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Assessing adolescent personality pathology.

Drew Westen¹, Lissa Dutra, Jonathan Shedler

¹Department of Psychology and Department of Psychiatry and Behavioral Sciences, Emory University, 532 N. Kilgo Circle, Atlanta, GA 30322, USA. dwesten@emory.edu

The British Journal of Psychiatry : the Journal of Mental Science

|March 2, 2005

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This study validates the Shedler-Westen Assessment Procedure for Adolescents (SWAP-200-A) for assessing adolescent personality pathology. Findings identify 11 personality dimensions, supporting its clinical utility.

Area of Science:

Adolescent Psychology
Clinical Psychology
Psychopathology Assessment

Background:

Personality pathology is a significant aspect of adolescent psychopathology.
Accurate assessment tools are crucial for effective intervention.

Purpose of the Study:

To evaluate the reliability and validity of the Shedler-Westen Assessment Procedure for Adolescents (SWAP-200-A).
To assess the utility of a Q-sort instrument for clinically experienced informants.

Main Methods:

A sample of 294 adolescents (aged 14-18) was assessed by psychiatrists and psychologists.
Clinicians utilized the SWAP-200-A and other psychometric measures.

Main Results:

Factor analysis revealed 11 dimensions of adolescent personality.

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These dimensions included psychopathology, emotional dysregulation, and delinquent behavior.

Results showed predicted correlations with adaptive functioning and other psychopathology measures.

Conclusions:

The SWAP-200-A demonstrates potential as a reliable instrument for adolescent personality pathology assessment.
Identified trait dimensions like delinquent behavior and emotional dysregulation may enhance personality classification.