Rasgos patológicos y creencias disfuncionales en los trastornos de la personalidad

Alberto Ferrer Botero; Nora Helena Londoño Arredondo; Difariney González-Gómez

doi:10.17533/udea.rp.v12n2a02

Authors

Alberto Ferrer Botero University of Antioquia https://orcid.org/0000-0002-6125-5512
Nora Helena Londoño Arredondo University of San Buenaventura
Difariney González-Gómez University of Antioquia

DOI:

https://doi.org/10.17533/udea.rp.v12n2a02

Keywords:

personality disorders, pathological traits, dysfunctional beliefs, PDI-5, PBQ-SF

Abstract

The objective of this research was to determine whether the relationships between pathological traits, dysfunctional personality beliefs, and personality disorders are as predicted both from the alternative model (American Psychiatric Association, 2013a, 2014) and from the cognitive theory of personality disorders (Beck et al., 1995, 2005). The sample consisted of 80 patients with personality disorders (37.5% men and 62.5% women; mean age: 30.7; SD = 10.5), evaluated with a sociodemographic and psychiatric history survey. Also were used the following tests: MINI, IPDE, PID-5, PBQ-SF, and CCE-TP. Three groups of hypotheses were tested: a) statistically significant relationships between pathological traits and personality disorders; b) statistically significant relationships of dysfunctional beliefs with personality disorders; and c) statistically significant relationships between pathological traits and dysfunctional beliefs. All three sets of hypotheses were very well met for antisocial, narcissistic, paranoid, and schizoid personality disorders. They were not met in histrionic personality disorder. As a result, this research represents empirical support for both pathological traits and dysfunctional beliefs models.

|Abstract

= 2504 veces | PDF (ESPAÑOL (ESPAÑA))

= 2154 veces|

Downloads

Download data is not yet available.

Author Biographies

Alberto Ferrer Botero, University of Antioquia

Professor of the Department of Psychology at the University of Antioquia, Medellín, Colombia.

Nora Helena Londoño Arredondo, University of San Buenaventura

Professor at the Faculty of Psychology of the University of San Buenaventura, Medellín, Colombia.

Difariney González-Gómez, University of Antioquia

Assistant Professor at the National Faculty of Public Health of the University of Antioquia, Medellín, Colombia.

References

American Psychiatric Association (1988). Manual diagnóstico y estadístico de los trastornos mentales iii-revisado. Barcelona: Masson.

American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders: DSM-IV-TR. American Psychiatric Association.

American Psychiatric Association (2001). dsm-iv-tr. Manual diagnóstico y estadístico de los trastornos mentales. Barcelona: Masson.

American Psychiatric Association (2013a). Diagnostic and Stadistical Manual of Mental Disorders. DSM-5 (5th Ed.). American Psychiatric Publishing.

American Psychiatric Association (2013b). Online Assessment Measures. Recuperado de https://www.psychiatry.org/psychiatrists/practice/dsm/educational-resources/assessment-measures

American Psychiatric Association (2014). Manual diagnóstico y estadístico de los trastornos mentales. dsm-5 (5. a ed.). España: Médica Panamericana.

Anderson, J., Sellbom, M., Bagby, R. M., Quilty, L. C., Veltri, C. O. C., Markon, K. E., y Krueger, R. F. (2012). On the Convergence Between PSY-5 Domains and PID-5 Domains and Facets: Implications for Assessment of DSM-5 Personality Traits. Assessment, 20(3), 286–294.

Bastiaens, T., Claes, L., Smits, D., De Clercq, B., De Fruyt, F., Rossi, G., Vanwalleghem, D. Vermote, R. B. L., Claes, S., y De Hert, M. (2015). The Construct Validity Of The Dutch Personality Inventory For DSM-5 Personality Disorders (PID-5) In A Clinical Sample. Assessment, 23(1), 42–51. doi: https://doi.org/10.1177/1073191115575069

Beck, A. T., y Beck, J. S. (1991). The Personality Belief Questionnaire. Unpublished Manuscript, University of Pennsylvania.

Beck, A. T., Freeman, A., Pretzer, J., Davis, D. D., Fleming, B., Ottaviani, R., Beck, J., Simon, K. M., Padesky, C. A., Meyer, J., y Trexler, L. (1995). Terapia cognitiva de los trastornos de la personalidad. Barcelona: Paidós.

Beck, A. T., Butler, A. C., Brown, G. K., Dahlsgaard, K. K., Newman, C. F., y Beck, J. S. (2001). Dysfunctional Beliefs Discriminate Personality Disorders. Behaviour Research & Therapy, 39(10), 1213–1225.

Beck, A. T., Freeman, A., Pretzer, J., Fleming, B., Arntz, A., Butler, A. C., Fusco, G., Simon, K. M., Beck, J. S., Morrinson, A., Padesky, C. A., y Renton, J. (2005). Terapia cognitiva de los trastornos de la personalidad (2.a ed.). Barcelona: Paidós.

Beck, J. S. (1998). Complex Cognitive Therapy Treatment For Personality Disorders Patients. Bulletin of the Menninger Clinics, 62(2), 170–194.

Bo, S., Bach, B., Mortensen, E. L., y Simonsen, E. (2016). Reliability and Hierarchical Structure of DSM-5 Pathological Traits in a Danish Mixed Sample. Journal of Personality Disorders, 30(1), 112–129. doi: https://doi.org/10.1521/pedi_2015_29_187

Butler, A. C., Brown, G. K., Beck, A. T., y Grisham, J. R. (2002). Assessment Of Dysfuntional Beliefs In Borderline Personality Disorder. Behaviour Research & Therapy, 40, 1231–1240.

Butler, A. C., Beck, A. T., y Cohen, L. H. (2007). The Personality Belief Questionnaire-Short Form: Development and Preliminary Findings. Cognitive Therapy and Research, 31(3), 357–370.

Campbell, W. K., Bonacci, A. M., Shelton, J., Exline, J. J., y Bushman, B. J. (2004). Psychological Entitlement: Interpersonal Consequences and Validation of a Self-Report Measure. Journal of Personality Assessment, 83, 29–45.

Clark, L. A. (1993). The Schedule for Nonadaptive and Adaptive Personality. Minnesota: University of Minnesota Press.

Clark, L. A., Simms, L. J., Wu, K. D., y Casillas, A. (2014). Manual for the Schedule for Nonadaptive and Adaptive Personality (SNAP-2) (2nd Ed.). Minnesota: University of Minnesota Press.

Costa, P. T. y McCrae, R. R. (1990). Personality Disorders and the Five-Factor Model of Personality. Journal of Personality Disorders, 4(4), 362–371.

Costa, P. T. y McCrae, R. R. (1992a). Revised NEO Personality Inventory NEO-PI-R and NEO Five-Factor Inventory NEO-FFI. Professional Manual. Psychological Assessment Resources.

Costa, P. T. y McCrae, R. R. (1992b). The Five-Factor Model of Personality and its Relevant to Personality Disorders. Journal of Personality Disorders, 6(4), 343–359.

Costa, P. T. y Widiger, T. A. (2001). Personality Disorders and the Five-Factor Model of Personality (2nd Ed.). American Psychological Association.

Daguerre, L., Cordero, S., y Costa-Ball, D. (2015). Propiedades psicométricas del PBQ-SF en su versión en español, en población uruguaya. Ciencias Psicológicas, 9(2), 163–175.

De Clercq, B., De Fruyt, F., Van Leeuwen, K., y Mervielde, I. (2006). The Structure of Maladaptive Personality Traits in Childhood: A Step Toward an Integrative Developmental Perspective for DSM-5. Journal of Abnormal Psychology, 115, 639–657.

Dyce, J. A. (1997). The Big Five Factors of Personality and Their Relationship to Personality Disorders. Journal of Clinical Psychology, 3(6), 587–593.

Ferrer, A. (2015). Trastornos de la personalidad: rasgos y cognición. En Y. Alarcon Vásquez, F. Vásquez De la Hoz, W. Pineda Alhucema, y Y. Martínez de Biava (eds.), Estudios actuales en Psicología (pp. 33-50). Cúcuta: Ediciones Universidad Simón Bolivar.

Ferrer, A. (2018). Relación entre los rasgos patológicos, las creencias disfuncionales y los trastornos de la personalidad. Universidad de San Buenaventura, Seccional Medellín.

Ferrer, A., Londoño, N. H., y Calvete, E. (2018). Validación del “Cuetionario de Creencias de Personalidad-Versión Breve” (pbq-sf ) con muestra clínica. Behavioral Psychology / Psicología Conductual, 26(2), 281-301.

Ferrer, A., Londoño, N. H., Calvete, E., y Krueger, R. F. (2019). The Psychometric Properties of the Personality Inventory for the DSM-5 (PID-5) in a Colombian Sample. Universitas Psychological, 18(1), 1-15. doi: https://doi.org/10.11144/Javeriana.upsy18-1.ppoi

Fossati, A., Krueger, R. F., Markon, K. E., Borroni, S., y Maffei, C. (2013). Reliability and Validity of the Personality Inventory for DSM-5 (PID-5): Predicting DSM-IV Personality Disorders and Psychopathy in Community-Dwelling Italian Adults. Assessment, 20(6), 689–708.

Fournier, J. C., DeRubeis, R. J., y Beck, A. T. (2012). Dysfuntional Cognitions in Personality Pathology: The Structure and Validity of the Personality Belief Questionnaire. Psychological Medicine, 2(4), 795–805.

Gutiérrez, F., Alija, A., Peri, J. M., Calvo, N., Ferrer, M., Baillés, E., Gutiérrez-Zotes, J. A. Gárriz, M., Caseras, X., Markon, C., y Krueger, R. F. (2015). Psychometric Properties of the Spanish PID-5 in a Clinical and Community Sample. Assessment, 24(3), 326–336.

Harkness, A. R. (1992). Fundamental Topics in the Personality Disorders: Candidate Trait Dimensions From Lower Regions of the Hierarchy. Psychological Assessment, 4(2), 251–259.

Harkness, A. R. y McNulty, J. L. (1994). The Personality Psychopathology Five (PSY-5): Issue From the Pages of a Diagnostic Manual Instead of a Dictionary. -En S. Strack y M. Lorr (Eds.), Differentiating normal and abnormal personality. Springer.

Harkness, A. R., McNulty, J. L., y Ben-Porath, J. S. (1995). The Personality Psychopathology Five (PSY-5): Constructsand MMPI-2 Scales. Psychological Assessment, 7(1), 104–114.

Harkness, A. R., Finn, J. A., McNulty, J. L., y Shields, S. M. (2012). The Personality Psychopathology Five (PSY-5): Recent Constructive Replication and Assessment Literature Review. Psychological Assessment, 24(2), 432–443.

Hopwood, C. J., Schade, N., Krueger, R. F., Wright, A. G. C., y Markon, K. E. (2013). Connecting DSM-5 Personality Traits and Pathological Beliefs: Toward a Unifying Model. Journal of Psychopathology Behavior Assessment, 35, 162–172.

Jeong-Hoon, P., Youl-Ri, K., y Soon-Taek, H. (2016). A Validation Study of Korean Version of Personality Beliefs Questionnaire-Short Form (PBQ-SF). Journal of Korean Neuropsychiatric Association, 55(2), 103–113.

Jones, S. H., Burrell-Hodgson, G., y Tate, G. (2007). Relationships Between the Personality Beliefs Questionnaire and Self-Rated Personality Disorders. British Journal of Clinical Psychology, 46(2), 247–251.

Krueger, R. F., Eaton, N. R., Clark, L. A., Watson, D., Markon, K. E., Derringer, J., Skodol, A., y Livesley, W. J. (2011). Deriving an Empirical Structure of Personality Pathology for DSM-5. Journal of Personality Disorders, 25(2), 170–191.

Krueger, R. F., Derringer, J., Markon, K. E., Watson, D., y Skodol, A. E. (2012). Initial Construction of a Maladaptive Personality Trait Model and Inventory for DSM-5. Psychological Medicine, 42, 1879–1890.

Kumar, V. K., Ryan, R., y Wagner, K. (2012). Structure of the Personality Beliefs Questionnaire-Short Form: Smallest Space Analysis. Current Psychology, 31(4), 386–392.

Leahy, R. L., Beck, J. S., y Beck, A. T. (2005). Cognitive Therapy for the Personality Disorders. En S. Strack (Ed.), Handbook of personality and psychopathology (pp. 442–461). John Wiley y Sons, Inc.

Leite, D. T., Lopes, E. J., y Fernandes, R. F. (2012). Psychometric Characteristics of the Personality Belief Questionnaire-Short Form. Revista Brasileira de Terapia Comportamental e Cognitiva, 14(3), 70–87.

Livesley, W. J. (1998). Suggestions for a Framework for an Empirically Based Classification of Personality Disorders. Canadian Journal of Psychiatry, 43, 137–147.

Livesley, W. J. (2001). Conceptual and Taxonomic Issues. En W. J. Livesley (Ed.), Handbook of personality disorders. Theory, research, and treatment (pp. 3–38). New York: The Guilford Press.

Londoño, N. H., Calvete, E., y Palacio, J. (2012). Validación del “Cuestionario de Creencias de Personalidad-Versión Breve” (pbq-sf ) en población no clínica colombiana. Psicología Conductual, 20(2), 305-321.

Londoño, N. H., Maestre, K., Marín, C. A., Schnitter, M., Castrillón, D., Ferrer, A., y Chaves, L. (2007). Validación del Cuestionario de creencias centrales de los trastornos de la personalidad (CCE-TP) en población colombiana. Avances En Psicología Lationamericana, 25(2), 138-162.

Manrique, R. D., y Moratto, N. S. (2015). Psychometric Properties and Structural Validity of the Short Version of the Personality Beliefs Questionnaire (PBQSF). International Journal of Psychological Research, 8(2), 49–60.

Markon, K. E. (2010). Modeling Psychopathology Structure: A Symptom-Level Analysis of Axis I and II Disorders. Psychological Medicine, 40, 273–288.

McMurran, M. y Christopher, G. (2008). Dysfunctional Beliefs and Antisocial Personality Disorder. Journal of Forensic Psychiatry and Psychology, 19(4), 533–542.

Millon, T., Davis, R., y Millon, C. (1997). Millon Clinical Multiaxial Inventory-III Manual (2nd Ed.). NCS Pearson.

Millon, T. y Everly, G. S. (1994). La personalidad y sus trastornos. España: Martínez Roca.

Morey, L. C., Krueger, R. F., y Skodol, A. E. (2013). The Hierarchical Structure of Clinician Ratings of Proposed DSM-5 Pathological Personality Traits. Journal of Abnormal Psychology, 122(3), 836–841.

O´Connor, B. P. (2005). A Search for Consensus on the Dimensional Structure of Personality Disorders. Journal of Clinical Psychology, 61, 323–345.

Organización Mundial de la Salud. (1995). ipde. International Personality Disorders Examination. Examen Internacional de los Trastornos de la Personalidad. Módulo DSM-IV. Meditor.

Parslow, R. A., Christensen, H., Griffiths, K. M., y Groves, C. (2006). The Warpy Thoughts Scale: A New Instrument to Measure Dysfunctional Attitudes. Cognitive Behavior Therapy, 35, 106–116.

Roskam, I., Galdiolo, S., Hansenne, M., Massoudi, K., Rossier, J., Gicquel, L., y Rolland, J. P. (2015). The Psychometric Properties of the French Version of the Personality Inventory for DSM-5. PLoS ONE, 10(7), e0133413. doi: https://doi.org/10.1371

Resolución nro. 008430. Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. Octubre de 1993. Recuperado de https://urosario.edu.co/Escuela-Medicina/Investigacion/Documentos-de-interes/Files/resolucion_008430_1993.pdf

Ryan, R. B., Kumar, V. K., y Wagner, K. (2014). The Personality Beliefs Questionnaire-Short-Form: Relationship of Personality Disorders Schemata With Entitlement and Dysfuntional Thoughts. Current Psychology, 34(2), 239–247. doi: https://doi.org/10.1007/s12144-014-9254-1

Samuel, D. B. y Widiger, T. A. (2008). A Meta-Analytic Review of the Relationships Between the Five-Factor Model and DSM-IV-TR Personality Disorders: A Facet Level Analysis. Clinical Psychology Review, 28, 1326–1342.

Schroeder, M. L., Wormwoth, J. A., y Livesley, W. J. (1992). Dimensions of Personality Disorders and their Relationships to the Big Five Dimensions of Personality. Psychological Assessment, 4(1), 47–53.

Sheehan, D., Janavs, J., Baker, R., Harnett-Sheehan, K., Knapp, E., Sheehan, M., Lecrubier, Y., Weiller, E., Hergueta, T., Amorim, P., Bonora, L. I., Lépine, J. P., Ferrando, L., Bobes, J., Gilbert, J., Soto, M., y Soto, O. (2000). MINI International Neuropsychiatric Interview. Versión en español 5.0.0 DSM-IV. Sheehan DV y Lecrubier Y.

Sheehan, D. V., Lecrubier, Y., Harnett-Sheehan, K., Amorim, P., Janavs, J., Weiller,E., Hergueta, T., Baker, R., y Dunbar, G. C. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): The Development and Validation of a Structured Diagnostic Psychiatric Interview for DSM-IV and ICD-10. The Journal of Clinical Psychiatry, 59(suppl. 20), 22–33.

Taymur, I., Turkcapar, M. H., Orsel, S., Sargin, E., y Akkoyunlu, S. (2011). Validity and Reliability of the Turkish Version of the Personality Belief Questionnaire-Short Form (PBQ-STF) in the University Students. Klinik Psikiyatri, 14, 199–209.

Thomas, K. M., Yalch, M. M., Krueger, R. F., Wright, A. G. C., Markon, K. E., y Hopwood, C. J. (2012). The Convergent Structure of DSM-5 Personality Trait Facets and Five-Factor Model Traits Domains. Assessment, 20(3), 308–311.

Trull, T. J., y Widiger, T. A. (2013). Dimensional Models of Personality: the Five-Factor and the DSM-5. Dialogues in Clinical Neuroscience, 15(2), 135–146.

Westen, D. y Shedler, J. (2007). Personality Diagnosis With the Shedler-Westen Assessment Procedure (SWAP): Integrating Clinical and statistical Measurement and Prediction. Journal of Abnormal Psychology, 116, 810–822.

Widiger, T. A. y Simonsen, E. (2005). Alternative Dimensional Models of Personality Disorder: Finding a Common Ground. Journal of Personality Disorders, 19(2), 110–130.

World Health Organization. (2004). International Statistical Classification of Desseases and Related Health Problems. Tenth Revision (2nd Ed.). World Health Organization.

Wright, A. G. C., y Simms, L. J. (2014). On the Structure of Personality Disorder Traits: Conjoint Analyses of the CAT-PD, PID-5, and NEO-PI-3 Traits Models. Personality Disorders: Theory, Research and Treatment, 5(1), 43–54.

Zimmermann, J., Altenstein, D., Krieger, T., Holtforth, M. G., Pretsh, J., Alexopoulus, J., Spitzer, C., Benecke, C., Krueger, R. F., Markon, K. F., y Leising, D. (2014). The Structure and Correlates of Self-Reported DSM-5 Maladaptive Personality Traits: Finding From two German-Speaking Sample. Journal of Personality Disorders, 28(4), 518–540.