Psychiatry Investig.  2021 Dec;18(12):1164-1170. 10.30773/pi.2021.0164.

A Dimensional Understanding of Borderline Personality Disorder Using MMPI-2 PSY-5 Scales in Clinical Samples

Affiliations
  • 1Faculty of Liberal Arts, Kongju National University, Gongju, Republic of Korea
  • 2Department of Public Health, Wonkwang University Graduate School, Iksan, Republic of Korea
  • 3Department of Psychiatry, School of Medicine, Wonkwang University Hospital, Iksan, Republic of Korea
  • 4Wonkwang Brain-Behavior Mental Health Institute, Iksan, Republic of Korea
  • 5Department of Nursing, Sehan University, Yeongam, Republic of Korea
  • 6Department of Psychiatry, School of Medicine, Wonkwang University, Iksan, Republic of Korea

Abstract


Objective
This study aims to understand borderline personality disorder (BPD) features by employing the Personality Psychopathology Five (PSY-5) scales from the Minnesota Multiphasic Personality Inventory-2 (MMPI-2).
Methods
A total of 156 psychiatric patients completed PSY-5 scales of MMPI-2 and Personality Assessment Inventory-Borderline Subscale (PAI-BOR). Pearson’s partial correlation analysis was conducted to control the impact of age and gender and to determine the relationship between PSY-5 scales and BOR. A hierarchical multiple regression analysis was implemented to examine whether PSY-5 scales predicted the BOR-total, and a path analysis was performed to determine whether PSY-5 scales predicted each PAI-BOR subscale.
Results
The BOR-total score had a significant correlation with all PSY-5 scores, even after controlling for age and gender. However, only aggressiveness (AGGR), disconstraint (DISC), negative emotionality/neuroticism (NEGE), and introversion/low positive emotionality (INTR), excluding psychoticism (PSYC), significantly predicted BOR-total. The path analysis indicates that PSYC did not predict any BOR subscale, while NEGE predicted all BOR subscales.
Conclusion
The study findings indicate that NEGE best reflects BPD features, while PSYC is far from the core domain that describes BPD. In addition, the influence of age should be considered when understanding BPD, since age predicted the BOR-total and two BOR subscales.

Keyword

Borderline personality disorder; Minnesota Multiphasic Personality Inventory-2; Personality Psychopathology Five; Personality Assessment Inventory; Negative emotionality/neuroticism
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