Manifestations of personality impairment severity: comorbidity, course/prognosis, psychosocial dysfunction, and ‘borderline’ personality features

Clark, Lee Anna; Nuzum, Hallie; Ro, Eunyoe

doi:10.1016/j.copsyc.2017.12.004

Cited by 70 publications

(54 citation statements)

References 42 publications

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“…This result may be related to the fact that BPD traits are a general latent indicator of personality impairment severity, 10,11 approaching those psychiatric groups on the basis of severity. When considering all three groups, mood instability and dependency showed the best performance.…”

Section: Discussionmentioning

confidence: 99%

“…1,2,6,8,9 Some of these BPD features have been considered as indicators of personality impairment severity. 10,11 Based on the prominent literature about dimensional models of PDs, the self-report test Dimensional Clinical Personality Inventory (Inventário Dimensional Clínico da Personalidade [IDCP]) [12][13][14] has shown accuracy in the evaluation and identification of traits associated with BPD. Although no study has been published testing the accuracy of the revised version of the IDCP (i.e., IDCP-2), 15 results found with the first version of the IDCP can be generalized to the dimensions of IDCP-2, since the correlation between the total scores of the two versions tends to be around 0.90.…”

Section: Introductionmentioning

confidence: 99%

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Dependency, mood instability, and inconsequence traits for discriminating borderline personality disorder

Carvalho

Pianowski

2019

Trends Psychiatry Psychother.

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Introduction Borderline personality disorder (BPD) is one of the most widely studied personality disorders (PDs). It recurrently shows traits of emotional lability, anxiety, separation insecurity, depressiveness, impulsiveness, risk exposure, and hostility, mainly affecting the domains of negative affectivity and antagonism. Objectives To investigate the most discriminant dimensions of the Dimensional Clinical Personality Inventory (Inventário Dimensional Clínico da Personalidade 2 [IDCP-2]) to distinguish people diagnosed with BPD from people without this diagnosis. Methods A total of 305 participants were included in this study: psychiatric outpatients diagnosed with BPD (n = 30), psychiatric outpatients diagnosed with other PDs (n = 75), and a community sample (n = 200). BPD traits were assessed using the dependency, mood instability, and inconsequence dimensions of the IDCP-2. Results Analysis of variance (ANOVA) comparisons indicated highest mean measures in the BPD group, and mood instability factors were the most discriminant ones when considering all groups. Applying the multiple regression analysis, we found an adjusted r 2 = 0.50, and hopelessness was the most predictive measure (β = 0.32; t = 6.19; p < 0.001). Conclusions We found discriminatory capacity for factors of all dimensions, although at different levels, and more consistent results to discriminate the BPD group from the community sample.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Dependency, mood instability, and inconsequence traits for discriminating borderline personality disorder

Carvalho

Pianowski

2019

Trends Psychiatry Psychother.

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“…As shown in Table 2 and 3 , the classification of severity aligns with the psychodynamic tradition of personality organization [ 9 , 10 ] as well as scientifically valid models of core Personality Disorder features [ 11 – 15 ]. Importantly, research shows that much of the predictive and prognostic value in Personality Disorder assessment can be derived from such a core dimension [ 13 , 16 ]. A classification according to severity also provides information for guiding intensity of clinical management and treatment [ 10 , 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

Application of the ICD-11 classification of personality disorders

2018

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BackgroundThe ICD-11 classification of Personality Disorders focuses on core personality dysfunction, while allowing the practitioner to classify three levels of severity (Mild Personality Disorder, Moderate Personality Disorder, and Severe Personality Disorder) and the option of specifying one or more prominent trait domain qualifiers (Negative Affectivity, Detachment, Disinhibition, Dissociality, and Anankastia). Additionally, the practitioner is also allowed to specify a Borderline Pattern qualifier. This article presents how the ICD-11 Personality Disorder classification may be applied in clinical practice using five brief cases.Case presentation(1) a 29-year-old woman with Severe Personality Disorder, Borderline Pattern, and prominent traits of Negative Affectivity, Disinhibition, and Dissociality; (2) a 36-year-old man with Mild Personality Disorder, and prominent traits of Negative Affectivity and Detachment; (3) a 26-year-old man with Severe Personality Disorder, and prominent traits of Dissociality, Disinhibition, and Detachment; (4) a 19-year-old woman with Personality Difficulty, and prominent traits of Negative Affectivity and Anankastia; (5) a 53-year-old man with Moderate Personality Disorder, and prominent traits of Anankastia and Dissociality.ConclusionsThe ICD-11 Personality Disorder classification was applicable to five clinical cases, which were classified according to Personaity Disorder severity and trait domain qualifiers. We propose that the classification of severity may help inform clinical prognosis and intensity of treatment, whereas the coding of trait qualifiers may help inform the focus and style of treatment. Empirical investigation of such important aspects of clinical utility are warranted.Electronic supplementary materialThe online version of this article (10.1186/s12888-018-1908-3) contains supplementary material, which is available to authorized users.

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“…These traits and others covered by the factors from IDCP-2 (i.e. Anxious concern, Vulnerability, Angry distrust, Avoidance of abandonment, Submission, Self-directed hopelessness, Violence, and Insecurity) are considered as suitable for measuring BPD [2,[12][13][14][15]17,18,42].…”

Section: Discussionmentioning

confidence: 99%

“…Diagnosing the characteristics of BPD has assumed an undeniable clinical relevance, since its prevalence stands out and its potential personal and social impairments require careful attention [11]. Some features of BPD have also been investigated as central to the evaluation of the severity of psychopathology [12], which makes BPD diagnosis particularly relevant for psychiatric and psychological assessment in general.…”

Section: Introductionmentioning

confidence: 99%

Assessing borderline personality disorder based on the Hierarchical Taxonomy of Psychopathology (HiTOP): Dimensional Clinical Personality Inventory 2 – BPD

Carvalho¹,

Pianowski²,

Bacciotti³

et al. 2018

Arch Psych Psych

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A new approach to mental disorder taxonomy was recently proposed, the Hierarchical Taxonomy of Psychopathology (HiTOP). The aim of this study was to develop a specific version of the Dimensional Clinical Personality Inventory 2 (IDCP-2), a self-reported measure developed in Brazil for use in pathological personality traits assessment, focused on the assessment of traits related to BPD in accordance with the HiTOP model. In step 1 we developed new factors to cover all traits of BPD according to HiTOP. In step 2, data were collected from 207 adults from the community (N = 207; M age = 35.9). Participants completed the developed measure (IDCP Borderline Personality Disorder Scale; IDCP-BPD), and selected factors from IDCP-2, PID-5, FFBI and FFHI. Exploratory structural equation modeling (E-SEM) suggested a 3-factors solution for the grouping of the fifteen factors of the IDCP-BPD.Factors and total score reliability was good. Correlations between IDCP-BPD factors and external measures were coherent, corroborating our expectations. The bootstrap two-sample t-test comparing the healthy and pathological groups suggested good discrimination capacity of the IDCP-BPD factors, mainly the Fragility and Impotence feelings factors. Favorable evidence was found for the use of IDCP-BPD to BPD traits measurement. The new factors extend the coverage of IDCP-2 in measuring BPD symptoms. Correlations suggest that IDCP-BPD factors measure the traits considered as relevant according to HiTOP. Discriminant capacity of the factors also supports the use of the measure, although future studies must replicate this in samples composed of BPD patients. personality disorders, differential diagnosis, emotional instability, psychological assessment

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Manifestations of personality impairment severity: comorbidity, course/prognosis, psychosocial dysfunction, and ‘borderline’ personality features

Cited by 70 publications

References 42 publications

Dependency, mood instability, and inconsequence traits for discriminating borderline personality disorder

Dependency, mood instability, and inconsequence traits for discriminating borderline personality disorder

Application of the ICD-11 classification of personality disorders

Assessing borderline personality disorder based on the Hierarchical Taxonomy of Psychopathology (HiTOP): Dimensional Clinical Personality Inventory 2 – BPD

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