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Gepubliceerd in: Child Psychiatry & Human Development 4/2010

01-08-2010 | Original Article

Internalizing and Externalizing Personality Dimensions and Clinical Problems in Adolescents

Auteurs: Christopher J. Hopwood, Carlos M. Grilo

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 4/2010

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Abstract

Ostensible psychiatric comorbidity can sometimes be explained by shared relations between diagnostic constructs and higher order internalizing and externalizing dimensions. However, this possibility has not been explored with regard to comorbidity between personality pathology and other clinical constructs in adolescents. In this study, personality pattern scales from the Millon Adolescent Clinical Inventory in a sample of 492 adolescent inpatients were subjected to a principal components analysis to yield oblique internalizing and externalizing dimensions. Relations between personality dimensions and well-established measures of psychopathology (depression, alcohol abuse, drug abuse) and other indicators of clinical dysfunction (self-esteem, suicidality, violence) were assessed before and after controlling for these higher-order personality dimensions. Associations between personality scales and indicators of psychopathology and clinical dysfunction were minimal with these higher order components controlled. These results suggest that internalizing and externalizing personality dimensions explain most of the associations between personality patterns and indicators of psychopathology and clinical dysfunction in adolescent patients.
Voetnoten
1
Very similar results were observed with a principal axis factor analysis. These results are available from the corresponding author upon request.
 
Literatuur
1.
go back to reference Achenbach TM (1966) The classification of children’s psychiatric symptoms: a factor analytic study. Psychol Monogr 80:37 Achenbach TM (1966) The classification of children’s psychiatric symptoms: a factor analytic study. Psychol Monogr 80:37
2.
3.
go back to reference Krueger RF, Hicks BM, Patrick CJ, Carlson SR, Iacono WG, McGue M (2002) Etiologic connections among substance dependence, antisocial behavior, and personality: modeling the externalizing spectrum. J Abnorm Psychol 111:411–424CrossRefPubMed Krueger RF, Hicks BM, Patrick CJ, Carlson SR, Iacono WG, McGue M (2002) Etiologic connections among substance dependence, antisocial behavior, and personality: modeling the externalizing spectrum. J Abnorm Psychol 111:411–424CrossRefPubMed
4.
go back to reference Hopwood CJ, Baker KL, Morey LC (2008) Personality and drugs of choice. Personal Ind Diff 44:1413–1421CrossRef Hopwood CJ, Baker KL, Morey LC (2008) Personality and drugs of choice. Personal Ind Diff 44:1413–1421CrossRef
5.
go back to reference Markon K, Krueger RF, Watson D (2005) Delineating the structure of normal and abnormal personality: an integrative hierarchical approach. J Pers Soc Psychol 88:139–157CrossRefPubMed Markon K, Krueger RF, Watson D (2005) Delineating the structure of normal and abnormal personality: an integrative hierarchical approach. J Pers Soc Psychol 88:139–157CrossRefPubMed
6.
go back to reference Watson D (2005) Rethinking the mood and anxiety disorders: a quantitative hierarchical model for DSM-V. J Abnorm Psychol 114:522–536CrossRefPubMed Watson D (2005) Rethinking the mood and anxiety disorders: a quantitative hierarchical model for DSM-V. J Abnorm Psychol 114:522–536CrossRefPubMed
7.
go back to reference Widiger TA, Clark LA (2000) Toward DSM-V and the classification of psychopathology. Psychol Bull 126:946–963CrossRefPubMed Widiger TA, Clark LA (2000) Toward DSM-V and the classification of psychopathology. Psychol Bull 126:946–963CrossRefPubMed
8.
go back to reference Becker DF, Grilo CM, Edell WS, McGlashan TH (2000) Comorbidity of borderline personality disorder with other personality disorders in hospitalized adolescents and adults. Am J Psychiatry 157:2011–2016CrossRefPubMed Becker DF, Grilo CM, Edell WS, McGlashan TH (2000) Comorbidity of borderline personality disorder with other personality disorders in hospitalized adolescents and adults. Am J Psychiatry 157:2011–2016CrossRefPubMed
9.
go back to reference McGlashan TH, Grilo CM, Skodol AE, Gunderson JG, Shea MT, Morey LC, Zanarini MC, Stout RL (2000) The collaborative longitudinal personality disorders study: baseline Axis I/II and II/II diagnostic co-occurrence. Acta Psychiatr Scand 102:256–264CrossRefPubMed McGlashan TH, Grilo CM, Skodol AE, Gunderson JG, Shea MT, Morey LC, Zanarini MC, Stout RL (2000) The collaborative longitudinal personality disorders study: baseline Axis I/II and II/II diagnostic co-occurrence. Acta Psychiatr Scand 102:256–264CrossRefPubMed
10.
go back to reference Grilo CM, Walker ML, Becker DF, Edell WS, McGlashan TH (1997) Personality disorders in adolescents with major depression, substance use disorders, and co-existing depression and substance use disorders. J Consult Clin Psychol 65:328–332CrossRefPubMed Grilo CM, Walker ML, Becker DF, Edell WS, McGlashan TH (1997) Personality disorders in adolescents with major depression, substance use disorders, and co-existing depression and substance use disorders. J Consult Clin Psychol 65:328–332CrossRefPubMed
11.
go back to reference Paris J (2005) The development of impulsivity and suicidality in borderline personality disorder. Dev Psychopathol 17:1091–1104CrossRefPubMed Paris J (2005) The development of impulsivity and suicidality in borderline personality disorder. Dev Psychopathol 17:1091–1104CrossRefPubMed
12.
go back to reference Grilo CM, McGlashan TH, Quinlan DM, Walker ML, Greenfeld D, Edell WS (1998) Frequency of personality disorders in two age cohorts of psychiatric inpatients. Am J Psychiatry 155:140–142PubMed Grilo CM, McGlashan TH, Quinlan DM, Walker ML, Greenfeld D, Edell WS (1998) Frequency of personality disorders in two age cohorts of psychiatric inpatients. Am J Psychiatry 155:140–142PubMed
13.
go back to reference Donnellan MB, Conger RD, Burzette RG (2007) Personality development from late adolescence to young adulthood: differential stability, normative maturity, and evidence for the maturity-stability hypothesis. J Pers 75:237–267CrossRefPubMed Donnellan MB, Conger RD, Burzette RG (2007) Personality development from late adolescence to young adulthood: differential stability, normative maturity, and evidence for the maturity-stability hypothesis. J Pers 75:237–267CrossRefPubMed
14.
go back to reference Crawford TN, Cohen P, Brook JS (2001) Dramatic-erratic personality disorder symptoms: II. Continuity from early adolescence to adulthood. J Personal Disord 15:319–335CrossRef Crawford TN, Cohen P, Brook JS (2001) Dramatic-erratic personality disorder symptoms: II. Continuity from early adolescence to adulthood. J Personal Disord 15:319–335CrossRef
15.
go back to reference Becker DF, Grilo CM, Morey LC, Walker ML, Edell WS, McGlashan TH (1999) Applicability of personality disorder criteria to hospitalized adolescents: evaluation of internal consistency and criterion overlap. J Am Acad Child Adolesc Psychiatry 38:200–205PubMedCrossRef Becker DF, Grilo CM, Morey LC, Walker ML, Edell WS, McGlashan TH (1999) Applicability of personality disorder criteria to hospitalized adolescents: evaluation of internal consistency and criterion overlap. J Am Acad Child Adolesc Psychiatry 38:200–205PubMedCrossRef
16.
go back to reference Millon T, Millon C, Davis RD (1993) Millon Adolescent Clinical Inventory. National Computer Systems Assessments, Minneapolis Millon T, Millon C, Davis RD (1993) Millon Adolescent Clinical Inventory. National Computer Systems Assessments, Minneapolis
17.
go back to reference McCann JT (1999) Assessing adolescents with the MACI. Wiley, New York McCann JT (1999) Assessing adolescents with the MACI. Wiley, New York
18.
go back to reference Millon T, Davis RD (1993) The Millon Adolescent Personality Inventory and the Millon Adolescent Clinical Inventory. J Couns Devel 71:570–574 Millon T, Davis RD (1993) The Millon Adolescent Personality Inventory and the Millon Adolescent Clinical Inventory. J Couns Devel 71:570–574
19.
go back to reference Pinto M, Grilo CM (2004) Reliability, diagnostic efficiency, and validity of the Millon adolescent clinical inventory: examination of selected scales in psychiatrically hospitalized adolescents. Behav Res Ther 42:1505–1519CrossRefPubMed Pinto M, Grilo CM (2004) Reliability, diagnostic efficiency, and validity of the Millon adolescent clinical inventory: examination of selected scales in psychiatrically hospitalized adolescents. Behav Res Ther 42:1505–1519CrossRefPubMed
20.
go back to reference Romm S, Bockian N, Harvey M (1999) Factor-based protypes of the Millon Adolescent Clinical Inventory in adolescents referred for residential treatment. J Personal Assess 72:125–143CrossRef Romm S, Bockian N, Harvey M (1999) Factor-based protypes of the Millon Adolescent Clinical Inventory in adolescents referred for residential treatment. J Personal Assess 72:125–143CrossRef
21.
go back to reference Beck AT, Steer RA (1987) Manual for the revised Beck Depression Inventory. Psychological Corporation, San Antonio Beck AT, Steer RA (1987) Manual for the revised Beck Depression Inventory. Psychological Corporation, San Antonio
22.
go back to reference Grilo CM, Masheb RM, Wilson GT (2001) Subtyping binge eating disorder. J Consult Clin Psychol 69:1066–1072CrossRefPubMed Grilo CM, Masheb RM, Wilson GT (2001) Subtyping binge eating disorder. J Consult Clin Psychol 69:1066–1072CrossRefPubMed
23.
go back to reference Watson D, Clark LA (1984) Negative affectivity: the disposition to experience aversive emotional states. Psychol Bull 96:465–490CrossRefPubMed Watson D, Clark LA (1984) Negative affectivity: the disposition to experience aversive emotional states. Psychol Bull 96:465–490CrossRefPubMed
24.
go back to reference Strober M, Green J, Carlson G (1981) Utility of the Beck Depression Inventory with psychiatrically hospitalized adolescents. J Consul Clin Psychol 49:482–483CrossRef Strober M, Green J, Carlson G (1981) Utility of the Beck Depression Inventory with psychiatrically hospitalized adolescents. J Consul Clin Psychol 49:482–483CrossRef
25.
go back to reference Mayer JE, Filstead WJ (1979) The Adolescent Alcohol Involvement Scale: an instrument for measuring adolescents’ use and misuse of alcohol. J Stud Alcohol 40:291–300PubMed Mayer JE, Filstead WJ (1979) The Adolescent Alcohol Involvement Scale: an instrument for measuring adolescents’ use and misuse of alcohol. J Stud Alcohol 40:291–300PubMed
26.
go back to reference Moberg DP (1983) Identifying adolescents with alcohol problems: a field test of the Adolescent Alcohol Involvement Scale. J Stud Alcohol 44:701–721PubMed Moberg DP (1983) Identifying adolescents with alcohol problems: a field test of the Adolescent Alcohol Involvement Scale. J Stud Alcohol 44:701–721PubMed
27.
go back to reference Martino S, Grilo CM, Fehon DC (2000) Development of the Drug Abuse Screening Test for Adolescents (DAST-A). Addict Behav 25:57–70CrossRefPubMed Martino S, Grilo CM, Fehon DC (2000) Development of the Drug Abuse Screening Test for Adolescents (DAST-A). Addict Behav 25:57–70CrossRefPubMed
29.
go back to reference Rosenberg M (1965) Society and the adolescent self-image. Princeton University Press, Princeton Rosenberg M (1965) Society and the adolescent self-image. Princeton University Press, Princeton
30.
go back to reference Winters NC, Myers K, Proud L (2002) Ten-year review of rating scales, III: scales assessing suicidality, cognitive style, and self-esteem. J Am Acad Child Adolesc Psychiatry 4:1150–1181CrossRef Winters NC, Myers K, Proud L (2002) Ten-year review of rating scales, III: scales assessing suicidality, cognitive style, and self-esteem. J Am Acad Child Adolesc Psychiatry 4:1150–1181CrossRef
31.
go back to reference Plutchik R, van Praag HM (1989) The measurement of suicidality, aggressivity and impulsivity. Prog Neuropsychopharmacol Biol Psychiatry 13:S23–S34CrossRefPubMed Plutchik R, van Praag HM (1989) The measurement of suicidality, aggressivity and impulsivity. Prog Neuropsychopharmacol Biol Psychiatry 13:S23–S34CrossRefPubMed
32.
go back to reference Greening L, Stoppelbein L, Fite P, Dhossche D, Erath S, Brown J, Cramer R, Young L (2008) Pathways to suicidal behaviors in childhood. Suicide Life Threat Behav 38:35–45CrossRefPubMed Greening L, Stoppelbein L, Fite P, Dhossche D, Erath S, Brown J, Cramer R, Young L (2008) Pathways to suicidal behaviors in childhood. Suicide Life Threat Behav 38:35–45CrossRefPubMed
33.
go back to reference Grosz DE, Lipschitz DS, Eldar S, Finkelstein G, Blackwood N, Gerbino-Rosen G (1994) Correlates of violence risk in hospitalized adolescents. Compr Psychiatry 35:296–300CrossRefPubMed Grosz DE, Lipschitz DS, Eldar S, Finkelstein G, Blackwood N, Gerbino-Rosen G (1994) Correlates of violence risk in hospitalized adolescents. Compr Psychiatry 35:296–300CrossRefPubMed
34.
go back to reference Plutchik R, van Praag HM (1990) A self-report measure of violence risk. Compr Psychiatry 31:450–456CrossRefPubMed Plutchik R, van Praag HM (1990) A self-report measure of violence risk. Compr Psychiatry 31:450–456CrossRefPubMed
35.
go back to reference Hopwood CJ, Morey LC, Gunderson JG, Shea MT, McGlashan TH, Skodol AE, Grilo CM (2006) Hierarchical relationships between borderline, schizotypal, avoidant and obsessive-compulsive personality disorders. Acta Psychiatr Scand 113:430–439CrossRefPubMed Hopwood CJ, Morey LC, Gunderson JG, Shea MT, McGlashan TH, Skodol AE, Grilo CM (2006) Hierarchical relationships between borderline, schizotypal, avoidant and obsessive-compulsive personality disorders. Acta Psychiatr Scand 113:430–439CrossRefPubMed
Metagegevens
Titel
Internalizing and Externalizing Personality Dimensions and Clinical Problems in Adolescents
Auteurs
Christopher J. Hopwood
Carlos M. Grilo
Publicatiedatum
01-08-2010
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 4/2010
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-010-0175-4

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