{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T00:16:59Z","timestamp":1758759419590,"version":"3.44.0"},"reference-count":31,"publisher":"Guilford Publications","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Bulletin of the Menninger Clinic"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:p> Background: Adolescents admitted as acute inpatients are a particularly vulnerable psychosocial population. This study aimed to examine their level of personality functioning in an acute psychiatric treatment setting. Methods: We evaluated personality functioning in 62 adolescents using the Level of Personality Functioning-Questionnaire 12-18 (LoPF-Q 12-18) from a patient perspective and the Level of Personality Functioning Scale (LPFS) completed by clinicians. Results: Adolescent patients exhibited a relatively high level of impaired personality functioning, with females tending to show partly higher levels of impairment than males. The agreement between self-reported and clinician reported impairment of personality functioning was low. Biopsychosocial mental health was a strong predictor of self-reported and clinician-reported levels of personality functioning, in contrast to nonsuicidal self-injurious behavior and suicidality. Conclusion: Our findings identify important characteristics of adolescents in acute psychiatric inpatient units. The LoPF-Q may serve as a valuable screening tool for diagnostics and treatment. <\/jats:p>","DOI":"10.1521\/bumc.2025.89.3.240","type":"journal-article","created":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T14:58:21Z","timestamp":1758725901000},"page":"240-258","source":"Crossref","is-referenced-by-count":0,"title":["Level of personality functioning of adolescents in an acute psychiatric treatment setting: A cohort study"],"prefix":"10.1521","volume":"89","author":[{"given":"Holger","family":"Zapf","sequence":"first","affiliation":[{"name":"Clinical psychologist, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ursula","family":"Voelker","sequence":"additional","affiliation":[{"name":"Psychiatrist, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dennis","family":"Radzuweit","sequence":"additional","affiliation":[{"name":"Psychiatrist, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirstin","family":"Goth","sequence":"additional","affiliation":[{"name":"Clinical psychologist and research group leader, Department of Child and Adolescent Psychiatry, University Clinics Saarland, Homburg, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Hohmann","sequence":"additional","affiliation":[{"name":"Psychiatrist and director, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carola","family":"Bindt","sequence":"additional","affiliation":[{"name":"Psychiatrist and deputy-director, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"Boettcher","sequence":"additional","affiliation":[{"name":"Clinical psychologist and research group leader, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"377","reference":[{"key":"ref1","volume-title":"LoPF-Q 6-18 PR (Levels of Personality Functioning Questionnaire, Parent Report) German Version: A Parent-Report Questionnaire for Measuring Impairments in Personality Functioning (IPF) in Children and Adolescents Aged 6-18 Years\u2014Short Manual","author":"Birkh\u00f6lzer M.","year":"2023"},{"key":"ref2","volume-title":"LoPF-Q 12-18 (Levels of Personality Functioning Questionnaire) German - 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