The five-factor model and personality disorder empirical literature: A meta-analytic review
Abstract
The current meta-analysis reviews research examining the relationships between each of the five-factor model personality dimensions and each of the 10 Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) personality disorder diagnostic categories. Effect sizes representing the relationships between these two constructs were compiled from 15 independent samples. Results were analyzed both within each individual personality disorder category and across personality disorders, indicating how personality disorders are different and similar, respectively, with regard to underlying personality traits. In terms of how personality disorders differ, the results showed that each disorder displays a five-factor model profile that is meaningful and predictable given its unique diagnostic criteria. With regard to their similarities, the findings revealed that the most prominent and consistent personality dimensions underlying a large number of the personality disorders are positive associations with Neuroticism and negative associations with Agreeableness. Extraversion appears to be a more discriminating dimension, as indicated by prominent but directionally variable associations with the personality disorders. The implications of these meta-analytic findings for clinical application and the advancement of future research are discussed.
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To the degree that antagonism is central to all narcissistic presentations, narcissism should overlap primarily with other disorders characterized by antagonism, such as antisocial, psychopathy, and paranoid PDs.
“To the degree that antagonism is central to all narcissistic presentations (e.g., grandiosity, entitlement, callousness, manipulativeness), narcissism should overlap primarily with other disorders characterized by traits from this domain, such as antisocial, psychopathy, and paranoid PDs (e.g., see Saulsman &Page 2004 andSamuel &Widiger 2008a for meta-analytic reviews).”
From Controversies in Narcissism (2017) · cites this paper as Saulsman &Page 2004
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- Authors
- Saulsman, L. M., & Page, A. C.
- Affiliations
- The University of Western Australia (AU)
- Corresponding author
- Page, Andrew C.
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2004-01
- Volume
- 23
- Issue
- 8
- Pages
- 1055-1085
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W2146820018
- Cited by
- 915
- References
- 7
- Citations by year
- 2026: 12 · 2025: 17 · 2024: 26 · 2023: 34 · 2022: 28 · 2021: 33 · 2020: 48 · 2019: 44 · 2018: 45 · 2017: 43 · 2016: 55 · 2015: 53 · 2014: 50 · 2013: 50 · 2012: 67
- FWCI
- 19.96
- Type
- journal article
- Language
- en
- Update notices
- erratum (2005-05-01)
- Open access
- closed
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- 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
- Big Five personality traits, personality disorders, neuroticism, agreeableness, extraversion, personality disorder diagnosis
- MeSH terms
- Feeding and Eating Disorders, Humans, Interpersonal Relations, Models, Psychological, Neurotic Disorders, Personality Disorders, Diagnostic and Statistical Manual of Mental Disorders
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