Level of Personality Functioning in Turkish Clinical and Community Samples: Validation of the LPFS-SR-TR and Its Associations With Axis I Disorders
| dc.contributor.author | Ozcan, Begum Yaman | |
| dc.contributor.author | Cangur, Sengul | |
| dc.contributor.author | Kara, Neslihan | |
| dc.contributor.author | Konuk, Numan | |
| dc.date.accessioned | 2026-07-01T11:40:15Z | |
| dc.date.available | 2026-07-01T11:40:15Z | |
| dc.date.issued | 2026 | |
| dc.department | Düzce Üniversitesi | |
| dc.description.abstract | This study examines the validity and reliability of the Turkish version of the Level of Personality Functioning Scale-Self-Report (LPFS-SR-TR) and its associations with personality disorder (PD) categories and Axis I comorbidities. The cross-sectional study included 720 participants aged 18-65. From a consecutive sample of 732 patients who presented to the outpatient psychiatry clinic, experienced psychiatrists suspected 207 of having PD. They were further diagnosed using the structured clinical interview for DSM-III-R personality disorders (SCID-II). Patients were also investigated for Axis I disorders using the SCID-5 clinical version. A community-based control group of 513 participants recruited through convenience sampling received self-assessment-based SCID-II without a clinical interview. Both groups underwent the Big Five Inventory (BFI) and LPFS-SR-TR. The six-factor model provided the best statistical fit. Significant correlations between the LPFS-SR-TR and BFI indicate concurrent validity. Patients scored higher on the LPFS-SR-TR. Using a total score threshold of greater than 277.5 resulted in 93.2% sensitivity and 83.0% specificity (AUC = 0.94) for identifying PDs, indicating discriminant validity. Serial logistic models suggested incremental validity. The scale demonstrated strong internal consistency (Cronbach's alpha = 0.96) and test-retest reliability (ICC = 0.86). The LPFS-SR-TR is valid and reliable for assessing the presence and severity of PDs. The hypothesized one-dimensional factor structure may be supported given its ability to distinguish PDs from a community sample. Axis I comorbidities are common and diverse without any discernible pattern. | |
| dc.identifier.doi | 10.1002/pmh.70076 | |
| dc.identifier.issn | 1932-8621 | |
| dc.identifier.issn | 1932-863X | |
| dc.identifier.issue | 2 | |
| dc.identifier.orcid | 0000-0002-5165-3090 | |
| dc.identifier.pmid | 41974613 | |
| dc.identifier.scopus | 2-s2.0-105035604390 | |
| dc.identifier.scopusquality | Q1 | |
| dc.identifier.uri | https://doi.org/10.1002/pmh.70076 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.12684/23723 | |
| dc.identifier.volume | 20 | |
| dc.identifier.wos | WOS:001772925900001 | |
| dc.identifier.wosquality | Q2 | |
| dc.indekslendigikaynak | Web of Science | |
| dc.indekslendigikaynak | Scopus | |
| dc.indekslendigikaynak | PubMed | |
| dc.language.iso | en | |
| dc.publisher | Wiley | |
| dc.relation.ispartof | Personality and Mental Health | |
| dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | |
| dc.rights | info:eu-repo/semantics/closedAccess | |
| dc.snmz | KA_WOS_20260623 | |
| dc.subject | [Keyword Not Available] | |
| dc.title | Level of Personality Functioning in Turkish Clinical and Community Samples: Validation of the LPFS-SR-TR and Its Associations With Axis I Disorders | |
| dc.type | Article |












