A Dimensional Understanding of Borderline Personality Disorder Using MMPI-2 PSY-5 Scales in Clinical Samples
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective This study aims to understand borderline personality disorder (BPD) features by employing the Personality Psychopathology Five (PSY-5) scales from the Minnesota Multiphasic Personality Inventory-2 (MMPI-2).Methods A total of 156 psychiatric patients completed PSY-5 scales of MMPI-2 and Personality Assessment Inventory-Borderline Subscale (PAI-BOR). Pearson’s partial correlation analysis was conducted to control the impact of age and gender and to determine the relationship between PSY-5 scales and BOR. A hierarchical multiple regression analysis was implemented to examine whether PSY-5 scales predicted the BOR-total, and a path analysis was performed to determine whether PSY-5 scales predicted each PAI-BOR subscale.Results The BOR-total score had a significant correlation with all PSY-5 scores, even after controlling for age and gender. However, only aggressiveness (AGGR), disconstraint (DISC), negative emotionality/neuroticism (NEGE), and introversion/low positive emotionality (INTR), excluding psychoticism (PSYC), significantly predicted BOR-total. The path analysis indicates that PSYC did not predict any BOR subscale, while NEGE predicted all BOR subscales.Conclusion The study findings indicate that NEGE best reflects BPD features, while PSYC is far from the core domain that describes BPD. In addition, the influence of age should be considered when understanding BPD, since age predicted the BOR-total and two BOR subscales.
Abstract
Objective This study aims to understand borderline personality disorder (BPD) features by employing the Personality Psychopathology Five (PSY-5) scales from the Minnesota Multiphasic Personality Inventory-2 (MMPI-2).Methods A total of 156 psychiatric patients completed PSY-5 scales of MMPI-2 and Personality Assessment Inventory-Borderline Subscale (PAI-BOR). Pearson’s partial correlation analysis was conducted to control the impact of age and gender and to determine the relationship between PSY-5 scales and BOR. A hierarchical multiple regression analysis was implemented to examine whether PSY-5 scales predicted the BOR-total, and a path analysis was performed to determine whether PSY-5 scales predicted each PAI-BOR subscale.Results The BOR-total score had a significant correlation with all PSY-5 scores, even after controlling for age and gender. However, only aggressiveness (AGGR), disconstraint (DISC), negative emotionality/neuroticism (NEGE), and introversion/low positive emotionality (INTR), excluding psychoticism (PSYC), significantly predicted BOR-total. The path analysis indicates that PSYC did not predict any BOR subscale, while NEGE predicted all BOR subscales.Conclusion The study findings indicate that NEGE best reflects BPD features, while PSYC is far from the core domain that describes BPD. In addition, the influence of age should be considered when understanding BPD, since age predicted the BOR-total and two BOR subscales.
참고문헌 (32)
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders(DSM-5®)" (2013), American Psychiatric Pub
- Skodol AE, "Personality disorders in DSM-5", Annu Rev Clin Psychol, 8, pp.317~344 (2012)
- Widiger TA, "Plate tectonics in the classification of personality disorder : shifting to a dimensional model", Am Psychol, 62, pp.71~83 (2007)
- Harkness AR, "The personality psychopathology five(PSY-5) : constructs and MMPI-2 scales", Psychol Assess, 7, pp.104~114 (1995)
- Finn JA, "The MMPI-2 restructured form personality psychopathology five scales : bridging DSM5 section 2 personality disorders and DSM-5 section 3 personality trait dimensions", J Pers Assess, 96, pp.173~184 (2014)
- Sellbom M, "Mapping the personality psychopathology five domains onto DSM-IV personality disorders in Dutch clinical and forensic samples : implications for DSM5", J Pers Assess, 96, pp.185~191 (2014)
- Stokes JM, "A dimensional understanding of borderline personality features in adolescence : the relationship between the MMPI-A PSY-5 scales and PAI-A borderline features", Pers Individ Diff, 140, pp.27~32 (2019)
- Trull TJ, "Comparison of the MMPI-2Personality Psychopathology Five(PSY-5), the NEO-PI, and the NEOPI—R", Psychol Assess, 7, pp.508~516 (1995)
- Wygant DB, "Incremental validity of the MMPI-2 PSY-5 scales in assessing self-reported personality disorder criteria", Assessment, 13, pp.178~186 (2006)
- Bagby RM, "Predicting Diagnostic and Statistical Manual of Mental Disorders-IV personality disorders with the five-factor model of personality and the personality psychopathology five", Pers Ment Health, 2, pp.55~69 (2008)
- Zahn N, "Associations between MMPI-2-RF scale scores and self-reported personality disorder criteria in a private practice sample", J Psychopathol Behav Assess, 39, pp.723~741 (2017)
- Morey LC, "Personality assessment inventory profiles of deployed combat troops : an empirical investigation of normative performance", Psychol Assess, 23, pp.456~462 (2011)
- Stein MB, "Borderline pathology and the Personality Assessment Inventory(PAI) : an evaluation of criterion and concurrent validity", J Pers Assess, 88, pp.81~89 (2007)
- 한경희, "한국판 MMPI-2의 개발 연구", Korean Journal of Clinical Psychology, 25(2), pp.533~564 (2006), 한국임상심리학회
- Kim Y, "Standardization study of personality assessment inventory(PAI) : reliability and validity", Korean J Clin Psychol, 20, pp.311~329 (2001)
- Curran PJ, "The robustness of test statistics to nonnormality and specification error in confirmatory factor analysis", Psychol Methods, 1, pp.16~29 (1996)
- Kline RB, "Principles and Practice of Structural Equation Modeling" (2015), Guilford Publications
- Hopwood CJ, "Borderline personality traits and disorder : predicting prospective patient functioning", J Consult Clin Psychol, 78, pp.585~589 (2010)
- Russell JJ, "Stability and variability of affective experience and interpersonal behavior in borderline personality disorder", J Abnorm Psychol, 116, pp.578~588 (2007)
- Wiebe DJ, "Personality and Disease", pp.223~245 (2018), Elsevier
- Harkness AR, "The Personality Psychopathology-Five(PSY-5) : recent constructive replication and assessment literature review", Psychol Assess, 24, pp.432~443 (2012)
- Veltri CO, "Distinguishing personality psychopathology five(PSY-5)characteristics associated with violent and nonviolent juvenile delinquency", J Pers Assess, 96, pp.158~165 (2014)
- Sellbom M, "Handbook of Borderline Personality Disorder in Children and Adolescents", pp.65~79 (2014), Springer
- Barnow S, "Borderline personality disorder and psychosis : a review", Curr Psychiatry Rep, 12, pp.186~195 (2010)
- Anderson JL, "On the convergence between PSY-5 domains and PID-5 domains and facets : implications for assessment of DSM-5 personality traits", Assessment, 20, pp.286~294 (2013)
- Alvarez-Tomás I, "Long-term course of borderline personality disorder : a prospective 10-year follow-up study", J Pers Disord, 31, pp.590~605 (2017)
- Zanarini MC, "Attainment and stability of sustained symptomatic remission and recovery among borderline patients and axis II comparison subjects : a 16-year prospective follow-up study", Am J Psychiatry, 169, pp.476~483 (2012)
- Westen D, "Identity disturbance in adolescence : associations with borderline personality disorder", Dev Psychopathol, 23, pp.305~313 (2011)
- Stepp SD, "Age-related differences in individual DSM criteria for borderline personality disorder", J Pers Disord, 22, pp.427~432 (2008)
- Johnson DM, "Gender differences in borderline personality disorder : findings from the Collaborative Longitudinal Personality Disorders Study", Compr Psychiatry, 44, pp.284~292 (2003)
- Sansone RA, "Gender patterns in borderline personality disorder", Innov Clin Neurosci, 8, pp.16~20 (2011)
- Bjorklund P, "No man’s land : gender bias and social constructivism in the diagnosis of borderline personality disorder", Issues Ment Health Nurs, 27, pp.3~23 (2006)