How Do DSM-5 Personality Traits Align With Schema Therapy Constructs?

Bo Bach, Christopher Lee, Erik Lykke Mortensen, Erik Simonsen

32 Citationer (Scopus)

Abstract

DSM-5 offers an alternative model of personality pathology that includes 25 traits. Although personality disorders are mostly treated with psychotherapy, the correspondence between DSM-5 traits and concepts in evidence-based psychotherapy has not yet been evaluated adequately. Suitably, schema therapy was developed for treating personality disorders, and it has achieved promising evidence. The authors examined associations between DSM-5 traits and schema therapy constructs in a mixed sample of 662 adults, including 312 clinical participants. Associations were investigated in terms of factor loadings and regression coefficients in relation to five domains, followed by specific correlations among all constructs. The results indicated conceptually coherent associations, and 15 of 25 traits were strongly related to relevant schema therapy constructs. Conclusively, DSM-5 traits may be considered expressions of schema therapy constructs, which psychotherapists might take advantage of in terms of case formulation and targets of treatment. In turn, schema therapy constructs add theoretical understanding to DSM-5 traits.

OriginalsprogEngelsk
TidsskriftJournal of Personality Disorders
Vol/bind30
Udgave nummer4
Sider (fra-til)502-529
Antal sider28
ISSN0885-579X
DOI
StatusUdgivet - 1 aug. 2016

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