Borderline Personality Organization and Dissociation

Spitzer, Carsten; Barnow, Sven; Armbruster, Jan; Kusserow, S.; Freyberger, Harald J.; Grabe, Hans J.

doi:10.1521/bumc.2006.70.3.210

Cited by 17 publications

(9 citation statements)

References 29 publications

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“…Furthermore, the IPO appeared to be sensitive to changes in aspects of borderline personality organization following psychotherapeutic treatment (Arntz & Bernstein, 2006). Finally, the RT subscale emerged as a predictor for different facets of dissociation (Spitzer et al, 2006).…”

Section: Bulletin Of the Menninger Clinicmentioning

confidence: 94%

Psychometric properties and validity of the Dutch Inventory of Personality Organization (IPO-NL)

Berghuis

Kamphuis²,

Boedijn³

et al. 2009

Bulletin of the Menninger Clinic

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This study investigated the psychometric qualities and validity of a Dutch translation of the Inventory of Personality Organization (IPO-NL) in a heterogeneous sample of 371 psychiatric patients and a sample of 181 normal controls. Results show good internal consistency and test-retest reliability. Exploratory factor analyses did not replicate its proposed five-factor structure, but suggested a four-factor structure instead. The IPO-NL appeared to have good concurrent validity across populations, and good convergent validity in terms of associations with measures of psychological distress and personality pathology severity. Taken together, the IPO-NL appears to be a useful instrument for evaluating general personality pathology for clinical practice. Future studies may further articulate its proposed subscales.

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Section: Bulletin Of the Menninger Clinicmentioning

confidence: 94%

Psychometric properties and validity of the Dutch Inventory of Personality Organization (IPO-NL)

Berghuis

Kamphuis²,

Boedijn³

et al. 2009

Bulletin of the Menninger Clinic

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“…Numerous investigations established the close link between BPD and dissociation. 50 – 53 Chronic and complex dissociative symptoms are common. 51 , 52 , 54 – 56 Dissociation is understood as a coping strategy to deal with tough, stressful circumstances, and with hurtful trauma experiences.…”

Section: Introductionmentioning

confidence: 99%

Quality of life in borderline patients comorbid with anxiety spectrum disorders – a cross-sectional study

Grambal¹,

Praško²,

Kamarádová³

et al. 2016

PPA

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IntroductionBorderline personality disorder (BPD) significantly reduces the quality of life (QoL) in mental, social, and work domains. Patients with BPD often suffer from depressive anxiety symptoms. The purpose of this cross-sectional study was to compare the QoL and demographic and clinical factors of inpatients diagnosed with BPD and comorbid anxiety spectrum disorders, and healthy controls.MethodsNinety-two hospitalized patients treated in the psychotherapeutic department and 40 healthy controls were included. Subjects were assessed by the Quality of Life Satisfaction and Enjoyment Questionnaire (Q-LES-Q), Dissociative Experiences Scale, Beck Depression Inventory (BDI)-II, Beck Anxiety Inventory, Clinical Global Impression, demographic questionnaire, Sheehan Disability Scale (SDS), and Sheehan Anxiety Scale.ResultsBPD patients suffered from comorbid anxiety disorders, panic disorder (18.5%), social phobia (20.7%), generalized anxiety disorder/mixed anxiety depression disorder (17.4%), adjustment disorder (22.8%), and posttraumatic stress disorder (8.7%); 19.6% patients had two or more anxiety disorder comorbidities. Patients score in Q-LES-Q (general) was 36.24±9.21, which was significantly lower in comparison to controls (57.83±10.21) and similar in all domains (physical health, feelings, work, household, school/study, leisure, social activities). The subjective level of depression measured by BDI and SDS (social life and family subscales) negatively correlated with all Q-LES-Q domains.ConclusionPatients suffering from BPD and comorbid anxiety disorders have a lower level of QoL compared to healthy controls in all measured domains. Negative correlations of the Q-LES-Q domains with clinical scales (Dissociative Experiences Scale, BDI, Beck Anxiety Inventory, Sheehan Anxiety Scale, Clinical Global Impression, and SDS) are noticeable.

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“…The IPO has also shown theoretically appropriate correlations with other problematic personality traits and psychiatric symptoms. For example, the Impaired Reality Testing subscale has been shown to be a good predictor of dissociative symptoms among both psychiatric patients and nonclinical controls (Spitzer et al, 2006), and Pincus et al (2009), using a nonclinical undergraduate sample, found that IPO subscales were highly correlated with pathological narcissism, a personality style typically associated with a borderline personality organization in Kernberg's model. In addition, the IPO has been used to assess structural change in personality as a psychotherapy outcome among individuals with BPD (Arntz & Bernstein, 2006; Giesen-Bloo et al, 2006).…”

mentioning

confidence: 99%

Factor structure of the primary scales of the Inventory of Personality Organization in a nonclinical sample using exploratory structural equation modeling.

Ellison¹,

Levy²

2012

Psychological Assessment

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Using exploratory structural equation modeling and multiple regression, we examined the factor structure and criterion relations of the primary scales of the Inventory of Personality Organization (IPO; Kernberg & Clarkin, 1995) in a nonclinical sample. Participants (N = 1,260) completed the IPO and measures of self-concept clarity, defenses, affect and emotion regulation, and risky and self-injurious behavior. In contrast to that of Lenzenweger, Clarkin, Kernberg, and Foelsch (2001), a 4-factor measurement model was derived with factors representing instability of sense of self and other, instability of goals, instability of behaviors, and psychosis. The 1st of these factors related most strongly to external measures of self-concept clarity, defenses, and affect, whereas the 3rd factor related most strongly to measures of risky behavior and self-injury. These results suggest that the IPO's factor structure does not conform to the hypothesized 3-factor model, although it does capture important elements of Kernberg's (1996) theory of personality organization, especially the central construct of representations of self and others. The results point to several areas in which the IPO might be refined to provide a more comprehensive and theoretically appropriate measure of the borderline personality organization construct.

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Borderline Personality Organization and Dissociation

Cited by 17 publications

References 29 publications

Psychometric properties and validity of the Dutch Inventory of Personality Organization (IPO-NL)

Psychometric properties and validity of the Dutch Inventory of Personality Organization (IPO-NL)

Quality of life in borderline patients comorbid with anxiety spectrum disorders – a cross-sectional study

Factor structure of the primary scales of the Inventory of Personality Organization in a nonclinical sample using exploratory structural equation modeling.

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Borderline Personality Organization and Dissociation

Cited by 17 publications

References 29 publications

Psychometric properties and validity of the Dutch Inventory of Personality Organization (IPO-NL)

Psychometric properties and validity of the Dutch Inventory of Personality Organization (IPO-NL)

Quality of life in borderline patients comorbid with anxiety spectrum disorders &ndash; a cross-sectional study

Factor structure of the primary scales of the Inventory of Personality Organization in a nonclinical sample using exploratory structural equation modeling.

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Quality of life in borderline patients comorbid with anxiety spectrum disorders – a cross-sectional study