The Collaborative Longitudinal Personality Disorders Study (CLPS): Overview and Implications
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The Collaborative Longitudinal Personality Disorders Study (CLPS; Gunderson et al., 2000) was developed to fill gaps in our understanding of the nature, course, and impact of personality disorders (PDs). Here, we review published findings to date, discuss their implications for current conceptualizations of PDs, and raise questions that warrant future consideration. We have found that PDs are more stable than major depressive disorder, but that meaningful improvements are possible and not uncommon. We have confirmed also that PDs constitute a significant public health problem, with respect to associated functional impairment, extensive treatment utilization, negative prognostic impact on major depressive disorder, and suicide risk. At the same time, we have demonstrated that dimensional models of PDs have clinical validity that categories do not, especially greater temporal stability. Furthermore, dimensional personality traits appear to be the foundation of behaviors described by many PD criteria. Taken together, our results lead us to hypothesize that PDs may be reconceptualized as hybrids of stable personality traits and intermittently expressed symptomatic behaviors.
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BPD is associated with frequent utilization of healthcare services and high costs to society.
“BPD is also highly co-morbid with other psychological disorders, such as major depression and anxiety disorders [4], and is associated with frequent utilization of healthcare services and high costs to the society [5].”
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Self-citation
- Authors
- Skodol, A. E., Gunderson, J. G., Shea, M. T., McGlashan, T. H., Morey, L. C., Sanislow, C. A., Bender, D. S., Grilo, C. M., Zanarini, M. C., Yen, S., Pagano, M. E., & Stout, R. L.
- Affiliations
- New York State Psychiatric Institute (US)
- Harvard University (US)
- Brown University (US)
- Yale University (US)
- Texas A&M University (US)
- ORCID
- Venue
- Journal of Personality Disorders
- Publisher
- Guilford Publications
- Published
- 2005-10
- Volume
- 19
- Issue
- 5
- Pages
- 487-504
- ISSN
- 0885-579X (ISSN-L)
- PMC
- PMC3289284
- OpenAlex
- W2136098935
- Cited by
- 450
- References
- 66
- Citations by year
- 2026: 9 · 2025: 15 · 2024: 7 · 2023: 13 · 2022: 12 · 2021: 12 · 2020: 39 · 2019: 15 · 2018: 20 · 2017: 18 · 2016: 16 · 2015: 37 · 2014: 30 · 2013: 25 · 2012: 39
- FWCI
- 19.67
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Personality Disorders (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Wesleyan University Digital Collections (Wesleyan University) (submittedVersion, public-domain)
- Wesleyan University Digital Collections (Wesleyan University) (submittedVersion)
- WESLEYAN
- Funders
- National Institute of Mental Health (MH50850, MH01654, MH 50840, MH-50837, MH 50838, K23MH073708, R01MH050838, R01MH050837, R01MH050840, R01MH050839, 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, functional disability, treatment utilization, major depressive disorder comorbidity, suicide risk, public health burden
- MeSH terms
- Anxiety Disorders, Borderline Personality Disorder, Major Depressive Disorder, Humans, Mental Health Services, Personality Disorders, Psychology, Severity of Illness Index, Stress Disorders, Post-Traumatic, Suicide, Comorbidity, Treatment Outcome
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