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Using the five-factor model to represent the DSM-IV personality disorders: An expert consensus approach.

Lynam, Donald R., Widiger, Thomas A.·2001·Journal of Abnormal Psychology

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Abstract

This study sought to extend previous work on the five-factor dimensional model (FFM) of personality disorder (PD) by developing more comprehensive FFM descriptions of prototypic cases. Specifically, the authors asked experts in each of the 10 DSM-IV PDs to rate the prototypic case by using all 30 facets of the FFM. Aggregating across raters of the given disorder generated a prototype for each disorder. In general, there was good agreement among experts and with previous theoretical and empirical FFM translations of DSM diagnostic criteria. Furthermore, the ability of the FFM explanation to reproduce the high comorbidity rates among PDs was demonstrated. The authors concluded that, with the possible exception of schizotypal PD, the DSM PDs can be understood from the dimensional perspective of the FFM. Future directions for research, including the use of the present prototypes to "diagnose" personality disorder, are discussed.

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Authors: Lynam, D. R., & Widiger, T. A.
Affiliations: University of Kentucky (US)
ORCID: Lynam, Donald R.
Widiger, Thomas A.
Venue: Journal of Abnormal Psychology
Publisher: American Psychological Association (APA)
Published: 2001-08
Volume: 110
Issue: 3
Pages: 401-412
ISSN: 0021-843X (ISSN-L)
1939-1846
DOI: 10.1037/0021-843x.110.3.401
OpenAlex: W2132494154
Cited by: 688
References: 83
Citations by year: 2026: 9 · 2025: 9 · 2024: 13 · 2023: 23 · 2022: 24 · 2021: 18 · 2020: 63 · 2019: 38 · 2018: 46 · 2017: 38 · 2016: 25 · 2015: 32 · 2014: 25 · 2013: 33 · 2012: 51
FWCI: 15.17
Type: journal article
Language: en
Open access: closed
Locations: Journal of Abnormal Psychology (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute of Mental Health (MH 60104, R01MH060104)
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, DSM-IV personality disorders, personality disorder comorbidity, schizotypal personality disorder, dimensional personality assessment, personality disorder diagnosis
MeSH terms: Adult, Consensus Statements as Topic, Consensus Development Conferences as Topic, Diagnosis, Differential, Expert Testimony, Factor Analysis, Statistical, Female, Humans, Male, Middle Aged, Personality Disorders, Psychiatry, Psychology, Psychopathology, Surveys and Questionnaires, Observer Variation

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Using the five-factor model to represent the DSM-IV personality disorders: An expert consensus approach.

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