Factor Structure of Self‐Reported Clinical Disorders and Personality Disorders: A Review of the Existing Literature and a Factor Analytical Study

Bachrach, Nathan; Croon, Marcel A.; Bekker, Marrie H. J.

doi:10.1002/jclp.21841

Cited by 16 publications

(13 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In psychometric analyses, DSM-IV criteria for AVPD have been reported to represent a unidimensional construct. 36 , 37 Based on data from a psychiatric outpatient sample, Hummelen et al 36 concluded that the criteria had good psychometric properties and acceptable internal consistency. AVPD showed associations with schizoid, dependent, and paranoid PDs, but it was more likely than the other disorders to be a sole PD diagnosis.…”

Section: Historical Development Of the Avpd Construct And Its Inclusimentioning

confidence: 99%

Avoidant personality disorder: current insights

Lampe¹,

Malhi²

2018

PRBM

View full text Add to dashboard Cite

Avoidant personality disorder (AVPD) is a relatively common disorder that is associated with significant distress, impairment, and disability. It is a chronic disorder with an early age at onset and a lifelong impact. Yet it is underrecognized and poorly studied. Little is known regarding the most effective treatment. The impetus for research into this condition has waxed and waned, possibly due to concerns regarding its distinctiveness from other disorders, especially social anxiety disorder (SAD), schizoid personality disorder, and dependent personality disorder. The prevailing paradigm subscribes to the “severity continuum hypothesis”, in which AVPD is viewed essentially as a severe variant of SAD. However, areas of discontinuity have been described, and there is support for retaining AVPD as a distinct diagnostic category. Recent research has focused on the phenomenology of AVPD, factors of possible etiological significance such as early parenting experiences, attachment style, temperament, and cognitive processing. Self-concept, avoidant behavior, early attachments, and attachment style may represent points of difference from SAD that also have relevance to treatment. Additional areas of research not focused specifically on AVPD, including the literature on social cognition as it relates to attachment and personality style, report findings that are promising for future research aimed at better delineating AVPD and informing treatment.

show abstract

Section: Historical Development Of the Avpd Construct And Its Inclusimentioning

confidence: 99%

Avoidant personality disorder: current insights

Lampe¹,

Malhi²

2018

PRBM

View full text Add to dashboard Cite

show abstract

“…In the current study, we aimed at adding to the understanding of personality dysfunctioning, by studying the relationships among sex, attachment, autonomy‐connectedness and aspects of personality dysfunctioning as conceptualized by Kernberg (). Previous studies found significant relationships of these variables with DSM‐IV personality disorder characteristics as well as with Big Five personality dimensions (for instance, Bachrach, Croon & Bekker, , , van Assen & Bekker, ; Bakker, Van Oudenhoven, & Van der Zee, ). Our focus on aspects of personality dysfunctioning is in line with the current suggestions of the APA () to take personality functioning aspects into account, next to personality disorder and the five broad areas of pathological personality traits in the study of personality pathology.…”

Section: Discussionmentioning

confidence: 94%

“…Previous research in which this framework was tested indeed found significant associations among sex, attachment and autonomy-connectedness with DSM-IV personality characteristics and their higher-order factors, internalizing and externalizing (for instance, Bachrach, Bekker & Croon, 2012a;. In the current study, we elaborated on these studies and aimed at examining the relationships of these same variables with dimensions of pathological personality functioning as conceptualized by Kernberg (1984).…”

Section: Introductionmentioning

confidence: 93%

“…Based on the integration of these theories and previous findings (Bachrach, Bekker & Croon, ; ; ), we formulated a path model in order to investigate the relationships between sex, attachment, autonomy and personality dysfunctioning (Figure ). In this model, personality dysfunctioning, measured by the IPO scales: general personality pathology, reality testing and aggression, was treated as dependent variable.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The role of sex, attachment and autonomy-connectedness in personality functioning

Bachrach

Croon

Bekker

2015

Personality and Mental Health

Self Cite

View full text Add to dashboard Cite

Previous studies have found significant relationships among sex, attachment and autonomy-connectedness and DSM-IV personality characteristics. In the present study, we aimed to add to the current knowledge about attachment-related aspects of personality pathology, by examining the relationships of these same variables with dimensions of pathological personality structure as conceptualized by Kernberg. The study was performed among 106 ambulatory patients from a Dutch mental healthcare institute. A path model based upon neo-analytical object relation theory and attachment theory was tested. We expected significant associations among sex, attachment, autonomy and aspects of personality functioning. Both insecure attachment styles as well as the autonomy-connectedness components of sensitivity to others (SO) and capacity of managing new situations predicted general personality dysfunctioning significantly. More specifically, reality testing was negatively predicted by the autonomy component of capacity of managing new situations, and aggression was significantly predicted by sex as well as both insecure attachment styles. We advise scientists as well as clinicians to be alert on sex differences in autonomy-connectedness and aspects of personality dysfunctioning. Taking sex-specific variations in attachment and autonomy into account next to a more explicit focus on insecure attachment styles and autonomy problems may enhance, the current relatively low, treatment effectiveness for personality pathology.

show abstract

“…In identifying determinants of sex differences in the prevalence of mental disorders the literature often used the broader categories of internalizing and externalizing mental disorders (e.g., see [ 10 , 43 , 50 , 51 ]. Anxiety-, mood-, and eating disorders are typically internalizing disorders, characterized by self-blame, insecurity, self-silencing and inhibition of other-directed anger.…”

Section: Introductionmentioning

confidence: 99%

Autonomy-connectedness mediates sex differences in symptoms of psychopathology

Bekker

Assen

2017

PLoS ONE

Self Cite

View full text Add to dashboard Cite

ObjectivesThis study aimed to examine if autonomy-connectedness, capacity for self-governance under the condition of connectedness, would mediate sex differences in symptoms of various mental disorders (depression, anxiety, eating disorders, antisocial personality disorder).MethodParticipants (N = 5,525) from a representative community sample in the Netherlands filled out questionnaires regarding the variables under study.ResultsAutonomy-connectedness (self-awareness, SA; sensitivity to others, SO; capacity for managing new situations, CMNS) fully mediated the sex differences in depression and anxiety, and partly in eating disorder -(drive for thinness, bulimia, and body dissatisfaction) and anti-social personality disorder characteristics. The mediations followed the expected sex-specific patterns. SO related positively to the internalizing disorder indices, and negatively to the anti-social personality disorder. SA related negatively to all disorder indices; and CMNS to all internalizing disorder indices, but positively to the anti-social personality disorder.ConclusionTreatment of depression, anxiety, but also eating disorders and the antisocial personality disorder may benefit from a stronger focus on autonomy strengthening.

show abstract

Factor Structure of Self‐Reported Clinical Disorders and Personality Disorders: A Review of the Existing Literature and a Factor Analytical Study

Cited by 16 publications

References 36 publications

Avoidant personality disorder: current insights

Avoidant personality disorder: current insights

The role of sex, attachment and autonomy-connectedness in personality functioning

Autonomy-connectedness mediates sex differences in symptoms of psychopathology

Contact Info

Product

Resources

About