Additional Evidence for a Quantitative Hierarchical Model of Mood and Anxiety Disorders for DSM-V: The Context of Personality Structure

Jennifer L. Tackett*, Lena C. Quilty, Martin Sellbom, Neil A. Rector, R. Michael Bagby

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

78 Scopus citations

Abstract

Recent progress toward the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders includes a proposed quantitative hierarchical structure of internalizing pathology with substantial, supportive evidence (D. Watson, 2005). Questions about such a taxonomic shift remain, however, particularly regarding how best to account for and use existing diagnostic categories and models of personality structure. In this study, the authors use a large sample of psychiatric patients with internalizing diagnoses (N = 1,319) as well as a community sample (N = 856) to answer some of these questions. Specifically, the authors investigate how the diagnoses of obsessive-compulsive disorder (OCD) and bipolar disorder compare with the other internalizing categories at successive levels of the personality hierarchy. Results suggest unique profiles for bipolar disorder and OCD and highlight the important contribution of a 5-factor model of personality in conceptualizing internalizing pathology. Implications for personality-psychopathology models and research on personality structure are discussed.

Original languageEnglish (US)
Pages (from-to)812-825
Number of pages14
JournalJournal of abnormal psychology
Volume117
Issue number4
DOIs
StatePublished - Nov 2008

Keywords

  • DSM-V
  • five-factor model
  • internalizing disorders
  • personality-psychopathology

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry

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