Borderline Congress, Berlin, July

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Presentation transcript:

Borderline Congress, Berlin, July 1 2010 The Severity Indices for Personality Problems (SIPP) questionnaire: A dimensional measurement for the severity of personality pathology Helene Andrea (PhD) Roel Verheul (PhD) Viersprong Institute for Studies on Personality Disorders (VISPD), Halsteren, the Netherlands Borderline Congress, Berlin, July 1 2010

Introduction Severity Indices for Personality Problems (SIPP) Verheul, Andrea et al, 2008 Recently developed self-report questionnaire Dimensional measurement for severity of personality functioning -> relevant towards DSM-V Previous research: concurrent validity when comparing PD patients with a non-clinical population Also useful as a dimensional instrument within a clinical population? Verheul, Andrea et al, Psychol Assessment 2008, 20, 23-34

Objective & method Is the dimensional assessment of the severity of personality pathology (SIPP) associated with other indices of the severity of personality pathology in a clinical population? Dimensional measurement of severity of personality pathology Facets (subscales) SIPP Other Indices of severity of personality pathology DSM-IV based measurements: - Presence BPD - Number of PDs - Number of BPD criteria - Cluster A PDs

Study Population SCEPTRE study: N=2078 patients referred to centers offering psychotherapy for personality problems Structured Interview for DSM-IV Personality (SIDP-IV): N=379 patients (18%) with BPD - 79.2% female, mean age 30.47 (sd 7.85) - Dimensional scores 16 SIPP facets

Website: http://hdl.handle.net/1765/10066 SIPP Facet (subscale) Domain Emotion regulation Effortful control Self control Purposefulness Enjoyment Self-respect Stable self-image Self-reflexive functioning Identity integration Enduring relationships Intimacy Feeling recognized Relational functioning Aggression regulation Frustration tolerance Cooperation Respect Social concordance Responsible industry Trustworthiness Responsibility Website: http://hdl.handle.net/1765/10066

SIPP 118 items, 16 facets (subscales), 5 higher-order domains Dimensional measurement of personality severity: Lower score = more maladaptive level of functioning - higher severity Higher score = more adaptive level of functioning – lower severity Examples Item Facet/subscale Domain I usually have adequate control over my feelings Emotion regulation Self-control I can easily accept people the way they are, even when they are different Respect Social concordance Fully disagree Partly disagree Partly agree Fully agree Website: http://hdl.handle.net/1765/10066 Publication: Verheul, Andrea et al (2008). Psychol Assessment, 20, 23-34

Results SIPP facets and BPD diagnosis SIPP-scores more maladaptive

Within the BPD population: SIPP scores associated with number of PDs? Associations between SIPP and DSM-IV severity Indices for 10 (out of 16) facets # BPD criteria Cluster A PDs Comparable pattern

Discussion (1) Results (modestly) in support of the SIPP as a useful instrument for the dimensional assessment of severity among BPD-patients However…. Contrast within BPD-patients smaller than between BPD and non-BPD-patients SIPP specific and sensitive enough??

Further research Transition: DSM-IV -> DSM-V Proposal DSM-V: Indicate level of personality functioning for a patient on the “Self and Interpersonal Functioning Continuum” “Self”: Identity integration, Integrity of Self concept, Self-directnedness “Interpersonal”: Empathy, Intimacy, Cooperativeness, Complexity, Integration of representations of others 5 levels: No/Mild/Moderate/Serious/Extreme Impairment How are SIPP-scores related to this continuum? Dimensional scores and/or cut-off scores? Specificity & sensitivity?

Availability of the SIPP Diagnostic version: 118 items, 16 facets, 5 domains Outcome version (SIPP-SF): 60 items, 5 domains Available in Dutch, English, Norwegian, Spanish and Italian In exchange for research data Websites: www.vispd.nl (click on heading sipp-main menu; five subpages) http://hdl.handle.net/1765/10066 Email: Helene.andrea@deviersprong.nl