[Diagnostic of personality disorders in adolescence according to SCID-II].
OBJECTIVE
The aim of the present study was to ascertain whether the Structured Clinical Interview for DSM-IV Personality Disorders (SCID-II) is applicable for use with adolescents. Furthermore, the diagnostic concordance between SCID-II and the clinicians' estimations of personality disorders (PD) is assessed. In addition, we identified predicting factors for personality disorders in adolescent psychiatric inpatients.


METHODS
110 adolescent psychiatric inpatients aged 14-18 years were assessed by means of SCID-II and a personality and disorder inventory (PSSI).


RESULTS
32.7% of the inpatients met the criteria for PD according to SCID-II. While agreement between the presence of any PD based on SCID-II and that found according to clinicians' estimations was low, moderate and very good agreement between SCID-II and clinicians' estimations was found with regard to borderline PD and histrionic PD. Logistic regression analyses identified "anorexia nervosa (binge-purging)", "attention-deficit/hyperactivity disorder/conduct disorder (ADHD/CD)" and "socioeconomic status" as good predictors for PD.


CONCLUSIONS
The SCID-II - which was primarily developed for use with adults - is suitable for use among adolescents. Anorexia nervosa (binge-purging type) and ADHD/CD are closely associated with the development of PD in adolescents.
Salbach-Andrae
H
H
Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, Charité, Universitätsmedizin Berlin. harriet.salbach@charite.de
Bürger
A
A
Klinkowski
N
N
Lenz
K
K
Pfeiffer
E
E
Fydrich
T
T
Lehmkuhl
U
U
D000293:Adolescent; D000856:Anorexia Nervosa / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D001008:Anxiety Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D005858:Germany; D006760:Hospitalization; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D019964:Mood Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D010552:Personality Assessment / Q000706:statistics & numerical data*; D010554:Personality Disorders / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D011594:Psychometrics / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D013001:Somatoform Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy