Comparison of alternative models for personality disorders. uri icon

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.

published proceedings

  • Psychol Med

altmetric score

  • 3.5

author list (cited authors)

  • Morey, L. C., Hopwood, C. J., Gunderson, J. G., Skodol, A. E., Shea, M. T., Yen, S., ... McGlashan, T. H.

citation count

  • 161

complete list of authors

  • Morey, Leslie C||Hopwood, Christopher J||Gunderson, John G||Skodol, Andrew E||Shea, M Tracie||Yen, Shirley||Stout, Robert L||Zanarini, Mary C||Grilo, Carlos M||Sanislow, Charles A||McGlashan, Thomas H

publication date

  • July 2007