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Comparison of alternative models for personality disorders
Open accessAbstract
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 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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Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
Applied Multivariate Statistics for the Social Sciences
Stevens, J. P. (2012) · Routledge eBooks · doi:10.4324/9780203843130 · Cited by 10,652
Establishment of Diagnostic Validity in Psychiatric Illness: Its Application to Schizophrenia
ROBINS, E., & GUZE, S. B. (1970) · American Journal of Psychiatry · doi:10.1176/ajp.126.7.983 · Cited by 2,243
Assessment of social adjustment by patient self report.
Weissman, M. M. (1976) · Archives of General Psychiatry · doi:10.1001/archpsyc.1976.01770090101010 · Cited by 1,782
Keller, M. B. (1987) · Archives of General Psychiatry · doi:10.1001/archpsyc.1987.01800180050009 · Cited by 1,643
Delineating the Structure of Normal and Abnormal Personality: An Integrative Hierarchical Approach.
Markon, K. E., Krueger, R. F., & Watson, D. (2005) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.88.1.139 · Cited by 1,249
The five-factor model and personality disorder empirical literature: A meta-analytic review
Saulsman, L. M., & Page, A. C. (2004) · Clinical Psychology Review · doi:10.1016/j.cpr.2002.09.001 · Cited by 915
Treatment utilization by patients with personality disorders
Bender, D. S., Dolan, R. T., Skodol, A. E., Sanislow, C. A., Dyck, I. R., McGlashan, T. H., Shea, M. T., Zanarini, M. C., Oldham, J. M., & Gunderson, J. G. (2001) · American Journal of Psychiatry · doi:10.1176/appi.ajp.158.2.295 · Cited by 779 · cited 2×
“Conversely, most of the sample were in ongoing treatment during data collection, particularly during the early stages of the study (Bender et al. 2001), and this treatment presumably targeted behaviors and traits represented by the DSM PD diagnoses, perhaps leading to greater change in these behaviors and rendering th…”
BackgroundSelf-citationThe Collaborative Longitudinal Personality Disorders Study: Reliability of Axis I and II Diagnoses
Zanarini, M. C., Skodol, A. E., Bender, D., Dolan, R., Sanislow, C., Schaefer, E., Morey, L. C., Grilo, C. M., Shea, M. T., McGlashan, T. H., et al. (2000) · Journal of Personality Disorders · doi:10.1521/pedi.2000.14.4.291 · Cited by 771
Self-citationLynam, D. R., & Widiger, T. A. (2001) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.110.3.401 · Cited by 688
Categorical and Dimensional Models of Personality Disorder
Trull, T. J., & Durrett, C. A. (2004) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.1.102803.144009 · Cited by 616
Toward DSM—V and the classification of psychopathology.
Widiger, T. A., & Clark, L. A. (2000) · Psychological Bulletin · doi:10.1037/0033-2909.126.6.946 · Cited by 540
(2002) · Cited by 479
Childhood experiences of borderline patients
Zanarini, M. C., Gunderson, J. G., Marino, M. F., Schwartz, E. O., & Frankenburg, F. R. (1989) · Comprehensive Psychiatry · doi:10.1016/0010-440x(89)90114-4 · Cited by 447
Self-citationMcGlashan, 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. S., et al. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.5.883 · Cited by 415
Self-citationPredicting Dimensions of Personality Disorder From Domains and Facets of the Five Factor Model
Reynolds, S. K., & Clark, L. A. (2001) · Journal of Personality · doi:10.1111/1467-6494.00142 · Cited by 334
A description of the DSM-IV personality disorders with the five-factor model of personality.
Widiger, T. A., Trull, T. J., Clarkin, J. F., Sanderson, C., & Costa, P. T. (2004) · American Psychological Association eBooks · doi:10.1037/10423-006 · Cited by 267
Gunderson, J. G., Shea, M. T., Skodol, A. E., McGlashan, T. H., Morey, L. C., Stout, R. L., Zanarini, M. C., Grilo, C. M., Oldham, J. M., & Keller, M. B. (2000) · Journal of Personality Disorders · doi:10.1521/pedi.2000.14.4.300 · Cited by 251
Self-citationDimensional Representations of DSM-IV Personality Disorders: Relationships to Functional Impairment
Skodol, A. E., Oldham, J. M., Bender, D. S., DYCK, I. R., Stout, R. L., Morey, L. C., Shea, M. T., Zanarini, M. C., Sanislow, C. A., Grilo, C. M., et al. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.10.1919 · Cited by 221
Self-citationExperimental Manipulation of NEO-PI-R Items
Haigler, E. D., & Widiger, T. A. (2001) · Journal of Personality Assessment · doi:10.1207/s15327752jpa7702_14 · Cited by 211
Soldz, S., Budman, S. H., Demby, A., & Merry, J. (1993) · Psychological Assessment · doi:10.1037/1040-3590.5.1.41 · Cited by 210
Early Discontinuance of Borderline Patients from Psychotherapy
Gunderson, J. G., PRANK, A. F., Ronningstam, E. F., WACHTER, S., LYNCH, V. J., & WOLF, P. J. (1989) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198901000-00006 · Cited by 192
Self-citationTest-Taking and the Stability of Adjustment Scales
Edwards, D. W., Yarvis, R. M., Mueller, D. P., Zingale, H. C., & Wagman, W. (1978) · Evaluation Review · doi:10.1177/0193841x7800200206 · Cited by 190
Widiger, T. A., Trull, T. J., Clarkin, J. F., Sanderson, C., & Costa, P. T. (2004) · American Psychological Association eBooks · doi:10.1037/10140-003 · Cited by 171
Trull, T. J., Widiger, T. A., & Burr, R. M. (2001) · Journal of Personality · doi:10.1111/1467-6494.00141 · Cited by 162
Skodol, A. E., Buckley, P. F., & Charles, E. (1983) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198307000-00003 · Cited by 158
Self-citationPersonality Disorders and the Five-Factor Model: A Test of Facet-Level Predictions
Dyce, J. A., & O’Connor, B. P. (1998) · Journal of Personality Disorders · doi:10.1521/pedi.1998.12.1.31 · Cited by 151
A test of models of personality disorder configuration.
O’Connor, B. P., & Dyce, J. A. (1998) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.107.1.3 · Cited by 144
The Longitudinal Relationship of Personality Traits and Disorders.
Warner, M. B., Morey, L. C., Finch, J. F., Gunderson, J. G., Skodol, A. E., Sanislow, C. A., Shea, M. T., McGlashan, T. H., & Grilo, C. M. (2004) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.113.2.217 · Cited by 141
Self-citationMorey, L. C., Gunderson, J. G., Quigley, B. D., Shea, M. T., Skodol, A. E., McGlashan, T. H., Stout, R. L., & Zanarini, M. C. (2002) · Journal of Personality Disorders · doi:10.1521/pedi.16.3.215.22541 · Cited by 141
Self-citationEvaluative criteria for psychiatric classification.
Blashfield, R. K., & Dragūns, J. G. (1976) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.85.2.140 · Cited by 116
Borderline personality: traits and disorder.
Morey, L., & Zanarini, M. (2000) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.109.4.733 · Cited by 109
Self-citationPersonality Disorders and Treatment Outcome in Methadone Maintenance Patients
Cacciola, J. S., Rutherford, M. J., Alterman, A. I., McKay, J. R., & Snider, E. C. (1996) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199604000-00006 · Cited by 105
Clinician Ratings of the Five-Factor Model of Personality and the DSM-IV Personality Disorders
Blais, M. A. (1997) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199706000-00005 · Cited by 105
Commentary on Reconceptualizing Personality Disorder Categories Using Trait Dimensions
Livesley, W. J. (2001) · Journal of Personality · doi:10.1111/1467-6494.00145 · Cited by 91
Hiscoke, U. L., Långström, N., Ottosson, H., & Grann, M. (2003) · Journal of Personality Disorders · doi:10.1521/pedi.17.4.293.23966 · Cited by 70
Morey, L. C., Warner, M. B., Shea, M. T., Gunderson, J. G., Sanislow, C. A., Grilo, C. M., Skodol, A. E., & McGlashan, T. H. (2003) · Psychological Assessment · doi:10.1037/1040-3590.15.3.326 · Cited by 68
Self-citationPredictors of dropout in psychodynamic psychotherapy of borderline personality disorder.
Smith, T. E., Koenigsberg, H. W., Yeomans, F. E., Clarkin, J. F., & Selzer, M. A. (1995) · PubMed Central · Cited by 62
Reliability of categorical and dimensional judgments of personality disorder
Heumann, K. A., & Morey, L. C. (1990) · American Journal of Psychiatry · doi:10.1176/ajp.147.4.498 · Cited by 61
Self-citationDimensions and Categories: The "Big Five" Factors and the DSM Personality Disorders
Morey, L. C., Gunderson, J. G., Quigley, B. D., & Lyons, M. J. (2000) · Assessment · doi:10.1177/107319110000700301 · Cited by 56
Self-citationPurging behaviors and comorbidity as predictive factors of quality of life in anorexia nervosa
González-Pinto, A. M., Inmaculada, F., Cristina, R., Blanca, F. D. C., Enjuto, S., Fernando, R., & López, P. (2004) · International Journal of Eating Disorders · doi:10.1002/eat.20058 · Cited by 53
Personality disorder, depression and functioning: results from the ODIN study
Casey, P., Birbeck, G., McDonagh, C., Horgan, A., Dowrick, C., Dalgard, O., Lethinen, V., Ayuso-Mateos, J. L., Dunn, G., Page, H., et al. (2004) · Journal of Affective Disorders · doi:10.1016/j.jad.2003.11.009 · Cited by 42
The Core Elements of Neurosis: Mixed Anxiety-Depression (Cothymia) and Personality Disorder
Tyrer, P. J., Seivewright, H., & Johnson, T. L. (2003) · Journal of Personality Disorders · doi:10.1521/pedi.17.2.129.23989 · Cited by 35
Incremental validity of the Structured Interview for the Five‐Factor Model of Personality (SIFFM)
Stepp, S. D., Trull, T. J., Burr, R. M., Wolfenstein, M., & Vieth, A. Z. (2005) · European Journal of Personality · doi:10.1002/per.565 · Cited by 26
Hopwood, C. J., Morey, L. C., Shea, M. T., McGlashan, T. H., Sanislow, C. A., Grilo, C. M., Gunderson, J. G., Zanarini, M. C., & Skodol, A. E. (2007) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000253747.44836.61 · Cited by 24
Self-citation
Flagged first, then by citations
2 of the 47 references couldn’t be matched to a known paper.
Research works printed but not linked: 8
- Clark, L. A. (1993). Manual for the Schedule of Nonadaptive and Adaptive Personality. University of Minnesota Press : Minneapolis, MN.
- 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.
- 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.
- 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.
- 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.
- Kendell, R. E. (1975). The Role of Diagnosis in Psychiatry. Blackwell Scientific Publications : Oxford.
- 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.
- 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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Hopwood, C. J., Malone, J. C., Ansell, E. B., Sanislow, C. A., Grilo, C. M., McGlashan, T. H., Pinto, A., Markowitz, J. C., Shea, M. T., Skodol, A. E., et al. (2011) · Journal of Personality Disorders · doi:10.1521/pedi.2011.25.3.305 · Cited by 377
Self-citationPersonality Disorders in DSM-5
Skodol, A. E. (2012) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032511-143131 · Cited by 360
Self-citationIntegrating the Hierarchical Taxonomy of Psychopathology (HiTOP) into clinical practice.
Ruggero, C. J., Kotov, R., Hopwood, C. J., First, M., Clark, L. A., Skodol, A. E., Mullins-Sweatt, S. N., Patrick, C. J., Bach, B., Cicero, D. C., et al. (2019) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000452 · Cited by 333
Self-citationThe time has come for dimensional personality disorder diagnosis
Hopwood, C. J., Kotov, R., Krueger, R. F., Watson, D., Widiger, T. A., Althoff, R. R., Ansell, E. B., Bach, B., Bagby, R. M., Blais, M. A., et al. (2017) · Personality and Mental Health · doi:10.1002/pmh.1408 · Cited by 349
Self-citationDSM-5 personality traits and DSM–IV personality disorders.
Hopwood, C. J., Thomas, K. M., Markon, K. E., Wright, A. G. C., & Krueger, R. F. (2012) · Journal of Abnormal Psychology · doi:10.1037/a0026656 · Cited by 309
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Metadata
- 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
- 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
- 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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