Comparison of alternative models for personality disorders.

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.

journal_name

Psychol Med

journal_title

Psychological medicine

authors

Morey LC,Hopwood CJ,Gunderson JG,Skodol AE,Shea MT,Yen S,Stout RL,Zanarini MC,Grilo CM,Sanislow CA,McGlashan TH

doi

10.1017/S0033291706009482

subject

Has Abstract

pub_date

2007-07-01 00:00:00

pages

983-94

issue

7

eissn

0033-2917

issn

1469-8978

pii

S0033291706009482

journal_volume

37

pub_type

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