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Waugh MH, McClain CM, Mariotti EC, Mulay AL, DeVore EN, Lenger KA, Russell AN, Florimbio AR, Lewis KC, Ridenour JM, Beevers LG. Comparative Content Analysis of Self-Report Scales for Level of Personality Functioning. J Pers Assess 2020; 103:161-173. [PMID: 31917602 DOI: 10.1080/00223891.2019.1705464] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Content validity analyses of eight self-report instruments for assessing severity of personality disorder (PD), also known as Level of Personality Functioning (LPF), were conducted using the conceptual scheme of the Alternative Model for Personality Disorders (AMPD; APA, 2013). The item contents of these eight inventories were characterized for the LPF constructs of Identity (ID), Self-Direction (SD), Empathy (EM), and Intimacy (IN) along with the pathological personality trait domains of Negative Affectivity, Detachment, Antagonism, Disinhibition, and Psychoticism. Severity of pathology (SV) reflected in item content was also rated. Raters demonstrated robust agreement for AMPD and SV constructs across instruments. Similarity between instrument AMPD construct profiles was quantified by intraclass correlations (ICC). Results showed the instruments were generally similar in AMPD-construct coverage, but some important differences emerged. The subscales of the instruments also were characterized for the degree to which they reflect the four LPF (ID, SD, EM, IN) domain constructs. Collectively, these content validity comparisons clarify the equivalence of instruments for AMPD constructs and the relative proportions of construct coverage within instrument subscales. These results can inform future research with LPF self-report instruments and guide clinicians in selecting an LPF-related instrument for use in practice.
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Affiliation(s)
- Mark H Waugh
- Oak Ridge National Laboratory.,University of Tennessee, Knoxville
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Clesse C, Salime S, Dumand I, Concetta-Ciciarelli SB, Lavenir S, Kacemi K, Heckel-Chalet P, Sissung F, Poinsignon A, Simon A, Decker M, Batt M. The French Integrative Psychosocial Rehabilitation Assessment for Complex Situations (FIPRACS): Modelization of an Adapted Assessment Method Toward Long-Term Psychiatric Inpatients With Disabling, Severe and Persistent Mental Illness. Front Psychiatry 2020; 11:540680. [PMID: 33192655 PMCID: PMC7531021 DOI: 10.3389/fpsyt.2020.540680] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Accepted: 08/18/2020] [Indexed: 12/16/2022] Open
Abstract
For the past forty years, the generalization of community-based approaches has prompted psychiatry into promoting a deinstitutionalization movement and a psychosocial rehabilitation approach (PSR) for individuals with schizophrenia and related difficulties. Unfortunately, this approach generally does not involve the most severe cognitive and psycho-affective clinical situations among this population despite an increasing number of publications advocating that all individuals should be included in PSR and deinstitutionalization programs. In this context, considering the absence of an assessment battery designed for French individuals with particularly disabling, severe, and persistent mental illness (IDSPMI), we constructed an integrative assessment model adapted to this specific population. To select the most suitable tools for this population, a literature review (inspired by the PRISMA protocol) and a systematic review were combined with a clinical assessment study. The literature review first identified the cognitive and psycho-affective functions which mainly influence the day-to-day life adaptation of individuals engaged in a PSR/deinstitutionalization program. The systematic review then gathered all of the useable French validated tools to assess the initially selected dimensions (n = 87). To finish, for each dimension, the selected 87 tools were included in a clinical assessment study performed within a French psychiatric hospital. The authors collected and verified the characteristics of each tool (validity, French norms, French version, the average speed of the test, ease of use, ability to assess other dimensions). Their suitability was also assessed when applied to IDSPMI. Based on this final clinical evaluation, the authors selected one tool per function to create the French Integrative Psychosocial Rehabilitation Assessment for Complex Situations (FIPRACS). This battery is an assessment tailored to the neurocognitive and psycho-affective potentials of IDSPMI. While further validation studies of this battery are ultimately required, the practical/clinical implications of this battery are presented and discussed.
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Affiliation(s)
- Christophe Clesse
- Center for Psychiatry, Wolfson Institute of Preventive Medicine, Barth & The London School of Medicine & Dentistry, Queen Mary University of London, London, United Kingdom.,Centre Hospitalier de Jury-les-Metz, Metz, France.,Laboratoire INTERPSY (EA 4432), Université de Lorraine, Nancy, France.,IREPS Grand-Est, Laxou, France
| | - S Salime
- Laboratoire INTERPSY (EA 4432), Université de Lorraine, Nancy, France.,Association Espoir 54, Nancy, France
| | - I Dumand
- Centre Hospitalier de Jury-les-Metz, Metz, France
| | | | - S Lavenir
- Centre Hospitalier de Jury-les-Metz, Metz, France
| | - K Kacemi
- Centre Hospitalier de Jury-les-Metz, Metz, France
| | | | - Frank Sissung
- Association d'Information et d'Entraide Mosellane, Metz, France
| | - Aurore Poinsignon
- Association d'Information et d'Entraide Mosellane, Metz, France.,Association Famille Rurale de Moselle, Solgne, France
| | - Anthony Simon
- Laboratoire INTERPSY (EA 4432), Université de Lorraine, Nancy, France
| | - M Decker
- Centre Hospitalier de Jury-les-Metz, Metz, France
| | - M Batt
- Laboratoire INTERPSY (EA 4432), Université de Lorraine, Nancy, France
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