and these two dimensions were positively correlated with all SCID-5-AMPD subdomains (ρ = 0.39 to 0.90; p ≤ 0.004). A two-step cluster analysis based on SCID and LoPF data identified two profiles significantly associated with clinical status (χ²(1) = 29.11; p < 0.001; V = 0.74); in the clinical group, 5 participants had high personality functioning and 24 had low personality functioning, while in the control group, 22 had high and 2 had low personality functioning. In conclusion, both instruments sensitively reflect clinical status and appear suitable for the early identification and differentiation of maladaptive personality development as a basis for targeted intervention.

Tüm WCP 2026 özetleri