Presentation on theme: "Severity Indices of Personality Problems (SIPP-118) as a clinical instrument Dineke Feenstra, Helene Andrea and Joost Hutsebaut APA Annual Meeting, 2009."— Presentation transcript:
Severity Indices of Personality Problems (SIPP-118) as a clinical instrument Dineke Feenstra, Helene Andrea and Joost Hutsebaut APA Annual Meeting, 2009 San Francisco
Introduction Personality development includes the development of adaptive capacities Link between adaptational level and severity of personality problems Lack of instruments measuring adaptive capacities and change SIPP developed and tested in both an adult as an adolescent population
How to use the SIPP-118? Some guidelines for the assessment of personality pathology: –Screening for symptoms (SCL-90) –Semi-structured interviews for axis I and axis II disorders (SCID I and SCID II) –Use personality questionnaires (SIPP-118) –Use if necessary projective tests, like the TAT, Rorschach etc.
Structure of the SIPP Self-report questionnaire; Patients are asked to fill in 118 statements about themselves, referring to the last 3 months Example: I know exactly who I am and what I am worth. □□□□ FullyPartlyPartlyFully disagreedisagreeagreeagree
Structure of the SIPP DomainsFacets Self-controlEmotion regulation Effortful control Identity integrationSelf respect Stable self image Self-reflexive functioning Enjoyment Purposefulness Relational capacitiesIntimacy Enduring relationships Feeling recognized Social concordanceAggression regulation Frustration tolerance Cooperation Respect ResponsibilityResponsible industry Trustworthiness
Case I 16-year old adolescent; Further information has been omitted because of privacy reasons.
Case I Screening of symptoms: –Brief symptom inventory (BSI): Very high level of symptomatic distress Especially fear and depressive symptoms –Child behavior Checklist (CBCL): Parents report both internalizing as well as externalizing problems
Case I Semi-structured interviews: –SCID I: Dysthymic disorder Panic attacks Flashbacks, no PTSD –SCID II: Borderline personality disorder Some dependent characteristics
Case I DomainFacetNorm clinical populationNorm general population Self-controlEmotion regulationLowVery low Effortful controlLowVery low Identity integrationSelf respectLowVery low Stable self imageMediateVery low Self-reflexive functioningMediateVery low EnjoymentMediateVery low PurposefulnessLowVery low Relational functioningIntimacyLowVery low Enduring relationshipsMediateLow Feeling recognizedLowVery low Social concordanceAggression regulationMediateVery low Frustration toleranceMediateLow CooperationMediate RespectMediateLow ResponsibilityResponsible industryMediate TrustworthinessMediateLow
Conclusion: –high level of symptoms, not unusual for the classifications that were found with the interviews; –very low to low scores on the SIPP, indicating severe maladaptive personality functioning. –Further information has been omitted, because of privacy reasons.
Case II 24-year old woman; Further information has been omitted because of privacy reasons.
Case II Screening of symptoms: –Brief symptom inventory (BSI): High level of symptomatic distress Especially obsessive-compulsive symptoms
Case II Semi-structured interviews: –SCID I: PTSD Symptoms of general anxiety –SCID II: No diagnosis But the interviewer is not sure…
Case II DomainFacetNorm clinical populationNorm general population Self-controlEmotion regulationHighMediate Effortful controlMediate Identity integrationSelf respectHighMediate Stable self imageHighMediate Self-reflexive functioningMediateLow EnjoymentHighMediate PurposefulnessMediate Relational functioningIntimacyMediate Enduring relationshipsMediate Feeling recognizedMediate Social concordanceAggression regulationHighMediate Frustration toleranceMediate CooperationMediate RespectMediate ResponsibilityResponsible industryMediate TrustworthinessMediate
Conclusion: –high level of distress. –the SIPP shows a good profile, suggesting that the complaints are best explained by the PTSD. –Further information has been omitted because of privacy reasons.
Conclusions SIPP The SIPP seems to be a promising instrument that can be used as an outcome tool, but certainly also as an assessment tool The SIPP can be used for adults as well as adolescents The SIPP is best used in combination with other instruments The SIPP can give information about the more structural characteristics of personality, and especially about the severity of a disorder.