Background DSM-5 introduced the anxious distress specifier in recognition of clinical significance anxiety depressed patients. Recent studies that supported validity did not use measures were designed to assess criteria but instead approximated from scales part an existing data base. In present report Rhode Island Methods Improve Diagnostic Assessment and Services (MIDAS) project, we examined diagnosed with a semistructured interview. Two hundred sixty patients principal diagnosis major...

Despite substantial evidence in support of the alternative model for personality disorder (AMPD) that has accumulated over last decade, a gap remains terms head-to-head comparisons predictive power Section II categorical diagnoses versus III AMPD clinical outcomes. The current study uses archival data from naturalistic treatment outcome an adolescent psychiatric inpatient sample to compare (combined Criterion A and B assessment) borderline (BPD) predicting outcomes admission discharge....

The Levels of Personality Functioning Questionnaire 12-18 (LoPF-Q 12-18) is the only self-report measure informed by Level (Diagnostic and Statistical Manual Mental Disorders [5th ed.; DSM-5; American Psychiatric Association, 2013]) Alternative Model developed for adolescents. present investigation includes two studies evaluating English LoPF-Q 12-18. In Study 1, single-factor bifactor structures (unidimensional severity criterion four specific factors: identity, self-direction, empathy,...

Purpose Autism spectrum disorder (ASD) and borderline personality (BPD) are complex disorders characterized by pervasive symptoms of rigidity, emotion dysregulation social cognitive difficulties. Comorbid ASD BPD recognized emerging clinical problem that may be challenging to treat. Design/methodology/approach The authors present a case study young person in the authors’ assessment clinic diagnosed with who had received standard dialectical behavior therapy (DBT) modest effects. provide...

Four studies with 180 5–7 year olds, 165 8–11 olds and 199 adults show that young children appreciate the distinctive role played by mechanistic explanations in tracking causal patterns. Young attributed greater knowledge to individuals offering reasons for a claim than others who provide equally detailed nonmechanistic reasons. In Study 1, those Studies 2 3, all ages (5–7 2; 5–7, 3) assigned about causally central features 4, (5–7, 8–11, adults) modulated epistemic bias as function of...

To evaluate the efficacy of rapidly effective treatments it is necessary to use measures that are designed assess symptom severity over short intervals. In present report from Rhode Island Methods Improve Diagnostic Assessment and Services (MIDAS) project, we modified our previously published anxiety scale examined reliability validity a daily version Clinically Useful Anxiety Outcome Scale (CUXOS-D, D indicates version).Two thousand four hundred ninety-one patients presenting for treatment...

A debate has emerged regarding the nature of Diagnostic and Statistical Manual Mental Disorders, Fifth Edition Level Personality Functioning (LPF; Criterion A) alternative model personality disorder. The aim current study was to evaluate distinctiveness an aspect LPF, namely, maladaptive self identity function, from general psychosocial disability by evaluating its incremental utility over that for disorder in adolescents. To this end, a measure function administered alongside measures...

The Alternative Model for Personality Disorders provides a dimensional framework the conceptualization of personality disorders where Criterion A concerns assessment one's level functioning (LPF). This study examines psychometric properties English translation Semi-Structured Interview Functioning (STiP-5.1) to validate this LPF in English-speaking populations; and examine whether measure increments self-report measures pathology predicting general functioning. sample consisted 129 emerging...

Research on parent-level factors linked to adolescent attachment security would inform interventions prevent or reduce youth psychopathology and other negative outcomes. The current study examined one relevant variable: maternal interpersonal problems. Interpersonal problems, a key characteristic of personality pathology, are well described by the circumplex (IPC) have been shown be associated with maladaptive adult in close/romantic relationships; however, studies not relationships...

Observational assessments of parent-adolescent conflict can guide interventions to prevent and reduce mental health problems. The authors identified the Observing Mediational Interactions (OMI) as a particularly useful coding system for examining conflict. OMI is observational measure used in Intervention Sensitizing Caregivers (MISC) quantifies emotional (attachment-based) cognitive (learning-based) behaviors during caregiver-child interactions.The overall aim current study was tailor...

Experts in personality disorders (PDs) generally prefer dimensional diagnostic systems to categorical ones, but less is known about experts' attitudes toward pathology diagnoses adolescents, and little public health shortfalls advocacy needs how these might differ geographically. To fill gaps, the International Society for Study of Personality Disorders surveyed 248 professionals with interests PDs their different adults PD-related clinical practices, perceived area. Results suggested that...

Research shows that parental personality pathology is associated with borderline disorder features and internalizing/externalizing symptoms in offspring. However, studies have been limited by DSM-IV-based assessments of pathology. The authors leveraged evidence interpersonal problems described the Interpersonal Circumplex align Criterion A DSM-5 Alternative Model for Personality Disorders therefore used a measure to capture hypothesized would be latent variable adolescent They also examined...

Examining the impact of maternal borderline personality disorder (BPD) on parent-child interactions could elucidate pathways intergenerational risk and inform intervention. The current study used an expanded version Observing Mediational Interactions to investigate (a) associations between BPD symptom severity mediational parenting behaviors during conflict discussions with clinically referred early adolescent offspring (

With the shift to dimensional model of personality pathology, need for measures assessing functioning in adolescence has emerged. The Levels Personality Functioning Questionnaire 12-18 (LoPF-Q 12-18) was developed specifically adolescents, tailoring Alternative Model Disorders DSM-5. Using Lithuanian LoPF-Q 1218, we further investigate its validity by reexamining factorial structure and extending convergent, discriminant, incremental analyses. A total 1,048 community-based clinically...

According to dimensional models of personality pathology, deficits in interpersonal (intimacy and empathy) self (identity self-direction) function (Criterion A) are core all disorders. These aspects functioning have seldom been evaluated for how they might relate one another the context pathology adolescents. Moreover, use performance-based measures evaluate Criterion A remains an untapped resource. Therefore, present study aimed relations between two features A, maladaptive intimacy (or...