Personality organization and its association with clinical and functional features in borderline personality disorder

Esguevillas, Álvaro; Díaz‐Caneja, Covadonga M.; Arango, Celso; Rey-Mejías, Ángel Del; Bernardo, Enrique García; Delgado, Carlos Fernández; Clarkin, John F.; Carrasco, José Luís

doi:10.1016/j.psychres.2017.09.013

Cited by 17 publications

(18 citation statements)

References 41 publications

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“…Among the four domains, only Empathy emerged as a unique significant contributor to variance. The results diverge from the results found in the study by Esguevillas et al (2018), which identified Identity as the only significant predictor for psychosocial functioning rated by GAF-F. It is though important to note that the subjects of that study were patients with BPD.…”

Section: The Four Domains As Predictor For Gaf-fcontrasting

confidence: 90%

“…One example is the Structured Interview of Personality Organization (Clarkin, Caligor, Stern, & Kernberg, 2003) which dimensionally assesses eight domains of personality organization. Esguevillas et al (2018) evaluated predictors for impaired psychosocial functioning in a sample of 43 patients with BPD, finding that among the six domains of personality in this scale, identity was the strongest predictor for psychosocial impairment assessed by Global Assessment of Functioning (GAF, American Psychiatric Association, 1994). In another study of 99 women with BPD, self-reported emotional dysregulation demonstrated a strong association with psychosocial functioning (Wilks, Korslund, Harned, & Linehan, 2016).…”

Section: Introductionmentioning

confidence: 99%

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Level of personality functioning as a predictor of psychosocial functioning—Concurrent validity of criterion A.

Christensen

Eikenaes

Hummelen

et al. 2020

Personality Disorders: Theory, Research, and Treatment

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The Alternative Model for Personality Disorders (AMPD) in the Diagnostic and Statistical Manual of Mental Disorders (DSM), fifth edition (DSM-5), defines personality functioning by assessment of impairment in Identity and Self-direction (Self-component) and in Empathy and Intimacy (Interpersonal). These four domains constitute the Level of Personality Functioning Scale (LPFS), a trans-diagnostic measure of PD severity. The association between the LPFS and psychosocial impairment based on other previously established psychosocial functioning instruments has not been reported. A total of 317 individuals, including a representative clinical sample of 282 patients (192 with a PD diagnosis), was evaluated with the Structured Clinical Interview for the DSM-5 AMPD (SCID-5-AMPD) Module I. Self-reported impairment was measured by the Work and Social Adjustment Scale (WSAS) and social and occupational impairment was assessed by the functioning score of Global Assessment of Functioning scale (GAF-F). WSAS and GAF-F both correlated significantly with mean LPFS scores and the sum of DSM-IV PD criteria. For both measures, the mean LPFS was a stronger predictor for psychosocial impairment than the sum of DSM-IV PD criteria. Within the LPFS, the Self component was a better predictor than the Interpersonal component for both WSAS and GAF-F. For the four domains the results diverged, with Identity as the strongest predictor by far for WSAS. Empathy was the only significant predictor for impairment evaluated by GAF-F, but its contribution to variance was not substantial.

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Section: The Four Domains As Predictor For Gaf-fcontrasting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Level of personality functioning as a predictor of psychosocial functioning—Concurrent validity of criterion A.

Christensen

Eikenaes

Hummelen

et al. 2020

Personality Disorders: Theory, Research, and Treatment

View full text Add to dashboard Cite

show abstract

“…Ellison and colleagues explored the influence of single clinical symptoms on impairment, with chronic feelings of emptiness evidencing the poorest psychosocial outcomes, highest number of days out of work and lowest social function . Similarly, identity and sense of self predicted GAF scores over time . Theoretically, it has been suggested that identity disturbance and emptiness underlie core components of BPD and may be expressed by behavioural symptoms.…”

Section: Introductionmentioning

confidence: 99%

“…25 Similarly, identity and sense of self predicted GAF scores over time. 23 Theoretically, it has been suggested that identity disturbance and emptiness underlie core components of BPD 26 and may be expressed by behavioural symptoms. Empirical research is still needed to understand this relationship.…”

Section: Introductionmentioning

confidence: 99%

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A 1‐year follow‐up study of capacity to love and work: What components of borderline personality disorder most impair interpersonal and vocational functioning?

Miller

Lewis

Huxley

et al. 2018

Personality & Mental Health

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Differential diagnosis of borderline personality disorder and bipolar disorder: Self‐concept, identity and self‐esteem

Wright

Lari

Iazzetta

et al. 2021

Clin Psychology and Psychoth

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Symptoms of borderline personality disorder (BPD) and bipolar disorder (BD) often overlap. In some cases, it is difficult to conduct a differential diagnosis based only on current diagnostic criteria Therefore, it is important to find clinical factors with high discriminatory specificity that, used together with structured or semi‐structured interviews, could help improve diagnostic practice. We propose that a clinical analysis of identity, self‐concept and self‐esteem may help distinguish the two disorders, when they are not co‐morbid. Our review of the studies that analyse these constructs in BD and BPD, separately, points in the direction of qualitative differences between the two disorders. In BPD, there is a well‐documented identity diffusion, and the self‐concept appears predominantly negative; shifts in self‐concept and self‐esteem are often tied to interpersonal triggers. In BD, patients struggle with their identity, but narrative identity might be less compromised compared with BPD; the shifts in self‐concept and self‐esteem appear more linked to internal (i.e. mood and motivational) factors. We end the paper by discussing the implications for clinicians and ideas for future comparative research.

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Personality organization and its association with clinical and functional features in borderline personality disorder

Cited by 17 publications

References 41 publications

Level of personality functioning as a predictor of psychosocial functioning—Concurrent validity of criterion A.

Level of personality functioning as a predictor of psychosocial functioning—Concurrent validity of criterion A.

A 1‐year follow‐up study of capacity to love and work: What components of borderline personality disorder most impair interpersonal and vocational functioning?

Differential diagnosis of borderline personality disorder and bipolar disorder: Self‐concept, identity and self‐esteem

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