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...

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Main Authors: Ronan Zimmermann, Martin Steppan, Johannes Zimmermann, Lara Oeltjen, Marc Birkhölzer, Klaus Schmeck, Kirstin Goth
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0269327
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author Ronan Zimmermann
Martin Steppan
Johannes Zimmermann
Lara Oeltjen
Marc Birkhölzer
Klaus Schmeck
Kirstin Goth
author_facet Ronan Zimmermann
Martin Steppan
Johannes Zimmermann
Lara Oeltjen
Marc Birkhölzer
Klaus Schmeck
Kirstin Goth
author_sort Ronan Zimmermann
collection DOAJ
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.
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spelling doaj.art-a292002f2f294348839cbd2b295ffd802022-12-22T03:48:09ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01179e026932710.1371/journal.pone.0269327A 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.Ronan ZimmermannMartin SteppanJohannes ZimmermannLara OeltjenMarc BirkhölzerKlaus SchmeckKirstin GothThe 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.https://doi.org/10.1371/journal.pone.0269327
spellingShingle Ronan Zimmermann
Martin Steppan
Johannes Zimmermann
Lara Oeltjen
Marc Birkhölzer
Klaus Schmeck
Kirstin Goth
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.
PLoS ONE
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
url https://doi.org/10.1371/journal.pone.0269327
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