Dependent personality disorder: comparing an expert generated and empirically derived five-factor model personality disorder count.
Assessment of the Diagnostic and Statistical Manual of Mental Disorders (4th Ed.; DSM-IV ) personality disorders (PDs) using five-factor model (FFM) prototypes and counts has shown substantial promise, with a few exceptions. Miller, Reynolds, and Pilkonis suggested that the expert-generated FFM dependent prototype might be misspecified in relation to the DSM-IV because of the overemphasis of high Agreeableness and underemphasis of low Conscientiousness in the experts' conception. A meta-analytic review of the relations between the FFM facets and Dependent PD (DPD) was conducted and used to create a revised, empirically based FFM DPD profile and count. The revised profile and count were more strongly correlated with DSM and non-DSM conceptualizations of maladaptive dependency. In addition, the revised FFM DPD profile was able to recreate the patterns of comorbidity typically found when using DSM-IV measures of DPD. Possible explanations for the discrepancy between the expert ratings and the meta-analytic results are offered.
Miller
Joshua D
JD
The University of Georgia, Athens, GA 30602-3013, USA. jdmiller@uga.edu
Lynam
Donald R
DR
D000328:Adult; D003858:Dependency, Psychological; D003859:Dependent Personality Disorder / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D015201:Meta-Analysis as Topic; D008960:Models, Psychological