title: Ten-year stability and latent structure of the DSM-IV schizotypal, borderline, avoidant, and obsessive-compulsive personality disorders.
abstract: Evaluation of the validity of personality disorder (PD) diagnostic constructs is important for the impending revision of the Diagnostic and Statistical Manual of Mental Disorders. Prior factor analytic studies have tested these constructs in cross-sectional studies, and models have been replicated longitudinally, but no study has tested a constrained longitudinal model. The authors examined 4 PDs in the Collaborative Longitudinal Personality Disorders study (schizotypal, borderline, avoidant, and obsessive-compulsive) over 7 time points (baseline, 6 months, 1 year, 2 years, 4 years, 6 years, and 10 years). Data for 2-, 4-, 6- and 10-year assessments were obtained in semistructured interviews by raters blind to prior PD diagnoses at each assessment. The latent structure of the 4 constructs was differentiated during the initial time points but became less differentiated over time as the mean levels of the constructs dropped and stability increased. Obsessive-compulsive PD became more correlated with schizotypal and borderline PD than with avoidant PD. The higher correlation among the constructs in later years may reflect greater shared base of pathology for chronic personality disorders.
authors.affiliation: Department of Psychiatry, Yale University School of Medicine. csanislow@wesleyan.edu
authors.forename: Charles A
authors.initials: CA
authors.lastname: Sanislow
authors.forename: Todd D
authors.initials: TD
authors.lastname: Little
authors.forename: Emily B
authors.initials: EB
authors.lastname: Ansell
authors.forename: Carlos M
authors.initials: CM
authors.lastname: Grilo
authors.forename: Maria
authors.initials: M
authors.lastname: Daversa
authors.forename: John C
authors.initials: JC
authors.lastname: Markowitz
authors.forename: Anthony
authors.initials: A
authors.lastname: Pinto
authors.forename: M Tracie
authors.initials: MT
authors.lastname: Shea
authors.forename: Shirley
authors.initials: S
authors.lastname: Yen
authors.forename: Andrew E
authors.initials: AE
authors.lastname: Skodol
authors.forename: Leslie C
authors.initials: LC
authors.lastname: Morey
authors.forename: John G
authors.initials: JG
authors.lastname: Gunderson
authors.forename: Mary C
authors.initials: MC
authors.lastname: Zanarini
authors.forename: Thomas H
authors.initials: TH
authors.lastname: McGlashan
mesh_terms: D000293:Adolescent; D000328:Adult; D001883:Borderline Personality Disorder / Q000145:classification / Q000175:diagnosis* / Q000523:psychology; D015331:Cohort Studies; D003193:Compulsive Personality Disorder / Q000145:classification / Q000175:diagnosis* / Q000523:psychology; D003865:Major Depressive Disorder / Q000145:classification / Q000175:diagnosis / Q000523:psychology; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D010554:Personality Disorders / Q000145:classification / Q000175:diagnosis* / Q000523:psychology; D011446:Prospective Studies; D011594:Psychometrics / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D012569:Schizotypal Personality Disorder / Q000145:classification / Q000175:diagnosis* / Q000523:psychology; D012737:Sex Factors; D055815:Young Adult
references.citation: Psychol Methods. 2003 Mar;8(1):16-37
references.pmid: 12741671
references.citation: J Consult Clin Psychol. 1994 Jun;62(3):429-40
references.pmid: 8063970
references.citation: Psychiatr Serv. 2006 Feb;57(2):254-7
references.pmid: 16452705
references.citation: Am J Psychiatry. 1985 May;142(5):627-30
references.pmid: 3985201
references.citation: Arch Gen Psychiatry. 2004 Oct;61(10):1015-24
references.pmid: 15466675
references.citation: J Consult Clin Psychol. 2007 Dec;75(6):992-9
references.pmid: 18085915
references.citation: Am J Psychiatry. 2001 Feb;158(2):295-302
references.pmid: 11156814
references.citation: Multivariate Behav Res. 1997 Jan 1;32(1):53-76
references.pmid: 26751106
references.citation: J Pers Disord. 2002 Aug;16(4):317-31
references.pmid: 12224125
references.citation: Compr Psychiatry. 2000 May-Jun;41(3):206-15
references.pmid: 10834630
references.citation: Acta Psychiatr Scand. 1992 Apr;85(4):279-87
references.pmid: 1595362
references.citation: Psychol Methods. 2002 Jun;7(2):147-77
references.pmid: 12090408
references.citation: Compr Psychiatry. 1988 May-Jun;29(3):304-8
references.pmid: 3378417
references.citation: Psychol Assess. 2005 Dec;17(4):492-6
references.pmid: 16393017
references.citation: Psychol Med. 2005 Mar;35(3):443-51
references.pmid: 15841879
references.citation: Compr Psychiatry. 1994 Jan-Feb;35(1):54-63
references.pmid: 8149730
references.citation: Psychol Bull. 1990 Mar;107(2):238-46
references.pmid: 2320703
references.citation: J Consult Clin Psychol. 2004 Oct;72(5):767-75
references.pmid: 15482035
references.citation: J Abnorm Psychol. 2007 Feb;116(1):166-75
references.pmid: 17324027
references.citation: J Pers Disord. 2005 Aug;19(4):440-61
references.pmid: 16178684
references.citation: J Pers Disord. 2005 Feb;19(1):19-29
references.pmid: 15899718
references.citation: Compr Psychiatry. 2003 Jul-Aug;44(4):284-92
references.pmid: 12923706
references.citation: Can J Psychiatry. 2008 Dec;53(12):863-7
references.pmid: 19087485
references.citation: Acta Psychiatr Scand. 2002 Jan;105(1):28-36
references.pmid: 12086222
references.citation: Compr Psychiatry. 2007 Jan-Feb;48(1):70-8
references.pmid: 17145285
references.citation: CNS Spectr. 2000 Sep;5(9):23-6
references.pmid: 17637577
references.citation: Am J Psychiatry. 2007 Jun;164(6):929-35
references.pmid: 17541053
references.citation: Am J Psychiatry. 2002 Dec;159(12):2036-41
references.pmid: 12450953
references.citation: J Abnorm Psychol. 2005 Nov;114(4):565-9
references.pmid: 16351380
references.citation: Am J Psychiatry. 1995 Apr;152(4):571-8
references.pmid: 7694906
references.citation: J Abnorm Psychol. 1994 May;103(2):259-66
references.pmid: 8040495
references.citation: J Pers Disord. 2000 Winter;14(4):300-15
references.pmid: 11213788
references.citation: Int J Methods Psychiatr Res. 2005;14(1):43-55
references.pmid: 16097399
references.citation: J Abnorm Psychol. 1992 Aug;101(3):432-40
references.pmid: 1500600
references.citation: J Abnorm Psychol. 2001 Aug;110(3):401-12
references.pmid: 11502083
references.citation: Acta Psychiatr Scand. 2004 Apr;109(4):289-98
references.pmid: 15008803
references.citation: J Abnorm Psychol. 1998 Feb;107(1):3-16
references.pmid: 9505034
references.citation: Am J Psychiatry. 2005 Oct;162(10):1919-25
references.pmid: 16199839
references.citation: J Psychol. 2004 Jan;138(1):5-22
references.pmid: 15098711
references.citation: Psychol Med. 2007 Jul;37(7):983-94
references.pmid: 17121690
references.citation: J Neuropsychiatry Clin Neurosci. 1996 Fall;8(4):393-8
references.pmid: 9116474
references.citation: Can J Psychiatry. 1998 Apr;43(3):237-50
references.pmid: 9561312
references.citation: J Clin Psychol. 2005 Mar;61(3):323-45
references.pmid: 15468325
references.citation: J Pers Disord. 1998 Winter;12(4):302-15
references.pmid: 9891285
references.citation: Am J Psychiatry. 2002 Feb;159(2):276-83
references.pmid: 11823271
references.citation: J Abnorm Psychol. 2004 May;113(2):217-27
references.pmid: 15122942
references.citation: Br J Psychiatry. 1979 Aug;135:163-7
references.pmid: 497619
references.citation: Am J Psychiatry. 2005 May;162(5):883-9
references.pmid: 15863789
references.citation: Acta Psychiatr Scand. 2000 Oct;102(4):256-64
references.pmid: 11089725
references.citation: Br J Psychiatry Suppl. 2007 May;49:s51-9
references.pmid: 17470943
references.citation: J Pers Disord. 1997 Summer;11(2):191-8
references.pmid: 9203113
references.citation: J Pers Disord. 2000 Winter;14(4):291-9
references.pmid: 11213787
references.citation: Arch Gen Psychiatry. 1998 Oct;55(10):941-8
references.pmid: 9783566
references.citation: Acta Psychiatr Scand. 2004 Dec;110(6):416-20
references.pmid: 15521825
references.citation: Am J Psychiatry. 2006 May;163(5):865-71
references.pmid: 16648328
references.citation: Am J Psychiatry. 2003 Feb;160(2):274-83
references.pmid: 12562573
references.citation: J Pers Disord. 2005 Oct;19(5):586-93; discussion 594-6
references.pmid: 16274288