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September 14, 2026Personality and Mental HealthOpen Access

Latent Structure and Incremental Validity of the Semi‐Structured Interview for Personality Functioning DSM‐5 (STiP‐5.1) in a Lithuanian Adolescent Sample

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Authors

AGAgnė GrigaitėEGElena GaudiešiūtėJHJoost Hutsebaut

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Overview

Cross-sectional study reveals the latent structure and validity of clinician-rated personality functioning in adolescents, highlighting the value of multimethod assessment.

Key Points

  • To evaluate the latent structure of the Semi-Structured Interview for Personality Functioning DSM-5 (STiP-5.1) and determine its incremental validity in predicting functional impairment beyond self-report measures.
  • Assessed 178 adolescents aged 11–18 years from Lithuania, including a clinical sample (n = 104) and a community sample (n = 74).
  • Evaluated latent structure using confirmatory factor analysis (CFA) and bifactor modeling.
  • Conducted hierarchical regression analyses to assess whether STiP-5.1 explained additional variance in functional impairment (WHODAS 2.0) beyond self-reported personality functioning (LoPF-Q 12-18 Short).
  • A bifactor model demonstrated the best fit and revealed a predominant general factor accounting for most reliable variance, while a four-factor CFA model also showed excellent fit across identity, self-direction, empathy, and intimacy.
  • Clinician-rated personality functioning explained additional variance in functional impairment beyond self-reports, with self-direction acting as a unique predictor.

Cite This Study

Grigaitė et al. (2026) studied this question.

synapsesocial.com/papers/6aa7b2e10926e14a848b1741https://doi.org/10.1002/pmh.70103
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