Personality disorders (PD) are serious, debilitating, costly, and oftentimes fatal disorders that are highly prevalent in epidemiological samples (~10 percent, Lenzenweger, 2008). Despite the severity and high public health cost of PD, the field suffers from a lack of consensus on how to best quantify the relationship between normative personality and PD. This lack of consensus has led to problems in basic definitional issues of PD, including the structure, course, and risk/protective factors of the disorders. The criteria of most PD diagnoses include maladaptive interpersonal behaviors (e.g., Interpersonal Exploitativeness in Narcissistic PD). The interpersonal traits of Agency and Communion have been identified as potentially useful for developing a dimensional model of PD. Further, interpersonal conceptualizations of personality are highly useful for linking with PD due to their immediate implications for psychotherapeutic interventions. Additionally, emerging research has shown that PDs are not as chronic as once thought, showing considerable variability across time. The current research aims to meet the strategic planning goals of the National Institute of Mental Health by using state-of-the-art methodology to articulate emerging conceptions of PD that account for simultaneous change in interpersonal behavior and PD over time, and non-normality in the distribution of PD. Specifically, we propose using Latent Growth Curve Models and associated multivariate extensions to examine change and distribution of PD in a multi-wave prospective longitudinal study. This research shall test the hypotheses that 1) there is long-term within-person variability in interpersonal style across time;2) within-person variations in interpersonal style are predictive of concurrent within-person variations in PD symptoms;and 3) advanced distributional assumptions (i.e., Zero Inflated Poisson/Negative Binomial) provide a better fit for models of the relationship between PD and normative personality structure. These methods have the potential to inform classification questions in ways that have not yet been employed in any longitudinal PD research to date. Results of the proposed study have implications for the ongoing efforts to establish the appropriate definition, diagnosis, and treatment of PD. The results will inform the best approach to conceptualize classification and assessment of PD. In addition, the longitudinal nature of these studies will identify the interpersonal maintenance factors of PD, and thereby determine the best targets for interventions.

Public Health Relevance

Results of the proposed study have implications for the ongoing efforts to establish the appropriate definition, diagnosis, and treatment of personality disorders (PD). The results will inform the best approach to conceptualize classification and assessment of PD. In addition, the longitudinal nature of these studies will identify the interpersonal maintenance factors of PD, and thereby determine the best targets for interventions.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Predoctoral Individual National Research Service Award (F31)
Project #
5F31MH087053-02
Application #
8066659
Study Section
Special Emphasis Panel (ZRG1-F11-B (20))
Program Officer
Rubio, Mercedes
Project Start
2010-06-01
Project End
2011-08-31
Budget Start
2011-06-01
Budget End
2011-08-31
Support Year
2
Fiscal Year
2011
Total Cost
$9,182
Indirect Cost
Name
Pennsylvania State University
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
003403953
City
University Park
State
PA
Country
United States
Zip Code
16802
Read, Jennifer P; Bachrach, Rachel L; Wright, Aidan G C et al. (2016) PTSD symptom course during the first year of college. Psychol Trauma 8:393-403
Wright, Aidan G C; Pincus, Aaron L; Lenzenweger, Mark F (2013) A parallel process growth model of avoidant personality disorder symptoms and personality traits. Personal Disord 4:230-8
Trucco, Elisa M; Wright, Aidan G C; Colder, Craig R (2013) A revised interpersonal circumplex inventory of children's social goals. Assessment 20:98-113
Hopwood, Christopher J; Wright, Aidan G C (2012) A comparison of passive-aggressive and negativistic personality disorders. J Pers Assess 94:296-303
Wright, Aidan G C; Pincus, Aaron L; Lenzenweger, Mark F (2012) Interpersonal development, stability, and change in early adulthood. J Pers 80:1339-72
Wright, Aidan G C; Pincus, Aaron L; Lenzenweger, Mark F (2012) An empirical examination of distributional assumptions underlying the relationship between personality disorder symptoms and personality traits. J Abnorm Psychol 121:699-706
Thomas, Katherine M; Wright, Aidan G C; Lukowitsky, Mark R et al. (2012) Evidence for the criterion validity and clinical utility of the Pathological Narcissism Inventory. Assessment 19:135-45
Wright, Aidan G C; Thomas, Katherine M; Hopwood, Christopher J et al. (2012) The hierarchical structure of DSM-5 pathological personality traits. J Abnorm Psychol 121:951-7
Cain, Nicole M; Ansell, Emily B; Wright, Aidan G C et al. (2012) Interpersonal pathoplasticity in the course of major depression. J Consult Clin Psychol 80:78-86
Hopwood, Christopher J; Thomas, Katherine M; Markon, Kristian E et al. (2012) DSM-5 personality traits and DSM-IV personality disorders. J Abnorm Psychol 121:424-32

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