Dysfunctional personality traits in drug addict inmates. Administration of the PID-5 to a clinical sample

Journal title RICERCHE DI PSICOLOGIA
Author/s Antonia Sorge, Sarah Coco, Monica Accordini, Valentina Fenaroli
Publishing Year 2018 Issue 2018/3
Language Italian Pages 22 P. 379-400 File size 106 KB
DOI 10.3280/RIP2018-003005
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Abstract Including a dimensional rather than categorical classification of disorders, section III of the DSM-5 presents a new model for the assessment of personality disorders. Consistently with such model, the APA has generated a paradigm for the assessment of dysfunctional personality traits, the Personality Inventory for DSM-5 (PID-5) consisting of 25 personality facets identified in 5 domains (Krueger et al., 2012). The present research findings have been obtained by administering the PID-5 to a sample of 101 patients under the care of an addiction recovery service within a penitentiary in Lombardy. Results are first presented as mean scores for each trait and compared with the normative data of the Italian adaptation of the instrument in order to provide professionals working in the field with clinically relevant information. Following, results of a confirmatory factor analysis (CFA) aimed at testing the structure proposed by Krueger et al. (2012) on a clinical sample are also presented. Findings confirm the presence of 5 domains, however some differences with regards to the overall number of facets (15 instead of 25) composing each domain have to be acknowledged. More specifically, some maladaptive sub-dimensions (i.e. manipulativeness, separation insecurity, hostility, deceitfulness, callousness, etc.) did not univocally converge on one domain and have therefore been eliminated from the model. Although preliminary, this study provides grounds for reflection on the connections between personality disorders, drug addiction, and crime and shows how the adoption of a multi-faceted perspective might contribute to the development of more focused and effective interventions.

Keywords: DSM-5, PID-5, dysfunctional personality traits, personality disorders, drug addiction.

  1. American Psychiatric Association (APA) (2013). Diagnostic and Statistical Manual of Mental Disorders. New York: American Psychiatric Publishing.
  2. Bach, B., Markon, K., Simonsen, E., & Krueger, R.E. (2015). Clinical utility of the alternative DSM-5 model of personality disorders: Six cases from practice. Journal of Psychiatric Practice, 21, 3-25.
  3. Bagby, R.M. (2013). Introduction to special issue on the Personality Inventory for DSM-5 (PID-5). Assessment, 20, 267-268. DOI: 10.1177/1073191113491643.
  4. Bender, D.S., More, L.C., & Skodol, A.E. (2011). Toward a model for assessing level of personality functioning in DSM-5, part I: A review of theory and methods. Journal of Personality Assessment, 93, 332-346. DOI: 10.1080/00223891.2011.583808
  5. Bignamini, E. (2014). Doppia Diagnosi. In L.Grosso & F. Rascazzo, Atlante delle Dipendenze. Torino: Edizioni Gruppo Abele.
  6. Bowden-Jones, O., Iqbal, M. Z., Seivewright, N., Cooper, S., Judd, A., & Weaver, T. (2004). Prevalence of Personality Disorder in Alcohol and Drug Services and Associated Comorbidity. Addiction, 10, 1306-14.
  7. Byrne, B.M. (2001). Structural equation modeling with AMOS. Mahawah: Lawrence Erlbaum Associates.
  8. Carlotta, D., Krueger, R. F., Markon, K. E., Borroni, S., Frera, F., Somma, A., Maffei, C., & Fossati, A. (2014). Adaptive and maladaptive personality traits in high-risk gamblers. Journal of Personality Disorders, 29, 378-392.
  9. Casadio, P., Olivoni, D., Bonafede, R., & Atti, A.R. (2016). Co-occurrance of Substance Use and Personality Disorders: Epidemiology, Etiopathogenesis and Treatment. In V.R. Preedy (Ed.) Neuropathology of Drug Addictions and Substance Misuse. London: Academic Press.
  10. Chmielewski, M., Bagby, R. M., Markon, K., Ring, A.J., & Ryder, A.G. (2014).
  11. Openness to experience, intellect, schizotypal personality disorder, and psychoticism: Resolving the controversy. Journal of Personality Disorders, 28, 483-499.
  12. Costa, P.T., & McCrae, R.R. (1992). Revised NEO Personality Inventory (NEOPI-R) and NEO Five-Factor Inventory (NEO-FFI) professional manual. Odessa: Psychological Assessment Resources.
  13. De Fruyt, F., De Clercq, B., De Bolle, M., Wille, B., Markon, K., & Krueger, R. F. (2013). General and maladaptive traits in a five-factor framework for DSM-5 in a university student sample. Assessment, 20, 295-307. DOI: 10.1177/1073191113475808
  14. Few, L.R., Miller, J. D., Rothbaum, A.O., Meller, S., Maples, J., Terry, D.P., & MacKillop, J. (2013). Examination of the Section III DSM-5 diagnostic system for personality disorders in an outpatient clinical sample. Journal of Abnormal Psychology, 122, 1057-1069.
  15. Field, G. (1998). Continuity of Offender Treatment for Substance Abuse Disorders from Institution to Community. Rockville: US Department of Health and Human Services.
  16. First, M.B. (2005). Clinical utility: A prerequisite for the adoption of a dimensional approach in DSM. Journal of Abnormal Psychology, 114, 560-564. DOI: 10.1037/0021-843X.114.4.560
  17. Fossati, A., Krueger, R.F., Markon, K. E., Borroni, S., & Maffei, C. (2013). Reliability and validity of the Personality Inventory for DSM-5 (PID-5): Predicting DSM-IV personality disorders and psychopathy in community-dwelling Italian adults. Assessment, 20, 689-708.
  18. Fossati, A., Borroni, S., & Somma, A. (2016). PID-5 Adulti. Manuale d’uso della versione italiana. Milano: Raffaello Cortina.
  19. Fox, A., Khan, L., Briggs, D., Rees-Jones, N., Thompson, Z., & Owens, J. (2005). Throughcare and Aftercare: Approaches and promising practice in service delivery for clients released from prison or leaving residential rehabilitation. Home Office Online Report 01/05. London: Home Office Press.
  20. Foulds, J. A., Boden, J. M., Newton-Howes, G. M., Mulder, R. T., & Horwood, L. J. (2017). The role of novelty seeking as a predictor of substance use disorder outcomes in early adulthood. Addiction, 112, 1629-1637.
  21. Furnham, A., Milner, R., Akhtar, R., & De Fruyt, F. (2014). A review of the measures designed to assess DSM-5 personality disorders. Psychology, 5, 1646-1686.
  22. Gabbard, G.O. (2015). Psichiatria Psicodinamica. Milano: Raffaello Cortina.
  23. Gatti, R. (2004). Droga. Architettura e Materiali per le Nuove Reti d’Intervento. Milano: FrancoAngeli.
  24. Goffman, E. (1968). Asylums. Harmondsworth: Penguin.
  25. Goldberg, L.R. (1990). An alternative “description of personality”: The big-five factor structure. Journal of Personality and Social Psychology, 59, 1216-1229. DOI: 10.1037/0022-3514.59.6.1216
  26. Gore, W.L., & Widiger, T.A. (2013). The DSM-5 dimensional trait model and five-factor models of general personality. Journal of Abnormal Psychology, 122, 816-821.
  27. Goretti, S., Sanchez Sanchez, M.D.C., Lucas Borja, P., Bautista Rivera, G., & Rodriguez Lara, M. (2017). The Relationship between Personality Disorders and Substance Use Disorders. European Psychiatry, 41, 473-474.
  28. Grilo, C.M., McGlashan, T.H., Morey, L.C., Gunderson, J.G., Skodol, A.E., Tracie Shea, M., & Stout, R.L. (2001). Internal consistency, intercriterion overlap and diagnostic efficiency of criteria set for DSM-IV schizotipical, borderline, avoidant and obsessive-compulsive personality disorders. Acta Pychiatrica Scandinavica, 104, 264-272.
  29. Hatzitaskos, P., Soldatos, C. R., Kokkevi, A., & Stefanis, C. N. (1999). Substance abuse patterns and their association with psychopathology and type of hostility in male patients with borderline and antisocial personality. Comprehensive Psychiatry, 40, 278. DOI: 10.1016/S0010-440X(99)90128-1
  30. Helzer, J.E., Kraemer, H.C., & Krueger, R.F. (2006). The feasibility and need for dimensional psychiatric diagnoses. Psychological Medicine, 36, 1671-1680. DOI: 10.1017/S003329170600821X
  31. Hildebrand, M., & De Ruiter, C. (2004). PCL-R Psychopathy and its Relation to DSM-IV Axis I and II Disorders in a Sample of Male Forensic Psychiatric Patients in Netherland. International Journal of Law and Psychiatry, 27, 233-248.
  32. Hiscoke, U.L., Langstrom, N., Ottosson, H., & Grann, M. (2003). Self-Reported Personality Traits and Disorders (DSM-IV) and Risk of Criminal Recidivsm: A Prospective Study. Journal of Personality Disorders, 17, 4.
  33. Hopwood, C.J., Thomas, K.M., Markon, K.E., & Krueger, R.F. (2012). DSM-5 personality traits and DSM-IV personality disorders. Journal of Abnormal Psychology, 121, 424-432.
  34. Hopwood, C.J., & Sellbom, M. (2013). Implications of DSM-5 personality traits for forensic psychology. Psychological Injury and Law, 6, 314-323.
  35. Hu, L., & Bentler, P.M. (1999). Cut-off criteria for fit indexes in covariance structure analysis: Conventional crieria versus new alternatives. Structural Equation Modeling, 6, 1-55. DOI: 10.1080/10705519909540118
  36. Jamieson, L., & Taylor, P.J. (2004). A Re-Conviction Study of Special (High Security) Hospital Patients. The British Journal of Criminology, 44, 783-802.
  37. Johansen, M., Karterud, S., Pedersen, G., Gude, T., & Falkum, E. (2004). An investigation of the prototype validity of the borderline DSM-IV construct. Acta Psychiatrica Scandinavica, 109, 289-298.
  38. Kernberg, O.F. (1975). Borderline Conditions and Pathological Narcissism. New York, NY: Jason Aronson.
  39. Kreek, M.J., Nielsen, D.A., Butelman, E.R., & LaForge, K.S. (2005). Genetic influences on impulsivity, risk taking, stress responsivity and vulnerability to drug abuse and addiction. Nature Neuroscience, 8, 1450.
  40. Krueger, R. F., McGue, M., & Iacon, W. G. (2001). The higher-order structure of common DSM mental disorders: Internalization, externalization, and their connections to personality. Personality and Individual Differences, 30, 1245-1259. DOI: 10.1016/S0191-8869(00)00106-9
  41. Krueger, R. F., & Markon, K. E. (2006). Reinterpreting comorbidity: a model-based approach to understand and classifying psychopathology. The Annual Review of Clinical Psychology, 2, 11-33.
  42. Krueger, R.F., Markon, K.E., Patrick, C.J., Benning, S.D., & Kramer, M.D.
  43. (2007). Linking Antisocial Behavior, Substance Use and Personality: An Integrative Quantitative Model of the Adult Externalizing Spectrum. Journal of Abnormal Psychology, 116, 645-666. DOI: 10.1037/0021-843X.116.4.645
  44. Krueger, R.F., Eaton, R.N., Derringer, J., Markon, K.E., Watson, D., & Skodol,
  45. A.E. (2011). Personality in the DSM-5: Helping delineating personality disorders content and framing the meta-structure. Journal of Personality Assessment, 93, 325-331.
  46. Krueger, R.F., & Markon, K.E. (2014). The Role of DM-5 Personality Trait Model in Moving Toward a Quantitative and Empirically Based Approach to Classifying Personality and Psychopathology. The Annual Review of Clinical Psychology, 10, 477-501.
  47. Langas, A.M., & Malt, F.M. (2012) In-depth study of personality disorders in first-admission patients with substance use disorders. BMC Psychiatry, 12, 180. DOI: 10.1186/1471-244X-12-180
  48. Leonardi, F. (2007). Le Misure Alternative alla Detenzione tra Reinserimento Sociale e Abbattimento della Recidiva. Rassegna Penitenziaria e Criminologica, 2, 8-26.
  49. Leonardi, F. (2009). Tossicodipendenza e Alternative alla Detenzione: il Rischio di Recidiva tra gli Affidati in Prova al Servizio Sociale. Rassegna Penitenziaria e Criminologica, 3, 5-30.
  50. Lev-Ran, S., Imtiaz, S. Rehm, J., & Le Foll, B. (2013). Exploring the association between lifetime prevalence of mental illness and transition from substance use to substance use disorder: Results from the National Epidemiologic Survey of Alcohol and Related Conditions (NESARC). American Journal of Addictions, 22, 93-98.
  51. McAllister, D., Bottomley, K., & Liebling, A. (1992). From Custody to Community: Throughcare for young offenders. Aldershot: Averbury.
  52. Mellos, E., Liappas, I., & Paparrigopoulos, T. (2010). Comorbidity of Personality Disorders with Alcohol Abuse. In Vivo, 24, 761-769.
  53. Miller, J.D. (2012). Five-factor model personality disorder prototypes: A review of their development, validity and comparison to alternative approaches. Journal of Personality, 80, 1565-1591.
  54. Morey, L.C., Benson, K.T., Busc, A.J., & Skodol, A.E. (2015). Personality disorders in DSM-5: Emerging research on the alternative model. Current Psychiatry Reports, 17, 1-9.
  55. Morey, L.C., Skodol, A.E., & Oldham, J.M. (2014). Clinician judgment of clinical utility: A comparison of DSM IV-TR personality disorders and the alternative modelfor DSM-5 personality dsorders. Journal of Abnormal Psychology, 123, 1-8.
  56. Oldham, J.M., Skodol, A.E., Kellman, H.D., Hyler, S.E., & Rosnick, L. (1992). Diagnosis of DSM-III-R personality disorders by two structured interviews: Patterns of comorbidity. American Journal of Psychiatry, 149, 213-220.
  57. Oldham, J.M., Skodol, A.E., & Benden, D.S. (2017). Trattato dei Disturbi di Personalità. Milano: Raffaello Cortina.
  58. Putkonen, A., Kotilainen, I., Joyal, C.C., & Tuhonen, J. (2004). Comorbid Personality Disorders and Substance Use Disorder of Mentally Ill Homicide Offenders: a Structured Clinical Study on Dual and Triple Diagnosis. Schizofrenia Bullettin, 30, 59-72.
  59. Quilty, L.C., Ayearst, L., Chmielewski, M., Pollock, B.G., & Bagby, R.M. (2013). The psychometric properties of the Personality Inventory for DSM-5 in an APA DSM-5 field trial sample. Assessment, 20, 362-369. DOI: 10.1177/1073191113486183
  60. Rigliano, P. (2015). Doppia Diagnosi. Milano: Raffaello Cortina.
  61. Rosenfeld, B. (2003). Recidivism in stalking and obsessional harassment. Law and Human Behavior, 27, 251-265. DOI: 10.1023/A:1023479706822
  62. Saita, E. (2018). Penitentiary Institutions: Transforming Processes and Well-Being. World Futures, 1-5. DOI: 10.1080/02604027.2018.1445692
  63. Saita, E., & Pagano, L. (2018). Là, dove i mari si toccano: la psicologia nel sistema di esecuzione della pena. Ricerche di Psicologia, 3, 299-305.
  64. Samuel, D.B., Lynam, D.R., Widiger, T.A., & Ball, S.A. (2012). An expert consensus approach to relating the proposed DSM-5 types and traits. Personality Disorders: Theory, Research and Treatment, 3, 1.
  65. Samuel, D.B., Hopwood, C.J., Krueger, R.F., Thomas, K.M., & Ruggero, C.J. (2013). Comparing methods for scoring personality disorder types using maladaptive traits in DSM-5. Assessment, 20, 353-361. DOI: 10.1177/1073191113486182
  66. Simms, L.J., Goldberg, L.R., Roberts, J.E., Watson, D., Welte, J., & Rotterman,
  67. J.H. (2011). Computerized adaptive assessment of personality disorder: Introducing the CAT-PD Project. Journal of Personality Assessment, 93, 380-389. DOI: 10.1080/00223891.2011.577475
  68. Skodol, A.E., Oldham, J.M., & Gallaher, P.E. (1999). Axis II Comorbidity of Substance Use Disorders among Patients Referred for Treatment of Personality Disorders. The American Journal of Psychiatry, 156, 733-8.
  69. Suzuki, T., Samuel, D. B., Pahlen, S., & Krueger, R.F. (2015). DSM-5 alternative personality disorder model traits as maladaptive extreme variants of the fivefactor model: An item-response theory analysis. Journal of Abnormal Psychology, 142, 343-354.
  70. Trull, T.J., & Durrett, C.A. (2005). Categorical and Dimensional models of Personality Disorders. Annual Review of Clinical Psychology, 1, 355-380.
  71. Ullrich, S., Borkenau, P., & Marneros, A. (2001). Personality Disorders in Offenders: Categorical versus Dimensional Approaches. Journal of Personality Disorders, 15, 442-449.
  72. Van den Broeck, J. (2012). A trait-based perspective on the assessment of personality and personality pathology in older adults (Doctoral dissertation). Vrije Universiteit Brussels.
  73. Verheul, R. (2001). Co-morbidity of Personality Disorders in Individuals with Substance Use Disorders. European Psychiatry, 16, 274-282.
  74. Verheul, R. (2006). Clinical utility of dimensional models for personality pathology. In T.A. Widiger, E. Simonsen, P.J. Sirovatka, & D.A. Regier (Eds.) Dimensional models of personality disorders: Refining the research agenda for DSM-V (pp. 203-218).
  75. Arlington, VA: American Psychiatric Association. Verheul, R., Bartak A., & Widiger, T.A. (2007). Prevalence and construct validity of personality disorders not otherwise specified (PDNOS). Journal of Personality disorders, 21, 359-370.
  76. Widiger, T.A., & Simonsen, E. (2005). Alternative dimensional models of personality disorder: finding a common ground. Journal of Personality Disorders, 19, 110-130.
  77. Widiger, T.A., & Costa, P.T. (1994). Personality and personality-disorders. Journal of Abnormal Psychology, 103, 78-91. DOI: 10.1037//0021-843X.103.1.78
  78. Watson, D., Stasik, M.S., Ro, E., & Clark, L.A. (2013). Integrating normal and pathological personality: Relating the DSM-5 trait-dimensional model to general traits of personality. Assessment, 20, 312-326. DOI: 10.1177/1073191113485810
  79. Webster, R. (2004). Assessing the Aftercare and Throughcare Needs of Drug and Alcohol Misusers in Havering: A draft Report. London: Havering London Borough.
  80. Wright, A.G.C., Pincus, A.L., Thomas, K.M., Hopwood, C.J., Markon, K.E., & Krueger, R.F. (2012). An interpersonal analysis of pathological personality traits in DSM-5. Assessment, 19, 263-275. DOI: 10.1177/1073191112446657
  81. Wright, A.G.C., Thomas, K.M., Hopwood, C.J., Markon, K.E., & Krueger, R.F. (2012). The hierarchical structure of DSM-5 pathological personality traits. Journal of Abnormal Psychology, 121, 951-57.
  82. Wright, A.G.C., & Simms, L.J. (2014). On the structure of personality disorder traits: Conjoint analyses of the CAT-PD, PID-5, and NEO-PI-3 trait models. Personality Disorders: Theory, Research, and Treatment, 5, 43-54.

Antonia Sorge, Sarah Coco, Monica Accordini, Valentina Fenaroli, Tratti disfunzionali di personalità nel paziente tossicodipendente detenuto. Somministrazione del PID-5 ad un campione clinico in "RICERCHE DI PSICOLOGIA " 3/2018, pp 379-400, DOI: 10.3280/RIP2018-003005