Functioning Assessment Short Test (FAST): validity and reliability in adolescent and young adults with Borderline Personality Disorder (BPD)
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| Titel: | Functioning Assessment Short Test (FAST): validity and reliability in adolescent and young adults with Borderline Personality Disorder (BPD) |
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| Autoren: | Natalia Calvo, Jordi Morillas, Derek Clougher, Adriane R Rosa, Miquel Bernardo, Josep Antoni Ramos-Quiroga, Silvia Amoretti, Marc Ferrer |
| Weitere Verfasser: | Institut Català de la Salut, [Calvo N, Ramos-Quiroga JA, Ferrer M] Servei de Psiquiatria, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Biomedical Online Research Center of Mental Health (CIBERSAM), Barcelona, Spain. Grup de Recerca de Psiquiatria, Salut Mental i Addiccions, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Psychiatry and Legal Medicine Department, Autonomous University of Barcelona (UAB), Bellaterra, Spain. Group TLP Barcelona, Spain. [Morillas J] Servei de Psiquiatria, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Biomedical Online Research Center of Mental Health (CIBERSAM), Barcelona, Spain. [Clougher D] Bipolar and Depressive Disorders Unit, Hospital Clínic de Barcelona, Departament de Medicina, Facultat de Medicina i Ciències de la Salut, Institut de Neurociències (UBNeuro), Universitat de Barcelona (UB), Fundació Clínic-Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), CIBERSAM, ISCIII, Barcelona, Spain. BIOARABA, Department Psychiatry, Hospital Universitario de Alava, CIBERSAM, University of the Basque Country, Vitoria, Spain. [Rosa AR] Laboratory of Molecular Psychiatry, Hospital Clinic of Porto Alegre (HCPA), Porto Alegre, RS, Brazil. Department of Pharmacology and Graduate Program of Pharmacology and Therapeutics, Institute for Basic Medical Science, University Federal do Rio Grande, do Sul, Brazil. Graduate Program in Psychiatry and Behavioral Sciences, School of Medicine, University Federal of Rio Grande doSul, (UFRGS), Porto Alegre, RS, Brazil. [Bernardo M] Barcelona Clinic Schizophrenia Unit, Hospital Clínic de Barcelona, Instituto de Investigaciones Biomédicas August Pi I Sunyer (IDIBAPS), CIBERSAM, ISCIII, Barcelona, Spain. Departamento de Medicina, Instituto de Neurociencias (UBNeuro), Universidad de Barcelona (UB), Spain. [Amoretti S] Servei de Psiquiatria, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Biomedical Online Research Center of Mental Health (CIBERSAM), Barcelona, Spain. Grup de Recerca de Psiquiatria, Salut Mental i Addiccions, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain, Vall d'Hebron Barcelona Hospital Campus |
| Quelle: | Scientia Scientia. Dipòsit d'Informació Digital del Departament de Salut instname |
| Verlagsinformationen: | Elsevier BV, 2025. |
| Publikationsjahr: | 2025 |
| Schlagwörter: | PSIQUIATRÍA Y PSICOLOGÍA::trastornos mentales::trastornos de la personalidad::trastorno de personalidad limítrofe, Trastorn límit de la personalitat - Diagnòstic, Otros calificadores::Otros calificadores::/diagnóstico, NAMED GROUPS::Persons::Age Groups::Adolescent, DENOMINACIONES DE GRUPOS::personas::Grupos de Edad::adolescente, Adolescents, Tests neuropsicològics, PSYCHIATRY AND PSYCHOLOGY::Mental Disorders::Personality Disorders::Borderline Personality Disorder, PSYCHIATRY AND PSYCHOLOGY::Behavioral Disciplines and Activities::Psychological Tests::Neuropsychological Tests, Other subheadings::Other subheadings::/diagnosis, PSIQUIATRÍA Y PSICOLOGÍA::disciplinas y actividades conductuales::pruebas psicológicas::pruebas neuropsicológicas |
| Beschreibung: | Borderline Personality Disorder (BPD) significantly impacts individuals, causing substantial distress and impairing social, occupational, and other critical areas of functioning. Current tools to assess functioning in BPD are limited and often lack validation in BPD-specific populations. Furthermore, available instruments focus primarily on global functioning rather than specific areas such as cognitive functioning or interpersonal relationships. This study aims to validate the Functioning Assessment Short Test (FAST) in adolescents and young adults with BPD in a Spanish population.An observational study was conducted with 216 BPD patients and 107 healthy controls (HC) matched by age and sex. Participants were assessed using the FAST, and additional clinical measures were applied. Internal consistency, inter-rater reliability, exploratory and confirmatory factor analysis, discriminant validity through ROC analysis, and logistic regression were performed to evaluate the psychometric properties of the FAST. Additionally, sensitivity to change was assessed to determine the FAST's responsiveness to clinical improvements.The FAST demonstrated high internal consistency (Cronbach's alpha = 0.869) and a six-factor structure. Inter-rater reliability analysis indicated excellent agreement (ICC=0.997, 95 % CI=0.991-0.999). The tool showed high discriminant capacity between BPD patients and HC (AUC=0.947), with a cutoff score of >11 achieving 88 % sensitivity and 90.7 % specificity. Sensitivity to change analyses in a subgroup of 35 BPD patients revealed significant effect sizes (ES=-0.98), supporting the FAST's ability to detect functional improvements over time.The FAST is a valid and reliable instrument for assessing psychosocial functioning in adolescents and young adults with BPD. |
| Publikationsart: | Article |
| Dateibeschreibung: | application/pdf |
| Sprache: | English |
| ISSN: | 0924-977X |
| DOI: | 10.1016/j.euroneuro.2025.04.002 |
| Zugangs-URL: | https://pubmed.ncbi.nlm.nih.gov/40408833 http://hdl.handle.net/11351/13404 |
| Rights: | CC BY NC ND |
| Dokumentencode: | edsair.doi.dedup.....ba989732eb7ba4619b7dde686a46e5ef |
| Datenbank: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | Borderline Personality Disorder (BPD) significantly impacts individuals, causing substantial distress and impairing social, occupational, and other critical areas of functioning. Current tools to assess functioning in BPD are limited and often lack validation in BPD-specific populations. Furthermore, available instruments focus primarily on global functioning rather than specific areas such as cognitive functioning or interpersonal relationships. This study aims to validate the Functioning Assessment Short Test (FAST) in adolescents and young adults with BPD in a Spanish population.An observational study was conducted with 216 BPD patients and 107 healthy controls (HC) matched by age and sex. Participants were assessed using the FAST, and additional clinical measures were applied. Internal consistency, inter-rater reliability, exploratory and confirmatory factor analysis, discriminant validity through ROC analysis, and logistic regression were performed to evaluate the psychometric properties of the FAST. Additionally, sensitivity to change was assessed to determine the FAST's responsiveness to clinical improvements.The FAST demonstrated high internal consistency (Cronbach's alpha = 0.869) and a six-factor structure. Inter-rater reliability analysis indicated excellent agreement (ICC=0.997, 95 % CI=0.991-0.999). The tool showed high discriminant capacity between BPD patients and HC (AUC=0.947), with a cutoff score of >11 achieving 88 % sensitivity and 90.7 % specificity. Sensitivity to change analyses in a subgroup of 35 BPD patients revealed significant effect sizes (ES=-0.98), supporting the FAST's ability to detect functional improvements over time.The FAST is a valid and reliable instrument for assessing psychosocial functioning in adolescents and young adults with BPD. |
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| ISSN: | 0924977X |
| DOI: | 10.1016/j.euroneuro.2025.04.002 |