| Differential diagnosis of personality disorders by the seven-factor model of temperament and character. | |
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MedLine Citation:
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PMID: 8250685 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We used multiaxial structured interviews and questionnaires to evaluate the ability of self-reports on seven personality dimensions to predict independent interview diagnoses of DSM-III-R personality disorders. We studied 136 consecutive adult psychiatric inpatients, excluding those with psychosis, organic mental disorders, and severe agitation. Sixty-six patients had interview diagnoses of DSM-III-R personality disorders. Most also had mood disorders. We confirmed the hypotheses that self-reports of low self-directedness and cooperativeness strongly predicted the number of personality symptoms in all interview categories, whereas the other factors distinguished among subtypes as predicted. Self-directedness and cooperativeness also predicted the presence of any personality disorder by differentiating patients varying in risk from 11% to 94%. Patients in clusters A, B, and C were differentiated by low reward dependence, high novelty seeking, and high harm avoidance, respectively. We conclude that low self-directedness and cooperativeness are core features of all personality disorders and are validly measured by the seven-factor Temperament and Character Inventory, but not the five-factor Neuroticism-Extraversion-Openness inventory. Each DSM-III-R personality disorder category is associated with a unique profile of scores in the seven-factor model, providing an efficient guide to differential diagnosis and treatment. |
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Authors:
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D M Svrakic; C Whitehead; T R Przybeck; C R Cloninger |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Archives of general psychiatry Volume: 50 ISSN: 0003-990X ISO Abbreviation: Arch. Gen. Psychiatry Publication Date: 1993 Dec |
Date Detail:
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Created Date: 1993-12-30 Completed Date: 1993-12-30 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 0372435 Medline TA: Arch Gen Psychiatry Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 991-9 Citation Subset: AIM; IM |
Affiliation:
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Department of Psychiatry, Washington University School of Medicine, St. Louis, Mo. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Character* Diagnosis, Differential Factor Analysis, Statistical Hospitalization Humans Logistic Models Mental Disorders / classification, diagnosis* Models, Biological Models, Psychological Personality Assessment Personality Disorders / classification, diagnosis* Personality Inventory / statistics & numerical data* Probability Psychiatric Status Rating Scales / statistics & numerical data Psychometrics Temperament / classification* |
| Grant Support | |
ID/Acronym/Agency:
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AA07982/AA/NIAAA NIH HHS; AA08028/AA/NIAAA NIH HHS; MH31302/MH/NIMH NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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