Ten‐Year Rank‐Order Stability of P ersonality Traits and Disorders in a Clinical Sample
Open accessAbstract
Objective: This study compares the 10‐year retest stability of normal traits, pathological traits, and personality disorder dimensions in a clinical sample. Method: Ten‐year rank‐order stability estimates for the R evised NEO P ersonality I nventory, Schedule for N onadaptive and A daptive P ersonality, and D iagnostic I nterview for DSM‐IV P ersonality Disorders were evaluated before and after correcting for test‐retest dependability and internal consistency in a clinical sample (N = 266). Results: Dependability‐corrected stability estimates were generally in the range of.60–.90 for traits and.25–.65 for personality disorders. Conclusions: The relatively lower stability of personality disorder symptoms may indicate important differences between pathological behaviors and relatively more stable self‐attributed traits and imply that a full understanding of personality and personality pathology needs to take both traits and symptoms into account. The five‐factor theory distinction between basic tendencies and characteristic adaptations provides a theoretical framework for the separation of traits and disorders in terms of stability in which traits reflect basic tendencies that are stable and pervasive across situations, whereas personality disorder symptoms reflect characteristic maladaptations that are a function of both basic tendencies and environmental dynamics.
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Age is a likely moderator of outcome in NPD, as younger samples have shown slightly more improvement.
“Age (80–82) is a likely moderator of outcome, as younger samples have shown slightly more improvement (82).”
From Narcissistic Personality Disorder: Progress in Understanding and Treatment (2022) · cites this paper as [82]
The Results section finds that age moderated narcissistic personality disorder stability, but reports the opposite direction of improvement: older participants had lower narcissistic PD scores at follow-up than younger participants with the same baseline scores. It also says narcissistic symptoms were somewhat more stable among younger individuals. Page numbers are not available in the supplied copy. (LLM, conf=0.88)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredStudies have documented the persistence of narcissistic pathology, even among patients who improve symptomatically.
“Overall, studies (Table 2) (76–83) have documented the persistence of narcissistic pathology, even among patients who improve symptomatically.”
From Narcissistic Personality Disorder: Progress in Understanding and Treatment (2022) · cites this paper as [82]
The Results report ten-year stability of narcissistic personality-disorder symptoms, particularly among younger patients. The paper does not establish that narcissistic pathology persisted specifically among patients who improved symptomatically; it did not analyze that subgroup. No page number is available in our copy. (LLM, conf=0.81)
Experimental — accuracy not yet measuredIn Hopwood et al. (2013), a prospective 10-year study found 24% stability for dimensional diagnosis of narcissistic personality disorder.
“Hopwood et al., 2013 ( 82 ) 18–45 38:62 Prospective/266 10 NPD dimensional diagnosis: 24% stability”
From Narcissistic Personality Disorder: Progress in Understanding and Treatment (2022) · cites this paper as Hopwood et al., 2013 ( 82 )
The Method section reports baseline and 10-year follow-up data for 266 participants, and the Results section discusses stability of narcissistic personality disorder symptoms. The passages available from our copy do not give a 24% stability estimate for narcissistic personality disorder, so the claim’s specific figure is not verified. (LLM, conf=0.84)
Experimental — accuracy not yet measuredRecent studies show that APD symptoms are relatively stable over time.
“and recent studies show that APD symptoms are relatively stable over time [71, 82, 83].”
The influence of the factor time is expected to be limited, since APD is by definition assumed to be persistent and recent studies show APD symptoms are relatively stable over time.
“The influence of the factor time is, however, expected to be limited, since APD, like other personality disorders, is by definition assumed to be persistent [8], and recent studies show that APD symptoms are relatively stable over time [71, 82, 83].”
Self-report questionnaires tend to show relatively higher stability than clinical interviews.
“Self-report questionnaires tend to show a relatively higher stability than clinical interviews (20, 24).”
From Prevalence and 10-year stability of personality disorders from adolescence to young adulthood in a high-risk sample (2022) · cites this paper as [24]
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- Authors
- Hopwood, C. J., Morey, L. C., Donnellan, M. B., Samuel, D. B., Grilo, C. M., McGlashan, T. H., Shea, M. T., Zanarini, M. C., Gunderson, J. G., & Skodol, A. E.
- Affiliations
- Michigan State University (US)
- Texas A&M University (US)
- Purdue University West Lafayette (US)
- Yale University (US)
- Brown University (US)
- Harvard University (US)
- University of Arizona (US)
- Corresponding author
- Hopwood, Christopher J.
- ORCID
- Venue
- Journal of Personality
- Publisher
- Wiley
- Published
- 2013-02-05
- Volume
- 81
- Issue
- 3
- Pages
- 335-344
- ISSN
- 0022-3506 (ISSN-L)
- 1467-6494
- PMC
- PMC3593979
- OpenAlex
- W1513963525
- Cited by
- 98
- References
- 40
- Citations by year
- 2026: 6 · 2025: 4 · 2024: 3 · 2023: 6 · 2022: 6 · 2021: 5 · 2020: 6 · 2019: 9 · 2018: 5 · 2017: 8 · 2016: 8 · 2015: 12 · 2014: 11 · 2013: 7 · 2012: 1
- FWCI
- 11.28
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Journal of Personality (publishedVersion)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
- Zurich Open Repository and Archive (University of Zurich)
- Funders
- National Institute of Mental Health (MH50850, MH 50840, MH-50837, MH 50839, MH 50838, K23MH073708, MH 073708, R10MH050837, R01MH050838, K23MH080221, R01MH050837, R01MH050840, R01MH050839, R01MH050850, MH 080221)
- 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
- rank-order stability, personality traits, personality disorders, personality disorder symptoms, characteristic adaptations, test-retest reliability, clinical samples, long-term stability
- MeSH terms
- Adult, Emotions, Female, Follow-Up Studies, Humans, Interview, Psychological, Male, Personality, Personality Disorders, Personality Inventory, Surveys and Questionnaires, Reproducibility of Results, Diagnostic and Statistical Manual of Mental Disorders
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