المؤلفون: Sachs, Raney, Nakonezny, Paul A., Balzen, Kennedy M., Heerschap, Jessica, Kennard, Betsy D., Emslie, Graham J., Stewart, Sunita M.

المساهمون: National Center for Advancing Translational Sciences

المصدر: Suicide and Life-Threatening Behavior ; volume 54, issue 3, page 515-527 ; ISSN 0363-0234 1943-278X

الوصف: Introduction Parents and adolescents are often discrepant in their reports of adolescent psychosocial factors. Few studies have addressed parent–adolescent discrepancies in subjective ratings of familial dysfunction and depression as longitudinal predictor variables, and none have done so in a treatment setting for adolescents with acute suicidality. This study examined how parent–adolescent discrepancies in familial dysfunction and depression impact adolescent treatment response in an intensive outpatient program for suicidality. Methods Adolescents ( N = 315) were assessed at treatment entry and exit for familial dysfunction, depression, and suicidal ideation. Parents received parallel assessments of familial dysfunction and adolescent depression at each time point. A polynomial regression was conducted to determine whether parent–adolescent discrepancies in reports of familial dysfunction and depression at entry related to the treatment outcome of adolescent‐reported depression and suicide ideation at exit. Results Significant discrepancies were present with on average adolescents reporting more depression and familial dysfunction than parents. Entry discrepancy in familial dysfunction (but not depression) predicted suicide ideation at exit. Conclusions Our results suggest that parent–adolescent discrepancies in perception of familial dysfunction is a risk factor for poor outcomes in suicidal youth and might be a fruitful target in treatment programs.

الإتاحة: https://doi.org/10.1111/sltb.13062Test

المؤلفون: Balzen, Kennedy M.¹ (AUTHOR), Blacutt, Miguel² (AUTHOR), Lind, Majse³ (AUTHOR), Penner, Francesca⁴ (AUTHOR), Sharp, Carla¹ (AUTHOR) csharp2@Central.UH.EDU

المصدر: Journal of Personality Assessment. May/Jun2024, Vol. 106 Issue 3, p337-346. 10p.

مصطلحات موضوعية: IDENTITY (Psychology), PERSONALITY disorders, PSYCHOMETRICS, TEST validity, TEENAGERS

مستخلص: Identity formation is central to adolescent development. Challenges in establishing a stable sense of self is associated with maladaptive identity function, which has been recognized as a core feature of personality pathology. The narrative identity framework offers a unique lens to garner salient information about one's sense of self. The Awareness of Narrative Identity Questionnaire (ANIQ) is a self-report measure of narrative identity validated in adults but is yet to be validated in adolescents. The current study aimed to conduct the first psychometric evaluation of the ANIQ in a sample of 205 youth aged 10–14 years (M = 12.1 ± 1.06 years; 50.7% female; 73.7% Hispanic) recruited from a public charter school. Results confirmed the four-factor structure of the ANIQ and showed high internal consistency. Convergent validity was supported through negative associations between the ANIQ and borderline personality features and identity diffusion. Incremental validity of the ANIQ over identity diffusion in predicting borderline personality features was also examined, but not supported. Overall, results support the ANIQ as a promising instrument for the assessment of narrative identity in youth. However, some improvements to the ANIQ might be necessary in order to use it as a clinical tool in identifying youth with personality pathology. [ABSTRACT FROM AUTHOR]

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المؤلفون: Miles, Jane, Jones, Jessica M, Balzen, Kennedy M

المصدر: J Acad Consult Liaison Psychiatry ; ISSN:2667-2960

العلاقة: https://doi.org/10.1016/j.jaclp.2024.05.002Test; https://pubmed.ncbi.nlm.nih.gov/38759840Test

الإتاحة: https://doi.org/10.1016/j.jaclp.2024.05.002Test
https://pubmed.ncbi.nlm.nih.gov/38759840Test

المؤلفون: Balzen, Kennedy M, Sharp, Carla, Tongyao Ran, Johnson, Benjamin Norman

مصطلحات موضوعية: Clinical Psychology, Physical Sciences and Mathematics, Medicine and Health Sciences, Social and Behavioral Sciences, Psychology, FOS Psychology, adolescents, mentalizing, p-factor, structure of psychopathology

الوصف: Existing research on the structure of psychopathology in children and youth focuses on replicating a symmetrical bifactor model and validating the p-factor (Carragher et al., 2016; Haltigan et al., 2018; Michelini et al., 2019; also see Lynch et al., 2021 for a review). Resulting models from those studies are usually based on confirmatory approaches and diagnosis-level data and lack of indicators for personality pathology in those models, despite that personality is now recognized as a key integral thread in the structure of psychopathology (Kotov et al., 2017; Luyten & Fonagy, 2022). Mentalization is considered a central construct for understanding personality formation and personality pathology (Fonagy et al., 2018, 2021), as well as a transdiagnostic factor associated with vulnerability for psychopathology in general (for a review, see Johnson et al., 2022; Luyten et al., 2020). In the context of the structure of psychopathology, a recent study on the association between established psychopathology ...

العلاقة: https://osf.io/uzse2Test

الإتاحة: https://doi.org/10.17605/osf.io/anvdcTest
https://osf.io/anvdcTest/

المؤلفون: Balzen, Kennedy M, Kerr, Sophie, Gecha, Tess, Hutsebaut, Joost, Berghuis, Han, Sharp, Carla

المصدر: J Pers Assess ; ISSN:1532-7752

الوصف: The Alternative Model for Personality Disorders provides a dimensional framework for the conceptualization of personality disorders where Criterion A concerns the assessment of one's level of personality functioning (LPF). This study examines the psychometric properties of the English translation of the Semi-Structured Interview for Personality Functioning (STiP-5.1) to validate this translation for the assessment of LPF in English-speaking populations; and examine whether this measure increments self-report measures of LPF and personality pathology in predicting general functioning. The sample consisted of 129 emerging adults between 18 and 25 years of age (M = 20.54, SD = 2.08) from a mixed college and clinical sample. Results support a unidimensional factor structure of the STiP-5.1, good internal consistency, and high inter-rater reliability. Construct validity was supported through associations of the STiP-5.1 with self-report measures of LPF and personality pathology. The STiP-5.1 incremented self-report measures of personality pathology in predicting functional impairment, though additional variance explained was modest. Finally, STiP-5.1 scores differentiated individuals who obtained a score at or above the clinical cutoff from those below on self-report measures of personality pathology and LPF with large effect sizes. Findings support the validity of the English translation of the STiP-5.1 for the assessment of LPF.

العلاقة: https://doi.org/10.1080/00223891.2024.2365325Test; https://pubmed.ncbi.nlm.nih.gov/38934551Test

الإتاحة: https://doi.org/10.1080/00223891.2024.2365325Test
https://pubmed.ncbi.nlm.nih.gov/38934551Test

المؤلفون: Balzen, Kennedy M., Sharp, Carla

المصدر: Journal of Infant, Child, and Adolescent Psychotherapy ; volume 23, issue 1, page 108-121 ; ISSN 1528-9168 1940-9214

الإتاحة: https://doi.org/10.1080/15289168.2024.2311555Test

المؤلفون: Stanton, Kasey¹ (AUTHOR) kaseyjstanton@gmail.com, Balzen, Kennedy M.² (AUTHOR), DeFluri, Christine³ (AUTHOR), Brock, Peyton⁴ (AUTHOR), Levin-Aspenson, Holly F.⁵ (AUTHOR), Zimmerman, Mark⁶ (AUTHOR)

المصدر: Assessment. Apr2024, Vol. 31 Issue 3, p637-650. 14p.

مصطلحات موضوعية: *PERSONALITY disorders, *DISCRIMINANT analysis, *AFFECTIVE disorders, *PATHOLOGICAL psychology, *ALEXITHYMIA, *FACTOR analysis, *DESCRIPTIVE statistics, *EMOTION regulation

مستخلص: There have been proposals to expand definitions for categorical disorders and dimensionally conceptualized syndromes (e.g., psychopathy) to include negative mood lability and dysregulation (NMD). Factor analytic results are often presented in support of these proposals, and we provide factor analytic demonstrations across clinically oriented samples showing that NMD indicators load strongly onto factors with a range of psychopathology. This is unsurprising from a transdiagnostic perspective but shows that factor analysis could potentially be used to justify expanding definitions for specific constructs even though NMD indicators show strong, nonspecific loadings on psychopathology factors ranging widely in nature. Expanding construct definitions and assessment approaches to emphasize NMD also may negatively impact discriminant validity. We agree that targeting NMD is essential for comprehensive assessment, but our demonstrative analyses highlight a need for using factor analysis and other statistical methods in a careful, theoretically driven manner when evaluating psychopathology structure and developing measures. [ABSTRACT FROM AUTHOR]

المؤلفون: Balzen, Kennedy M., Goette, William F., Sachs, Raney, Krantz, Savannah M., Heerschap, Jessica, Kennard, Betsy D., Emslie, Graham J., Stewart, Sunita M.

المساهمون: Otsuka America, American Foundation for Suicide Prevention, Patient-Centered Outcomes Research Institute, National Institutes of Health, National Center for Advancing Translational Sciences

المصدر: Journal of Affective Disorders ; volume 311, page 515-522 ; ISSN 0165-0327

مصطلحات موضوعية: Psychiatry and Mental health, Clinical Psychology

الإتاحة: https://doi.org/10.1016/j.jad.2022.05.083Test
https://api.elsevier.com/content/article/PII:S0165032722005973?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S0165032722005973?httpAccept=text/plainTest

المؤلفون: Stanton, Kasey, Balzen, Kennedy M., DeFluri, Christine, Brock, Peyton, Levin-Aspenson, Holly F., Zimmerman, Mark

المصدر: Assessment ; volume 31, issue 3, page 637-650 ; ISSN 1073-1911 1552-3489

مصطلحات موضوعية: Applied Psychology, Clinical Psychology

الوصف: There have been proposals to expand definitions for categorical disorders and dimensionally conceptualized syndromes (e.g., psychopathy) to include negative mood lability and dysregulation (NMD). Factor analytic results are often presented in support of these proposals, and we provide factor analytic demonstrations across clinically oriented samples showing that NMD indicators load strongly onto factors with a range of psychopathology. This is unsurprising from a transdiagnostic perspective but shows that factor analysis could potentially be used to justify expanding definitions for specific constructs even though NMD indicators show strong, nonspecific loadings on psychopathology factors ranging widely in nature. Expanding construct definitions and assessment approaches to emphasize NMD also may negatively impact discriminant validity. We agree that targeting NMD is essential for comprehensive assessment, but our demonstrative analyses highlight a need for using factor analysis and other statistical methods in a careful, theoretically driven manner when evaluating psychopathology structure and developing measures.

الإتاحة: https://doi.org/10.1177/10731911231174471Test

المؤلفون: Balzen, Kennedy M., Blacutt, Miguel, Lind, Majse, Penner, Francesca, Sharp, Carla

المصدر: Journal of Personality Assessment ; volume 106, issue 3, page 337-346 ; ISSN 0022-3891 1532-7752

الإتاحة: https://doi.org/10.1080/00223891.2023.2258979Test