Factor Structure of Self-Reported Clinical Disorders and Personality Disorders: A Review of the Existing Literature and a Factor Analytical Study

Nathan Bachrach*, Marcel A. Croon, Marrie H.J. Bekker

*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Objectives: The aim of this research is to add to the current understanding of the latent factor structure of personality disorders by performing a review of the existing literature (Study 1) and a factor analytical study on the factor structure and the relationship between self-reported Axis I and Axis II psychopathology (Study 2). Design: The current research (Study 2) is cross-sectional and multicenter. Results: We found support for the assumption that the borderline personality disorder is a multidimensional construct. Second, we found evidence for a single-factor structure of the narcissistic, dependent as well as the avoidant personality disorder. Third, we found support for the current Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) distinction between Axis I and Axis II, Axis I psychopathology being explained by the factor neuroticism and Axis II disorders to be further subdivided into the higher order factors of internalizing and externalizing pathology. Conclusions: An adaptation to the current DSM-IV borderline personality criteria should be made, while various findings show that the borderline construct is multidimensional. Second, deletion of the dependent and narcissistic personality in the DSM-V might be unjust. Third, Axis I psychopathology can be explained by the factor neuroticism, and Axis II disorders should be further subdivided into the higher order factors of internalizing and externalizing pathology.

Original languageEnglish
Pages (from-to)645-660
Number of pages16
JournalJournal of Clinical Psychology
Volume68
Issue number6
DOIs
Publication statusPublished - 1 Jun 2012
Externally publishedYes

Keywords

  • Diagnosing
  • DSM-IV
  • DSM-V
  • Externalizing
  • Factor analysis
  • Internalizing
  • Personality disorder
  • Psychometric aspects
  • Self-report questionnaires

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