Applicability of personality disorder criteria in late adolescence: internal consistency and criterion overlap 2 years after psychiatric hospitalization.
We examined internal consistency and criterion overlap of DSM-III-R personality disorder criteria in late adolescence, 2 years after psychiatric hospitalization. A total of 60 adolescents were assessed with the Personality Disorder Examination. Within-category cohesiveness (internal consistency) was evaluated by coefficient alpha and mean intercriterion correlation (MIC). Between-category criterion overlap was evaluated by examining intercategory mean intercriterion correlations (ICMIC) between all pairs of disorders. Internal consistency was low, with alpha less than .70 for all except borderline and dependent personality disorders. For most disorders, MIC values were higher than ICMIC values. Our findings suggest that personality disorder criteria sets have limited internal consistency in older adolescents. Although the criteria for most personality disorders correlate better with each other than with the criteria for other personality disorders, suggesting some degree of discriminant validity, comparison of these results with a similar analysis performed shortly after hospital admission raises questions about personality disorder construct validity during adolescence.
Becker
D F
DF
Yale University School of Medicine, New Haven, CT, USA. beckerd@sutterhealth.org
Grilo
C M
CM
Edell
W S
WS
McGlashan
T H
TH
D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology; D006760:Hospitalization; D006778:Hospitals, Psychiatric; D006801:Humans; D007902:Length of Stay; D001523:Mental Disorders / Q000175:diagnosis / Q000534:rehabilitation*; D010554:Personality Disorders / Q000175:diagnosis* / Q000523:psychology; D011569:Psychiatric Status Rating Scales