Detecting the Presence of a Personality Disorder Using Interpersonal and Self-Dysfunction

J Pers Disord. 2019 Apr;33(2):229-248. doi: 10.1521/pedi_2018_32_345. Epub 2018 Mar 5.

Abstract

Calls have increased to place interpersonal and self-disturbance as defining features of personality disorders (PDs). Findings from a methodologically diverse set of studies suggest that a common factor undergirds all PDs. The nature of this core of PDs, however, is not clear. In the current study, interviews were completed for DSM-IV PD diagnosis and interpersonal dysfunction independently with 272 individuals (PD = 191, no-PD = 91). Specifically, we evaluated interpersonal dysfunction across social domains. In addition, we empirically assessed the structure of self-dysfunction in PDs. We found dysfunction in work and romantic domains, and unstable identity uniquely predicted variance in the presence of a PD. Using receiver operating characteristic analysis, we found that the interpersonal dysfunction and self-dysfunction scales each predicted PDs with high accuracy. In combination, the scales resulted in excellent sensitivity (.90) and specificity (.88). The results support interpersonal and self-dysfunction as general factors of PD.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Diagnostic and Statistical Manual of Mental Disorders*
  • Female
  • Humans
  • Interpersonal Relations*
  • Male
  • Middle Aged
  • Personality Disorders / diagnosis*
  • Young Adult