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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., GRILO, CARLOS M., SANISLOW, CHARLES A., McGLASHAN, THOMAS H.·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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Weinberg, I. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108333931.027
Core dimensions of personality pathology
Skodol, A. E., & Morey, L. C. (2020) · doi:10.1093/med/9780198713005.003.0117
Self-citation
Schedule for Nonadaptive and Adaptive Personality (2nd Edition)
Vanderbleek, E. N., & Clark, L. A. (2017) · Springer eBooks · doi:10.1007/978-3-319-28099-8_942-2
Social Factors in the Personality Disorders : Finding a Niche
Paris, J. (2020)
The Problem of Narcissism
Paris, J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108867542.009
A Hierarchical-Spectrum Model of Mental Disorders: Genetic, Developmental, and Interpersonal Perspectives
Conway, C. (2013) · eScholarship (California Digital Library)
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Antisocial Personality Disorder
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Finding a Niche
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Modernity and Personality Disorder
Paris, J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108867542.007
Foreword
Paris, J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108867542.001
Preface to the Second Edition
Paris, J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108867542.002
Introduction
Paris, J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108867542.003
A Biopsychosocial Model of Personality Disorders
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Social Context and Personality
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The Borderline Pattern
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Other Personality Disorders
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Personality Traits and Personality Disorders
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Personality and Depression
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Schedule for Nonadaptive and Adaptive Personality (2nd Edition)
Vanderbleek, E. N., & Clark, L. A. (2020) · Springer eBooks · doi:10.1007/978-3-319-24612-3_942
Clark, Lee Anna
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Index
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An Empirical Evaluation of the Structure ofDSM-IVPersonality Disorders in a Nationally Representative Sample: Results of Confirmatory Factor Analysis in the National Epidemiologic Survey on Alcohol and Related Conditions Waves 1 and 2
Cox, B. J., Clara, I. P., Worobec, L. M., & Grant, B. F. (2012) · Journal of Personality Disorders · doi:10.1521/pedi_2012_26_039

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: MOREY, LESLIE C.
HOPWOOD, CHRISTOPHER J.
SHEA, M. TRACIE
YEN, SHIRLEY
STOUT, ROBERT L.
ZANARINI, MARY C.
GRILO, CARLOS M.
McGLASHAN, THOMAS H.
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: green
works.bepress.com
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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