Temperament and attachment dimensions as predictors for impairments of personality functioning according to DSM-5
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1
Instytut Psychologii, Uniwersytet Kardynała Stefana Wyszyńskiego w Warszawie
2
University Research Priority Program Social Networks, University of Zurich
Submission date: 2023-02-11
Final revision date: 2023-05-27
Acceptance date: 2023-06-24
Online publication date: 2023-10-10
Publication date: 2023-10-10
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ABSTRACT
Objectives:
The study aimed to assess the role of temperament and attachment dimensions for
personality pathology defined as impairments in self– and interpersonal functioning according to Criterion A of Section III of the DSM-5.
Methods:
The study was conducted in Poland with a group of 391 participants. The following
measurement instruments were used: The Level of Personality Functioning Scale
– Brief Form 2.0 (LPFS-BF 2.0), the Temperament Metadimensions Questionnaire (TMQ),
the Attachment Style Questionnaire (ASQ), and the Experiences in Close Relationships –
Revised (ECR-R).
Results:
The joint estimation of temperament and attachment role in explaining impairments
of personality functioning led to the following conclusions: (1) temperament explained
impairments of self-functioning to a greater extent than impairments of interpersonal functioning; (2) temperamental “Reactivity” was more of a predictor of personality pathology
than “Activity”; (3) adding attachment increased the magnitude of the explained variance of
personality pathology; (4) attachment “Avoidance” explained impairments in interpersonal
functioning to a greater extent, while attachment “Anxiety” explained impairments in selffunctioning to a greater extent
Conclusions:
The impairments in personality functioning included in DSM-5 Criterion A are largely explained by two sets of variables: the more enduring and innate temperament and the attachment acquired through early interactions. Such a distinction is important from
a clinical perspective, in which effective interactions can target those properties that can be
modified and take into account those that are difficult or impossible to modify.