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Understanding adolescent personality pathology from growth trajectories of childhood oddity

Published online by Cambridge University Press:  20 March 2017

Barbara De Clercq*
Affiliation:
Ghent University
Lize Verbeke
Affiliation:
Ghent University
Elien De Caluwé
Affiliation:
Ghent University
Tom Vercruysse
Affiliation:
AZ Sint-Lucas, Belgium
Joeri Hofmans
Affiliation:
Vrije Universiteit
*
Address correspondence and reprint requests to: Barbara De Clercq, Department of Psychology, Ghent University, H Dunantlaan 2, Ghent, Belgium; E-mail: [email protected].

Abstract

Research on developmental trajectories of early maladaptive features for understanding later personality disorders (PDs) is increasingly recognized as an important study area. The course of early odd features is highly relevant in this regard, as only a few researchers have addressed childhood oddity in the context of emerging PDs. Using latent growth modeling, the current study explores growth parameters of odd features in a mixed sample of Flemish community and referred children (N = 485) across three measurement waves with 1-year time intervals. Personality pathology was assessed at a fourth assessment point in adolescence. Beyond a general declining trend in oddity characteristics, the results demonstrated that both an early onset and an increasing trend of oddity-related characteristics over time are independent predictors of adolescent PDs. Childhood oddity tends to be the most manifest precursor for PDs with a core oddity feature (i.e., the schizotypal and borderline PD), but also appears to predict most of the other DSM-5 PDs. Results are discussed from an overarching developmental framework on PDs (Cicchetti, 2014), specifically focusing on the principle of multifinality. From a clinical perspective, the significance of increasing or steady-high childhood oddity trajectories for adolescent PDs highlights the relevance of systematic screening processes across time.

Type
Regular Articles
Copyright
Copyright © Cambridge University Press 2017 

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Footnotes

The authors thank all participating families for their enduring effort and acknowledge the three reviewers for their constructive and useful comments on a previous version of this paper.

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