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Cited by 204Personality Disorders and PsychopathologyPersonality Traits and PsychologyMental Health Research Topics

Comparison of alternative models for personality disorders

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MOREY, LESLIE C., HOPWOOD, CHRISTOPHER J., GUNDERSON, JOHN G., SKODOL, ANDREW E., SHEA, M. TRACIE, YEN, SHIRLEY, STOUT, ROBERT L., ZANARINI, MARY C. +3 more·2007·Psychological Medicine
DOI 10.1017/s0033291706009482
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Abstract

Background. The categorical classification system for personality disorder (PD) has been frequently criticized and several alternative dimensional models have been proposed. Method. Antecedent, concurrent and predictive markers of construct validity were examined for three models of PDs: the Five-Factor Model (FFM), the Schedule for Nonadaptive and Adaptive Personality (SNAP) model and the DSM-IV in the Collaborative Study of Personality Disorders (CLPS) sample. Results. All models showed substantial validity across a variety of marker variables over time. Dimensional models (including dimensionalized DSM-IV) consistently outperformed the conventional categorical diagnosis in predicting external variables, such as subsequent suicidal gestures and hospitalizations. FFM facets failed to improve upon the validity of higher-order factors upon cross-validation. Data demonstrated the importance of both stable trait and dynamic psychopathological influences in predicting external criteria over time. Conclusions. The results support a dimensional representation of PDs that assesses both stable traits and dynamic processes.

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  • Dimensional representations of personality disorders outperform categorical diagnoses in predicting external variables.

    “Dimensional representations of PDs have been shown to outperform categorical diagnoses in predicting external variables [28, 33]”

    From Personality disorders are important risk factors for disability pensioning (2014) · cites this paper as [33]

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  1. Clark, L. A. (1993). Manual for the Schedule of Nonadaptive and Adaptive Personality. University of Minnesota Press : Minneapolis, MN.
  2. First, M. B., Spitzer, R. L., Gibbon, M. & Williams, J. B. W. (1996). Structured Clinical Interview for DSM-IV Axis I Disorders, Patient Edition (SCID-P). New York State Psychiatric Institute, Biometrics Research : New York.
  3. Gonzalez-Pinto, A., Immaculada, F., Rodriguez, C., de Corres Blanco, F. & Sonsoles, E. (2004). Purging behavior and comorbidity as predictors of quality of life in anorexia nervosa. International Journal of Eating Disorders 36, 445-450.
  4. Grilo, C. M., Shea, M. T., Sanislow, C. A., Skodol, A. E., Stout, R. L., Gunderson, J. G., Yen, S., Bender, D. S., Pagano, M. E., Zanarini, M. C., Morey, L. C. & McGlashan, T. H. (2004). Two- year stability and change in schizotypal, borderline, avoidant, and obsessive-compulsive personality disorders. Journal of Consulting and Clinical Psychology 72, 767-775.
  5. Hopwood, C. J. & Morey, L. C. (2005). Predictive validity of the SNAP in a large, personality-disordered sample. Society for Personality Assessment Annual Conference, Chicago, IL.
  6. Kendell, R. E. (1975). The Role of Diagnosis in Psychiatry. Blackwell Scientific Publications : Oxford.
  7. McGlashan, T. H., Grilo, C. M., Sanislow, C. A., Ralevski, E., Morey, L. C., Gunderson, J. G., Skodol, A. E., Shea, M. T., Zanarini, M. C., Bender, D., Stout, R. L., Yen, S. & Pagano, M. (2005). Two-year prevalence and stability of individual DSM-IV criteria for schizotypal, borderline, avoidant, and obsessive- compulsive personality disorders. American Journal of Psychiatry 162, 883-889.
  8. Rounsaville, B. J., Alarcon, R. D., Andrews, G., Jackson, J. S., Kendell, R. E. & Kendler, K. (2002). Basic nomenclature issues for DSM-V. In A Research Agenda for DSM-V (ed. D. J. Kupfer, M. B. First and D. A. Regier), pp. 1-29. American Psychiatric Association : Washington, DC.

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Authors
MOREY, L. C., HOPWOOD, C. J., GUNDERSON, J. G., SKODOL, A. E., SHEA, M. T., YEN, S., STOUT, R. L., ZANARINI, M. C., GRILO, C. M., SANISLOW, C. A., & McGLASHAN, T. H.
Affiliations
  • Texas A&M University (US)
  • Harvard University (US)
  • New York State Psychiatric Institute (US)
  • Brown University (US)
  • Yale University (US)
ORCID
Venue
Psychological Medicine
Publisher
Cambridge University Press (CUP)
Published
2006-11-23
Volume
37
Issue
7
Pages
983-994
ISSN
  • 0033-2917 (ISSN-L)
  • 1469-8978
DOI
10.1017/s0033291706009482
OpenAlex
W2136652875
Cited by
204
References
47
Citations by year
2025: 2 · 2024: 5 · 2022: 3 · 2021: 8 · 2020: 26 · 2019: 8 · 2018: 11 · 2017: 8 · 2016: 6 · 2015: 10 · 2014: 13 · 2013: 16 · 2012: 23
FWCI
8.47
Type
journal article
Language
en
Open access
Licence
www.cambridge.org/core/terms (unspecified)
Locations
  • Psychological Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Wesleyan University Digital Collections (Wesleyan University) (submittedVersion)
  • Wesleyan University Digital Collections (Wesleyan University) (submittedVersion, public-domain)
  • Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
  • WESLEYAN
Funders
National Institute of Mental Health (MH50850, MH01654, MH 50840, MH-50837, MH 50839, MH 50838, K23MH073708, R01MH050838, R01MH050837, R01MH050850, K23MH069904, K05MH001654)
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, dimensional models, categorical classification, Big Five personality traits, construct validity, suicidal gestures, hospitalization, trait stability, psychopathology
MeSH terms
Female, Humans, Male, Models, Psychological, Personality Disorders, Predictive Value of Tests, Reproducibility of Results, Diagnostic and Statistical Manual of Mental Disorders

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