Background: The alternative model for personality disorders of the DSM-5 introduced an evidence-based, dimensional concept for the diagnosis of personality disorders. Criterion A, operationalized with the Level of Personality Functioning Scale, differentiates different levels of impairments in personality functioning. The Semi-Structured Interview for Personality Functioning DSM-5 (STiP-5.1) is a valid, reliable, and economic interview for the assessment of Criterion A. However, to date, there is no validated form of the interview in the German language. The aim of this study is the psychometric evaluation of the German version of the STiP-5.1.
Methods: The validity and reliability of the STiP-5.1 was investigated in a sample of healthy adults (n=55) and inpatients diagnosed with a mental disorder (n=55). Construct validity was evaluated by correlations with questionnaires for the assessment of structural impairment (IPO-16, OPD-SQS), and maladaptive personality traits (SCID-II-PQ). Interrater reliability was investigated in a sub-sample of healthy individuals and inpatients (n=50).
Results: With regard to validity, high correlations (r=0.68-0.78) between STiP-5.1- ratings and convergent self-report questionnaires were found. The sub-sample showed good interrater reliability (ICC=0.93). Interviews took 38 min. on average.
Conclusions: The German version of the STiP-5.1 provides a valid, reliable and economic interview procedure for the dimensional assessment of personality functioning for research and clinical practice.
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http://dx.doi.org/10.1055/a-1010-6887 | DOI Listing |
Disabil Rehabil
January 2025
Clinic Institute of Medical and Surgical Specialties (ICEMEQ), Hospital Clinic of Barcelona, Barcelona, Spain.
Purpose: Adherence to home rehabilitation following total knee arthroplasty (TKA) is essential to reach optimal functional outcomes, especially in fast-track procedures. The aim of this study is to identify which sociodemographic and health factors significantly affect adherence in this context.
Methods: This is a secondary analysis of a randomized controlled trial with 52 patients.
J Med Internet Res
January 2025
Centre for Cognitive and Brain Sciences, Institute of Collaborative Innovation, University of Macau, Macau, China.
This study provides preliminary evidence for real-time functional magnetic resonance imaging neurofeedback (rt-fMRI NF) as a potential intervention approach for internet gaming disorder (IGD). In a preregistered, randomized, single-blind trial, young individuals with elevated IGD risk were trained to downregulate gaming addiction-related brain activity. We show that, after 2 sessions of neurofeedback training, participants successfully downregulated their brain responses to gaming cues, suggesting the therapeutic potential of rt-fMRI NF for IGD (Trial Registration: ClinicalTrials.
View Article and Find Full Text PDFJMIR Ment Health
January 2025
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States.
Background: Mental health concerns have become increasingly prevalent; however, care remains inaccessible to many. While digital mental health interventions offer a promising solution, self-help and even coached apps have not fully addressed the challenge. There is now a growing interest in hybrid, or blended, care approaches that use apps as tools to augment, rather than to entirely guide, care.
View Article and Find Full Text PDFNeurology
February 2025
School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Background And Objectives: Lipid metabolism in older adults is affected by various factors including biological aging, functional decline, reduced physiologic reserve, and nutrient intake. The dysregulation of lipid metabolism could adversely affect brain health. This study investigated the association between year-to-year intraindividual lipid variability and subsequent risk of cognitive decline and dementia in community-dwelling older adults.
View Article and Find Full Text PDFNeurol Neuroimmunol Neuroinflamm
March 2025
Department of Neurology and Experimental Neurology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt- Universität zu Berlin.
Background And Objectives: Cognitive deficits represent a major long-term complication of anti-leucine-rich, glioma-inactivated 1 encephalitis (LGI1-E). Although severely affecting patient outcomes, the structural brain changes underlying these deficits remain poorly understood. In this study, we hypothesized a link between white matter (WM) networks and cognitive outcomes in LGI1-E.
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