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Cited by 195Personality Disorders and PsychopathologyPersonality Traits and PsychologyMental Health Research Topics

Stability and Change in Personality Disorder Features: The Longitudinal Study of Personality Disorders

Lenzenweger, Mark F.·1999·Archives of General Psychiatry
DOI 10.1001/archpsyc.56.11.1009
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Abstract

BACKGROUND: There exists no empirical literature documenting the long-term longitudinal stability of personality pathology comparable to that available for normal personality. A number of test-retest studies have usefully established the short-term reliability of Axis II measures. However, the test-retest design is methodologically inadequate for resolving issues related to the long-term stability of personality disorder (PD). This prospective longitudinal study evaluated the stability of PD features in multiwave perspective. METHODS: Subjects (N = 250) drawn from a nonclinical university population were examined for PD features at 3 different time points using the International Personality Disorders Examination (IPDE) and the Millon Clinical Multiaxial Inventory II (MCMI-II) during a study period of 4 years. RESULTS: Features of PD displayed considerable evidence of stability for individual differences and group means, at the dimensional level of analysis, on both the IPDE and the MCMI-II. Both measures revealed modest declines in PD features over time; however, the observed changes were associated with relatively small effect sizes. CONCLUSION: Features of PD, viewed from a dimensional perspective, seem to be relatively stable in terms of individual differences and group means based on both clinical interview and self-administered PD assessments.

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  • Studies have documented the persistence of narcissistic pathology, even among patients who improve symptomatically.

    “Overall, studies (Table 2) (76–83) have documented the persistence of narcissistic pathology, even among patients who improve symptomatically.”

    From Narcissistic Personality Disorder: Progress in Understanding and Treatment (2022) · cites this paper as [83]

  • In Lenzenweger (1999), a prospective 3-year study found 46%-64% stability for dimensional diagnosis of narcissistic personality disorder.

    “Lenzenweger, 1999 ( 83 ) 18–22 53:47 Prospective/258 3 NPD dimensional diagnosis: 46%–64% stability”

    From Narcissistic Personality Disorder: Progress in Understanding and Treatment (2022) · cites this paper as Lenzenweger, 1999 ( 83 )

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Authors
Lenzenweger, M. F.
Affiliations
Harvard University (US)
Corresponding author
Lenzenweger, Mark F.
ORCID
Lenzenweger, Mark F.
Venue
Archives of General Psychiatry
Publisher
American Medical Association (AMA)
Published
1999-11-01
Volume
56
Issue
11
Pages
1009
ISSN
0003-990X (ISSN-L)
DOI
10.1001/archpsyc.56.11.1009
OpenAlex
W1997830801
Cited by
195
References
24
Citations by year
2026: 1 · 2024: 3 · 2023: 4 · 2022: 4 · 2021: 3 · 2020: 1 · 2019: 5 · 2018: 7 · 2017: 9 · 2016: 8 · 2015: 16 · 2014: 12 · 2013: 7 · 2012: 12
FWCI
6.80
Type
journal article
Language
en
Open access
closed
Locations
  • Archives of General Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health (R29MH045448, MH-45448)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
Keywords
personality disorders, personality pathology, longitudinal stability, personality change, dimensional assessment, MCMI-II, test-retest reliability
MeSH terms
Analysis of Variance, Female, Humans, Individuality, Longitudinal Studies, Male, Personality Disorders, Personality Inventory, Prospective Studies, Psychiatric Status Rating Scales, Psychometrics, Reproducibility of Results

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