Personality pathology in youth: A comparison of the categorical and alternative model in relation to internalizing and externalizing pathology and age-adequate psychosocial functioning

Christel J. Hessels; Elisabeth L. de Moor; Marike H.F. Deutz; Odilia M. Laceulle; Marcel A.G. Van Aken

doi:10.1037/per0000681

Personality pathology in youth: A comparison of the categorical and alternative model in relation to internalizing and externalizing pathology and age-adequate psychosocial functioning

Christel J. Hessels^*, Elisabeth L. de Moor, Marike H.F. Deutz, Odilia M. Laceulle, Marcel A.G. Van Aken

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Youth with personality pathology are at a greater risk of developing broader psychopathology and experiencing poorer life outcomes in general. Therefore, detecting personality problems, specifically features of borderline personality disorder (BPD), provides opportunities for early intervention. In this study, we investigated the incremental value of Criteria A and B of the alternative model for personality disorders (AMPD) compared to a BPD symptom count based on the Diagnostic and Statistical Manual of Mental Disorders, fifth edition Section II personality disorder model in broader psychopathology (i.e., internalizing and externalizing symptoms) and age-adequate psychosocial functioning (i.e., attainment of developmental milestones). In a clinical sample of 246 young people (M_age = 19.22, SD = 2.76, 81.7% female), separate path analyses showed that a BPD symptom count, Criterion A, and Criterion B were all relatively strongly related to the outcome measures. In a combined path model, the AMPD and especially Criterion B explained additional variance in internalizing and externalizing pathology and age-adequate psychosocial functioning. The current results underscore the value of the AMPD for the early detection of negative psychopathological and psychosocial outcomes commonly associated with BPD.

Original language	English
Pages (from-to)	293-303
Number of pages	11
Journal	Personality disorders
Volume	15
Issue number	5
DOIs	https://doi.org/10.1037/per0000681
Publication status	Published - 1 Sept 2024

Bibliographical note

Publisher Copyright:
© 2024 The Author(s) This work is licensed under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 International License (CC BY-NC-ND 4.0; https://creativecommons.org/licenses/by-nc-nd/4.0). This license permits copying and redistributing the work in any medium or format for noncommercial use provided the original authors and source are credited and a link to the license is included in attribution. No derivative works are permitted under this license.

Keywords

borderline personality disorder
personality pathology
psychopathology
psychosocial functioning
youth

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1037/per0000681Licence: CC BY-NC-ND

2025-18954-002Final published version, 337 KBLicence: CC BY-NC-ND

Cite this

@article{36b38563232849438960613e2060d96f,

title = "Personality pathology in youth: A comparison of the categorical and alternative model in relation to internalizing and externalizing pathology and age-adequate psychosocial functioning",

abstract = "Youth with personality pathology are at a greater risk of developing broader psychopathology and experiencing poorer life outcomes in general. Therefore, detecting personality problems, specifically features of borderline personality disorder (BPD), provides opportunities for early intervention. In this study, we investigated the incremental value of Criteria A and B of the alternative model for personality disorders (AMPD) compared to a BPD symptom count based on the Diagnostic and Statistical Manual of Mental Disorders, fifth edition Section II personality disorder model in broader psychopathology (i.e., internalizing and externalizing symptoms) and age-adequate psychosocial functioning (i.e., attainment of developmental milestones). In a clinical sample of 246 young people (Mage = 19.22, SD = 2.76, 81.7% female), separate path analyses showed that a BPD symptom count, Criterion A, and Criterion B were all relatively strongly related to the outcome measures. In a combined path model, the AMPD and especially Criterion B explained additional variance in internalizing and externalizing pathology and age-adequate psychosocial functioning. The current results underscore the value of the AMPD for the early detection of negative psychopathological and psychosocial outcomes commonly associated with BPD.",

keywords = "borderline personality disorder, personality pathology, psychopathology, psychosocial functioning, youth",

author = "Hessels, {Christel J.} and {de Moor}, {Elisabeth L.} and Deutz, {Marike H.F.} and Laceulle, {Odilia M.} and {Van Aken}, {Marcel A.G.}",

note = "Publisher Copyright: {\textcopyright} 2024 The Author(s) This work is licensed under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 International License (CC BY-NC-ND 4.0; https://creativecommons.org/licenses/by-nc-nd/4.0). This license permits copying and redistributing the work in any medium or format for noncommercial use provided the original authors and source are credited and a link to the license is included in attribution. No derivative works are permitted under this license.",

year = "2024",

month = sep,

day = "1",

doi = "10.1037/per0000681",

language = "English",

volume = "15",

pages = "293--303",

journal = "Personality disorders",

issn = "1949-2715",

publisher = "American Psychological Association",

number = "5",

}

Personality pathology in youth: A comparison of the categorical and alternative model in relation to internalizing and externalizing pathology and age-adequate psychosocial functioning. / Hessels, Christel J.; de Moor, Elisabeth L.; Deutz, Marike H.F. et al.
In: Personality disorders, Vol. 15, No. 5, 01.09.2024, p. 293-303.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Personality pathology in youth

T2 - A comparison of the categorical and alternative model in relation to internalizing and externalizing pathology and age-adequate psychosocial functioning

AU - Hessels, Christel J.

AU - de Moor, Elisabeth L.

AU - Deutz, Marike H.F.

AU - Laceulle, Odilia M.

AU - Van Aken, Marcel A.G.

N1 - Publisher Copyright: © 2024 The Author(s) This work is licensed under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 International License (CC BY-NC-ND 4.0; https://creativecommons.org/licenses/by-nc-nd/4.0). This license permits copying and redistributing the work in any medium or format for noncommercial use provided the original authors and source are credited and a link to the license is included in attribution. No derivative works are permitted under this license.

PY - 2024/9/1

Y1 - 2024/9/1

N2 - Youth with personality pathology are at a greater risk of developing broader psychopathology and experiencing poorer life outcomes in general. Therefore, detecting personality problems, specifically features of borderline personality disorder (BPD), provides opportunities for early intervention. In this study, we investigated the incremental value of Criteria A and B of the alternative model for personality disorders (AMPD) compared to a BPD symptom count based on the Diagnostic and Statistical Manual of Mental Disorders, fifth edition Section II personality disorder model in broader psychopathology (i.e., internalizing and externalizing symptoms) and age-adequate psychosocial functioning (i.e., attainment of developmental milestones). In a clinical sample of 246 young people (Mage = 19.22, SD = 2.76, 81.7% female), separate path analyses showed that a BPD symptom count, Criterion A, and Criterion B were all relatively strongly related to the outcome measures. In a combined path model, the AMPD and especially Criterion B explained additional variance in internalizing and externalizing pathology and age-adequate psychosocial functioning. The current results underscore the value of the AMPD for the early detection of negative psychopathological and psychosocial outcomes commonly associated with BPD.

AB - Youth with personality pathology are at a greater risk of developing broader psychopathology and experiencing poorer life outcomes in general. Therefore, detecting personality problems, specifically features of borderline personality disorder (BPD), provides opportunities for early intervention. In this study, we investigated the incremental value of Criteria A and B of the alternative model for personality disorders (AMPD) compared to a BPD symptom count based on the Diagnostic and Statistical Manual of Mental Disorders, fifth edition Section II personality disorder model in broader psychopathology (i.e., internalizing and externalizing symptoms) and age-adequate psychosocial functioning (i.e., attainment of developmental milestones). In a clinical sample of 246 young people (Mage = 19.22, SD = 2.76, 81.7% female), separate path analyses showed that a BPD symptom count, Criterion A, and Criterion B were all relatively strongly related to the outcome measures. In a combined path model, the AMPD and especially Criterion B explained additional variance in internalizing and externalizing pathology and age-adequate psychosocial functioning. The current results underscore the value of the AMPD for the early detection of negative psychopathological and psychosocial outcomes commonly associated with BPD.

KW - borderline personality disorder

KW - personality pathology

KW - psychopathology

KW - psychosocial functioning

KW - youth

UR - http://www.scopus.com/inward/record.url?scp=85203420317&partnerID=8YFLogxK

U2 - 10.1037/per0000681

DO - 10.1037/per0000681

M3 - Article

C2 - 39235914

AN - SCOPUS:85203420317

SN - 1949-2715

VL - 15

SP - 293

EP - 303

JO - Personality disorders

JF - Personality disorders

IS - 5

ER -

Personality pathology in youth: A comparison of the categorical and alternative model in relation to internalizing and externalizing pathology and age-adequate psychosocial functioning

Abstract

Bibliographical note

Keywords

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this