Assessment of ICD-11 Personality Disorder Severity in Forensic Patients Using the Semi-structured Interview for Personality Functioning DSM-5 (STiP-5.1): Preliminary Findings.

Autor:	Hutsebaut J; Viersprong Institute for Studies on Personality Disorders, Halsteren, Netherlands., Weekers LC; Viersprong Institute for Studies on Personality Disorders, Halsteren, Netherlands., Tuin N; Viersprong Institute for Studies on Personality Disorders, Halsteren, Netherlands., Apeldoorn JSP; GGZ Noord-Holland-Noord, Heerhugowaard, Netherlands., Bulten E; Division Diagnostics Research and Education, Forensic Psychiatric Center Pompefoundation, Nijmegen, Netherlands.; Behavioral Science Institute of Radboud University, Nijmegen, Netherlands.
Jazyk:	angličtina
Zdroj:	Frontiers in psychiatry [Front Psychiatry] 2021 Apr 16; Vol. 12, pp. 617702. Date of Electronic Publication: 2021 Apr 16 (Print Publication: 2021).
DOI:	10.3389/fpsyt.2021.617702
Abstrakt:	In forensic settings, several challenges may affect reliability of assessment of personality pathology, specifically when based upon self-report. This study investigates the Semi-Structured Interview for DSM-5 Personality Functioning (STiP-5.1) to assess level of severity of personality functioning in incarcerated patients. Thirty inpatients of three forensic psychiatric facilities completed the STiP 5.1 and additionally completed self-report questionnaires assessing symptom severity, personality functioning and traits. Staff members completed informant versions of personality functioning questionnaires. Previously assessed community ( N = 18) and clinical samples ( N = 80) were used as a reference. Interrater reliability and internal consistency of the STiP 5.1 were good. As expected, no associations were found between self-report and expert-ratings (STiP 5.1) of personality functioning. Remarkably, no associations were found between informant rated personality functioning and the STiP 5.1. This study confirms the discrepancies between self-report and expert-ratings in forensic settings and identifies the need to design and test assessment instruments within this context instead of generalizing findings obtained in regular mental health care samples. The STiP-5.1 may be a candidate for use in forensic samples, particularly to guide treatment planning and individual patient policy, although it remains unclear what specific information it offers above and beyond self-report and informant-report. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2021 Hutsebaut, Weekers, Tuin, Apeldoorn and Bulten.)
Databáze:	MEDLINE
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