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Adult Personality Functioning Assessment (APFA)

An Investigator-Based Standardised Interview

Published online by Cambridge University Press:  02 January 2018

J. Hill*
Affiliation:
Institute of Psychiatry
R. Harrington
Affiliation:
Institute of Psychiatry
H. Fudge
Affiliation:
Institute of Psychiatry
M. Rutter
Affiliation:
MRC Child Psychiatry Unit
A. Pickles
Affiliation:
MRC Child Psychiatry Unit
*
Department of Child and Adolescent Psychiatry, Royal Liverpool Children's Hospital, Alder Hey, Eaton Road, Liverpool L12 2AP

Abstract

The development of an investigator-based standardised interview to assess patterns of specific and general social dysfunction is described. It covers six domains of functioning: work; love relationships; friendships; non-intimate social contacts; negotiations; and everyday coping. Inter-rater reliability was tested by three investigators rating 21 audiotaped interviews, and was shown to be high, with an intraclass correlation of 0.87 for the total score. The pattern of associations between specific and general social dysfunction was examined through determination of sensitivities and specificities and through LISREL modelling. The findings varied across social domains but it was concluded that the total APFA score provided a reasonable measure of general social dysfunction.

Type
Papers
Copyright
Copyright © The Royal College of Psychiatrists 

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