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Background: In the revision of the Diagnostic and Statistical Manual (DSM-5), "Identity" is an essential diagnostic criterion for personality disorders (self-related personality functioning) in the alternative approach to the diagnosis of personality disorders in Section III of DSM-5. Integrating a broad range of established identity concepts, AIDA (Assessment of Identity Development in Adolescence) is a new questionnaire to assess pathology-related identity development in healthy and disturbed adolescents aged 12 to 18 years. Aim of the present study is to investigate differences in identity development between adolescents with different psychiatric diagnoses.
Methods: Participants were 86 adolescent psychiatric in- and outpatients aged 12 to 18 years. The test set includes the questionnaire AIDA and two semi-structured psychiatric interviews (SCID-II, K-DIPS). The patients were assigned to three diagnostic groups (personality disorders, internalizing disorders, externalizing disorders). Differences were analyzed by multivariate analysis of variance MANOVA.
Results: In line with our hypotheses, patients with personality disorders showed the highest scores in all AIDA scales with T>70. Patients with externalizing disorders showed scores in an average range compared to population norms, while patients with internalizing disorders lay in between with scores around T=60. The AIDA total score was highly significant between the groups with a remarkable effect size of f= 0.44.
Conclusion: Impairment of identity development differs between adolescent patients with different forms of mental disorders. The AIDA questionnaire is able to discriminate between these groups. This may help to improve assessment and treatment of adolescents with severe psychiatric problems.
Recent research finds that Muslim girls increasingly have in-group friendships in adolescence, while Muslim boys remain more open to interreligious friendships. This gender gap mirrors established findings of female Muslims’ lower involvement in interreligious romantic relationships, which is attributed to gendered religious norms. In this study, we examine whether gendered religious norms also contribute to the emerging gender gap in Muslim youths’ interreligious friendship-making. Building on the literature on intergroup dating, we identify religiosity, parental control, and leisure time activities as key factors through which religious norms may not only constrain Muslim girls’ intergroup romantic relationships, but also their interreligious friendships. We also examine the contribution of gendered experiences of religious discrimination and rejection by non-Muslims to religious friendship-making. We study 737 Muslim youth from age 11–17 with six waves of longitudinal German data and find that religiosity, parental control, and leisure time activities all contribute to the emerging gender gap in interreligious friendship-making. Religiosity is associated with more in-group friendships, but only rises among Muslim girls in adolescence, not among boys. By contrast, parental control increases among both genders, but it only constrains girls’ interreligious friendships. Muslim girls’ declining participation in clubs also is associated with fewer interreligious friendships. Gendered experiences of religious discrimination and rejection do not contribute to the gender gap. Jointly, these factors explain one third of the emerging gender gap in interreligious friendship-making. This finding suggests that gendered religious norms not only limit interreligious romantic relationships but also interreligious friendships of Muslim girls.
Background: Intrusive mental imagery (MI) plays a crucial role in the maintenance of posttraumatic stress disorder (PTSD) in adults. Evidence on the characteristics of MI in adolescents suffering from PTSD is sparse. The aim of this study was to thoroughly assess MI in an adolescent sample suffering from PTSD after the experience of childhood sexual abuse and/or childhood physical abuse (CA).
Methods: Thirty-two adolescents with a primary diagnosis of PTSD after CA and 32 adolescents without any mental disorder and without a history of CA, matched for age and gender, completed questionnaires assessing the characteristics of negative and positive MI, as well as images of injury and death that lead to positive emotions (ID-images).
Results: The PTSD group reported significantly more frequent, more vivid, more distressing and more strongly autobiographically linked negative MI compared to the control group. Although positive MI was highly present in both groups (PTSD: 65.6%; controls: 71.9%), no significant differences emerged between the two groups regarding the distinct characteristics of positive MI. The frequency of the ID-images did not significantly differ between the two groups (PTSD: 21.9%; controls: 9.4%), although the ID-images were more vivid in the PTSD group.
Discussion: Negative MI appears to be crucial in adolescent PTSD, whilst positive MI are unexpectedly common in both the PTSD and the control group. The role of positive MI as well as that of ID-images remain unclear. Specific interventions for changing negative MI that are tailored to the developmental challenges in adolescents with PTSD should be developed.
Trial registration: Some of the PTSD patients in this study were also part of a randomized controlled trial on Developmentally adapted Cognitive Processing Therapy (D-CPT). This trial was registered at the German Clinical Trial Registry (GCTR), DRKS00004787, 18 March 2013.