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Childhood personality pathology: Dimensional stability and change

Published online by Cambridge University Press:  07 July 2009

Barbara de Clercq ,
Karla van Leeuwen ,
Wim van den Noortgate ,
Marleen de Bolle  and
Filip de Fruyt
Barbara de Clercq*
Affiliation:
Ghent University
Karla van Leeuwen
Affiliation:
Katholieke Universiteit Leuven
Wim van den Noortgate
Affiliation:
Katholieke Universiteit Leuven
Marleen de Bolle
Affiliation:
Ghent University
Filip de Fruyt
Affiliation:
Ghent University
*
Address correspondence and reprint requests to: Barbara De Clercq, Department of Developmental, Personality and Social Psychology, Ghent University, H. Dunantlaan 2, B-9000 Gent, Belgium; E-mail: [email protected].
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Abstract

Studies on the developmental course of personality disorders have suggested that adult personality disorders enclose both features with a natural plasticity over time, as well as stable components represented by underlying trait dimensions. The current study broadens this dimensional stability perspective toward an earlier developmental stage, and describes with different indices of stability the longitudinal behavior of basic childhood maladaptive trait dimensions in a community sample of 477 Flemish children. The results underscore structural, rank-order, and within-person stability for the disagreeableness, emotional instability, introversion, and compulsivity dimensions and suggest a similar maturation principle as has been proposed for adults. Individual growth curve analyses indicate that children's maladaptive trait scores generally decrease as they grow older, with a smaller decline for high-scoring individuals. Childhood maladaptive traits and general psychopathology dimensions show similar longitudinal patterns in terms of shape and change over time, supporting a spectrum conceptualization of Axis I related pathology and personality disorder precursors at young age. The implications of these findings for a developmental perspective on dimensional conceptualizations of personality disorders are discussed.

Type
Regular Articles
Information
Development and Psychopathology , Volume 21 , Issue 3: Precursors and Diverse Pathways to Personality Disorder in Children and Adolescents: Part 1 , August 2009 , pp. 853 - 869
Copyright
Copyright © Cambridge University Press 2009

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References

Achenbach, T. M. (1991). Manual for the Child Behavior Checklist/4–18 and 1991 profile. Burlington, VT: University of Vermont, Department of Psychiatry.Google Scholar
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Google Scholar
Bongers, I. L., Koot, H. M., van der Ende, J., &Verhulst, F. C. (2003). The normative development of child and adolescent problem behavior. Journal of Abnormal Psychology, 112, 179–192.CrossRefGoogle ScholarPubMed
Broidy, L. M., Nagin, D. S., Tremblay, R. E., Bates, J. E., Brame, B., Dodge, K. A., et al. (2003). Developmental trajectories of childhood disruptive behaviors and adolescent delinquency: A six-site, cross-national study. Developmental Psychology, 39, 222–245.CrossRefGoogle ScholarPubMed
Caspi, A. (2000). The child is father of the man: Personality continuities from childhood to adulthood. Journal of Personality and Social Psychology, 78, 158–172.CrossRefGoogle ScholarPubMed
Clark, L. A. (1993). Manual for the Schedule for Non-adaptive and Adaptive Personality (SNAP). Minneapolis, MN: University of Minnesota Press.Google Scholar
Clark, L. A. (2005). Stability and change in personality pathology: Revelations of three longitudinal studies. Journal of Personality Disorders, 19, 524–532.CrossRefGoogle ScholarPubMed
Clark, L. A. (2007). Assessment and diagnosis of personality disorder: Perennial issues and an emerging reconceptualization. Annual Review of Psychology, 58, 227–257.CrossRefGoogle Scholar
Clark, L. A., & Livesley, J. W. (2002). Two approaches to identifying the dimensions of personality disorder: Convergence on the five-factor model. In Costa, P. T. Jr., & Widiger, T. A. (Eds.), Personality disorders and the five-factor model of personality (2nd ed., pp. 161–176). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
Cohen, P. (2008). Child development and personality disorder. Psychiatric Clinics of North America, 31, 477–493.CrossRefGoogle ScholarPubMed
Cohen, P., Crawford, T. N., Johnson, J. G., & Kasen, S. (2005). The Children in the Community study of developmental course of personality disorders. Journal of Personality Disorders, 19, 466–486.CrossRefGoogle Scholar
Coolidge, F. L., Thede, L. L., & Jang, K. L. (2001). Heritability of personality disorders in childhood: A preliminary investigation. Journal of Personality Disorders, 15, 33–40.CrossRefGoogle ScholarPubMed
Costa, P. T., & McCrae, R. R. (1992). Professional Manual: Revised NEO Personality Inventory (NEO-PI-R) and NEO Five-Factor Inventory (NEO-FFI). Odessa, FL: Psychological Assessment Resources.Google Scholar
Costa, P. T., & Widiger, T. A. (2002). Personality disorders and the five-factor model of personality (2nd ed.). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
Costa, P. T. Jr., Patriciu, N. S., & McCrae, R. R. (2005). Lessons from longitudinal studies for new approaches to the DSM-V: The FFM and the FFT. Journal of Personality Disorders, 19, 533–539.CrossRefGoogle Scholar
De Bolle, M., De Clercq, B., Van Leeuwen, K., Decuyper, M., Rosseel, Y., & De Fruyt, F. (2009). Personality and psychopathology in flemish referred children: Five perspectives of continuity. Child Psychiatry and Human Development, 40, 269–285.CrossRefGoogle ScholarPubMed
De Clercq, B., & De Fruyt, F. (2003). Personality disorder symptoms in adolescence: A five-factor model perspective. Journal of Personality Disorders, 17, 269–292.CrossRefGoogle ScholarPubMed
De Clercq, B., & De Fruyt, F. (2007). Childhood antecedents of personality disorders. Current Opinion in Psychiatry, 20, 57–61.CrossRefGoogle Scholar
De Clercq, B., De Fruyt, F., & Mervielde, I. (2003). Construction of the Dimensional Personality Symptom Item Pool in children (DIPSI). Unpublished manuscript, Ghent University, Belgium.Google Scholar
De Clercq, B., De Fruyt, F., & Van Leeuwen, K. (2004). A “little-five” lexically based perspective on personality disorder symptoms in adolescence. Journal of Personality Disorders, 18, 479–499.CrossRefGoogle Scholar
De Clercq, B., De Fruyt, F., Van Leeuwen, K., & Mervielde, I. (2006). The structure of maladaptive personality traits in childhood: A step toward an integrative developmental perspective for DSM-V. Journal of Abnormal Psychology, 115, 639–657.CrossRefGoogle ScholarPubMed
De Clercq, B., De Fruyt, F., & Widiger, T. A. (2009). Integrating a developmental perspective in alternative dimensional representations of personality disorders. Clinical Psychology Review, 29, 154–162.CrossRefGoogle Scholar
De Clercq, B., Van Leeuwen, K., De Fruyt, F., Van Hiel, A., & Mervielde, I. (2008). Maladaptive personality traits and psychopathology in childhood and adolescence: The moderating effect of parenting. Journal of Personality, 76, 357–383.CrossRefGoogle ScholarPubMed
De Fruyt, F., Bartels, M., Van Leeuwen, K., De Clercq, B., De Cuyper, M., & Mervielde, I. (2006). Five types of personality continuity in childhood and adolescence. Journal of Personality and Social Psychology, 91, 538–552.CrossRefGoogle ScholarPubMed
Durbin, C., & Klein, D. N. (2006). Ten-year stability of personality disorders among outpatients with mood disorders. Journal of Abnormal Psychology, 115, 75–84.CrossRefGoogle ScholarPubMed
Durrett, C., & Westen, D. (2005). The structure of Axis II disorders in adolescents: A cluster- and factor-analytic investigation of DSM-IV categories and criteria. Journal of Personality Disorders, 19, 440–461.CrossRefGoogle ScholarPubMed
Geiger, T. C., & Crick, N. R. (2001). A developmental psychopathology perspective on vulnerability to personality disorders. In Ingram, R. E. & Price, J. M. (Eds.), Vulnerability to psychopathology (pp. 57–102). New York: Guilford Press.Google Scholar
Johnson, J. G., Cohen, P., Kasen, S., Skodol, A. E., Hamagami, F., & Brook, J. S. (2000). Age-related change in personality disorder trait levels between early adolescence and adulthood: A community-based longitudinal investigation. Acta Psychiatrica Scandinavica, 102, 265–275.CrossRefGoogle ScholarPubMed
Krueger, R. F. (2005). Continuity of Axes I and II: Toward a unified model of personality, personality disorders, and clinical disorders. Journal of Personality Disorders, 19, 233–261.CrossRefGoogle Scholar
Krueger, R. F., & Tackett, J. L. (2005). Progress and innovation: Personality disorders and the vanguard of psychopathology research. Journal of Personality Disorders, 19, 540–546.CrossRefGoogle ScholarPubMed
Kwok, O. M., Underhill, A. T., Berry, J. W., Luo, W., Elliott, T. R., & Yoon, M. (2008). Analyzing longitudinal data with multilevel models: An example with individuals living with lower extremity intra-articular fractures. Rehabilitation Psychology, 53, 370–386.CrossRefGoogle ScholarPubMed
Lenzenweger, M. F. (1999). Stability and change in personality disorder features: The Longitudinal Study of Personality Disorders. Archives of General Psychiatry, 56, 1009–1015.CrossRefGoogle ScholarPubMed
Lenzenweger, M. F., & Castro, D. D. (2005). Predicting change in borderline personality: Using neurobehavioral systems indicators within an individual growth curve framework. Development and Psychopathology, 17, 1207–1235.CrossRefGoogle ScholarPubMed
Lenzenweger, M. F., Johnson, M. D., & Willett, J. B. (2004). Individual growth curve analysis illuminates stability and change in personality disorder features—The Longitudinal Study of Personality Disorders. Archives of General Psychiatry, 61, 1015–1024.CrossRefGoogle ScholarPubMed
Lenzenweger, M. F., & Willett, J. B. (2007). Predicting individual change in personality disorder features by simultaneous individual change in personality dimensions linked to neurobehavioral systems: The Longitudinal Study of Personality Disorders. Journal of Abnormal Psychology, 116, 684–700.CrossRefGoogle ScholarPubMed
Littell, R. C., Milliken, G. A., Stroup, W. W., Wolfinger, R. D., & Schabenberger, O. (2006). SAS system for mixed models (2nd ed.). Cary, NC: SAS Institute.Google Scholar
Livesley, W. J. (1990). Dimensional Assessment of Personality Pathology—Basic Questionnaire. Unpublished manuscript, University of British Columbia.Google Scholar
Livesley, W. J. (2005). Introduction to the special section on longitudinal studies. Journal of Personality Disorders, 19, 463–465.CrossRefGoogle Scholar
Livesley, W. J., & Jang, K. L. (2008). The behavioral genetics of personality disorder. Annual Review of Clinical Psychology, 4, 247–274.CrossRefGoogle ScholarPubMed
Loranger, A. W., Lenzenweger, M. F., Gartner, A. F., Susman, V. L., Herzig, J., Zammit, G. K., et al. (1991). Trait–state artifacts and the diagnosis of personality disorders. Archives of General Psychiatry, 48, 720–728.CrossRefGoogle ScholarPubMed
Markon, K. E., Krueger, R. F., & Watson, D. (2005). Delineating the structure of normal and abnormal personality: An integrative hierarchical approach. Journal of Personality and Social Psychology, 88, 139–157.CrossRefGoogle ScholarPubMed
McGlashan, T. H., Grilo, C. M., Sanislow, C. A., Ralevski, E., Morey, L. C., Gunderson, J. G., et al. (2005). Two year prevalence and stability of individual DSM-IV criteria for schizotypal, borderline, avoidant, and obsessive–compulsive personality disorders: Toward a hybrid model of axis II disorders. American Journal of Psychiatry, 162, 883–889.CrossRefGoogle Scholar
Millon, T., Millon, C., & Davis, R. (1993). Manual for the Millon Adolescent Clinical Inventory. Minneapolis, MN: National Computer Systems.Google Scholar
Mullins-Sweatt, S., & Widiger, T. A. (2007). Millon's dimensional model of personality disorders: A comparative study. Journal of Personality Disorders, 21, 42–57.CrossRefGoogle ScholarPubMed
O'Connor, B. P. (2005). A search for consensus on the dimensional structure of personality disorders. Journal of Clinical Psychology, 61, 323–345.CrossRefGoogle ScholarPubMed
Pukrop, R., & Krischer, M. (2005). Changing views about personality disorders. Journal of Personality Disorders, 19, 563–572.CrossRefGoogle ScholarPubMed
Robins, R. W., Fraley, R. C., Roberts, B. W., & Trzesniewski, K. H. (2001). A longitudinal study of personality change in young adulthood. Journal of Personality, 69, 617–640.CrossRefGoogle ScholarPubMed
Reichborn-Kjennerud, T. (2008). Genetics of personality disorders. Psychiatry Clinics of North America, 31, 421–440.CrossRefGoogle ScholarPubMed
Salekin, R. T., & Frick, P. J. (2005). Psychopathy in children and adolescents: The need for a developmental perspective. Journal of Abnormal Child Psychology, 33, 403–409.CrossRefGoogle ScholarPubMed
Saulsman, L. M., & Page, A. C. (2004). The five-factor model and personality disorder empirical literature: A meta-analytic review. Clinical Psychology Review, 23, 1055–1085.CrossRefGoogle ScholarPubMed
Shiner, R. L. (2005). A developmental perspective on personality disorders: Lessons from research on normal personality development in childhood and adolescence. Journal of Personality Disorders, 19, 202–210.CrossRefGoogle ScholarPubMed
Shiner, R. L. (2007). Problems of adolescence: Personality disorders. In Mash, E. J. & Barkley, R. A. (Eds.), Assessment of childhood disorders (pp. 781–816). New York: Guildford Press.Google Scholar
Shiner, R. L., Masten, A. S., & Roberts, J. M. (2003). Childhood personality foreshadows adult personality and life outcomes two decades later. Journal of Personality, 71, 1145–1170.CrossRefGoogle ScholarPubMed
Singer, J. (1998). Using SAS PROC MIXED to fit multilevel models, hierarchical models, and individual growth models. Journal of Educational and Behavioral Statistics, 24, 323–355.CrossRefGoogle Scholar
Singer, J. D., & Willett, J. B. (2003). Applied longitudinal data analysis: modeling change and event occurrence. New York: Guilford Press.CrossRefGoogle Scholar
Skodol, A. E., Gunderson, J. G., Shea, M. T., McGlashan, T. H., Morey, L. C., Sanislow, C. A., et al. (2005). The Collaborative Longitudinal Personality Disorders Study (CLPS): Overview and implications. Journal of Personality Disorders, 19, 487–504.CrossRefGoogle Scholar
Snijders, T. A. B., & Bosker, R. J. (1999). Multilevel analysis. An introduction to basic and advanced multilevel modeling. London: Sage.Google Scholar
Tackett, J. (2006). Evaluating models of the personality–psychopathology relationship in children and adolescents. Clinical Psychology Review, 26, 584–599.CrossRefGoogle ScholarPubMed
Trull, T. J. (2005). Dimensional models of personality disorder: Coverage and cutoffs. Journal of Personality Disorders, 19, 262–282.CrossRefGoogle ScholarPubMed
Trull, T. J., & Widiger, T. A. (1997). Structured interview for the five-factor model of personality (SIFFM): Professional manual. Odessa, FL: Psychological Assessment Resources.Google Scholar
Verhulst, F. C., Van der Ende, J., & Koot, H. M. (1996). Handleiding voor de CBCL/4–18 [Manual of the CBCL/4–18]. Rotterdam: Erasmus Universiteit Rotterdam, Afdeling Kinder-en Jeugdpsychiatrie.Google Scholar
Warner, M. B., Morey, L. C., Finch, J. F., Gunderson, J. G., Skodol, A. E., Sanislow, C. A., et al. (2004). The longitudinal relationship of personality traits and disorders. Journal of Abnormal Psychology, 113, 217–227.CrossRefGoogle ScholarPubMed
Westen, D., Shedler, J., Durrett, C., Glass, S., & Martens, A. (2004). Personality diagnoses in adolescence: DSM-IV axis II diagnoses and an empirically derived alternative. American Journal of Psychiatry, 160, 952–966.CrossRefGoogle Scholar
Widiger, T. A., & Simonsen, E. (2005). Alternative dimensional models of personality disorder: Finding a common ground. Journal of Personality Disorders, 19, 110–130.CrossRefGoogle ScholarPubMed
Widiger, T. A., De Clercq, B., & De Fruyt, F. (2009). Childhood antecedents of personality disorder: An alternative perspective. Development and Psychopathology, 21, 771–791.CrossRefGoogle ScholarPubMed
Zanarini, M. C., Frankenburg, F. R., Hennen, J., Reich, D. B., & Silk, K. R. (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, 505–523.CrossRefGoogle ScholarPubMed