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Level of personality functioning of adolescents in an acute psychiatric treatment setting: A cohort study
Holger Zapf1, Ursula Voelker2, Dennis Radzuweit2
1Clinical psychologist, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Background:
Adolescents admitted as acute inpatients are a particularly vulnerable psychosocial population. This study aimed to examine their level of personality functioning in an acute psychiatric treatment setting.
Methods:
We evaluated personality functioning in 62 adolescents using the Level of Personality Functioning-Questionnaire 12-18 (LoPF-Q 12-18) from a patient perspective and the Level of Personality Functioning Scale (LPFS) completed by clinicians.
Results:
Adolescent patients exhibited a relatively high level of impaired personality functioning, with females tending to show partly higher levels of impairment than males. The agreement between self-reported and clinician reported impairment of personality functioning was low. Biopsychosocial mental health was a strong predictor of self-reported and clinician-reported levels of personality functioning, in contrast to nonsuicidal self-injurious behavior and suicidality.
Conclusion:
Our findings identify important characteristics of adolescents in acute psychiatric inpatient units. The LoPF-Q may serve as a valuable screening tool for diagnostics and treatment.
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