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Home / Interpersonal Dysfunction in Personality Disorders a Meta-analytic Review

Interpersonal Dysfunction in Personality Disorders a Meta-analytic Review

Review

. 2017 Jul;143(7):677-734.

doi: 10.1037/bul0000101. Epub 2017 April 27.

Interpersonal dysfunction in personality disorders: A meta-analytic review

Affiliations

  • PMID: 28447827
  • PMCID: PMC5507693
  • DOI: 10.1037/bul0000101

Costless PMC article

Review

Interpersonal dysfunction in personality disorders: A meta-analytic review

Sylia Wilson  et al. Psychol Bull. 2017 Jul .

Free PMC article

Abstruse

Personality disorders are defined in the current psychiatric diagnostic system equally pervasive, inflexible, and stable patterns of thinking, feeling, behaving, and interacting with others. Questions regarding the validity and reliability of the current personality disorder diagnoses prompted a reconceptualization of personality pathology in the well-nigh contempo edition of the psychiatric diagnostic manual, in an appendix of emerging models for future study. To evaluate the construct and discriminant validity of the current personality disorder diagnoses, we conducted a quantitative synthesis of the existing empirical research on associations between personality disorders and interpersonal functioning, defined using the interpersonal circumplex model (comprising orthogonal dimensions of bureau and communion), besides as functioning in specific relationship domains (parent-child, family unit, peer, romantic). A comprehensive literature search yielded 127 published and unpublished studies, comprising two,579 upshot sizes. Average outcome sizes from 120 split up meta-analyses, corrected for sampling mistake and measurement unreliability, and aggregated using a random-effects model, indicated that each personality disorder showed a distinct profile of interpersonal way consistent with its feature pattern of symptomatic dysfunction; specific relationship domains affected and strength of associations varied for each personality disorder. Overall, results support the construct and discriminant validity of the personality disorders in the current diagnostic transmission, as well as the proposed conceptualization that disturbances in self and interpersonal functioning plant the core of personality pathology. Importantly, withal, contradicting both the current and proposed conceptualizations, there was non evidence for pervasive dysfunction beyond interpersonal situations and relationships. (PsycINFO Database Tape

Figures

Figure 1
Figure i

Theoretical circumplex construction of interpersonal behavior, with octants reflecting eight interpersonal traits with subscale names for mutual interpersonal circumplex measures.

Figure 2
Figure 2

Theoretical interpersonal circumplex contour. Structural summary parameters for the predicted correlations between interpersonal traits and an external construct include elevation (the average correlation with interpersonal style), amplitude (difference between the average correlation and the top correlation of the profile), and athwart displacement (the angular distance from 0° to the meridian correlation of the profile).

Figure 3
Effigy 3

Menstruum diagram for the literature search.

Figure 4
Effigy iv

Heatmap of number of studies (g) in each meta-analysis of associations between personality disorders and interpersonal functioning. Obs-Comp = obsessive-compulsive. Soc Avert = Socially Avoidant. Nonassert = Nonassertive. Ove Nurtur = Overly Nurturant. The k for each meta-analysis is given in each cell of the heatmap, with darker shading indicating a larger number of studies. Meet the online commodity for the colour version of this effigy.

Figure 5
Effigy v

Results of meta-analyses (ρ = mean population effect sizes corrected for sampling error and measurement unreliability) examining associations between each personality disorder and interpersonal mode. Soc Avert = Socially Avoidant. Nonassert = Nonassertive. Ove Nurtur = Overly Nurturant. Shaded horizontal areas represent no effect (ρ = .00), or modest (ρ = |.twenty|), moderate (ρ = |.30|), and large (ρ = |.50|) effect sizes. The number of studies (k) for each meta-analysis is proportional to the area of its marker, with larger markers indicating a larger number of studies.

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