Longitudinal associations between borderline personality disorder and five-factor model traits over 24 years

2021 ◽  
pp. 089020702110129
Author(s):  
Christopher J Hopwood ◽  
Ted Schwaba ◽  
Aidan GC Wright ◽  
Wiebke Bleidorn ◽  
Mary C Zanarini

Are five-factor traits and borderline personality symptoms the same features with different names? The existing literature offers reasons to think they are the same and reasons to think they are different. We examined longitudinal associations between these variables in a sample of patients assessed 12 times over 24 years using latent curve models with structured residuals. Mean trajectories for all variables were in the direction of symptom reduction/personality maturation and could be parsed into an initial, rapid improvement phase and a subsequent, gradual improvement phase. We found robust between-person associations among intercepts and long-term slopes of traits and symptoms. Specifically, higher levels of neuroticism as well as lower levels of extraversion, agreeableness, and conscientiousness were associated with higher levels of borderline personality symptoms, and changes in these traits were correlated with reduction in symptoms over time. Associations among time-structured residuals allowed for examinations of within-person deflections from these general trends at briefer (two year) intervals. All variables exhibited robust within-person carry-over effects. Other within-person effects were more specific to certain traits. These results suggest that, despite their distinct theoretical and methodological bases, normal trait and psychiatric diagnostic approaches largely converged on a similar conception of borderline personality.

2021 ◽  
Author(s):  
Christopher James Hopwood ◽  
Ted Schwaba ◽  
Aidan G.C. Wright ◽  
Wiebke Bleidorn ◽  
Mary C. Zanarini

Are five factor traits and borderline personality symptoms the same features with different names? The existing literature offers reasons to think they are the same and reasons to think they are different. We examined longitudinal associations between these variables in a sample of patients assessed 12 times over 24 years using latent curve models with structured residuals (LCM-SR). Mean trajectories for all variables were in the direction of symptom reduction/personality maturation, and could be parsed into an initial, rapid improvement phase and a subsequent, gradual improvement phase. We found robust between-person associations among intercepts and long-term slopes of traits and symptoms. Specifically, higher levels of neuroticism as well as lower levels of extraversion, agreeableness, and conscientiousness were associated with lower levels of borderline personality symptoms, and changes in these traits were correlated with reduction in symptoms over time. Associations among time-structured residuals allowed for examinations of within-person deflections from these general trends at briefer (two year) intervals. All variables exhibited robust within-person carry-over effects. Other within-person effects were more specific to certain traits. These results suggest that, despite their distinct theoretical and methodological bases, normal trait and psychiatric diagnostic approaches largely converged on a similar conception of borderline personality.


2019 ◽  
Vol 33 (2) ◽  
pp. 249-261 ◽  
Author(s):  
Katharina Kolbeck ◽  
Steffen Moritz ◽  
Julia Bierbrodt ◽  
Christina Andreou

Ongoing research is shifting towards a dimensional understanding of borderline personality disorder (BPD). Aim of this study was to identify personality profiles in BPD that are predictive of self-destructive behaviors. Personality traits were assessed (n = 130) according to the five-factor model of personality (i.e., Neuroticism, Extraversion, Openness to Experience, Agreeableness, Conscientiousness) and an additional factor called Risk Preference. Self-destructive behavior parameters such as non-suicidal self-injury (NSSI) and other borderline typical dyscontrolled behaviors (e.g., drug abuse) were assessed by self-report measures. Canonical correlation analyses demonstrated that Neuroticism, Extraversion, and Conscientiousness are predictors of NSSI. Further, Neuroticism, Agreeableness, and Risk Preference were associated with dyscontrolled behaviors. Our results add further support on personality-relevant self-destructive behaviors in BPD. A combined diagnostic assessment could offer clinically meaningful insights about the causes of self-destruction in BPD to expand current therapeutic repertoires.


2009 ◽  
Vol 66 (12) ◽  
pp. 1131-1138 ◽  
Author(s):  
Marijn A. Distel ◽  
Timothy J. Trull ◽  
Gonneke Willemsen ◽  
Jacqueline M. Vink ◽  
Catherine A. Derom ◽  
...  

Assessment ◽  
2020 ◽  
pp. 107319112095976
Author(s):  
Jiwon Min ◽  
Stephanie N. Mullins-Sweatt ◽  
Thomas A. Widiger

Borderline personality disorder (BPD) is one of the most studied personality disorders and is associated with significant outcomes such as suicide. Although BPD is represented in DSM-5 as a categorical diagnosis, it may be better characterized dimensionally, such as from the perspective of the five-factor model of general personality (FFM). The Five-Factor Borderline Inventory (FFBI) assesses BPD from the perspective of maladaptive variants of FFM traits. Previous research suggests that informant-reports may increase the validity of personality disorder assessment, providing additional information that may supplement self-report. Therefore, the current study developed an informant measure of the FFBI, Informant Five-Factor Borderline Inventory (IFFBI) and examined its convergent and discriminant validity compared with the self-report FFBI, FFM, and traditional measure of BPD. Overall, the IFFBI demonstrated good convergent validity and moderate discriminant validity with the FFBI, FFM, and other traditional measures of BPD.


Author(s):  
Andrew E. Skodol ◽  
Leslie C. Morey

This chapter describes the emergence of dimensional models for the classification and diagnosis of personality pathology. Broad personality traits underlie the meta-structure of psychopathology in general and describe the myriad manifestations of personality disorders (PDs) specifically. Domains of personality functioning distinguish personality styles from PD, and PD from other types of psychopathology, and represent the important construct of severity in personality pathology. This chapter describes the alternative Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) model for personality disorder (AMPD) and the five-factor model of personality (FFM) by which it was inspired. It summarizes the development and longitudinal course of personality traits, personality functioning, and PD; the relationship of personality and PD with physical health and psychosocial impairment; and the clinical utility of dimensional diagnostic approaches. Finally, it illustrates how traditional DSM subtypes of PD can be rendered according to impairments in personality functioning and pathological personality traits in a ‘hybrid’ dimensional–categorical model.


2020 ◽  
Vol 34 (Supplement B) ◽  
pp. 17-24 ◽  
Author(s):  
Mary C. Zanarini ◽  
Christina M. Temes ◽  
Laura R. Magni ◽  
Blaise A. Aguirre ◽  
Katherine E. Hein ◽  
...  

The objective of this study was to assess the association between variables reflecting childhood adversity, protective childhood experiences, and the five-factor model of personality and BPD in adolescents. Two groups of adolescents were studied: 104 met criteria for BPD and 60 were psychiatrically healthy. Adverse and protective childhood experiences were assessed using a semistructured interview. The five-factor model of personality was assessed using the NEO-FFI. Eight of nine variables indicating severity of abuse and neglect, positive childhood relationships, childhood competence, and the personality factors studied were found to be significant bivariate risk factors for adolescent BPD. However, in a multivariate model, severity of neglect, higher levels of neuroticism, and lower levels of childhood competence were found to be the best risk factor model. Taken together, the results of this study suggest that all three types of risk factors studied are significantly associated with BPD in adolescents.


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