Clinical Validity of the “Dimensional Assessment of Personality Pathology (DAPP)” for Psychiatric Patients With and Without a Personality Disorder Diagnosis

Pukrop, Ralf; Steinbring, I.; Gentil, Iris; Schulte, Caspar; Larstone, Roseann; Livesley, John

doi:10.1521/pedi.2009.23.6.572

Cited by 26 publications

(16 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The anxiousness subscale includes 16 items (e.g., frequent feelings of worry/tension, tendencies towards rumination, pervasive sense of guilt) rated on a 5-point scale (score range=16–80), with higher scores indicating greater anxiousness. The DAPP-BQ has good reliability and validity (Bagge & Trull, 2003; Maruta, Yamate, Iimori, Kato, & Livesley, 2006; Pukrop et al, 2009; current study α=.94).…”

Section: Methodsmentioning

confidence: 69%

Association between objective and subjective binge eating and psychopathology during a psychological treatment trial for bulimic symptoms

et al. 2016

View full text Add to dashboard Cite

Although loss of control while eating (LOC) is a core construct of bulimia nervosa (BN), questions remain regarding its validity and prognostic significance independent of overeating. We examined trajectories of objective and subjective binge eating (OBE and SBE, respectively; i.e., LOC eating episodes involving an objectively or subjectively large amount of food) among adults participating in psychological treatments for BN-spectrum disorders (n=80). We also explored whether changes in the frequency of these eating episodes differentially predicted changes in eating-related and general psychopathology and, conversely, whether changes in eating-related and general psychopathology predicted differential changes in the frequency of these eating episodes. Linear mixed models with repeated measures revealed that OBE decreased twice as rapidly as SBE throughout treatment and 4-month follow-up. Generalized linear models revealed that baseline to end-of-treatment reductions in SBE frequency predicted baseline to 4-month follow-up changes in eating-related psychopathology, depression, and anxiety, while changes in OBE frequency were not predictive of psychopathology at 4-month follow-up. Zero-inflation models indicated that baseline to end-of-treatment changes in eating-related psychopathology and depression symptoms predicted baseline to 4-month follow-up changes in OBE frequency, while changes in anxiety and self-esteem did not. Baseline to end-of-treatment changes in eating-related psychopathology, self-esteem, and anxiety predicted baseline to 4-month follow-up changes in SBE frequency, while baseline to end-of-treatment changes in depression did not. Based on these findings, LOC accompanied by objective overeating may reflect distress at having consumed an objectively large amount of food, whereas LOC accompanied by subjective overeating may reflect more generalized distress related to one’s eating- and mood-related psychopathology. BN treatments should comprehensively target LOC eating and related psychopathology, particularly in the context of subjectively large episodes, to improve global outcomes.

show abstract

Section: Methodsmentioning

confidence: 69%

Association between objective and subjective binge eating and psychopathology during a psychological treatment trial for bulimic symptoms

et al. 2016

View full text Add to dashboard Cite

show abstract

“…These factors are consistent with the Big Five personality traits (Costa & McCrae, ) with ED resembling Neuroticism (N), DB corresponding negatively to Agreeableness (A) and positively to Psychoticism (P), I associating negatively with Extraversion (E), and C resembling Conscientiousness (C). Openness to experiences (O) is not represented in the DAPP‐SF (Pukrop et al ., ). Reliability of the DAPP‐SF subscales in the current sample was good (ED α = .96; DB α = .86, I α = .65, C α = .87).…”

Section: Methodsmentioning

confidence: 97%

Early symptom change in adult outpatients: Relationship with patient characteristics and therapeutic alliance

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Based on the current findings and prior work on the DAPP-BQ (Pukrop et al, 2009), it may be reasonable to speculate, for example, that anxiousness is less specifically associated with BPD as compared to cognitive dysregulation. Future research on these candidate phenotypes for BPD should evaluate their overlap with and distinctiveness from phenotypes for other personality disorders.…”

Section: Discussionmentioning

confidence: 59%

Familial aggregation of candidate phenotypes for borderline personality disorder.

Ruocco¹,

Hudson²,

Zanarini³

et al. 2015

Personality Disorders: Theory, Research, and Treatment

View full text Add to dashboard Cite

Borderline personality disorder (BPD) and its core DSM factor-analytically derived phenotypes aggregate in families. To potentially inform future conceptualizations of BPD, this study examined the familial aggregation and coaggregation with BPD of three additional candidate phenotypes for BPD psychopathology: anxiousness, aggressiveness and cognitive dysregulation. Participants included 347 probands (126 with BPD, 128 without BPD, and 93 with major depressive disorder) and 814 parents and siblings of probands. All participants completed diagnostic assessments and scales assessing the candidate phenotypes. The familial aggregation of phenotypes (correlation of level of phenotype between family members), the familial coaggregation of phenotypes with BPD (correlation of phenotype with BPD between family members), and the within-individual correlation of phenotypes with BPD were assessed. All three candidate phenotypes showed high levels of familial aggregation (r’s = .14 – .53, p’s < .001), the magnitudes of which were comparable to DSM-based core sectors of psychopathology. Anxiousness and cognitive dysregulation showed strong within-individual associations with BPD (r’s = .55 and .46, respectively; p’s < .001) and substantial familial coaggregation with BPD (r’s = .12 and .13, respectively; p’s ≤ .002). In contrast, aggressiveness showed a weak within-individual association with BPD (r = .11, p = .12) and little familial coaggregation with BPD (r = .05, p = .21). These findings suggest that anxiousness and cognitive dysregulation are promising phenotypes for BPD psychopathology that move beyond factor-analytically based conceptualizations. In contrast, aggressiveness was only weakly related to BPD, suggesting that this phenotype may not represent an essential feature of this disorder.

show abstract

Clinical Validity of the “Dimensional Assessment of Personality Pathology (DAPP)” for Psychiatric Patients With and Without a Personality Disorder Diagnosis

Cited by 26 publications

References 6 publications

Association between objective and subjective binge eating and psychopathology during a psychological treatment trial for bulimic symptoms

Association between objective and subjective binge eating and psychopathology during a psychological treatment trial for bulimic symptoms

Early symptom change in adult outpatients: Relationship with patient characteristics and therapeutic alliance

Familial aggregation of candidate phenotypes for borderline personality disorder.

Contact Info

Product

Resources

About