The Collaborative Longitudinal Personality Disorders Study (CLPS): Overview and implications

被引:316
作者
Skodol, AE
Gunderson, JG
Shea, MT
McGlashan, TH
Morey, LC
Sanislow, CA
Bender, DS
Grilo, CM
Zanarini, MC
Yen, S
Pagano, ME
Stout, RL
机构
[1] Columbia Univ, Coll Phys & Surg, New York State Psychiat Inst, New York, NY 10032 USA
[2] Brown Univ, Dept Psychiat & Human Behav, Providence, RI 02912 USA
[3] Decis Sci Inst, Providence, RI USA
[4] Harvard Univ, McLean Hosp, Sch Med, Belmont, MA 02178 USA
[5] Texas A&M Univ, Dept Psychol, College Stn, TX 77843 USA
[6] Yale Univ, Sch Med, Yale Psychiatr Res, New Haven, CT 06520 USA
关键词
D O I
10.1521/pedi.2005.19.5.487
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
The Collaborative Longitudinal Personality Disorders Study (CLPS; Gunderson et al., 2000) was developed to fill gaps in our understanding of the nature, course, and impact of personality disorders (PDs). Here, we review published findings to date, discuss their implications for current conceptualizations of PDs, and raise questions that warrant future consideration. We have found that PDs are more stable than major depressive disorder, but that meaningful improvements are possible and not uncommon. We have confirmed also that PDs constitute a significant public health problem, with respect to associated functional impairment, extensive treatment utilization, negative prognostic impact on major depressive disorder, and suicide risk. At the same time, we have demonstrated that dimensional models of PDs have clinical validity that categories do not, especially greater temporal stability. Furthermore, dimensional personality traits appear to be the foundation of behaviors described by many PD criteria. Taken together, our results lead us to hypothesize that PDs may be reconceptualized as hybrids of stable personality traits and intermittently expressed symptomatic behaviors.
引用
收藏
页码:487 / 504
页数:18
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