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Dickison EM, Neo PSH, McNaughton N, Sellbom M. Examination of associations between psychopathy and neural reinforcement sensitivity theory constructs. Personal Ment Health 2024; 18:284-299. [PMID: 38752514 DOI: 10.1002/pmh.1617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2023] [Revised: 02/28/2024] [Accepted: 04/28/2024] [Indexed: 11/07/2024]
Abstract
We investigated psychopathy from the neurobiological perspective of reinforcement sensitivity theory (RST). In contrast to previous semantically derived self-report scales, we operationalised RST systems neurally with evoked electroencephalography (EEG). Participants were from a community sample weighted towards externalising psychopathology. We compared the Carver & White Behavioural Inhibition System (BIS)/Behavioural Approach System (BAS) scales with EEG responses associated with RST's systems of goal conflict (aka 'behavioural inhibition'), repulsion/outcome conflict (aka 'fight/flight/freeze') and attraction (aka 'approach'). Bivariate correlations and multiple regression analysis yielded results generally consistent with past literature for associations between psychopathy and the self-report BIS/BAS scales. There were some differences from self-report associations with neural measures of RST. With EEG measures, (1) no meaningful associations were observed between any psychopathy scales and the attraction system; (2) affective-interpersonal traits of psychopathy were negatively associated with goal conflict; (3) disinhibition-behavioural traits of psychopathy were negatively associated with goal conflict but, unexpectedly, positively associated with outcome conflict. These results indicate frontal-temporal-limbic circuit dysfunction in psychopathy as specific domains were linked to neural deficits in goal conflict processing, but there was no evidence for deficits in attraction-related processes.
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Affiliation(s)
- Ella M Dickison
- Department of Psychology, University of Otago, Dunedin, New Zealand
| | - Phoebe S-H Neo
- Department of Psychology, University of Otago, Dunedin, New Zealand
| | - Neil McNaughton
- Department of Psychology, University of Otago, Dunedin, New Zealand
| | - Martin Sellbom
- Department of Psychology, University of Otago, Dunedin, New Zealand
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2
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Sica C, Caudek C, Colpizzi I, Bottesi G, Iannattone S, Patrick CJ. Comparing the DSM-5 Dimensional Trait and Triarchic Model Conceptions of Psychopathy: An External Validity Analysis. J Pers Disord 2024; 38:368-400. [PMID: 39093631 DOI: 10.1521/pedi.2024.38.4.368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/04/2024]
Abstract
In the DSM-5 Alternative Model of Personality Disorders (AMPD), psychopathy is marked by the presence of attention seeking, low anxiousness, and lack of social withdrawal, along with traits from the domains of Antagonism and Disinhibition. The triarchic model of psychopathy (TriPM) posits three biobehaviorally based traits underlying it: disinhibition, meanness, and boldness. The current study directly compared relations for measures of the two models with the broad dimensions of externalizing, internalizing, and positive adjustment. Participants (1,678 adults) were surveyed regarding maladaptive personality traits, clinical symptoms, and positive adjustment features. The TriPM model explained more variance than the AMPD in substance use, positive adjustment, and empathy, whereas the AMPD model explained more variance in internalizing symptoms. In addition, AMPD Antagonism and the Psychopathy Specifier diverged from TriPM Meanness and Boldness in their associations with some specific outcomes. Overall, our study provides evidence for complementarity of the two models in characterizing the multifaceted nature of psychopathy.
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Affiliation(s)
- Claudio Sica
- Department of Health Science, University of Florence, Florence, Italy
| | - Corrado Caudek
- Department of Neurosciences, Psychology, Drug Research, and Child Health, University of Florence
| | - Ilaria Colpizzi
- Department of Neurosciences, Psychology, Drug Research, and Child Health, University of Florence
| | - Gioia Bottesi
- Department of General Psychology, University of Padua, Padua, Italy
| | - Sara Iannattone
- Department of General Psychology, University of Padua, Padua, Italy
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Sica C, Caudek C, Bottesi G, Colpizzi I, Malerba A, Patrick CJ. Triarchic Model of Psychopathy and Intimate Partner Violence: An Empirical Study on the Italian Community. JOURNAL OF INTERPERSONAL VIOLENCE 2024; 39:1448-1472. [PMID: 37876207 DOI: 10.1177/08862605231207620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/26/2023]
Abstract
Intimate partner violence (IPV) is a serious and recurrent phenomenon in many societies with severe physical and psychological consequences. In the present study, we aimed to explore the role of triarchic dimensions of psychopathy (disinhibition, boldness, and meanness) across gender in this occurrence. A questionnaire on inflicted (self) and experienced (partner) IPV and the Triarchic Psychopathy Measure were administered to a sample of 1,149 individuals from the Italian community. In general, self and partner IPV were moderately correlated. Bayesian regression analysis showed that disinhibition was positively correlated to both self and partner IPV (psychological and physical). In addition, boldness was negatively associated with perpetrated psychological IPV. Interactions by gender showed that meanness was positively related to perpetrated IPV in women (psychological and physical), whereas men with disinhibition features inflicted more physical violence than women. A high externalizing tendency (i.e., disinhibition) is therefore an important correlate of both perpetrated and reported IPV; moreover, boldness was associated with less psychological violence in general, whereas the effect of meanness depended on the gender of the individuals involved. Interestingly, the association between IPV and self-reported delinquent activities was low in magnitude (Spearman's Rho around .20) suggesting limited overlap between these two constructs.
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Palumbo IM, Patrick CJ, Latzman RD. Psychopathology in children: The transdiagnostic contribution of affiliative capacity and inhibitory control. Dev Psychopathol 2023; 35:1627-1642. [PMID: 35678172 DOI: 10.1017/s0954579422000347] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Recent initiatives have focused on integrating transdiagnostic biobehavioral processes or dispositions with dimensional models of psychopathology. Toward this goal, biobehavioral traits of affiliative capacity (AFF) and inhibitory control (INH) hold particular promise as they demonstrate transdiagnostic stability and predictive validity across developmental stages and differing measurement modalities. The current study employed data from different modes of measurement in a sample of 1830 children aged 5-10 years to test for associations of AFF and INH, individually and interactively, with broad dimensions of psychopathology. Low AFF, assessed via parent-report, evidenced predictive relations with distress- and externalizing-related problems. INH as assessed by cognitive-task performance did not relate itself to either psychopathology dimension, but it moderated the effects observed for low AFF, such that high INH protected against distress symptoms in low-AFF participants, whereas low INH amplified distress and externalizing symptoms in low-AFF participants. Results are discussed in the context of the interface of general trait transdiagnostic risk factors with quantitatively derived dimensional models of psychopathology.
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Veltman E, Poulton R, Patrick CJ, Sellbom M. Construct Validity of Triarchic Model Traits in the Dunedin Multidisciplinary Health and Development Study Using the Multidimensional Personality Questionnaire. J Pers Disord 2023; 37:71-94. [PMID: 36723418 DOI: 10.1521/pedi.2023.37.1.71] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
The triarchic model of psychopathy emphasizes the role of three phenotypic personality domains (boldness, meanness, and disinhibition) that have been operationalized using the well-established Multidimensional Personality Questionnaire. The present study sought to further validate the MPQ-Tri scales and examine their temporal stability and predictive validity across two time points (ages 18 and 26) from the Dunedin Multidisciplinary Health and Development Study, a population-representative and longitudinal sample (N = 1,037). This investigation necessitated modification of the MPQ-Tri scales to enable their use in a broader range of samples, including the Dunedin Study. The revised MPQ-Tri scales demonstrated good temporal stability, and correlation and multiple linear regression analyses predominantly revealed associations consistent with theoretical expectations. Overall, the findings provide support for the MPQ-Tri scales as reliable, stable, and valid measures of the triarchic constructs, which provide a unique opportunity to examine highly novel research questions concerning psychopathy in a wide variety of samples.
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Affiliation(s)
- Emma Veltman
- Department of Psychology, University of Otago, Dunedin, New Zealand
| | - Richie Poulton
- Department of Psychology, University of Otago, Dunedin, New Zealand
| | | | - Martin Sellbom
- Department of Psychology, University of Otago, Dunedin, New Zealand
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Gottfried ED, Mulay AL, Schenk AM, Vitacco MJ. MMPI-2-RF Differences Between Violent Offending and Institutional Violence Among Incarcerated Women. VIOLENCE AND VICTIMS 2022; 37:497-514. [PMID: 35705444 DOI: 10.1891/vv-2021-0065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
The examination of violence perpetrated by female offenders remains an understudied topic, as research typically focuses on male offender samples. As such, it remains unclear what personality characteristics may be associated with the perpetration of violence among female offenders. This study sought to examine the relationship between personality characteristics, as assessed by the MMPI-2-RF, and engagement in violence, within a sample of 228 incarcerated women. Results indicated that women serving time for a violent offense obtained higher mean scores on MMPI-2-RF scales related to underreporting, atypical thoughts/experiences, and paranoia. Women who obtained disciplinary reports for violence within the institution obtained higher mean scores on MMPI-2-RF scales related to behavior/externalizing dysfunction, overactivation, and aggression. Taken together, violence was most strongly associated with the MMPI-2-RF scales related to paranoia and atypical thoughts/experiences (e.g., THD, PSYC-r). This study provides new data on the viability of the MMPI-2-RF to provide critical insights into violent and aggression behavior in female inmates, an understudied population and demonstrate the instrument's efficacy in assessing characteristics associated with violent behavior.
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Affiliation(s)
- Emily D Gottfried
- Medical University of South Carolina, Department of Psychiatry and Behavioral Sciences, Community and Public Safety Psychiatry Division
| | - Abby L Mulay
- Medical University of South Carolina, Department of Psychiatry and Behavioral Sciences, Community and Public Safety Psychiatry Division
| | | | - Michael J Vitacco
- Institute of Public and Preventive Heath, Department of Psychiatry and Health Behavior, Augusta University
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Perkins ER, King BT, Sörman K, Patrick CJ. Trait boldness and emotion regulation: An event-related potential investigation. Int J Psychophysiol 2022; 176:1-13. [PMID: 35301027 PMCID: PMC9081197 DOI: 10.1016/j.ijpsycho.2022.03.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Revised: 03/02/2022] [Accepted: 03/09/2022] [Indexed: 11/16/2022]
Abstract
The present study sought to extend knowledge of the role of boldness, a transdiagnostic bipolar trait dimension involving low sensitivity to threat, in emotional reactivity and regulation using physiological and report-based measures. One prior study found that boldness was associated with reduced late positive potential (LPP) while passively viewing aversive images, but not during emotion regulation; a disconnect between LPP and self-reported reactivity was also observed. Here, participants (N = 63) completed an emotion regulation task in which they either passively viewed or effortfully up- or downregulated their emotional reactivity to pleasant, unpleasant, and neutral pictures while EEG activity was recorded; they later retrospectively rated the success of their regulation efforts. ANOVAs examining the interactive effects of regulation instruction and boldness on LPP amplitude revealed that lower boldness (higher trait fearfulness) was associated with paradoxical increases in LPP to threat photos during instructed downregulation, relative to passive viewing, along with lower reported regulation success on these trials. Unexpectedly, similar LPP effects were observed for affective images overall, and especially nurturance photos. Although subject to certain limitations, these results suggest that individual differences in boldness play a role not only in general reactivity to aversive stimuli, as evidenced by prior work, but in the ability to effortfully downregulate emotional response.
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Affiliation(s)
- Emily R Perkins
- Department of Psychology, Florida State University, Tallahassee, FL, USA.
| | - Brittany T King
- Department of Psychiatry and Human Behavior, Brown University, Providence, RI, USA; Partial Hospitalization Program, Rhode Island Hospital, Providence, RI, USA
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Barchi-Ferreira Bel AM, Osório FL. The Personality Inventory for DSM-5: Psychometric Evidence of Validity and Reliability-Updates. Harv Rev Psychiatry 2021; 28:225-237. [PMID: 32692087 DOI: 10.1097/hrp.0000000000000261] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
OBJECTIVE To perform a systematic review of the literature on the psychometric characteristics of different versions of the Personality Inventory for the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (PID-5) and to integrate the current findings with those of previous reviews by Al Dajani and colleagues (2015) and Watters and Bagby (2018). METHODS This study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses protocol. PubMed, PsycINFO, SciELO, Web of Science, and LILACS were searched using two keywords: personality AND DSM-5. Studies published from 2015 to 2018 were included. RESULTS Sixty-four new studies were evaluated. The PID-5-self-report form (SRF) was concluded to have a factorial structure consisting of five factors and 25 facets, as well as excellent indicators of internal consistency, test-retest reliability, and convergent validity with different personality instruments and with other clinical constructs. The form also has predictive and discriminative potential, warranting further exploration in studies with samples of personality disorders in relation to different parameters and not only the diagnostic algorithm of DSM-5 Section III. The brief and informant versions, although less studied, also showed good psychometric indicators, comparable to the original version. CONCLUSIONS The PID-5 showed psychometric suitability for use in different cultures and contexts. The form's use in clinical practice and as a means of operationalizing the diagnostic evaluation of the DSM-5 dimensional model is promising and should be encouraged.
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Affiliation(s)
- Ana Maria Barchi-Ferreira Bel
- From the Medical School of Ribeirão Preto, São Paulo University; National Institute for Science and Technology (INCT-TM, CNPq), Brasília, Brazil (Dr. Osório)
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Tylicki JL, Sellbom M, Ben-Porath YS. Examining the Association Between the MMPI-2-RF Triarchic Psychopathy Scales and Suicidality in a Criminal Defendant Sample. J Pers Disord 2021; 35:336-354. [PMID: 31682193 DOI: 10.1521/pedi_2019_33_452] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Prior research has shown that psychopathic personality traits are differentially related to suicide risk, and limited literature also suggests the potential that such risk manifests differently across sex. The current study sought to examine whether sex moderated associations between domains from the triarchic model of psychopathy, a comprehensive perspective of psychopathy, and various suicide variables. Our sample included 1,064 criminal defendants (760 males, 304 females), who had been administered the MMPI-2-RF, from which triarchic psychopathy scales were scored. Suicide-related variables, including current suicidal ideation during interview, history of previous suicide attempts, and number of previous suicide attempts, were reliably obtained from clinical records. The MMPI-2-RF SUI (Suicide/Death Ideation) scale was also examined as a psychometric operationalization of suicidality. Results provided evidence for the general association between psychopathy-related traits and suicide-related outcomes in a manner consistent with the literature. However, these associations did not differ as a function of sex.
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Affiliation(s)
- Jessica L Tylicki
- Department of Psychological Sciences, Kent State University, Kent, Ohio
| | - Martin Sellbom
- Department of Psychology, University of Otago, Dunedin, New Zealand
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Anestis JC, Harrop TM, Preston OC, Bulla BA, Rodriguez TR. Assessing Physical Pain Perception and Psychological Distress Tolerance through the MMPI-2-RF: A Comparison of Multimethod Measures. J Pers Assess 2021; 104:86-97. [PMID: 33797998 DOI: 10.1080/00223891.2021.1905653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
While transdiagnostic factors are important domains in clinical assessment and treatment, there is little research to link such constructs to widely accepted and utilized broadband assessments such as the Minnesota Multiphasic Personality Inventory, 2nd edition - Restructured Form (MMPI-2-RF). A handful of studies suggest the ability of the MMPI-2-RF scales to capture variance in transdiagnostic constructs; however, this literature relies solely on self-report criterion measures, despite evidence that self-report and behaviorally-indexed correlates of psychopathology may measure varied aspects of the intended construct and can often yield differing results. The current study investigated MMPI-2-RF scales' ability to assess two widely examined transdiagnostic constructs, distress tolerance and pain perception, across both self-report and behavioral indicators. The sample included 115 undergraduate students who completed a valid MMPI-2-RF and multimethod measures of pain perception and distress tolerance. The results aligned with prior research in areas of internalizing symptoms, psychopathy, and suicide risk factors in self-report, but not behaviorally-based, assessment. Implications of this inconsistency, the association between clinical assessment and transdiagnostic constructs, and the heterogeneity of the distress tolerance and pain perception constructs are discussed.
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Affiliation(s)
- Joye C Anestis
- Department of Health Behavior, Society, & Policy, School of Public Health, Rutgers, The State University of New Jersey, New Brunswick, New Jersey, USA
| | - Tiffany M Harrop
- School of Psychology, University of Southern Mississippi, Hattiesburg, Mississippi, USA
| | - Olivia C Preston
- School of Psychology, University of Southern Mississippi, Hattiesburg, Mississippi, USA
| | - Brian A Bulla
- School of Psychology, University of Southern Mississippi, Hattiesburg, Mississippi, USA
| | - Taylor R Rodriguez
- School of Psychology, University of Southern Mississippi, Hattiesburg, Mississippi, USA
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Pursuing the developmental aims of the triarchic model of psychopathy: Creation and validation of triarchic scales for use in the USC: RFAB longitudinal twin project. Dev Psychopathol 2021; 34:1088-1103. [PMID: 33583443 DOI: 10.1017/s0954579420002060] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
The triarchic model was advanced as an integrative, trait-based framework for investigating psychopathy using different assessment methods and across developmental periods. Recent research has shown that the triarchic traits of boldness, meanness, and disinhibition can be operationalized effectively in youth, but longitudinal research is needed to realize the model's potential to advance developmental understanding of psychopathy. We report on the creation and validation of scale measures of the triarchic traits using questionnaire items available in the University of Southern California Risk Factors for Antisocial Behavior (RFAB) project, a large-scale longitudinal study of the development of antisocial behavior that includes measures from multiple modalities (self-report, informant rating, clinical-diagnostic, task-behavioral, physiological). Using a construct-rating and psychometric refinement approach, we developed triarchic scales that showed acceptable reliability, expected intercorrelations, and good temporal stability. The scales showed theory-consistent relations with external criteria including measures of psychopathy, internalizing/externalizing psychopathology, antisocial behavior, and substance use. Findings demonstrate the viability of measuring triarchic traits in the RFAB sample, extend the known nomological network of these traits into the developmental realm, and provide a foundation for follow-up studies examining the etiology of psychopathic traits and their relations with multimodal measures of cognitive-affective function and proneness to clinical problems.
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Bowes SM, Brown AL, Thompson WW, Sellbom M, Lilienfeld SO. Do Psychopathic Traits Statistically Protect Against PTSD? A Retrospective Study of Vietnam Veterans. J Pers Disord 2021; 35:127-144. [PMID: 31206341 DOI: 10.1521/pedi_2019_33_432] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Although psychopathy traits are traditionally associated with maladaptivity, certain traits may statistically buffer against risk for posttraumatic stress disorder (PTSD). Research suggests that psychopathy traits are differentially associated with PTSD, as boldness traits are negatively related to PTSD whereas disinhibition features are positively related. The authors sought to clarify the relations between psychopathy and PTSD in a large sample of Vietnam veterans (N = 2,598) and to examine the statistical interactions among (a) psychopathy traits and (b) combat exposure and psychopathy traits in predicting PTSD. Results indicate that psychopathy traits are differentially associated with PTSD in combat-exposed veterans, although the authors found little evidence that boldness was protective against PTSD. Nonetheless, meanness was significantly, albeit weakly, protective against PTSD in the presence of combat exposure. The authors consider the implications of these findings for future research, including the need to consider fearlessness as a heterogeneous construct, and they examine whether the findings generalize to PTSD in DSM-5.
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Affiliation(s)
| | | | | | | | - Scott O Lilienfeld
- Emory University, Atlanta, Georgia.,University of Melbourne, Melbourne, Australia
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Joyner KJ, Daurio AM, Perkins ER, Patrick CJ, Latzman RD. The difference between trait disinhibition and impulsivity-and why it matters for clinical psychological science. Psychol Assess 2020; 33:29-44. [PMID: 33151728 DOI: 10.1037/pas0000964] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
In the psychological science field, there is substantial interest in quantifying individual differences in self-regulatory capacity because of its transdiagnostic relevance to various forms of psychopathology. Trait disinhibition and impulsiveness are popular conceptualizations of dispositions reflecting self-regulation of behavioral and emotional responding. In the literature, these constructs are often treated interchangeably because of their shared focus on general disconstraint and a lack of direct comparisons between measures of each. The current work used structural modeling to examine conceptual and empirical differences between 2 popular operationalizations of these traits in 2 samples (Ns = 400, 308), and employed regression and dominance analyses to compare their predictive relations with criterion measures of externalizing problems and negative affectivity (NA). Impulsigenic traits were related both to externalizing problems and NA, whereas trait disinhibition was selectively associated with externalizing. In a dominance analysis, trait disinhibition exhibited complete dominance over all impulsigenic traits in predicting externalizing problems. Conversely, multiple impulsigenic traits evidenced complete dominance over trait disinhibition in prediction of NA. The current work provides evidence that (a) disinhibition and impulsigenic traits are not interchangeable, (b) disinhibition specifically indexes propensity for externalizing problems, and (c) impulsigenic traits reflect a blend of externalizing and NA that appears relevant to diverse forms of psychopathology. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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The TriPM and MMPI-2-RF Tri-Scales: a Direct Construct Validity Comparison. JOURNAL OF PSYCHOPATHOLOGY AND BEHAVIORAL ASSESSMENT 2020. [DOI: 10.1007/s10862-020-09825-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Ustinavičiūtė L, Laurinavičius A, Klimukienė V, Laurinaitytė I, Baltrūnas M. Examining the Convergent Validity of the Triarchic Psychopathy Measure Using a Sample of Incarcerated and on Probation Lithuanian Juveniles. Behav Sci (Basel) 2019; 9:E156. [PMID: 31847357 PMCID: PMC6960913 DOI: 10.3390/bs9120156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2019] [Revised: 12/04/2019] [Accepted: 12/12/2019] [Indexed: 11/17/2022] Open
Abstract
The Triarchic Psychopathy Measure (TriPM) is based on the triarchic psychopathy model proposed by Patrick, Fowles, and Krueger in 2009. This paper assesses the convergent validity of TriPM using a number of measures for a sample of adolescents who are either incarcerated or on probation. These included the Short-Term Assessment of Risk and Treatability: Adolescent Version (START: AV); the Subtypes of Antisocial Behavior Questionnaire (STAB); the Criminal Sentiments Scale-Modified (CSS-M); and the Measure of Criminal Social Identity (MCSI). The results showed significant differences between groups that are incarcerated and those on probation, with the incarcerated sample of juveniles exhibiting higher ratings in terms of Disinhibition and lower ratings for Boldness. The TriPM measures examined also show expected positive correlations with concurrent measures related to criminal behavior in both of the aforementioned samples of juveniles. A different pattern of correlations was observed between Boldness and STAB scales, with a large positive correlation found in the incarcerated sample, while no significant correlations were detected in the probation sample. The results support the usefulness of TriPM in assessing the psychopathy in samples of the juvenile offenders chosen for our research purposes.
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Affiliation(s)
- Laura Ustinavičiūtė
- Institute of Psychology, Vilnius University, 9/1 Universiteto St., 01513 Vilnius, Lithuania; (A.L.); (V.K.); (I.L.); (M.B.)
- Institute of Psychology, Mykolas Romeris University, 20 Ateities St., 08303 Vilnius, Lithuania
| | - Alfredas Laurinavičius
- Institute of Psychology, Vilnius University, 9/1 Universiteto St., 01513 Vilnius, Lithuania; (A.L.); (V.K.); (I.L.); (M.B.)
| | - Virginija Klimukienė
- Institute of Psychology, Vilnius University, 9/1 Universiteto St., 01513 Vilnius, Lithuania; (A.L.); (V.K.); (I.L.); (M.B.)
| | - Ilona Laurinaitytė
- Institute of Psychology, Vilnius University, 9/1 Universiteto St., 01513 Vilnius, Lithuania; (A.L.); (V.K.); (I.L.); (M.B.)
| | - Mykolas Baltrūnas
- Institute of Psychology, Vilnius University, 9/1 Universiteto St., 01513 Vilnius, Lithuania; (A.L.); (V.K.); (I.L.); (M.B.)
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Patrick CJ, Iacono WG, Venables NC. Incorporating neurophysiological measures into clinical assessments: Fundamental challenges and a strategy for addressing them. Psychol Assess 2019; 31:1512-1529. [PMID: 30896211 PMCID: PMC6754804 DOI: 10.1037/pas0000713] [Citation(s) in RCA: 44] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Recent scientific initiatives have called for increased use of neurobiological variables in clinical and other applied assessments. However, the task of incorporating neural measures into psychological assessments entails significant methodological challenges that have not been effectively addressed to date. As a result, neurophysiological measures remain underutilized in clinical and applied assessments, and formal procedures for integrating such measures with report-based measures are lacking. In this article, we discuss major methodological issues that have impeded progress in this direction, and propose a systematic research strategy for integrating neurophysiological measures into psychological assessment protocols. The strategy we propose is an iterative psychoneurometric approach that provides a means to establish multimethod (MM) measurement models for core biobehavioral traits that influence functioning across diverse areas of life. We provide a detailed illustration of a MM model for one such trait, inhibitory control (inhibition-disinhibition), and highlight work being done to develop counterpart models for other biobehavioral traits (i.e., threat sensitivity, reward sensitivity, affiliative capacity). We discuss how these measurement models can be refined and extended through use of already existing data sets, and outline steps that can be taken to establish norms for MM assessments and optimize the feasibility of their use in everyday practice. We believe this model-oriented strategy can provide a viable pathway toward effective use of neurophysiological measures in routine clinical assessments. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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Latzman RD, Palumbo IM, Krueger RF, Drislane LE, Patrick CJ. Modeling Relations Between Triarchic Biobehavioral Traits and DSM Internalizing Disorder Dimensions. Assessment 2019; 27:1100-1115. [PMID: 31535574 DOI: 10.1177/1073191119876022] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
The biobehavioral traits of the triarchic model of psychopathy have well-known correlates with externalizing psychopathology. Although evidence also suggests associations with internalizing disorders, research has yet to formally model relationships between dimensions of internalizing psychopathology and triarchic traits. Employing a sample of 218 adults (50.2% female), the current study used confirmatory factor analysis to characterize how triarchic trait dimensions-delineated using different scale operationalizations-relate to internalizing when modeled as a single broad factor, and as distinct fear and distress subfactors. Findings demonstrated (a) robust opposing relations for triarchic boldness (+) and disinhibition (-), and an interactive association for the two, with general internalizing, along with a modest negative relationship for meanness; and (b) distinct associations for the three triarchic trait dimensions with fear and distress subfactors of internalizing. This work clarifies how facets of psychopathy relate to the internalizing psychopathology spectrum and provides a means for interfacing this spectrum with biological variables.
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Gerbrandij J, Bernstein DP, Drislane LE, de Vogel V, Lancel M, Patrick CJ. Examining Triarchic Psychopathy Constructs in a Dutch Forensic Treatment Sample Using a Forensic Version of the Schedule for Nonadaptive and Adaptive Personality. JOURNAL OF PSYCHOPATHOLOGY AND BEHAVIORAL ASSESSMENT 2019. [DOI: 10.1007/s10862-019-09752-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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19
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An examination of the Triarchic Model of psychopathy's nomological network: A meta-analytic review. Clin Psychol Rev 2019; 71:1-26. [DOI: 10.1016/j.cpr.2019.04.005] [Citation(s) in RCA: 41] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2018] [Revised: 04/09/2019] [Accepted: 04/19/2019] [Indexed: 12/18/2022]
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20
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The Abbreviated Psychopathy Measure-2: associations with normal-range and maladaptive personality traits. CURRENT ISSUES IN PERSONALITY PSYCHOLOGY 2019. [DOI: 10.5114/cipp.2019.85554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
BackgroundThe aim of the study was to validate an updated form of the Abbreviated Psychopathy Measure which is based on the triarchic model of psychopathy. Revisions were made to improve indexing of the triarchic scales. The study focused on examining the relationships between the APM-2 scales with lower-order personality traits associated with psychopathy, as well as with antiso-cial intent, a correlate of antisocial behavior.Participants and procedureA convenience sample of participants (N = 190) was recruited from Amazon’s Mechanical Turk (MTurk). Construct validity of the APM-2 scales was examined using Pearson’s r correlation and multiple regression analyses to determine the relationships between APM-2 scales and criterion measures.ResultsThe APM-2 Total score was associated at moderate to high levels with core personality features associated with psychopathy. APM-2 Boldness was associated with both positive adjustment (social potency, emotional stability), and negative adjustment (both dangerous and calculated sensation seeking). APM-2 Meanness was associated with measures of callousness, hostile aggression, and manipulativeness, as well as with a measure of antisocial intent. APM-2 Disinhibition was associated with measures of impulsive, norm violating behavior, negative emotional disposition, and antisocial intent.ConclusionsThe associations between APM-2 scales and personality traits replicated certain key findings reported in the literature regarding psychopathy-relevant traits indexed by the Triarchic Psychopathy Measure (TriPM). Thus, this study provides a preliminary indication, albeit with a limited range of personality and antisocial behavior variables, that the nomological networks of the APM-2 scales may parallel the nomological networks of the TriPM scales.
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Muñoz CG, Abate A, Sharp C, Venta AC. Factor structure and clinical utility of the Youth Psychopathic Traits Inventory in an inpatient sample. Psychiatry Res 2019; 275:189-195. [PMID: 30925306 DOI: 10.1016/j.psychres.2019.03.031] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/12/2018] [Revised: 03/18/2019] [Accepted: 03/18/2019] [Indexed: 12/27/2022]
Abstract
Previous research on the Youth Psychopathic Traits Inventory (YPI; Andershed et al., 2002) has identified a three-factor structure: Interpersonal, Affective, and Behavioral. The present study sought to test this three-factor structure and broader psychometric properties of the YPI in a sample of 328 adolescents undergoing inpatient psychiatric care. Confirmatory factor analyses were used to test the hypothesized three-factor structure of the YPI previously documented in community samples. Exploratory analyses reported on modification indices, gender invariance, and fit of a bifactor model. Additionally, the clinical utility of the YPI was examined by examined the relation between the YPI and the antisocial personality scale of the Personality Assessment Inventory (PAI-A-ANT; Morey, 2007). Confirmatory Factor Analysis results did not replicate the previously documented three-factor structure in the inpatient sample; a bifactor model continued to display poor (albeit improved) fit. Still, there was a strong association between the YPI (total and factor scores) and PAI-A-ANT, as such the YPI accurately identified adolescents with clinically significant antisocial traits. A cut-off score is presented for the YPI total score.
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Affiliation(s)
- Carla G Muñoz
- Sam Houston State University, Department of Psychology, Campus Box 2447, Huntsville, TX 77341-2447, USA
| | - Anna Abate
- Sam Houston State University, Department of Psychology, Campus Box 2447, Huntsville, TX 77341-2447, USA
| | - Carla Sharp
- University of Houston, Department of Psychology, Houston, TX, USA
| | - Amanda C Venta
- Sam Houston State University, Department of Psychology, Campus Box 2447, Huntsville, TX 77341-2447, USA.
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Sellbom M. The MMPI-2-Restructured Form (MMPI-2-RF): Assessment of Personality and Psychopathology in the Twenty-First Century. Annu Rev Clin Psychol 2019; 15:149-177. [PMID: 30601687 DOI: 10.1146/annurev-clinpsy-050718-095701] [Citation(s) in RCA: 36] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
This article describes the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) and situates the instrument in contemporary psychopathology and personality literature. The historical evolution of the MMPI instruments is highlighted, including how failure to update the test for several decades resulted in increasing disinterest by basic researchers and how the restructuring efforts beginning in the 2000s promised to realign the instrument with basic research. In this regard, the construct validity associated with MMPI-2-RF scores in the context of contemporary dimensional models of psychopathology is considered. Research supporting the applied utility of the MMPI-2-RF scales in a variety of contexts-including mental health screenings, presurgical evaluations, forensic assessment, and public safety screening-is also reviewed. Critiques of the MMPI-2-RF are described and addressed. Finally, a series of recommendations for future updates of the MMPI-2-RF are described along with a path toward the MMPI-3.
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Affiliation(s)
- Martin Sellbom
- Department of Psychology, University of Otago, Dunedin 9054, New Zealand;
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Ben-Porath YS. Of Fallacies and Errors, New and Repeated: A Rejoinder to Butcher et al. (2018). J Pers Assess 2018; 101:129-139. [PMID: 30358433 DOI: 10.1080/00223891.2018.1522640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Butcher, Hass, Greene, Nelson, Nichols, and Williams ( 2018 ) responded to my (Ben-Porath, 2018 ) critique of Butcher, Hass, Greene, and Nelson's (2015) analysis of Ted Kaczynski's MMPI-2-RF, purporting to find logical fallacies in my arguments and shortcomings in my interpretation of MMPI-2-RF scales. Butcher et al. ( 2018 ) repeated several previously refuted arguments and opinions, while failing to acknowledge, let alone consider, prior responses to their claims. In this rejoinder I refute (again) Butcher et al.'s assertion that empirical data raise questions about the "clinical sensitivity" of MMPI-2-RF scales, identify an extensive literature relevant to forensic use of the MMPI-2-RF that Butcher and colleagues have systematically ignored, and identify a series of logical and factual fallacies along with new and repeated errors of omission and commission in Butcher et al.'s response.
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Gottfried ED, Harrop TM, Anestis JC, Venables NC, Sellbom M. An Examination of Triarchic Psychopathy Constructs in Female Offenders. J Pers Assess 2018; 101:455-467. [PMID: 30183359 DOI: 10.1080/00223891.2018.1502193] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
This study sought to expand scientific knowledge on psychopathic personality traits in female offenders by evaluating the relationship between MMPI-2-RF triarchic scales and self-reported external variables in a sample of 205 female offenders. Results indicated that boldness was inversely related to internalizing dysfunction, including suicidal behavior, psychosis, youth conduct problems, problems stemming from alcohol use, and a history of outpatient mental health treatment. Meanness was positively related to internalizing dysfunction as well as youth conduct problems, anger, prison disciplinary reports, and psychosis. Disinhibition was associated with a history of abuse in childhood, suicidal behavior, internalizing dysfunction, problems associated with alcohol and drug use, family history of mental illness, prison disciplinary reports for violence, number of previous criminal charges, and anger. Consistent with views of psychopathy as a configural condition, interactive effects of boldness with disinhibition and meanness were observed for multiple key external variables (e.g., conduct problems, substance use, nonsuicidal self-injurious behavior). This study provides further evidence for the triarchic conceptualization of psychopathy in female offenders and lends additional support for the validity of MMPI-2-RF triarchic psychopathy scales.
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Affiliation(s)
- Emily D Gottfried
- a Department of Psychiatry and Behavioral Sciences, Community and Public Safety Psychiatry Division, Medical University of South Carolina
| | | | - Joye C Anestis
- b Department of Psychology, University of Southern Mississippi
| | | | - Martin Sellbom
- d Department of Psychology, University of Otago , Dunedin, New Zealand
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Brislin SJ, Patrick CJ, Flor H, Nees F, Heinrich A, Drislane LE, Yancey JR, Banaschewski T, Bokde ALW, Bromberg U, Büchel C, Quinlan EB, Desrivières S, Frouin V, Garavan H, Gowland P, Heinz A, Ittermann B, Martinot JL, Martinot MLP, Papadopoulos Orfanos D, Poustka L, Fröhner JH, Smolka MN, Walter H, Whelan R, Conrod P, Stringaris A, Struve M, van Noort B, Grimmer Y, Fadai T, Schumann G, Foell J. Extending the Construct Network of Trait Disinhibition to the Neuroimaging Domain: Validation of a Bridging Scale for Use in the European IMAGEN Project. Assessment 2018; 26:567-581. [PMID: 29557190 DOI: 10.1177/1073191118759748] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Trait disinhibition, a clinical-liability construct, has well-established correlates in the diagnostic, self-rating, task-behavioral, and brain potential response domains. Recently, studies have begun to test for neuroimaging correlates of this liability factor, but more work of this type using larger data sets is needed to clarify its brain bases. The current study details the development and validation of a scale measure of trait disinhibition composed of questionnaire items available in the IMAGEN project, a large-scale longitudinal study of factors contributing to substance abuse that includes clinical interview, self-report personality, task-behavioral, neuroimaging, and genomic measures. Using a construct-rating and psychometric refinement approach, a scale was developed that evidenced: (a) positive relations with interview-assessed psychopathology in the IMAGEN sample, both concurrently and prospectively and (b) positive associations with scale measures of disinhibition and reported psychopathology, and a robust negative correlation with P3 brain response, in a separate adult sample ( Mage = 19.5). These findings demonstrate that a common scale measure can index this construct from adolescence through to early adulthood, and set the stage for systematic work directed at identifying neural and genetic biomarkers of this key liability construct using existing and future data from the IMAGEN project.
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Affiliation(s)
| | | | - Herta Flor
- 2 Heidelberg University, Mannheim, Germany.,3 University of Mannheim, Mannheim, Germany
| | | | | | | | | | | | | | - Uli Bromberg
- 6 University Medical Centre Hamburg-Eppendorf, Hamburg, Germany
| | | | | | | | | | | | - Penny Gowland
- 10 University of Nottingham, University Park, Nottingham, UK
| | - Andreas Heinz
- 11 Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - Bernd Ittermann
- 12 Physikalisch-Technische Bundesanstalt, Braunschweig, Germany
| | - Jean-Luc Martinot
- 13 University Paris Sud, Orsay, France.,14 University Paris Descartes, Paris, France.,15 Université Paris-Sorbonne, Paris, France.,16 Maison de Solenn, Cochin Hospital, Paris, France
| | | | | | - Luise Poustka
- 2 Heidelberg University, Mannheim, Germany.,17 Medical University of Vienna, Vienna, Austria
| | | | | | - Henrik Walter
- 11 Charité-Universitätsmedizin Berlin, Berlin, Germany
| | | | | | | | | | | | | | - Tahmine Fadai
- 6 University Medical Centre Hamburg-Eppendorf, Hamburg, Germany
| | | | - Jens Foell
- 1 Florida State University, Tallahassee, FL, USA
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Sellbom M, Arbisi PA. Introduction to the Special Section: Linking the MMPI-2-RF to Contemporary Models of Psychopathology. J Pers Assess 2018; 99:337-340. [PMID: 28617140 DOI: 10.1080/00223891.2016.1267642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
This special section considers 9 independent articles that seek to link the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF; Ben-Porath & Tellegen, 2008/ 2011 ) to contemporary models of psychopathology. Sellbom ( this issue ) maps the Specific Problems scales onto hierarchical psychopathology structures, whereas Romero, Toorabally, Burchett, Tarescavage, and Glassmire ( this issue ) and Shkalim, Almagor, and Ben-Porath ( this issue ) show evidence of linking the instruments' scales to diagnostic representations of common higher order psychopathology constructs. McCord, Achee, Cannon, Harrop, and Poynter ( this issue ) link the MMPI-2-RF scales to psychophysiological constructs inspired by the National Institute of Mental Health (NIMH) Research Domain Criteria. Sellbom and Smith ( this issue ) find support for MMPI-2-RF scale hypotheses in covering personality psychopathology in general, whereas Klein Haneveld, Kamphuis, Smid, and Forbey ( this issue ) and Kutchen et al. ( this issue ) demonstrate the utility of the MMPI-2-RF in capturing contemporary conceptualizations of the psychopathic personality. Finally, Franz, Harrop, and McCord ( this issue ) and Rogers et al. ( this issue ) mapped the MMPI-2-RF scales onto more specific transdiagnostic constructs reflecting interpersonal functioning and suicide behavior proneness, respectively.
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Affiliation(s)
- Martin Sellbom
- a Department of Psychology , University of Otago , Dunedin , New Zealand
| | - Paul A Arbisi
- b Minneapolis VA Health Care System , Minneapolis , Minnesota.,c Departments of Psychology and Psychiatry , University of Minnesota
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Dotterer HL, Waller R, Cope LM, Hicks BM, Nigg JT, Zucker RA, Hyde LW. Concurrent and developmental correlates of psychopathic traits using a triarchic psychopathy model approach. JOURNAL OF ABNORMAL PSYCHOLOGY 2017; 126:859-876. [PMID: 29106272 PMCID: PMC5687302 DOI: 10.1037/abn0000302] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Psychopathy refers to a heterogeneous set of harmful dark traits and behaviors, including superficial charm, callousness, irresponsibility, and antisocial behavior. The triarchic psychopathy model (TriPM) posits that psychopathy is the combination of 3 traits: boldness, disinhibition, and meanness. However, little research has examined the concurrent and developmental correlates of these traits. We developed TriPM scales from the NEO Personality Inventory-Revised using an empirical-derived approach in a high-risk sample of 561 young adults (ages 17-25; 70.2% male). Concurrent correlates and developmental precursors of each scale were examined longitudinally using cross-informant reports from 3 critical developmental periods (ages 3-5; 9-11; 15-17). Using this approach, we identified consistent developmental precursors and concurrent correlates of boldness, including lower reactive control, fewer internalizing traits, and greater resiliency. Additionally, starting in adolescence we found that disinhibition was related to lower reactive control, more externalizing problems, substance use, and internalizing traits. Finally, although meanness demonstrated some expected concurrent relationships with criterion variables in early adulthood (e.g., lower adaptive functioning), we identified few consistent developmental precursors of meanness. Thus, a NEO-based approach to measuring the TriPM was successful in delineating boldness, disinhibition, and, to a lesser extent, meanness cross-sectionally during early adulthood. However, only boldness showed relative stability from developmental precursors in early childhood to our TriPM scale in early adulthood. (PsycINFO Database Record
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Affiliation(s)
| | | | - Lora M Cope
- Department of Psychiatry, University of Michigan
| | | | - Joel T Nigg
- Department of Psychiatry, Oregon Health and Science University
| | | | - Luke W Hyde
- Department of Psychology, University of Michigan
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Kutchen TJ, Wygant DB, Tylicki JL, Dieter AM, Veltri COC, Sellbom M. Construct Validity of the MMPI–2–RF Triarchic Psychopathy Scales in Correctional and Collegiate Samples. J Pers Assess 2016; 99:408-415. [DOI: 10.1080/00223891.2016.1238829] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
| | | | | | - Amy M. Dieter
- Department of Psychology, Eastern Kentucky University
| | | | - Martin Sellbom
- Research School of Psychology, The Australian National University, Canberra, Australia
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Klein Haneveld E, Kamphuis JH, Smid W, Forbey JD. Using MMPI–2–RF Correlates to Elucidate the PCL–R and Its Four Facets in a Sample of Male Forensic Psychiatric Patients. J Pers Assess 2016; 99:398-407. [DOI: 10.1080/00223891.2016.1228655] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
| | - Jan H. Kamphuis
- Department of Psychology, University of Amsterdam, The Netherlands
| | - Wineke Smid
- Van der Hoeven Kliniek, Utrecht, The Netherlands
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Koffel E, Kramer MD, Arbisi PA, Erbes CR, Kaler M, Polusny MA. Personality traits and combat exposure as predictors of psychopathology over time. Psychol Med 2016; 46:209-20. [PMID: 26347314 PMCID: PMC4900159 DOI: 10.1017/s0033291715001798] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
BACKGROUND Research suggests that personality traits have both direct and indirect effects on the development of psychological symptoms, with indirect effects mediated by stressful or traumatic events. This study models the direct influence of personality traits on residualized changes in internalizing and externalizing symptoms following a stressful and potentially traumatic deployment, as well as the indirect influence of personality on symptom levels mediated by combat exposure. METHOD We utilized structural equation modeling with a longitudinal prospective study of 522 US National Guard soldiers deployed to Iraq. Analyses were based on self-report measures of personality, combat exposure, and internalizing and externalizing symptoms. RESULTS Both pre-deployment Disconstraint and externalizing symptoms predicted combat exposure, which in turn predicted internalizing and externalizing symptoms. There was a significant indirect effect for pre-deployment externalizing symptoms on post-deployment externalizing via combat exposure (p < 0.01). Negative Emotionality and pre-deployment internalizing symptoms directly predicted post-deployment internalizing symptoms, but both were unrelated to combat exposure. No direct effects of personality on residualized changes in externalizing symptoms were found. CONCLUSIONS Baseline symptom dimensions had significant direct and indirect effects on post-deployment symptoms. Controlling for both pre-exposure personality and symptoms, combat experiences remained positively related to both internalizing and externalizing symptoms. Implications for diagnostic classification are discussed.
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Affiliation(s)
- Erin Koffel
- Center for Chronic Disease Outcomes Research
- Minneapolis VA Healthcare System
- University of Minnesota—Department of Psychiatry
| | - Mark D. Kramer
- Minneapolis VA Healthcare System
- University of Minnesota—Department of Psychiatry
| | - Paul A. Arbisi
- Minneapolis VA Healthcare System
- University of Minnesota—Department of Psychiatry
- University of Minnesota—Department of Psychology
| | - Christopher R. Erbes
- Center for Chronic Disease Outcomes Research
- Minneapolis VA Healthcare System
- University of Minnesota—Department of Psychiatry
| | | | - Melissa A. Polusny
- Center for Chronic Disease Outcomes Research
- Minneapolis VA Healthcare System
- University of Minnesota—Department of Psychiatry
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