scholarly journals Five-Factor Model Personality Disorder traits, health behaviors, health perceptions, and insomnia symptoms in older adults

2020 ◽  
Author(s):  
Joshua R. Oltmanns ◽  
Thomas A. Widiger

Personality traits predict physical health outcomes including health behaviors, health perceptions, disease, and mortality. Maladaptive traits of personality disorders may predict even more variance in physical health indicators. Dimensional models of maladaptive personality traits are replacing categorical models of personality disorder, and the five-factor model of personality disorder (FFMPD) is a useful dimensional model of maladaptive traits. However, there has been little work investigating the criterion validity of the FFMPD. The present study serves as a broad initial overview of the FFMPD scales in the prediction of health behaviors, heath perceptions, and insomnia symptoms across two timepoints in a representative community sample of older adults (N = 1,060). Findings indicate that the FFMPD scales explain a significant amount of variance in the physical health variables across time. Exploratory analyses indicate that the FFMPD traits have incremental validity over covariates, normal-range personality traits, and personality disorder criteria.

2021 ◽  
pp. 1-28
Author(s):  
Joshua R. Oltmanns ◽  
Thomas A. Widiger

Personality traits predict physical health outcomes, including health behaviors, disease, and mortality. Maladaptive traits of personality disorders may predict even more variance in physical health indicators. Dimensional models of maladaptive personality traits are replacing categorical models of personality disorder, and the Five-Factor Model of personality disorder (FFMPD) is a useful dimensional model of maladaptive traits. However, there has been little work investigating the criterion validity of the FFMPD. The present study serves as a broad initial overview of the FFMPD scales in the prediction of health behaviors, heath perceptions, and insomnia symptoms across two time points in a representative community sample of older adults (N = 1,060). Findings indicate that the FFMPD scales explain a significant amount of variance in the physical health variables across time. Exploratory analyses indicate that the FFMPD traits have incremental validity over covariates, normal-range personality traits, and personality disorder criteria.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 578-579
Author(s):  
Darlynn Rojo-Wissar ◽  
Amal Wanigatunga ◽  
Eleanor Simonsick ◽  
Antonio Terracciano ◽  
Jennifer Schrack ◽  
...  

Abstract Personality and disturbed sleep are tied to medical morbidity in older adults. We examined associations of personality dimensions and facets from the five-factor model with reports of insomnia symptoms in 1,069 well-functioning older adults 60-97 (SD=8.64) years (51% women) from the Baltimore Longitudinal Study of Aging. Personality was assessed by the Revised NEO Personality Inventory, and insomnia symptoms measured by the Women’s Health Initiative Insomnia Rating Scale. Adjusting for demographics and depressive symptoms, higher neuroticism (B=0.05, SE=-0.01, p<.001) and lower conscientiousness (B=-0.03, SE=-0.01, p<.05) were associated with greater insomnia severity. Although openness, extraversion and agreeableness were not associated with insomnia, a facet of each was. Higher scores on the “positive emotions” facet of extraversion (B =-0.03, SE=-0.01, p<.05) “ideas” facet of openness (B=-0.03, SE=-0.01, p<.05) and altruism facet of agreeableness (B=-0.03, SE=-0.01, p<.05) were associated with lower insomnia severity. Sleep disturbances may partially mediate personality’s influence on health. Part of a symposium sponsored by the Sleep, Circadian Rhythms and Aging Interest Group.


Author(s):  
Joshua D. Miller

This chapter argues that personality disorders can and should be understood as collections of basic personality traits from a general model of personality, namely the five-factor model (FFM). It reviews evidence for the convergence of FFM personality disorder profiles across multiple approaches—expert ratings (i.e., researchers and clinicians) and empirical relations. It discusses how to score the personality disorders from the FFM and provides evidence for the convergent, discriminant, and construct validity of this approach. The chapter also demonstrates how the new alternative model for personality disorders can be embedded within the more established and robust FFM literature.


2005 ◽  
Vol 19 (4) ◽  
pp. 343-357 ◽  
Author(s):  
Stephanie D. Stepp ◽  
Timothy J. Trull ◽  
Rachel M. Burr ◽  
Mimi Wolfenstein ◽  
Angela Z. Vieth

This study examined the incremental validity of the Structured Interview for the Five‐Factor Model (SIFFM; Trull & Widiger, 1997) scores in the prediction of borderline, antisocial, and histrionic personality disorder symptoms above and beyond variance accounted for by scores from the Schedule for Nonadaptive and Adaptive Personality (SNAP; Clark, 1993), a self‐report questionnaire that includes items relevant to both normal (i.e. Big Three) and abnormal personality traits. Approximately 200 participants (52 clinical outpatients, and 149 nonclinical individuals from a borderline‐features‐enriched sample) completed the SIFFM, the SNAP, and select sections of the Personality Disorder Interview—IV (PDI‐IV; Widiger, Mangine, Corbitt, Ellis, & Thomas, 1995). We found support for the incremental validity of SIFFM scores, further indicating the clinical utility of this instrument. However, results also supported the incremental validity of SNAP scores in many cases. We discuss the implications of the findings in terms of dimensional approaches to personality disorder assessment. Copyright © 2005 John Wiley & Sons, Ltd.


Author(s):  
Markus Jokela

This chapter reviews the meta-analytic evidence on how personality traits of the Five-Factor Model (extraversion, neuroticism, agreeableness, conscientiousness, and openness to experience) are associated with health behaviors (e.g., smoking, physical activity); chronic physical diseases (e.g., Type 2 diabetes, coronary heart disease); and all-cause mortality. A systematic literature identified 22 meta-analyses investigating the topic. The evidence suggests multiple associations between personality traits and health behaviors. By contrast, only conscientiousness was systematically associated with chronic diseases and mortality across multiple studies and disease end points, including all-cause mortality. While associations between personality and health outcomes are well established, the pathways connecting them remain largely unknown. Future studies need to focus on study designs that can better address the developmental patterns, mediating pathways, and causality in explaining why personality traits are associated with health.


Assessment ◽  
2020 ◽  
pp. 107319112094716
Author(s):  
Gillian A. McCabe ◽  
Joshua R. Oltmanns ◽  
Thomas A. Widiger

The alternative model of personality disorder was created to address the apparent failings of Diagnostic and Statistical Manual of Mental Disorders–Fourth edition–text revision personality disorder diagnostic categories and consists of Criterion A (i.e., personality functioning) and Criterion B (i.e., pathological personality traits). There are now four alternative measures of the Criterion A impairments but, perhaps surprisingly, no study has yet compared any one of them with any one of the other three. The current study assesses the convergent (and discriminant) validity of all four, as well as their structural relationship with the five-factor model (FFM), a widely accepted model for understanding the structure of normal and pathological personality traits. Exploratory structural equation modeling analyses of the Criterion A measures and FFM scales demonstrate that the Criterion A self-identity scale can be understood as a maladaptive variant of FFM neuroticism. Moreover, results indicate no appreciable discriminant validity in the assessment of the Criterion A impairments—the Criterion A scales correlated more highly within measures than across alternative measures, even when measuring the same construct. Implications of these findings for the conceptualization and assessment of Criterion A self and interpersonal impairments are discussed.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 898-898
Author(s):  
George Lederer ◽  
David Freedman ◽  
Lauren Atlas ◽  
Shira Kafker ◽  
Ira Yenko ◽  
...  

Abstract Personality pathology, represented by high neuroticism and low agreeableness in the Five Factor Model of Personality, has been identified as a predictor of depression in mixed-age samples and preliminary studies of older adults. Research on older people, however, has not examined the differential impact of pathological personality traits and processes on depression or examined them across treatment settings. This secondary analysis examined personality traits and processes as predictors of depression, evaluated the moderating effect of interpersonal problems, and assessed stratification of these personality variables across community and clinical settings. Older adults (N=395) ranging in age from 55 to 99 (M = 72.06; SD = 10.10) from inpatient psychiatric, outpatient medical, and community settings completed self-report measures of personality traits (NEO-FFI Agreeableness and Neuroticism), processes (Inventory of Interpersonal Problems), and depression (GDS-30). Higher neuroticism predicted worsened depressive symptoms (β = .765, p < .001), as did lower agreeableness (β = -.163, p = .002) and more interpersonal problems (β = .459, p < .001). Findings partially supported the stratification of personality traits and processes by setting. Interpersonal problems moderated neither the neuroticism-depression or agreeableness-depression relationships. Personality traits and processes predict depression in older adults across care settings but do not significantly interact. Levels of pathological traits and processes vary across community and clinical settings.


2010 ◽  
Vol 44 (4) ◽  
pp. 485-491 ◽  
Author(s):  
Paula G. Williams ◽  
Yana Suchy ◽  
Matthew L. Kraybill

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