title: Neither too much, nor too little. The dilemma of identifying personality disorders in adolescents patients with self-reports.
abstract: The study aimed to compare methods of identification of Personality Disorders (PD) in adolescent patients with psychiatric disorders. A sample of 120 Spanish adolescents with clinical disorders was assessed using the International Personality Disorder Examination (IPDE) interview, its Screening Questionnaires (IPDE-SQ) comprising the ICD-10 and DSM-IV modules, and also the Temperament Character Inventory (TCI) to identify risk of PD. The IPDE-SQ identified a risk of PD around 92-97% of the sample; 61.7% when adjusting the stricter cut-off points. The TCI showed a PD risk of 20%, whereas the prevalence of PD identified by the IPDE clinical interview was around 36-38%. The differences between the IPDE, IPDE-SQ and TCI were significant, and a low agreement among instruments was obtained. Large discrepancy between self-report instruments in identifying PD with regard to the clinical interview raises several questions concerning the use of these instruments in clinical settings on adolescents with psychiatric disorders.
authors.affiliation: Department of Child and Adolescent Psychiatry and Psychology, SGR-1119, Institute of Neurosciences, Hospital Clinic Universitari of Barcelona, and Biomedical Research Center in Mental Health Network CIBERSAM, Barcelona, Spain; Department of Personality, Assessment and Psychological Treatment, Faculty of Psychology, University of Barcelona, Spain.
authors.forename: Ernesto
authors.initials: E
authors.lastname: Magallón-Neri
authors.affiliation: Department of Child and Adolescent Psychiatry and Psychology, SGR-1119, Institute of Neurosciences, Hospital Clinic Universitari of Barcelona, and Biomedical Research Center in Mental Health Network CIBERSAM, Barcelona, Spain.
authors.forename: José Eugenio
authors.initials: JE
authors.lastname: De la Fuente
authors.affiliation: Department of Child and Adolescent Psychiatry and Psychology, SGR-1119, Institute of Neurosciences, Hospital Clinic Universitari of Barcelona, and Biomedical Research Center in Mental Health Network CIBERSAM, Barcelona, Spain.
authors.forename: Gloria
authors.initials: G
authors.lastname: Canalda
authors.affiliation: Department of Personality, Assessment and Psychological Treatment, Faculty of Psychology, University of Barcelona, Spain.
authors.forename: Maria
authors.initials: M
authors.lastname: Forns
authors.affiliation: Department of Child and Adolescent Psychiatry and Psychology, SGR-1119, Institute of Neurosciences, Hospital Clinic Universitari of Barcelona, and Biomedical Research Center in Mental Health Network CIBERSAM, Barcelona, Spain.
authors.forename: Raquel
authors.initials: R
authors.lastname: García
authors.affiliation: Department of Child and Adolescent Psychiatry and Psychology, SGR-1119, Institute of Neurosciences, Hospital Clinic Universitari of Barcelona, and Biomedical Research Center in Mental Health Network CIBERSAM, Barcelona, Spain.
authors.forename: Esther
authors.initials: E
authors.lastname: González
authors.affiliation: Department of Child and Adolescent Psychiatry and Psychology, SGR-1119, Institute of Neurosciences, Hospital Clinic Universitari of Barcelona, and Biomedical Research Center in Mental Health Network CIBERSAM, Barcelona, Spain.
authors.forename: Anais
authors.initials: A
authors.lastname: Lara
authors.affiliation: Department of Child and Adolescent Psychiatry and Psychology, SGR-1119, Institute of Neurosciences, Hospital Clinic Universitari of Barcelona, and Biomedical Research Center in Mental Health Network CIBERSAM, Barcelona, Spain; IDIBAPS (Institut d'Investigacions Biomediques August Pi Sunyer), Barcelona, Spain; Department of Psychiatry and Clinical Psychobiology, Universitat de Barcelona, Spain.
authors.forename: Josefina
authors.initials: J
authors.lastname: Castro-Fornieles
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D002605:Character; D003430:Cross-Sectional Studies; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D038801:International Classification of Diseases; D008297:Male; D008875:Middle Aged; D010554:Personality Disorders / Q000175:diagnosis* / Q000523:psychology; D010555:Personality Inventory / Q000706:statistics & numerical data*; D012649:Self Concept; D057566:Self Report; D013030:Spain; D013694:Temperament
keywords: Adolescents; Concordance (measurement); Personality; Personality disorders; Self-report