Factor structure of the primary scales of the inventory of personality organization in a nonclinical sample using exploratory structural equation modeling

Psychological Assessment

Volumn 24, Issue 2, 2012, Pages 503-517

  Ellison, William D ^a   Levy, Kenneth N ^a  

^a PENNSYLVANIA STATE UNIVERSITY   (United States)

Author keywords

Borderline personality disorder; Criterion related validity; Exploratory structural equation modeling; Self report assessment

Indexed keywords

ADULT; AFFECT; AFFECT INTENSITY MEASURE; AFFECT LABILITY SCALES; ARTICLE; AUTOMUTILATION; BEHAVIOR DISORDER; BORDERLINE STATE; COGNITIVE APPRAISAL OF RISKY EVENTS; COMPARATIVE STUDY; CONTROLLED STUDY; CRITERION RELATED VALIDITY; DEFENSE STYLE QUESTIONNAIRE 40; DEFENSIVE BEHAVIOR; DELIBERATE SELF-HARM INVENTORY; DIFFICULTIES IN EMOTION REGULATION SCALE; EMOTION REGULATION QUESTIONNAIRE; EMOTIONALITY; EXPLORATORY STRUCTURAL EQUATION MODELING; FEMALE; HIGH RISK BEHAVIOR; HUMAN; INVENTORY OF PERSONALITY ORGANIZATION; LIFE PROBLEMS INVENTORY; MALE; MULTIPLE REGRESSION; NAMED INVENTORIES, QUESTIONNAIRES AND RATING SCALES; PERSONALITY; PSYCHOLOGIC ASSESSMENT; PSYCHOSIS; RATING SCALE; SELF CONCEPT; SELF CONCEPT CLARITY SCALE; SELF REPORT; SPLITTING SCALE; STABILITY OF SELF SCALE; STATISTICAL MODEL; THEORY; THEORY OF PERSONALITY ORGANIZATION; TRAIT META-MOOD SCALE; UNIVERSITY STUDENT; ADOLESCENT; DEFENSE MECHANISM; EGO; EMOTIONAL INTELLIGENCE; FACTORIAL ANALYSIS; PERSONALITY TEST; PSYCHOLOGICAL ASPECT; PSYCHOLOGICAL THEORY; PSYCHOMETRY; REGRESSION ANALYSIS; STANDARD; STATISTICS; STUDENT; VALIDATION STUDY;

ADOLESCENT; ADULT; BORDERLINE PERSONALITY DISORDER; DEFENSE MECHANISMS; EMOTIONAL INTELLIGENCE; FACTOR ANALYSIS, STATISTICAL; FEMALE; HUMANS; MALE; MODELS, STATISTICAL; PERSONALITY; PERSONALITY INVENTORY; PSYCHOLOGICAL THEORY; PSYCHOMETRICS; REALITY TESTING; REGRESSION ANALYSIS; RISK-TAKING; SELF CONCEPT; SELF REPORT; STUDENTS; YOUNG ADULT;

EID: 84866918189     PISSN: 10403590     EISSN: 1939134X     Source Type: Journal    
DOI: 10.1037/a0026264     Document Type: Article

References (137)

1. Allison, P. D. (2003). Missing data techniques for structural equation modeling. Journal of Abnormal Psychology, 112, 545-557. doi:10.1037/002-1843X.112.4.545
2. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
3. American Psychiatric Association. (2011a). Borderline personality disorder. Retrieved from http://www.dsm5.org/ProposedRevision/Pages/proposedrevision.aspx?rid=17
4. American Psychiatric Association. (2011b). Personality disorders. Retrieved from http://www.dsm5.org/proposedrevision/pages/personalitydisorders.aspx
5. Andrews, G., Singh, M., & Bond, M. (1993). The Defense Style Questionnaire. Journal of Nervous and Mental Disease, 181, 246-256. doi:10.1097/00005053-199304000-00006
6. Arntz, A., & Bernstein, D. (2006). Can personality disorders be changed? Netherlands Journal of Psychology, 62, 8-18. doi:10.1007/BF03061046
7. Asparouhov, T., & Muthén, B. (2009). Exploratory structural equation modeling. Structural Equation Modeling, 16, 397-438. doi:10.1080/10705510903008204
8. Barrett, P. (2007). Structural equation modelling: Adjudging model fit. Personality and Individual Differences, 42, 815-824. doi:10.1016/j.paid.2006.09.018
9. Bender, D. S., Dolan, R. T., Skodol, A. E., Sanislow, C. A., Dyck, I. R., McGlashan, T. H.,... Gunderson, J. G. (2001). Treatment utilization by patients with personality disorders. American Journal of Psychiatry, 158, 295-302. doi:10.1176/appi.ajp.158.2.295
10. Bender, D. S., & Skodol, A. E. (2007). Borderline personality as a self- other representational disturbance. Journal of Personality Disorders, 21, 500-517. doi:10.1521/pedi.2007.21.5.500
11. Berghuis, H., Kamphuis, J. H., Boedijn, G., & Verheul, R. (2009). Psychometric properties and validity of the Dutch Inventory of Personality Organization (IPO-NL). Bulletin of the Menninger Clinic, 73, 44-60. doi:10.1521/bumc.2009.73.1.44
12. Blais, M. A. (2010). The common structure of normal personality and psychopathology: Preliminary exploration in a non-patient sample. Personality and Individual Differences, 48, 322-326. doi:10.1016/j.paid.2009.10.028
13. Bond, M., Paris, J., & Zweig-Frank, H. (1994). Defense styles and borderline personality disorder. Journal of Personality Disorders, 8, 28-31. doi:10.1521/pedi.1994.8.1.28
14. Brown, T. A. (2006). Confirmatory factor analysis for applied research. New York, NY: Guilford Press.
15. Campbell, J. D., Assanand, S., & Di Paula, A. (2003). The structure of the self-concept and its relation to psychological adjustment. Journal of Personality, 71, 115-140. doi:10.1111/1467-6494.t01-1-00002
16. Campbell, J. D., Trapnell, P. D., Heine, S. J., Katz, I. M., Lavallee, L. F., & Lehman, D. R. (1996). Self-concept clarity: Measurement, personality correlates, and cultural boundaries. Journal of Personality and Social Psychology, 70, 141-156. doi:10.1037/0022-3514.70.1.141
17. Chambless, D. L., Renneberg, B., Goldstein, A., & Gracely, E. J. (1992). MCMI-diagnosed personality disorders among agoraphobic outpatients: Prevalence and relationship to severity and treatment outcome. Journal of Anxiety Disorders, 6, 193-211. doi:10.1016/0887-6185(92)90033-4
18. Cheavens, J. S., Rosenthal, M. Z., Daughters, S. B., Nowak, J., Kosson, D., Lynch, T. R., & Lejeuz, C. W. (2005). An analogue investigation of the relationships among perceived parental criticism, negative affect, and borderline personality disorder features: The role of thought suppression. Behaviour Research and Therapy, 43, 257-268. doi:10.1016/j.brat.2004.01.006
19. Church, A. T., & Burke, P. J. (1994). Exploratory and confirmatory tests of the Big Five and Tellegen's three and four-dimensional models. Journal of Personality and Social Psychology, 66, 93-114. doi:10.1037/00223514.66.1.93
20. Clark, L. A. (2007). Assessment and diagnosis of personality disorder: Perennial issues and an emerging reconceptualization. Annual Review of Psychology, 58, 227-257. doi:10.1146/annurev.psych.57.102904.190200
21. Clark, L. A., & Watson, D. (1995). Constructing validity: Basic issues in objective scale development. Psychological Assessment, 7, 309-319. doi:10.1037/1040-3590.7.3.309
22. Clarkin, J. F., Caligor, E., Stern, B., & Kernberg, O. F. (2002). Structured interview of personality organization (STIPO). Unpublished manuscript, Institute for Personality Disorders, Weill Cornell Medical College, New York.
23. Clarkin, J. F., Lenzenweger, M. F., Yeomans, F., Levy, K. N., & Kernberg, O. F. (2007). An object relations model of borderline pathology. Journal of Personality Disorders, 21, 474-499. doi:10.1521/pedi.2007.21.5.474
24. Clarkin, J. F., Widiger, T. A., Frances, A., Hurt, S. W., & Gilmore, M. (1983). Prototypic typology and the borderline personality disorder. Journal of Abnormal Psychology, 92, 263-275. doi:10.1037/0021- 843X.92.3.263
25. Cloitre, M., & Koenen, K. C. (2001). The impact of borderline personality disorder on process group outcome among women with posttraumatic stress disorder related to childhood abuse. International Journal of Group Psychotherapy, 51, 379-398. doi:10.1521/ijgp.51.3.379.49886
26. Comrey, A. L. (1988). Factor-analytic methods of scale development in personality and clinical psychology. Journal of Consulting and Clinical Psychology, 56, 754-761. doi:10.1037/0022-006X.56.5.754
27. Comrey, A. L., & Lee, H. B. (1992). A first course in factor analysis (2nd ed.). Hillsdale, NJ: Erlbaum.
28. Cooper, P. J., Coker, S., & Fleming, C. (1996). An evaluation of the efficacy of supervised cognitive behavioral self-help for bulimia nervosa. Journal of Psychosomatic Research, 40, 281-287. doi:10.1016/0022-3999(96)00535-1
29. Dolan, C. V. (1994). Factor analysis of variables with 2, 3, 5, and 7 response categories: A comparison of categorical variable estimators using simulated data. British Journal of Mathematical and Statistical Psychology, 47, 309-326. doi:10.1111/j.2044-8317.1994.tb01039.x
30. Fenigstein, A., Sheier, M. F., & Buss, A. H. (1975). Public and private self-consciousness: Assessment and theory. Journal of Consulting and Clinical Psychology, 43, 522-527. doi:10.1037/h0076760
31. Flett, G. L., & Hewitt, P. L. (1995). Criterion validity and psychometric properties of the Affect Intensity Measure in a psychiatric sample. Personality and Individual Differences, 19, 585-591. doi:10.1016/0191- 8869(95)00089-O
32. Fliege, H., Kocalevent, R.-D., Walter, O. B., Beck, S., Gratz, K. L., Gutierrez, P. M., & Klapp, B. F. (2006). Three assessment tools for deliberate self-harm and suicide behavior: Evaluation and psychopathological correlates. Journal of Psychosomatic Research, 61, 113-121. doi:10.1016/j.jpsychores.2005.10.006
33. Flora, D. B., & Curran, P. J. (2004). An empirical evaluation of alternative methods of estimation for confirmatory factor analysis with ordinal data. Psychological Methods, 9, 466-491. doi:10.1037/1082-989X.9.4.466
34. Floyd, F. J., & Widaman, K. F. (1995). Factor analysis in the development and refinement of clinical assessment instruments. Psychological Assessment, 7, 286-299. doi:10.1037/1040-3590.7.3.286
35. Franzoi, S. L., & Reddish, B. J., III. (1980). Factor analysis of the stability of self scale. Psychological Reports, 47, 1160-1162. doi:10.2466/pr0.1980.47.3f.1160
36. Fromme, K., Katz, E. C., & Rivet, K. (1997). Outcome expectancies and risk-taking behavior. Cognitive Therapy and Research, 21, 421-442. doi:10.1023/A:1021932326716
37. Gagné, P., & Hancock, G. R. (2006). Measurement model quality, sample size, and solution propriety in confirmatory factor models. Multivariate Behavioral Research, 41, 65-83. doi:10.1207/s15327906mbr4101_5
38. Gamache, D., Laverdière, O., Diguer, L., Hébert, é., Larochelle, S., & Descôteaux, J. (2009). The Personality Organization Diagnostic Form: Development of a revised version. Journal of Nervous and Mental Disease, 197, 368-377. doi:10.1097/NMD.0b013e3181a20897
39. Gangestad, S., & Snyder, M. (1985). "To carve nature at its joints": On the existence of discrete classes in personality. Psychological Review, 92, 317-349. doi:10.1037/0033-295X.92.3.317
40. Gerson, M.-J. (1984). Splitting: The development of a measure. Journal of Clinical Psychology, 40, 157-162. doi:10.1002/1097-4679(198401)40:<157::AID-JCLP2270400130>3.0.CO;2-C
41. Giesen-Bloo, J., van Dyck, R., Spinhoven, P., van Tilburg, W., Dirksen, C., van Asselt, T.,... Arntz, A. (2006). Outpatient psychotherapy for borderline personality disorder: Randomized trial of schema-focused therapy vs transference-focused psychotherapy. Archives of General Psychiatry, 63, 649-658. doi:10.1001/archpsyc.63.6.649
42. Grant, B. F., Chou, S. P., Goldstein, R. B., Huang, B., Stinson, F. S., Saha, T. D.,... Ruan, W. J. (2008). Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: Results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. Journal of Clinical Psychiatry, 69, 533-545. doi:10.4088/JCP.v69n0404
43. Gratz, K. L. (2001). Measurement of deliberate self-harm: Preliminary data on the Deliberate Self-Harm Inventory. Journal of Psychopathology and Behavioral Assessment, 23, 253-263. doi:10.1023/A:1012779403943
44. Gratz, K. L. (2006). Risk factors for deliberate self-harm among female college students: The role and interaction of childhood maltreatment, emotional inexpressivity, and affect intensity/reactivity. American Journal of Orthopsychiatry, 76, 238-250. doi:10.1037/0002-9432.76.2.238
45. Gratz, K. L., & Chapman, A. L. (2007). The role of emotional responding and childhood maltreatment in the development and maintenance of deliberate self-harm among male undergraduates. Psychology of Men & Masculinity, 8, 1-14. doi:10.1037/1524-9220.8.1.1
46. Gratz, K. L., Conrad, S. D., & Roemer, L. (2002). Risk factors for deliberate self-harm among college students. American Journal of Orthopsychiatry, 72, 128-140. doi:10.1037/0002-9432.72.1.128
47. Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 26, 41-54. doi:10.1023/B:JOBA.0000007455.08539.94
48. Gratz, K. L., & Roemer, L. (2008). The relationship between emotion dysregulation and deliberate self-harm among female undergraduate students at an urban commuter university. Cognitive Behaviour Therapy, 37, 14-25. doi:10.1080/16506070701819524
49. Gratz, K. L., Rosenthal, M. Z., Tull, M. T., Lejuez, C. W., & Gunderson, J. G. (2006). An experimental investigation of emotion dysregulation in borderline personality disorder. Journal of Abnormal Psychology, 115, 850-855. doi:10.1037/0021-843X.115.4.850
50. Grice, J. W. (2001). Computing and evaluating factor scores. Psychological Methods, 6, 430-450. doi:10.1037/1082-989X.6.4.430
51. Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and wellbeing. Journal of Personality and Social Psychology, 85, 348-362. doi:10.1037/0022-3514.85.2.348
52. Harvey, P. D., Greenberg, B. R., & Serper, M. R. (1989). The Affective Lability Scales: Development, reliability, and validity. Journal of Clinical Psychology, 45, 786-793. doi:10.1002/1097-4679(198909)45: 5<786::AID-JCLP2270450515>3.0.CO;2-P
53. Heath, N. L., Toste, J. R. Nedecheva, T., & Charlebois, A. (2008). An examination of nonsuicidal self-injury among college students. Journal of Mental Health Counseling, 30, 137-156.
54. Hébert, é., Diguer, L., Descôteaux, J., Daoust, J.-P., Rousseau, J.-P., Normandin, L., & Scullion, M. (2003). The Personality Organization Diagnostic Form (PODF): A preliminary report on its validity and interrater reliability. Psychotherapy Research, 13, 243-254. doi:10.1093/ptr/kpg022
55. Henry, C., Mitropoulou, V., New, A. S., Koenigsberg, H. W., Silverman, J., & Siever, L. J. (2001). Affective instability and impulsivity in borderline personality and bipolar II disorders: Similarities and differences. Journal of Psychiatric Research, 35, 307-312. doi:10.1016/S0022-3956(01)00038-3
56. Hoermann, S., Clarkin, J. F., Hull, J. W., & Levy, K. N. (2005). The construct of effortful control: An approach to borderline personality disorder heterogeneity. Psychopathology, 38, 82-86. doi:10.1159/000084815
57. Hopwood, C. J., Morey, L. C., Edelen, M. O., Shea, M. T., Grilo, C. M., Sanislow, C. A.,... Skodol, A. E. (2008). A comparison of interview and self-report methods for the assessment of borderline personality disorder criteria. Psychological Assessment, 20, 81-85. doi:10.1037/1040-3590.20.1.81
58. Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1-55. doi:10.1080/10705519909540118
59. Igarashi, H., Kikuchi, H., Kano, R., Mitoma, H., Shono, M., Hasui, C., & Kitamura, T. (2009). The Inventory of Personality Organization: Its psychometric properties among student and clinical populations in Japan. Annals of General Psychiatry, 8, Article 9. doi:10.1186/1744- 859X-8-9
60. Jackson, D. L. (2001). Sample size and number of parameter estimates in maximum likelihood confirmatory factor analysis: A Monte Carlo investigation. Structural Equation Modeling, 8, 205-223. doi:10.1207/S15328007SEM0802_3
61. Jackson, D. L. (2003). Revisiting sample size and number of parameter estimates: Some support for the N:q hypothesis. Structural Equation Modeling, 10, 128-141. doi:10.1207/S15328007SEM1001_6
62. Jackson, D. N. (1970). Jackson Personality Inventory manual. Port Huron, MI: Research Psychologists Press.
63. Jöreskog, K. G., & Sörbom, D. (2006). LISREL 8.8 for Windows [Computer software]. Lincolnwood, IL: Scientific Software International.
64. Kernberg, O. F. (1975). Borderline conditions and pathological narcissism. Northvale, NJ: Aronson.
65. Kernberg, O. F. (1984). Severe personality disorders: Psychotherapeutic strategies. New Haven, CT: Yale University Press.
66. Kernberg, O. F. (1996). A psychoanalytic theory of personality disorders. In J. F. Clarkin & M. F. Lenzenweger (Eds.), Major theories of personality disorder (pp. 106-140). New York, NY: Guilford Press.
67. Kernberg, O. F., & Clarkin, J. F. (1995). The Inventory of Personality Organization. White Plains, NY: New York Hospital-Cornell Medical Center.
68. Kohut, H. (1968). The psychoanalytic treatment of narcissistic personality disorders: Outline of a systematic approach. Psychoanalytic Study of the Child, 23, 86-113.
69. Kraus, C., Dammann, G., Rothgordt, J., & Berner, W. (2004). Persönlichkeitsstörungen und persönlichkeitsorganisation bei sexualdelinquenten [Personality disorders and personality organization in sexual offenders]. Recht & Psychiatrie, 22, 95-104.
70. 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. doi:10.1521/pedi.2005.19.3.233
71. Larsen, R. J., Diener, E., & Emmons, R. A. (1986). Affect intensity and reactions to daily life events. Journal of Personality and Social Psychology, 51, 803-814. doi:10.1037/0022-3514.51.4.803
72. Leible, T. L., & Snell, W. E., Jr. (2004). Borderline personality disorder and multiple aspects of emotional intelligence. Personality and Individual Differences, 37, 393-404. doi:10.1016/j.paid.2003.09.011
73. Leichsenring, F. (1999). Development and first results of the Borderline Personality Inventory: A self-report instrument for assessing borderline personality organization. Journal of Personality Assessment, 73, 45-63. doi:10.1207/S15327752JPA730104
74. Lenzenweger, M. F., Clarkin, J. F., Kernberg, O. F., & Foelsch, P. A. (2001). The Inventory of Personality Organization: Psychometric properties, factorial composition, and criterion relations with affect, aggressive dyscontrol, psychosis proneness, and self-domains in a nonclinical sample. Psychological Assessment, 13, 577-591. doi:10.1037/1040- 3590.13.4.577
75. Lenzenweger, M. F., Lane, M. C., Loranger, A. W., & Kessler, R. C. (2007). DSM-IV personality disorders in the National Comorbidity Survey replication. Biological Psychiatry, 62, 553-564. doi:10.1016/j.biopsych.2006.09.019
76. Levine, D., Marziali, E., & Hood, J. (1997). Emotion processing in borderline personality disorders. Journal of Nervous and Mental Disease, 185, 240-246. doi:10.1097/00005053-199704000-00004
77. 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. doi:10.1037/0022-3514.88.1.139
78. Marsh, H. W. (1993). Self-esteem stability and responses to the Stability of Self Scale. Journal of Research in Personality, 27, 253-269. doi:10.1006/jrpe.1993.1018
79. Marsh, H. W., Balla, J. R., & McDonald, R. P. (1988). Goodness-of-fit indexes in confirmatory factor analysis: The effect of sample size. Psychological Bulletin, 103, 391-410. doi:10.1037/0033-2909 .103.3.391
80. Marsh, H. W., Lüdtke, O., Muthén, B., Asparouhov, T., Morin, A. J. S., Trautwein, U., & Nagengast, B. (2010). A new look at the Big Five factor structure through exploratory structural equation modeling. Psychological Assessment, 22, 471-491. doi:10.1037/a0019227
81. Marsh, H. W., Muthén, B., Asparouhov, T., Lüdtke, O., Robitzsch, A., Morin, A. J. S., & Trautwein, U. (2009). Exploratory structural equation modeling, integrating CFA and EFA: Application to students' evaluations of university teaching. Structural Equation Modeling, 16, 439- 476. doi:10.1080/10705510903008220
82. McCrae, R. R., Zonderman, A. B., Costa, P. T., Jr., Bond, M. H., & Paunonen, S. V. (1996). Evaluating the replicability of factors in the Revised NEO Personality Inventory: Confirmatory factor analysis versus Procrustes rotation. Journal of Personality and Social Psychology, 70, 552-566. doi:10.1037/0022-3514.70.3.552
83. Mennin, D. S., & Heimberg, R. G. (2000). The impact of comorbid mood and personality disorders in the cognitive-behavioral treatment of panic disorder. Clinical Psychology Review, 20, 339-357. doi:10.1016/S0272- 7358(98)00095-6
84. Miller, A. L., Rathus, J. H., & Linehan, M. M. (2007). Dialectical behavior therapy with suicidal adolescents. New York, NY: Guilford Press.
85. Miller, A. L., Wyman, S. E., Huppert, J. D., Glassman, S. L., & Rathus, J. H. (2000). Analysis of behavioral skills utilized by suicidal adolescents receiving dialectical behavior therapy. Cognitive and Behavioral Practice, 7, 183-187. doi:10.1016/S1077-7229(00)80029-2
86. Muthén, B., & Kaplan, D. (1985). A comparison of some methodologies for the factor analysis of non-normal Likert variables. British Journal of Mathematical and Statistical Psychology, 38, 171-189. doi:10.1111/j.2044-8317.1985.tb00832.x
87. Muthén, B., & Kaplan, D. (1992). A comparison of some methodologies for the factor analysis of non-normal Likert variables: A note on the size of the model. British Journal of Mathematical and Statistical Psychology, 45, 19-30. doi:10.1111/j.2044-8317.1992.tb00975.x
88. Muthén, L. K., & Muthén, B. O. (2010). Mplus (Version 6.11) [Computer software]. Los Angeles, CA: Muthén & Muthén.
89. Normandin, L., Sabourin, S., Diguer, L., Dupont, G., Poitras, K., Foelsch, P., & Clarkin, J. (2002). évaluation de la validité théorique de l'Inventaire de l'Organisation de la Personnalité. [Evaluation of the theoretical validity of the Inventory of Personality Organization]. Canadian Journal of Behavioural Science, 34, 59-65. doi:10.1037/h0087155
90. Nurnberg, H. G., Raskin, M., Levine, P. E., Pollack, S., Siegel, O., & Prince, R. (1991). The comorbidity of borderline personality disorder and other DSM-III-R Axis II personality disorders. American Journal of Psychiatry, 148, 1371-1377.
91. Oldham, J., Clarkin, J., Appelbaum, A., Carr, A., Kernberg, P., Lotterman, A., & Haas, G. (1985). A self-report instrument for borderline personality organization. In T. H. McGlashan (Ed.), The borderline: Current empirical research (pp. 3-18). Washington, DC: American Psychiatric Press.
92. Paris, J., Zweig-Frank, H., Bond, M., & Guzder, J. (1996). Defense styles, hostility, and psychological risk factors in male patients with personality disorders. Journal of Nervous and Mental Disease, 184, 153-158. doi:10.1097/00005053-199603000-00003
93. Pilkonis, P. A., Heape, C. L., Ruddy, J., & Serrao, P. (1991). Validity in the diagnosis of personality disorders: The use of the LEAD standard. Psychological Assessment, 3, 46-54. doi:10.1037/1040-3590.3.1.46
94. Pincus, A. L., Ansell, E. B., Pimentel, C. A., Cain, N. M., Wright, A. G. C., & Levy, K. N. (2009). Initial construction and validation of the Pathological Narcissism Inventory. Psychological Assessment, 21, 365-379. doi:10.1037/a0016530
95. Pollock, P. H., Broadbent, M., Clarke, S., Dorrian, A., & Ryle, A. (2001). The Personality Structure Questionnaire (PSQ): A measure of the multiple self states model of identity disturbance in cognitive analytic therapy. Clinical Psychology and Psychotherapy, 8, 59-72. doi:10.1002/cpp.250
96. Rathus, J. H., & Miller, A. L. (1995). Life Problems Inventory. Unpublished manuscript, Montefiore Medical Center/Einstein College of Medicine, New York.
97. Rathus, J. H., & Miller, A. L. (2002). Dialectical behavior therapy adapted for suicidal adolescents. Suicide and Life-Threatening Behavior, 32, 146-157. doi:10.1521/suli.32.2.146.24399
98. Roepke, S., Schröder-Abé, M., Schütz, A., Jacob, G., Dams, A., Vater, A.,... Lammers, C.-H. (2010). Dialectic behavioural therapy has an impact on self-concept clarity and facets of self-esteem in women with borderline personality disorder. Clinical Psychology and Psychotherapy, 18, 148-158. doi:10.1022/cpp.684
99. Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.
100. Russell, D. W. (2002). In search of underlying dimensions: The use (and abuse) of factor analysis in Personality and Social Psychology Bulletin. Personality and Social Psychology Bulletin, 28, 1629-1646. doi:10.1177/014616702237645
101. Ruuttu, T., Pelkonen, M., Holi, M., Karlsson, L., Kiviruusu, O., Heilä, H.,... Marttunen, M. (2006). Psychometric properties of the Defense Style Questionnaire (DSQ-40) in adolescents. Journal of Nervous and Mental Disease, 194, 98-105. doi:10.1097/01.nmd.0000198141.88926.2e
102. Salovey, P., Mayer, J. D., Goldman, S. L., Turvey, C., & Palfai, T. P. (1995). Emotional attention, clarity, and repair: Exploring emotional intelligence using the Trait Meta-Mood Scale. In J. W. Pennebaker (Ed.), Emotion, disclosure, and health (pp. 125-154). Washington, DC: American Psychological Association. doi:10.1037/10182-006
103. Salovey, P., Stroud, L. R., Woolery, A., & Epel, E. S. (2002). Perceived emotional intelligence, stress reactivity, and symptom reports: Further explorations using the Trait Meta-Mood Scale. Psychology and Health, 17, 611-627. doi:10.1080/08870440290025812
104. Samuels, J., Eaton, W. W., Bienvenu, O. J., III, Brown, C. H., Costa, P. T., Jr., & Nestadt, G. (2002). Prevalence and correlates of personality disorders in a community sample. British Journal of Psychiatry, 180, 536-542. doi:10.1192/bjp.180.6.536
105. Schafer, J. L. (1997). Analysis of incomplete multivariate data. London, England: Chapman & Hall.
106. Schafer, J. L., & Graham, J. W. (2002). Missing data: Our view of the state of the art. Psychological Methods, 7, 147-177. doi:10.1037/1082- 989X.7.2.147
107. Sharma, S., Durvasula, S., & Dillon, W. R. (1989). Some results on the behavior of alternate covariance structure estimation procedures in the presence of non-normal data. Journal of Marketing Research, 26, 214- 221. doi:10.2307/3172607
108. Shea, M. T., Widiger, T. A., & Klein, M. H. (1992). Comorbidity of personality disorders and depression: Implications for treatment. Journal of Consulting and Clinical Psychology, 60, 857-868. doi:10.1037/0022- 006X.60.6.857
109. Shedler, J., Mayman, M., & Manis, M. (1993). The illusion of mental health. American Psychologist, 48, 1117-1131. doi:10.1037/0003- 066X.48.11.1117
110. Sinharay, S., Stern, H. S., & Russell, D. (2001). The use of multiple imputation for the analysis of missing data. Psychological Methods, 6, 317-329. doi:10.1037/1082-989X.6.4.317
111. Skodol, A. E., & Bender, D. S. (2009). The future of personality disorders in DSM-V? American Journal of Psychiatry, 166, 388-391. doi:10.1176/appi.ajp.2009.09010090
112. Skodol, A. E., Gunderson, J. G., Pfohl, B., Widiger, T. A., Livesley, W. J., & Siever, L. J. (2002). The borderline diagnosis I: Psychopathology, comorbidity, and personality structure. Biological Psychiatry, 51, 936- 950. doi:10.1016/S0006-3223(02)01324-0
113. Smits, D. J. M., Vermote, R., Claes, L., & Vertommen, H. (2009). The Inventory of Personality Organization-Revised: Construction of an abridged version. European Journal of Psychological Assessment, 25, 223-230. doi:10.1027/1015-5759.25.4.223
114. Solhan, M. B., Trull, T. J., Jahng, S., & Wood, P. K. (2009). Clinical assessment of affective instability: Comparing EMA indices, questionnaire reports, and retrospective recall. Psychological Assessment, 21, 425-436. doi:10.1037/a0016869
115. Spitzer, C., Barnow, S., Armbruster, J., Kusserow, S., Freyberger, H. J., & Grabe, H. J. (2006). Borderline personality organization and dissociation. Bulletin of the Menninger Clinic, 70, 210-221. doi:10.1521/bumc.2006.70.3.210
116. Stern, B. L., Caligor, E., Clarkin, J. F., Critchfield, K. L., Horz, S., MacCornack, V.,... Kernberg, O. F. (2010). Structured Interview of Personality Organization (STIPO): Preliminary psychometrics in a clinical sample. Journal of Personality Assessment, 92, 35-44. doi:10.1080/00223890903379308
117. Stone, M. H. (1993). Long-term outcome in personality disorders. British Journal of Psychiatry, 162, 299-313. doi:10.1192/bjp.162.3.299
118. Thompson, R. J., Dizén, M., & Berenbaum, H. (2009). The unique relations between emotional awareness and facets of affective instability. Journal of Research in Personality, 43, 875-879. doi:10.1016/j.jrp.2009.07.006
119. Torgersen, S., Kringlen, E., & Cramer, V. (2001). The prevalence of personality disorders in a community sample. Archives of General Psychiatry, 58, 590-596. doi:10.1001/archpsyc.58.6.590
120. Trijsburg, R. W., van t' Spijker, A., Van, H. L., Hesselink, A. J., & Duivenvoorden, H. J. (2000). Measuring overall defensive functioning with the Defense Style Questionnaire: A comparison of different scoring methods. Journal of Nervous and Mental Disease, 188, 432-439. doi:10.1097/00005053-200007000-00007
121. Trull, T. J. (1995). Borderline personality disorder features in nonclinical young adults: 1. Identification and validation. Psychological Assessment, 7, 33-41. doi:10.1037/1040-3590.7.1.33
122. Trull, T. J. (1997). Borderline personality disorder features in nonclinical young adults: 2. Two-year outcome. Journal of Abnormal Psychology, 106, 307-314. doi:10.1037/0021-843X.106.2.307
123. Trull, T. J. (2001). Structural relations between borderline personality disorder features and putative etiological correlates. Journal of Abnormal Psychology, 110, 471-481. doi:10.1037/0021-843X.110.3.471
124. van Prooijen, J.-W., & van der Kloot, W. A. (2001). Confirmatory analysis of exploratively obtained factor structures. Educational and Psychological Measurement, 61, 777-792. doi:10.1177/00131640121971518
125. Vermote, R., Fonagy, P., Vertommen, H., Verhaest, Y., Stroobants, R., Vandeneede, B.,... Peuskens, J. (2009). Outcome and outcome trajectories of personality disordered patients during and after a psychoanalytic hospitalization-based treatment. Journal of Personality Disorders, 23, 294-307. doi:10.1521/pedi.2009.23.3.294
126. Walter, M., Berth, H., Selinger, J., Gerhard, U., Küchenhoff, J., Frommer, J., & Dammann, G. (2009). The lack of negative affects as an indicator for identity disturbance in borderline personality disorder: A preliminary report. Psychopathology, 42, 399-404. doi:10.1159/000241196
127. Watson, D. C. (2002). Predicting psychiatric symptomatology with the Defense Style Questionnaire-40. International Journal of Stress Management, 9, 275-287. doi:10.1023/A:1019930332257
128. Watson, P. J., & Biderman, M. D. (1993). Narcissistic Personality Inventory factors, splitting, and self-consciousness. Journal of Personality Assessment, 61, 41-57. doi:10.1207/s15327752jpa6101_4
129. Widiger, T. A., & Frances, A. J. (1989). Epidemiology, diagnosis, and comorbidity of borderline personality disorder. In A. Tasman, R. E. Hales, & A. J. Frances (Eds.), American Psychiatric Press Review of Psychiatry (Vol. 8, pp. 8-24). Washington, DC: American Psychiatric Press.
130. Widiger, T. A., Livesley, W. J., & Clark, L. A. (2009). An integrative dimensional classification of personality disorder. Psychological Assessment, 21, 243-255. doi:10.1037/a0016606
131. Widiger, T. A., & Trull, T. J. (2007). Plate tectonics in the classification of personality disorder: Shifting to a dimensional model. American Psychologist, 62, 71-83. doi:10.1037/0003-066X.62.2.71
132. Yen, S., Zlotnick, C., & Costello, E. (2002). Affect regulation in women with borderline personality disorder traits. Journal of Nervous and Mental Disease, 190, 693-696. doi:10.1097/00005053-20021000000006
133. Zanarini, M. C., Frankenburg, F. R., Dubo, E. D., Sickel, A. E., Trikha, A., Levin, A., & Reynolds, V. (1998). Axis I comorbidity of borderline personality disorder. American Journal of Psychiatry, 155, 1733-1739.
134. Zanarini, M. C., Frankenburg, F. R., Vujanovic, A. A., Hennen, J., Reich, D. B., & Silk, K. R. (2004). Axis II comorbidity of borderline personality
135. Zanarini, M. C., Weingeroff, J. L., & Frankenburg, F. R. (2009). Defense mechanisms associated with borderline personality disorder. Journal of Personality Disorders, 23, 113-121. doi:10.1521/pedi.2009.23.2.113
136. Zborowski, M. J. (1998). A comprehensive investigation of putative correlates of bulimia among college-age women: Object relations, dependency, ego defenses, trait anxiety, and depression. Addictive Behaviors, 23, 47-55. doi:10.1016/S0306-4603(97)00030-0
137. Zimmerman, M., Rothschild, L., & Chelminski, I. (2005). The prevalence of DSM-IV personality disorders in psychiatric outpatients. American Journal of Psychiatry, 162, 1911-1918. doi:10.1176/appi.ajp .162.10.1911