Predicting borderline personality disorder features from personality traits, identity orientation, and attachment styles in Italian nonclinical adults: issues of consistency across age ranges.

The aims of this study were to assess whether Borderline Personality Disorder (BPD) features could be predicted by Big Five traits, impulsivity, identity orientation, and adult attachment patterns in a sample of 1,192 adult nonclinical participants, and to evaluate the consistency of these regression models across four age groups (<30 years, 30-39 years, 40-49 years, and >50 years, respectively). In the full sample, measures of neuroticism (N), impulsivity, and anxious insecure attachment were substantial predictors of BPD features (adjusted R(2) = .38, p < .001). Attachment scales were significant predictors of BPD features across all age groups, but different scales were relevant in different age groups. Our results suggest that in nonclinical populations, BPD may represent a complex constellation of personality traits and disturbed attachment patterns.

[1]  E. Walker,et al.  Diagnostic and Statistical Manual of Mental Disorders , 2013 .

[2]  S. Goldberg,et al.  Attachment, the Reflective Self, and Borderline States: The Predictive Specificity of the Adult Attachment Interview and Pathological Emotional Development , 2013 .

[3]  Lori N. Scott,et al.  Adult attachment, personality traits, and borderline personality disorder features in young adults. , 2009, Journal of personality disorders.

[4]  M. Linehan,et al.  A biosocial developmental model of borderline personality: Elaborating and extending Linehan's theory. , 2009, Psychological bulletin.

[5]  C. R. Jørgensen.  Identity style in patients with borderline personality disorder and normal controls. , 2009, Journal of personality disorders.

[6]  M. Lenzenweger.  Epidemiology of personality disorders. , 2008, The Psychiatric clinics of North America.

[7]  Kenneth N. Levy,et al.  Refining the borderline personality disorder phenotype through finite mixture modeling: implications for classification. , 2008, Journal of personality disorders.

[8]  T. McGlashan,et al.  A comparison of interview and self-report methods for the assessment of borderline personality disorder criteria. , 2008, Psychological assessment.

[9]  Rinie Geenen,et al.  Development and Validation of a Dutch Translation of the Big Five Inventory (BFI) , 2008, Journal of personality assessment.

[10]  B. Roberts,et al.  Personality Trait Change in Adulthood , 2008, Current directions in psychological science.

[11]  K. Lyons-Ruth,et al.  BPD's interpersonal hypersensitivity phenotype: a gene-environment-developmental model. , 2008, Journal of personality disorders.

[12]  A. Skodol,et al.  Borderline personality as a self-other representational disturbance. , 2007, Journal of personality disorders.

[13]  T. Oltmanns,et al.  Overdiagnosis and underdiagnosis of personality disorders in older adults. , 2007, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[14]  Andrea Fossati,et al.  Reliability and validity of the Italian version of the Temperament and Character Inventory-Revised in an outpatient sample. , 2007, Comprehensive psychiatry.

[15]  E. Barratt,et al.  Impulsivity, aggressiveness, and DSM-IV personality disorders , 2007, Psychiatry Research.

[16]  P. Fonagy,et al.  Mentalizing and borderline personality disorder , 2007 .

[17]  Kenneth N. Levy,et al.  Change in attachment patterns and reflective function in a randomized control trial of transference-focused psychotherapy for borderline personality disorder. , 2006, Journal of consulting and clinical psychology.

[18]  Phillip R. Shaver,et al.  Attachment dimensions and the big five personality traits: Associations and comparative ability to predict relationship quality , 2006 .

[19]  T. Widiger,et al.  Evidence-based assessment of personality disorders. , 2005, Psychological assessment.

[20]  Judith A. Feeney,et al.  Modeling the relationships between adult attachment patterns and borderline personality disorder : The role of impulsivity and aggressiveness , 2005 .

[21]  Kenneth N. Levy,et al.  Attachment and Borderline Personality Disorder: Implications for Psychotherapy , 2005, Psychopathology.

[22]  T. McGlashan,et al.  Two-year stability and change of schizotypal, borderline, avoidant, and obsessive-compulsive personality disorders. , 2004, Journal of consulting and clinical psychology.

[23]  J. Willett,et al.  Individual growth curve analysis illuminates stability and change in personality disorder features: the longitudinal study of personality disorders. , 2004, Archives of general psychiatry.

[24]  Jeremy Holmes,et al.  Disorganized attachment and Borderline Personality Disorder: A clinical perspective , 2004, Attachment & human development.

[25]  T. McGlashan,et al.  The longitudinal relationship of personality traits and disorders. , 2004, Journal of abnormal psychology.

[26]  B. Holmes,et al.  Attachment Studies with Borderline Patients: A Review , 2004, Harvard review of psychiatry.

[27]  K. L. Gratz,et al.  Multidimensional Assessment of Emotion Regulation and Dysregulation: Development, Factor Structure, and Initial Validation of the Difficulties in Emotion Regulation Scale , 2004 .

[28]  P. Fonagy,et al.  Mentalization-Based Treatment for BPD , 2004, Journal of personality disorders.

[29]  Elsa Broder,et al.  Handbook of Attachment. , 2003 .

[30]  T. McGlashan,et al.  Short-term diagnostic stability of schizotypal, borderline, avoidant, and obsessive-compulsive personality disorders. , 2002, The American journal of psychiatry.

[31]  L. Siever,et al.  The borderline diagnosis III: identifying endophenotypes for genetic studies , 2002, Biological Psychiatry.

[32]  Thomas A Widiger,et al.  The borderline diagnosis II: biology, genetics, and clinical course , 2002, Biological Psychiatry.

[33]  Thomas A Widiger,et al.  The borderline diagnosis I: psychopathology, comorbidity, and personaltity structure , 2002, Biological Psychiatry.

[34]  A. Fossati,et al.  Temperament, character, and attachment patterns in borderline personality disorder. , 2001, Journal of personality disorders.

[35]  D. Lynam,et al.  Using the five-factor model to represent the DSM-IV personality disorders: an expert consensus approach. , 2001, Journal of abnormal psychology.

[36]  K. Bell,et al.  Handbook of Attachment: Theory, Research, and Clinical Applications , 2001 .

[37]  A. Stewart,et al.  Women's personality in middle age. Gender, history, and midcourse corrections. , 1998, The American psychologist.

[38]  M. Diehl,et al.  Adult attachment styles: their relations to family context and personality. , 1998, Journal of personality and social psychology.

[39]  T. Trull,et al.  Borderline personality disorder features in nonclinical young adults: 2. Two-year outcome. , 1997, Journal of abnormal psychology.

[40]  Jonathan Gunderson.  A Year at North Hill: Four Seasons in a Vermont Garden , 1996 .

[41]  J. Gunderson,et al.  The borderline patient's intolerance of aloneness: insecure attachments and therapist availability. , 1996, The American journal of psychiatry.

[42]  P Fonagy,et al.  The relation of attachment status, psychiatric classification, and response to psychotherapy. , 1996, Journal of consulting and clinical psychology.

[43]  J. Patton,et al.  Factor structure of the Barratt impulsiveness scale. , 1995, Journal of clinical psychology.

[44]  T. Trull.  Borderline personality disorder features in nonclinical young adults: 1. Identification and validation. , 1995 .

[45]  Paul T. Costa,et al.  The Stability of Personality: Observations and Evaluations , 1994 .

[46]  C. R. Cloninger,et al.  Differential diagnosis of personality disorders by the seven-factor model of temperament and character. , 1993, Archives of general psychiatry.

[47]  J. Clarkin,et al.  Borderline Personality Disorder and Personality Traits: A Comparison of SCID-II BPD and NEO-PI. , 1993 .

[48]  L. Benjamin.  Interpersonal Diagnosis and Treatment of Personality Disorders , 1993 .

[49]  M. Berzonsky.  Identity style and coping strategies. , 1992, Journal of personality.

[50]  D. Cicchetti,et al.  Attachment in the preschool years , 1991 .

[51]  G. Neimeyer,et al.  Identity status and personal construct systems. , 1988, Journal of adolescence.

[52]  G. Adler,et al.  Borderline Psychopathology and Its Treatment , 1988 .

[53]  Robert C. Guerene.  Severe Personality Disorders: Psychotherapeutic Strategies , 1986 .

[54]  T. Widiger,et al.  Prototypic typology and the borderline personality disorder. , 1983, Journal of abnormal psychology.

[55]  P. Graffagnino.  THE TREATMENT OF THE BORDERLINE ADOLESCENT: A DEVELOPMENTAL APPROACH , 1973 .

[56]  I. Fras.  Identity: Youth and Crisis , 1968 .

[57]  Neugarten Bl.  Perspectives of the aging process. Developmental perspectives. , 1968 .

[58]  J BERKSON,et al.  Limitations of the application of fourfold table analysis to hospital data. , 1946, Biometrics.

[59]  David W. Braithwaite,et al.  Life Satisfaction, Household Income and Personality Traits , 2012 .

[60]  R. Meares,et al.  Diminished impulsivity in older patients with borderline personality disorder. , 2003, The American journal of psychiatry.

[61]  P. Costa,et al.  Introduction: Personality disorders and the five-factor model of personality. , 2002 .

[62]  B. Roberts,et al.  The rank-order consistency of personality traits from childhood to old age: a quantitative review of longitudinal studies. , 2000, Psychological bulletin.

[63]  P. Links,et al.  Impulsivity: core aspect of borderline personality disorder. , 1999, Journal of personality disorders.

[64]  A. Fossati,et al.  Latent structure analysis of DSM-IV borderline personality disorder criteria. , 1999, Comprehensive psychiatry.

[65]  S. Srivastava,et al.  The Big Five Trait taxonomy: History, measurement, and theoretical perspectives. , 1999 .

[66]  Phillip R. Shaver,et al.  Handbook of attachment : theory, research, and clinical applications , 1999 .

[67]  A. Fossati,et al.  Brief communication: criterion validity of the Personality Diagnostic Questionnaire-4+ (PDQ-4+) in a mixed psychiatric sample. , 1998, Journal of personality disorders.

[68]  Judith A. Feeney,et al.  Assessing adult attachment. , 1994 .

[69]  Phillip R. Shaver,et al.  Continuity of attachment across the life span. , 1994 .

[70]  P Fonagy,et al.  Thinking about thinking: some clinical and theoretical considerations in the treatment of a borderline patient. , 1991, The International journal of psycho-analysis.

[71]  M. Main,et al.  Procedures for identifying infants as disorganized/disoriented during the Ainsworth Strange Situation. , 1990 .

[72]  H. Nurnberg,et al.  Core criteria for diagnosing borderline patients. , 1986, The Hillside journal of clinical psychiatry.

[73]  R. Rosenthal.  Meta-analytic procedures for social research , 1984 .

[74]  R. Michels,et al.  Diagnostic and Statistical Manual of Mental Disorders, 3rd ed , 1981 .

[75]  B. Neugarten.  Perspectives of the aging process. Developmental perspectives. , 1968, Psychiatric research reports.

[76]  M. Edelen,et al.  A Comparison of Interview and Self-report Methods for the Assessment of Borderline Personality Disorder Criteria Recommended Citation , 2022 .