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Temperamental and acute symptoms of borderline personality disorder: associations with normal personality traits and dynamic relations over time

  • C. J. Hopwood (a1), M. B. Donnellan (a1) and M. C. Zanarini (a2)
Abstract
Background

Recent research suggests the utility of distinguishing temperamental and acute symptoms of borderline personality disorder (BPD). Temperamental symptoms, such as chronic anger and odd thinking, remit relatively slowly and have been hypothesized to reflect a hyperbolic predisposition to emotional pain and negativistic cognitions, whereas acute symptoms, such as substance abuse and chaotic relationships, remit relatively quickly and have been hypothesized to represent the consequences of maladaptations to triggering environmental events.

Method

The relationships of temperamental and acute BPD symptoms with normal personality traits and stability and dynamic associations over time across these symptom sets were tested in a 10-year longitudinal study of 362 patients with personality disorders.

Results

Temperamental symptoms were associated with high neuroticism, whereas acute symptoms were associated with low agreeableness. These symptoms had similar rank-order stabilities and relative changes in symptom sets were reciprocally linked in a cross-lagged path model suggesting dynamic associations between temperamental and acute symptoms over time.

Conclusions

The distinction between temperamental and acute BPD symptoms is supported by differential relations of these symptom sets to normal personality traits. Moreover, these symptoms appear to be linked in a mutually reinforcing dynamic over time. This distinction should be kept in mind in future studies of the aetiology of BPD and in diagnostic and treatment considerations.

Copyright
Corresponding author
*Address for correspondence: Dr C. J. Hopwood, Department of Psychology, Michigan State University, East Lansing, MI 48824–1116, USA. (Email: hopwood2@msu.edu)
References
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Anderluh, M, Tchanturia, K, Rabe-Hesketh, S, Collier, D, Treasure, J (2008). Lifetime course of eating disorders: design and validity testing of a new strategy to define the eating disorder phenotype. Psychological Medicine 39, 105114.
Clark, LA (2005). Temperament as a unifying basis for personality and psychopathology. Journal of Abnormal Psychology 114, 505521.
Clark, LA, Watson, D, Mineka, S (1994). Temperament, personality, and the mood and anxiety disorders. Journal of Abnormal Psychology 103, 103116.
Costa, PT Jr., McCrae, RR (1991). Professional Manual for the Revised NEO Personality Inventory and NEO Five Factor Inventory. Psychological Assessment Resources: Odessa, FL.
Gunderson, JG (2008). Borderline personality disorder: an overview. Social Work in Mental Health 6, 5–12.
Harkness, AR, Lilienfeld, SO (1997). Individual differences science for treatment planning: personality traits. Psychological Assessment 9, 349360.
Hollingshead, AB (1957). Two Factor Index of Social Position. Yale University: New Haven, CT.
Lieb, K, Zanarini, MC, Schmahl, C, Linehan, MM, Bohus, M (2004). Borderline personality disorder. Lancet 364, 453462.
McGlashan, TH, Grilo, CM, Sanislow, CA, Ralevski, E, Morey, LC, Gunderson, JG, Skodol, AE, Shea, MT, Zanarini, MC, Bender, D, Stout, RL, Yen, S, Pagano, M (2005). Two-year prevalence and stability of individual DSM-IV criteria for schizotypal, borderline, avoidant, and obsessive-compulsive personality disorders. American Journal of Psychiatry 162, 883889.
Morey, LC (1991). Personality Assessment Inventory Professional Manual. Psychological Assessment Resources: Odessa, FL.
Morey, LC, Hopwood, CJ, Gunderson, JG, Skodol, AE, Shea, MT, Yen, S, Stout, RL, Zanarini, MC, Grilo, CM, Sanislow, CA, McGlashan, TH (2007). Comparison of alternative models for personality disorders. Psychological Medicine 37, 983994.
Morey, LC, Zanarini, MC (2000). Borderline personality: traits and disorder. Journal of Abnormal Psychology 109, 733737.
Roberts, BW, Kuncel, NR, Shiner, R, Caspi, A, Goldberg, LR (2007). The power of personality: the comparative validity of personality traits, socioeconomic status, and cognitive ability for predicting important life outcomes. Perspectives on Psychological Science 2, 313345.
Rothbart, M, Bates, J (1998). Temperament. In Handbook of Child Psychology: Vol. 3. Social, Emotional, and Personality Development, 5th edn (series ed. Damon, W., vol. ed. Eisenberg, N.), pp. 105176. Wiley: New York.
Samuel, DB, Widiger, TA (2008). A meta-analytic review of the relationships between the five-factor model and DSM-IV-TR personality disorders: a facet level analysis. Clinical Psychology Review 28, 13261342.
Sanislow, CA, Morey, LC, Grilo, CM, Gunderson, JG, Shea, MT, Skodol, AE, Stout, RL, Zanarini, MC, McGlashan, TH (2002). Confirmatory factor analysis of DSM-IV borderline, schizotypal, avoidant and obsessive-compulsive personality disorders: findings from the Collaborative Longitudinal Personality Disorders Study. Acta Psychiatrica Scandinavica 105, 2836.
Schmideberg, M (1959). The borderline patient. In American Handbook of Psychiatry, vol. 1 ( ed. Arieti, S.), pp. 398416. Basic Books: New York.
Shiner, RL (2009). The development of personality disorders: perspectives from normal personality development in childhood and adolescence. Development and Psychopathology 21, 715734.
Warner, MB, Morey, LC, Finch, JF, Gunderson, JG, Skodol, AE, Sanislow, CA, Shea, MT, McGlashan, TH, Grilo, CM (2004). The longitudinal relationship of personality traits and disorders. Journal of Abnormal Psychology 113, 217227.
Zanarini, MC, Frankenburg, FR (2007). The essential nature of borderline psychopathology. Journal of Personality Disorders 21, 518535.
Zanarini, MC, Frankenburg, FR, Chauncey, DL, Gunderson, JG (1987). The diagnostic interview for personality disorders: inter-rater and test-retest reliability. Comprehensive Psychiatry 28, 467480.
Zanarini, MC, Frankenburg, FR, Hennen, J, Reich, DB, Silk, KR (2003). The longitudinal course of borderline psychopathology: 6-year prospective follow-up of the phenomenology of borderline personality disorder. American Journal of Psychiatry 160, 274283.
Zanarini, MC, Frankenburg, FR, Hennen, J, Reich, B, Silk, KR (2005). The McLean Study of Adult Development (MSAD): Overview and implications of the first six years of prospective follow-up. Journal of Personality Disorders 19, 505523.
Zanarini, MC, Frankenburg, FR, Reich, DB, Silk, KR, Hudson, JI, McSweeney, LB (2007). The subsyndromal phenomenology of borderline personality disorder: a 10 year follow-up study. American Journal of Psychiatry 164, 929935.
Zanarini, MC, Gunderson, JG, Frankenburg, FR, Chauncey, DL (1989). The Revised Diagnostic Interview for Borderlines: discriminating BPD from other Axis II disorders. Journal of Personality Disorders 3, 1018.
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Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
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