{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T13:31:07Z","timestamp":1762608667232,"version":"build-2065373602"},"reference-count":52,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T00:00:00Z","timestamp":1648512000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"The Scientific Committee of the Psychodynamic Diagnostic Manual, 2nd Edition (PDM-2) and the Interdisciplinary Council on Developmental and Learning Disorders.","award":["5"],"award-info":[{"award-number":["5"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: A growing body of evidence has shown that maladaptive traits and emerging patterns of personality can be traced to an early stage of development and may be assessed in childhood. The goal of present study was to provide preliminary data on the validity of the Coolidge Personality and Neuropsychological Inventory for Children (CPNI), an instrument designed to assess personality pathologies and other clinical conditions in childhood. Method: A sample of 146 clinicians completed the CPNI, as well as the Child Behavior Checklist (CBCL) to evaluate the behavioral problems and social competencies, regarding a child (aged 6\u201311 years) who had been in their care between 2 and 12 months. The clinicians also filled out a clinical questionnaire to provide information on the children, their families, and psychotherapies. Results: There were significant and clinically consistent associations between the CPNI and CBCL. They confirmed the good concurrent (convergent and discriminant) validity of the CPNI. Conclusions: The findings seem to support the validity of the CPNI as diagnostic instrument, taking children\u2019s PDs and behavioral problems into account. Despite some limitations, the CPNI represents a helpful measure to evaluate the children\u2019s personality configurations according to the DSM model. It may be employed along with other tools based on other diagnostic frameworks within the context of a multi-method and multi-informant assessment to provide an accurate and comprehensive formulation of children\u2019s overall functioning.<\/jats:p>","DOI":"10.3390\/ijerph19074050","type":"journal-article","created":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T21:44:52Z","timestamp":1648590292000},"page":"4050","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Personality Disorders in Childhood: Validity of the Coolidge Personality and Neuropsychological Inventory for Children (CPNI)"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5543-3805","authenticated-orcid":false,"given":"Alexandro","family":"Fortunato","sequence":"first","affiliation":[{"name":"Department of Dynamic and Clinical Psychology, and Health Studies, \u201cSapienza\u201d, University of Rome, Via degli Apuli 1, 00185 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6098-2304","authenticated-orcid":false,"given":"Annalisa","family":"Tanzilli","sequence":"additional","affiliation":[{"name":"Department of Dynamic and Clinical Psychology, and Health Studies, \u201cSapienza\u201d, University of Rome, Via degli Apuli 1, 00185 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1298-3935","authenticated-orcid":false,"given":"Vittorio","family":"Lingiardi","sequence":"additional","affiliation":[{"name":"Department of Dynamic and Clinical Psychology, and Health Studies, \u201cSapienza\u201d, University of Rome, Via degli Apuli 1, 00185 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8988-2940","authenticated-orcid":false,"given":"Anna","family":"Speranza","sequence":"additional","affiliation":[{"name":"Department of Dynamic and Clinical Psychology, and Health Studies, \u201cSapienza\u201d, University of Rome, Via degli Apuli 1, 00185 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,3,29]]},"reference":[{"key":"ref_1","first-page":"222","article-title":"Personality traits and disorders in childhood: Clinical evaluation and diagnosis","volume":"15","author":"Fortunato","year":"2018","journal-title":"Clin. Neuropsychiatry J. Treat. Eval."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Fortunato, A., Tanzilli, A., Lingiardi, V., and Speranza, A.M. (2021). Childhood Personality Assessment Q\u2013Sort (CPAP\u2013Q): A clinically and empirically procedure for assessing traits and emerging patterns of personality in childhood. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18126288"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1111\/1467-6494.7104001","article-title":"Children\u2019s behavioral styles at age 3 are linked to their adult personality traits at age 26","volume":"71","author":"Caspi","year":"2003","journal-title":"J. Personal."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1017\/S095457940900042X","article-title":"Childhood antecedents of personality disorder: An alternative perspective","volume":"21","author":"Widiger","year":"2009","journal-title":"Dev. Psychopathol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1146\/annurev.psych.093008.100507","article-title":"Personality development: Continuity and change over the life course","volume":"61","author":"McAdams","year":"2010","journal-title":"Annu. Rev. Psychol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1007\/s10862-010-9205-6","article-title":"Measurement and assessment of child and adolescent personality pathology: Introduction to the special issue","volume":"32","author":"Tackett","year":"2010","journal-title":"J. Psychopathol. Behav. Assess."},{"key":"ref_7","unstructured":"Lingiardi, V., and McWilliams, N. (2017). Psychoanalytic Diagnostic Manual, Guilford Press. [2nd ed.]. (PDM-2)."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1017\/S095457940000585X","article-title":"Child maltreatment, attachment, and the self-system: Emergence of an internal state lexicon in toddlers at high social risk","volume":"6","author":"Beeghly","year":"1994","journal-title":"Dev. Psychopathol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1097\/00004583-199505000-00008","article-title":"A developmental psychopathology perspective on child abuse and neglect","volume":"34","author":"Cicchetti","year":"1995","journal-title":"J. Am. Acad. Child. Adolesc. Psychiatry"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1017\/S0954579497001399","article-title":"Attachment and reflective function: Their role in self-organization","volume":"9","author":"Fonagy","year":"1997","journal-title":"Dev. Psychopathol."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Fortunato, A., Tanzilli, A., Lingiardi, V., and Speranza, A.M. (2022). Chart\u2013Child (PDC\u2013C): A valid and clinically sensitive diagnostic tool for patient-tailored intervention planning. Res. Psychother. Psychopathol. Process Outcome, in press.","DOI":"10.4081\/ripppo.2022.591"},{"key":"ref_12","unstructured":"Lingiardi, V., and McWilliams, N. (2017). Psychoanalytic Diagnostic Manual, Guilford Press. [2nd ed.]. (PDM-2)."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/S1056-4993(18)30258-X","article-title":"Homeostasis, stress, trauma, and adaptation: A neurodevelopmental view of childhood trauma","volume":"7","author":"Perry","year":"1998","journal-title":"Child. Adolesc. Psychiatr. Clin. N. Am."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1192\/bjp.150.4.443","article-title":"Temperament, personality, and personality disorder","volume":"150","author":"Rutter","year":"1987","journal-title":"Br. J. Psychiatry"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1111\/1467-8624.00047","article-title":"Caregiving and developmental factors differentiating young at-risk urban children showing resilient versus stress-affected outcomes: A replication and extension","volume":"70","author":"Wyman","year":"1999","journal-title":"Child Dev."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"341","DOI":"10.3109\/10673229609017202","article-title":"Early childhood predictors of adult psychopathology","volume":"3","author":"Kagan","year":"1996","journal-title":"Harv. Rev. Psychiatry"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1403","DOI":"10.1017\/S0954579417000347","article-title":"Understanding adolescent personality pathology from growth trajectories of childhood oddity","volume":"29","author":"Verbeke","year":"2017","journal-title":"Dev. Psychopathol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1017\/S0954579409000443","article-title":"Predictors of withdrawal: Possible precursors of avoidant personality disorder","volume":"21","author":"Eggum","year":"2009","journal-title":"Dev. Psychopathol."},{"key":"ref_19","unstructured":"American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders, American Psychiatric Publishing. [4th ed.]."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, American Psychiatric Publishing. [5th ed.].","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1177\/0145445502026004007","article-title":"The Coolidge Personality and Neuropsychological Inventory for Children (CPNI). Preliminary Psychometric Characteristics","volume":"26","author":"Coolidge","year":"2002","journal-title":"Behav. Modif."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1006\/jrpe.2000.2298","article-title":"Neuropsychological dysfunction in children with borderline personality disorder features: A preliminary investigation","volume":"34","author":"Coolidge","year":"2000","journal-title":"J. Res. Personal."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1016\/j.beth.2010.11.003","article-title":"Exploring the association between emotional abuse and childhood borderline personality features: The moderating role of personality traits","volume":"42","author":"Gratz","year":"2011","journal-title":"Behav. Ther."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1023\/B:BEGE.0000009486.97375.53","article-title":"Are personality disorders psychological manifestations of executive function deficits? Bivariate heritability evidence from a twin study","volume":"34","author":"Coolidge","year":"2004","journal-title":"Behav. Gen."},{"key":"ref_25","first-page":"4","article-title":"Maladaptive personality and neuropsychological features of highly relationally aggressive adolescent girls","volume":"26","author":"Savage","year":"2016","journal-title":"Brock Educ. J."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1007\/s10803-006-0212-0","article-title":"Psychological and neurobehavioral comparisons of children with Asperger\u2019s disorder versus high-functioning autism","volume":"37","author":"Thede","year":"2007","journal-title":"J. Autism Dev. Dis."},{"key":"ref_27","first-page":"154162","article-title":"Integrating a developmental perspective in dimensional models of personality disorders","volume":"29","author":"Widiger","year":"2009","journal-title":"Clin. Psychol. Rev."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1176\/ajp.156.2.258","article-title":"Revising and assessing Axis II, Part I: Developing a clinically and empirically valid assessment method","volume":"156","author":"Westen","year":"1999","journal-title":"Am. J. Psychiatry"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1176\/ajp.156.2.273","article-title":"Revising and assessing Axis II, Part II: Toward an empirically based and clinically useful classification of personality disorders","volume":"156","author":"Westen","year":"1999","journal-title":"Am. J. Psychiatry"},{"key":"ref_30","unstructured":"Achenbach, T. (1991). Manual for the Child Behavior Checklist\/4-18 and 1991 Profile, Department of Psychiatry, University of Vermont."},{"key":"ref_31","unstructured":"Achenbach, T.M., and Rescorla, L.A. (2000). Manual for ASEBA Preschool Forms and Profiles, Research Center for Children, Youth, and Families, University of Vermont."},{"key":"ref_32","first-page":"31","article-title":"Personality disorder in childhood and adolescence comes of age: A review of the current evidence and prospects for future research","volume":"3","author":"Kongerslev","year":"2015","journal-title":"Scan. J. Child Adolesc. Psychiatr. Psychol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1016\/j.biopsych.2006.09.019","article-title":"DSM-IV personality disorders in the National Comorbidity Survey Replication","volume":"62","author":"Lenzenweger","year":"2007","journal-title":"Biol. Psychiatry"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1192\/bjp.2018.202","article-title":"Prevalence of personality disorders in the general adult population in Western countries: Systematic review and meta-analysis","volume":"213","author":"Volkert","year":"2018","journal-title":"Br. J. Psychiatry"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1016\/S0140-6736(14)61995-4","article-title":"Classification, assessment, prevalence, and effect of personality disorder","volume":"385","author":"Tyrer","year":"2015","journal-title":"Lancet"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1176\/appi.ajp.2011.11020274","article-title":"An empirically derived taxonomy for personality diagnosis: Bridging science and practice in conceptualizing personality","volume":"169","author":"Westen","year":"2012","journal-title":"Am. J. Psychiatry"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1080\/00223891.2019.1674318","article-title":"Clinician reactions when working with adolescent patients: The Therapist Response Questionnaire for Adolescents","volume":"102","author":"Tanzilli","year":"2020","journal-title":"J. Personal. Assess."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1521\/pedi.2020.34.supp.42","article-title":"Clinician emotional responses and therapeutic alliance when treating adolescent patients with Narcissistic Personality Disorder subtypes: A clinically meaningful empirical investigation","volume":"34","author":"Tanzilli","year":"2020","journal-title":"J. Personal. Disord."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1181","DOI":"10.1017\/S0954579409990101","article-title":"Examining the developmental history of child maltreatment, peer relations, and externalizing problems among adolescents with symptoms of paranoid personality disorder","volume":"21","author":"Natsuaki","year":"2009","journal-title":"Dev. Psychopathol."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"1211","DOI":"10.1017\/S0954579409990125","article-title":"Does change in temperament predict change in schizoid personality disorder? A methodological framework and illustration from the Longitudinal Study of Personality Disorders","volume":"21","author":"Lenzenweger","year":"2009","journal-title":"Dev. Psychopathol."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1038\/s41562-018-0309-4","article-title":"Male antisocial behaviour in adolescence and beyond","volume":"2","author":"Moffitt","year":"2018","journal-title":"Nat. Hum. Behav."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1207\/S15374424JCCP3201_13","article-title":"The relation of narcissism and self-esteem to conduct problems in children: A preliminary investigation","volume":"32","author":"Barry","year":"2003","journal-title":"J. Clinical Child Adolesc. Psychol."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1792","DOI":"10.1111\/j.1467-8624.2008.01226.x","article-title":"Trumping shame by blasts of noise: Narcissism, self-esteem, shame, and aggression in young adolescents","volume":"79","author":"Thomaes","year":"2008","journal-title":"Child Dev."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1097\/NMD.0000000000001044","article-title":"Interpersonal problems associated with passive-aggressive personality disorder","volume":"207","author":"Ogrodniczuk","year":"2019","journal-title":"J. Nerv. Ment. Dis."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1521\/psyc.2009.72.3.256","article-title":"The construct validity of passive-aggressive personality disorder","volume":"72","author":"Hopwood","year":"2009","journal-title":"Psychiatry"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1293","DOI":"10.1017\/S0954579409990162","article-title":"Emotional instability, poor emotional awareness, and the development of borderline personality","volume":"21","author":"Cole","year":"2009","journal-title":"Dev. Psychopathol."},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Sharp, C., and Tackett, J.L. (2014). Handbook of Borderline Personality Disorder in Children and Adolescents, Springer.","DOI":"10.1007\/978-1-4939-0591-1"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1325","DOI":"10.1111\/j.1467-6494.2010.00652.x","article-title":"Passive-submissive and active- emotional trait dependency: Evidence for a two-factor model","volume":"78","author":"Morgan","year":"2010","journal-title":"J. Personal."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"1065","DOI":"10.1017\/S0954579409990046","article-title":"A functionalist perspective on social anxiety and avoidant personality disorder","volume":"21","year":"2009","journal-title":"Dev. Psychopathol."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1521\/pedi.16.2.174.22546","article-title":"Personality and mood correlates of avoidant personality disorder","volume":"16","author":"Meyer","year":"2002","journal-title":"J. Personal. Dis."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1017\/S0954579409990095","article-title":"Exploring depressive personality traits in youth: Origins, correlates, and developmental consequences","volume":"21","author":"Rudolph","year":"2009","journal-title":"Dev. Psychopathol."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"952","DOI":"10.1176\/appi.ajp.160.5.952","article-title":"Personality diagnoses in adolescence: DSM-IV axis II diagnoses and an empirically derived alternative","volume":"160","author":"Westen","year":"2003","journal-title":"Am. J. Psychiatry"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/7\/4050\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:45:42Z","timestamp":1760136342000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/7\/4050"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,29]]},"references-count":52,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2022,4]]}},"alternative-id":["ijerph19074050"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19074050","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2022,3,29]]}}}