Patologiczna Wielka Piątka: próba zbudowania pomostu pomiędzy psychiatryczną klasyfikacją zaburzeń a cechowym modelem osobowości zdrowej

Włodzimierz Strus, Tomasz Rowiński, Jan Cieciuch, Monika Kowalska-Dąbrowska, Iwona Czuma, Cezary Żechowski

Abstract


The Pathological Big Five: An attempt to build a bridge between the psychiatric classification of personality disorders and the trait model of normal personality

The fifth edition of the DSM diagnostic manual has presented a hybrid system of personality disorder diagnosis, which integrates categorical and dimensional approach to diagnosis, building a kind of bridge between psychiatric classifications of disorders and psychological research on the structure of normal personality. The key element of this system is a new dimensional model of pathological personality traits. This article presents the results of the empirical verification of this model in Poland. The participants in the study were 754 individuals from the nonclinical population, aged 16–86 (M = 36.45, SD = 16.65), including 52% women. Normal personality traits were measured by means of the Revised NEO Personality Inventory (NEO-PI-R), and pathological personality traits – by means of the Personality Inventory for DSM-5 (PID-5); the risk of personality disorders was determined on the basis of SCID-II (Structured Clinical Interview for DSM-IV Axis II) questionnaire scores. The obtained results proved to be consistent with the expectations: (1) on the level of the five broad traits, the pathological DSM-5 model strongly corresponds to the Five-Factor Model of normal personality; (2) the DSM-5 model predicts the categories of disorders better than the Five-Factor Model does.


Keywords


personality disorders; DSM-5 model; personality traits; PID-5; Five-Factor Model

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References


American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders. Text Revision (wyd. 4). Washington, DC: APA.

American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (wyd. 5). Washington, DC: APA.

Bagby, R. M., Costa, P. T., Widiger, T. A., Ryder, A. G. i Marshall, M. (2005). DSM-IV personality disorders and the Five-Factor Model of personality: A multi-method examination of domain- and facet-level predictions. European Journal of Personality, 19, 307-324.

Brown, M. T. i Wicker, L. R. (2000). Discriminant analysis. W: H. E. A. Tinsley i S. D. Brown (red.), Handbook of applied multivariate statistics and mathematical modeling (s. 209-235). San Diego: Academic Press.

Cierpiałkowska, L. (red.) (2004). Psychologia zaburzeń osobowości. Wybrane zagadnienia. Poznań: Wydawnictwo Naukowe UAM.

Clark, L. A. (2007). Assessment and diagnosis of personality disorder: Perennial issues and an emerging reconceptualization. Annual Review of Psychology, 58, 227-257.

Costa, P. T. i McCrae, R. R. (1992). Revised NEO Personality Inventory (NEO–PI–R) and NEO Five-Factor Inventory (NEO-FFI) professional manual. Odessa, FL: Psychological Assessment Resources.

De Fruyt, F., De Clercq, B., de Bolle, M., Wille, B., Markon, K. E. i Krueger, R. F. (2013). General and maladaptive traits in a five-factor framework for DSM-5 in a university student sample. Assessment, 20, 295-307.

De Fruyt, F., De Clercq, B. J., Van de Wiele, L. i Van Heeringen, K. (2006). The validity of Cloninger’s psychobiological model versus the five-factor model to predict DSM-IV personality disorders in a heterogeneous psychiatric sample: Domain facet and residualized facet descriptions. Journal of Personality, 74, 479-510.

DeYoung, C. G., Carey, B. E., Krueger, R. F. i Ross, S. R. (2016). Ten aspects of the Big Five in the Personality Inventory for DSM-5. Personality Disorders: Theory, Research, and Treatment. Advance online publication.

DeYoung C. G., Grazioplene, R. G. i Peterson, J. B. (2012). From madness to genius: The Openness/Intellect trait domain as a paradoxical simplex. Journal of Research in Personality, 46, 63-78.

Few, L. R., Miller, J. D., Rothbaum, A. O., Meller, S. Maples, J., Douglas P. Terry, D. P. Collins, B. i MacKillop, J. (2013). Examination of the Section III DSM-5 diagnostic system for personality disorders in an outpatient clinical sample. Journal of Abnormal Psychology, 122(4), 1057-1069.

First, M. B., Gibbon, M., Spitzer, R. L., Williams, J. B. W. i Benjamin, L. S. (1997). Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II). Washington, DC: American Psychiatric Press.

Grabski, B. i Gierowski, J. K. (2012). Zaburzenia osobowości – różne spojrzenia i próby ich integracji. Psychiatria Polska, 46(5), 829-844.

Griffin, S. A. i Samuel, D. B. (2014). A closer look at the lower-order structure of the Personality Inventory for DSM-5: Comparison with the Five-Factor Model. Personality Disorders: Theory, Research, and Treatment. Advance online publication.

Hopwood, C. J., Thomas, K. M., Markon, K. E., Wright, A. G. C. i Krueger, R. F. (2012). DSM-5 personality traits and DSM-IV personality disorders. Journal of Abnormal Psychology, 121(2), 424-432.

Krueger, R. F., Derringer, J., Markon, K. E., Watson, D. i Skodol, A. E. (2012). Initial construction of a maladaptive personality trait model and inventory for DSM-5. Psychological Medicine, 42, 1879-1890.

Krueger, R. F., Eaton, N. R., Clark, L. A., Watson, D., Markon, K. E., Derringer, J., […] Livesley, W. J. (2011). Deriving an empirical structure of personality pathology for DSM-5. Journal of Personality Disorders, 25, 170-191.

Livesley, W. J. (2007). A framework for integrating dimensional and categorical classifications of personality disorder. Journal of Personality Disorders, 21(2), 199-224.

Miller, J. D. (2012). Five-factor model personality disorder prototypes: A review of their development, validity, and comparison to alternative approaches. Journal of Personality, 80(6), 1565-1591.

Morey, L. C. i Skodol, A. E. (2013). Convergence between DSM-IV-TR and DSM-5 diagnostic models for personality disorder: Evaluation of strategies for establishing diagnostic thresholds. Journal of Psychiatric Practice, 19(3), 179-193.

Quilty, L. C., Ayearst, L., Chmielewski, M., Pollock, B. G. i Bagby, R. M. (2013). The psychometric properties of the personality inventory for DSM-5 in an APA DSM-5 field trial sample. Assessment, 20, 362-369.

Radkiewicz, P. (2010). Analiza dyskryminacyjna. Podstawowe założenia i zastosowania w badaniach społecznych. Psychologia Społeczna, 5(14), 142-161.

Samuel, D. B., Hopwood, C. J., Krueger, R. F., Thomas, K. M. i Ruggero, C. J. (2013). Comparing methods for scoring personality disorder types using maladaptive traits in DSM-5. Assessment, 20, 353-361.

Samuel, D. B. i Widiger, T. A. (2008). A meta-analytic review of the relationships between the five-factor model and DSM-IV-TR personality disorders: A facet level analysis. Clinical Psychology Review, 28, 1326-1342.

Saulsman, L. M. i Page, A. C. (2004). The five-factor model and personality disorder empirical literature: A meta-analytic review. Clinical Psychology Review, 23(8), 1055-1085.

Siuta, J. (2006). Inwentarz Osobowości NEO-PI-R Paula T. Costy Jr i Roberta R. McCrae. Adaptacja polska. Podręcznik. Warszawa: PTP.

Strus, W. i Cieciuch, J. (2014). Poza wielką piątkę – przegląd nowych modeli struktury osobowości. Polskie Forum Psychologiczne, 19(1), 17-49.

Thomas, K. M., Yalch, M. M., Krueger, R. F., Wright, A. G., Markon, K. E. i Hopwood, C. J. (2013). The convergent structure of DSM-5 personality trait facets and five-factor model trait domains. Assessment, 20, 308-311.

Trull, T. J., Durrett, C. A. (2005). Categorical and dimensional models of personality disorder. Annual Review of Clinical Psychology, 1, 355-380.

WHO International Classification of Diseases (wyd. 10) (1992).

Widiger, T. A. (red.) (2012). The Oxford handbook of personality disorders. Oxford, UK: Oxford University Press.

Widiger, T. A. i Costa, P. T. (red.) (2013). Personality disorders and the five-factor model of personality. Washington, DC: American Psychological Association.

Widiger, T. A., Simonsen, E., Sirovatka, P. J. i Regier, D. A. (red.) (2006). Dimensional models of personality disorders. Refining the research agenda for DSM-V. Washington, DC: American Psychiatric Association.

Yam, W. H. i Simms, L. J. (2014). Comparing criterion- and trait-based personality disorder diagnoses in DSM-5. Journal of Abnormal Psychology, 123(4), 802-808.

Zawadzki, B. (2009). Pięcioczynnikowa Teoria Osobowości a zaburzenia psychiczne. W: J. Siuta (red.), Diagnoza osobowości. Inwentarz NEO-PI-R w teorii i praktyce (s. 220-237). Warszawa: PTP.

Zawadzki, Z., Popiel, A. i Pragłowska, E. (2010). Ustrukturalizowany Wywiad Kliniczny do Badania Zaburzeń Osobowości z Osi II DSM-IV (SCID-II). Warszawa: PTP.




DOI: http://dx.doi.org/10.18290/rpsych.2017.20.2-6pl

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