Deriving the Transdiagnostic Scales From the Personality Assessment Inventory and SPECTRA: Indices of Psychopathology: A Demonstration.

Transdiagnostic models of psychopathology address many of the shortcomings common to categorical diagnostic systems. These empirically derived models conceptualize psychopathology as a few broad interrelated and hierarchically arranged dimensions, with an overarching general psychopathology dimension, the p-factor, at the apex. While transdiagnostic models are gaining prominence in mental health research, the lack of available tools has limited their clinical translation. The present study explored the potential of creating transdiagnostic scales from the joint factor structure of the Personality Assessment Inventory, Alternative Model of Personality Disorder trait scales (AMPD), and the clinical scales of the SPECTRA: Indices of Psychopathology (SPECTRA). Exploratory factor analysis in a clinical sample (n = 212) identified five factors corresponding to the Negative Affect/Internalizing, Detachment, Antagonism/Externalizing, Disinhibition/Externalizing, and Thought Disorder transdiagnostic dimensions. Goldberg's "Bass-Ackward" method supported a hierarchical structure. Five composite transdiagnostic scales were created by summing each factor's highest loading PAI and SPECTRA scales. A global psychopathology scale was created by summing the five composite scales. All the composite scales demonstrated adequate internal consistency. Correlations between the composite scales and the NEO Five-Factor Inventory-3 provide initial validity evidence for four composite and global scales. The composite thought disorder scale had no conceptually corresponding NEO domain. Clinical implications and study limitations are discussed.

The influence of trauma symptoms on interpersonal attributions in daily life.

There is well-documented evidence that trauma exposure can disrupt relationships. However, limited research has examined whether posttraumatic stress symptoms (PTSS) moderate interpersonal processes in daily life. To this end, undergraduates (N = 98) completed a measure of PTSS at baseline. They then completed smartphone-based surveys after every interpersonal interaction that lasted longer than 3 min. for 10 days. These surveys assessed perceptions of self and other agency and communion as well as feelings of rejection, neglect, abandonment, worthlessness, emptiness, guilt, and shame. Results of multilevel modeling suggest that interpersonal perception and PTSS predicted 10%-26% of the variance in outcomes. Regarding agency, more agentic participants reported higher levels of negative attributions, γs = .47-.56. Participants also reported higher rejection and guilt when they experienced their interaction partner as more agentic than usual, γs = .07, and PTSS did not moderate these associations. For communal perceptions, participants who experienced themselves and others as warmer than other participants reported fewer negative outcomes, γs = -.44--.58. Individuals also reported more negative outcomes when they experienced themselves and others as warmer than they usually did, γs = -.10--.28, and PTSS moderated these associations. The negative associations between self- and other communion ratings and feelings of neglect, abandonment, and shame were stronger in individuals with higher PTSS scores. Together, these findings support continued efforts to understand the ways in which trauma exposure and PTSS disrupt interpersonal dynamics in daily life.

Using the Personality Assessment Inventory to Assess the Alternative Model for Personality Disorders: Criterion Validity in a Clinical Sample.

The Personality Assessment Inventory (PAI) is a broadband measure of psychopathology that is widely used in applied settings. Researchers developed regression-based estimates that use the PAI to measure constructs of the Alternative Model for Personality Disorders (AMPD) - a hybrid dimensional and categorical approach to conceptualizing personality disorders. Although prior work has linked these estimates to formal measures of the AMPD, there is little work investigating the clinical correlates of this scoring approach of the PAI. The current study examines associations between these PAI-based AMPD estimates and life data in a large, archival dataset of psychiatric outpatients and inpatients. We found general support for the criterion validity of AMPD estimate scores, such that a theoretically consistent pattern of associations emerged with indicators such as prior academic achievement, antisocial behavior, psychiatric history, and substance abuse. These results provide preliminary support to this scoring approach for use in clinical samples.

Triarchic psychopathy and affective picture processing: An event-related potential study.

Psychopathy and its precursors appear to be associated with abnormal affective response. For example, individuals high in psychopathy show reduced psychophysiological response to unpleasant stimuli, which might explain low levels of empathy in psychopathic individuals, and their pursuit of individual goals without regard for others' wellbeing. In keeping with the notion that psychopathology is best represented on a continuum, the triarchic model suggests that psychopathy is characterized by elevations on three traits: boldness, meanness and disinhibition. Understanding how these traits relate to psychophysiological response to emotional stimuli would help validate the triarchic model, while also bridging to other psychopathological spectra (e.g., internalizing psychopathology, which is characterized by low boldness). Here, N = 123 young adults passively viewed unpleasant, pleasant and neutral pictures while subjective and electrocortical response were recorded. Controlling for the other triarchic traits, individuals with higher self-reported meanness had smaller late positive potentials (LPPs) to both pleasant and unpleasant pictures, whereas individuals higher in boldness had larger LPPs to unpleasant pictures. In addition, those higher in meanness rated unpleasant pictures as more pleasant and less emotionally arousing. Disinhibition was not associated with the LPP or ratings. Meanness appears to drive blunted response to unpleasant pictures that has previously been observed among those high on psychopathy, and may also be associated with reduced engagement with generic pleasant stimuli. Moreover, results converge with prior work on other traits of transdiagnostic relevance (e.g., extraversion), as well as internalizing symptoms, providing a bridge between psychopathy and other forms of psychopathology.

Development of an Inconsistent Responding Scale for the HEXACO Personality Inventory-Revised.

Inconsistent or careless responding is a significant threat to the validity of self-reported personality data. Using archival samples of undergraduate and community participants, we developed an inconsistent responding scale using items that appear on both the 60- and 100-item versions of the HEXACO Personality Inventory-Revised-two widely used measures of the HEXACO model of personality trait structure. We identified pairs of correlated HEXACO items in Sample 1 and created a total inconsistent responding score by summing absolute differences between each item pair. The Brief Response Inconsistency Evaluation (BRIE) for the HEXACO effectively differentiated between genuine and randomly generated responses across samples. The BRIE also correlated as expected with other measures of careless responding and relevant personality traits (e.g., conscientiousness). Tentative cut scores for the BRIE that appear to provide a reasonable balance between sensitivity and specificity in Sample 1 were investigated. Future research should examine the BRIE with different populations and translations of the HEXACO inventories and further investigate the effectiveness of the recommended cut scores.

Psychology Internship Training Amidst COVID-19: Balancing Training Opportunities, Patient Care, and Risk of Exposure.

The emergence of the 2019 novel coronavirus (COVID-19) has dramatically altered how psychologists deliver its training. At least for the time being, virtual care has become the primary method for delivering mental health services. This has allowed patients and clinicians to continue to access and provide services in a way that would have been impossible years ago. Not only has this shift impacted patients, but it has also impacted supervision and training. The impact has been especially profound on inpatient units where the psychiatric and medical acuity is high of patients and the therapeutic milieu is an important aspect of treatment. The purpose of this paper is to review the impact of COVID-19 on pre-doctoral psychology interns during their rotation on an inpatient psychiatry unit at the start of the pandemic (January to June of 2020) and use these experiences to onboard the next class of interns in the new academic year (July 2020 to June 2021) using a hybrid model of in-person and virtual training experiences. At the end of 2020/2021 rotation, we voluntarily asked interns to complete a questionnaire that was developed based on the qualitative experiences of the previous class to assess the effectiveness of this hybrid model. We also surveyed multi-disciplinary staff members who were essential personnel and required to work in person during this time about their experiences of safety and support. With this information, we explore and offer guidance to other inpatient training sites who are likely to encounter similar challenges during this time. In particular, we discuss the integration of virtual technology into this training experience, as well as the restructuring of clinical and supervisory experiences. We highlighted several short-term strategies that we have flexibly adapted to our inpatient unit. The lessons learned herein seek to guide supervisors and trainees alike in adapting their psychology training programs to meet the evolving demands of COVID-19.

Exploring the Alternative Model for Personality Disorders Using SCORS-G Ratings on Thematic Apperception Test Narratives.

The Alternative Model for Personality Disorders (AMPD) in Section III of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013) conceptualizes personality pathology as a combination of impairment (Criterion A) and traits (Criterion B). One measure used to develop Criterion A was the Social Cognition and Object Relations Scale - Global Rating Method (SCORS-G), which is a multidimensional, object-relational clinician-rated measure of personality functioning. Although there are conceptual links between the AMPD and SCORS-G dimensions, there exists no research examining the relationship. To address this, we examined associations between the SCORS-G dimensions and measures of the AMPD constructs in a large, archival dataset of outpatients and inpatients. More pathological scores on SCORS-G dimensions reflecting self- and interpersonal functioning were associated with greater pathological traits and impairment. Overall, results support further investigation into SCORS-G as a useful measure in AMPD research and assessment.

A Comparison of Two Five-Factor Model Operationalizations of the Triarchic Model of Psychopathy in a Clinical Sample.

Structural models of personality traits, particularly the five-factor model (FFM), continue to inform ongoing debates regarding what personality attributes and trait domains are central to psychopathy. A growing body of literature has linked the constructs of the triarchic model of psychopathy (boldness, meanness, disinhibition) to the FFM. Recently, researchers developed both item and regression-based measures of the triarchic model of psychopathy using the NEO Personality Inventory-Revised-a popular measure of the FFM. The current study examines the correlates of these two FFM-derived operationalizations of the triarchic model using data from the Collaborative Longitudinal Personality Disorders Study. The two approaches had strong convergent validity coefficients and similar patterns of criterion-related validity coefficients. Meanness related to greater personality pathology characterized by exploitation of others and poor attachment, whereas disinhibition related to indicators of greater negative affect and poor behavioral constraint. Boldness related to reduced negative affect and greater narcissistic personality traits. Although the item and regression-based approaches showed similar patterns of associations with criterion-variables, the item-based approach has some practical and psychometric advantages over the regression-based approach given strong correlations between the meanness and disinhibition scores from the regression approach.

Suicidal ideation across race in a justice-involved sample: An item response theory approach.

OBJECTIVES: Compared to community samples, rates of suicide are much higher in forensic and correctional settings, yet limited research has focused on the development and improvement of suicide assessment methods used in such contexts. Moreover, despite evidence that suicide assessment varies across Caucasians and African Americans, to our knowledge this important issue has received little attention within higher risk correctional samples. We used Item Response Theory and Differential Item Functioning analyses to address this gap within the literature. METHOD: Specifically, we examined the psychometric properties of the Suicidal Ideation scale of the Personality Assessment Inventory (Morey, 2007) in a large sample of justice-involved individuals. RESULTS: Caucasians report greater suicidal ideation compared to African American participants on average. However, after controlling for mean differences, Caucasians and African Americans differentially endorsed symptoms of suicidal ideation. If the level of suicidal ideation is held constant across racial categories, Caucasians underreported suicidal ideation relative to African Americans. CONCLUSION: Results suggest a nuanced picture of suicidal ideation across racial categories that can be informed by Item Response Theory approaches to scale construction and refinement.

Intolerance of uncertainty, depression and the error-related negativity.

Prior work has yielded contradictory findings regarding the association between depression and the error-related negativity (ERN), an event-related potential thought to reflect individual variation in sensitivity to internal threat (i.e., errors), and the error positivity (Pe), which is thought to reflect more elaborative, conscious processing of errors. One possibility is that variation in transdiagnostic dimensional constructs related to threat processing might help explain inconsistencies in the relationship between depression and the ERN and Pe. Here, we used a large, unselected sample (N = 100) to determine whether variation in intolerance of uncertainty (IU), a transdiagnostic trait dimension that is implicated in both depression and anxiety, might moderate associations between depressive symptomatology and error processing. Results showed that greater levels of depressive symptomatology were associated with larger ΔERNs (error minus correct trials) when IU was low, but were unrelated to ΔERN when IU was high; main effects of depression and IU on ΔERN were not observed. The Pe was not associated with IU or depression. Additionally, IU, but not depression, was associated with faster response times on error and correct trials. Overall, results suggest that error processing may differ for individuals with elevated depression with versus without elevated IU. Moreover, prior failures to observe associations between depression and the ERN might stem from failure to account for related transdiagnostic constructs.

A Comparison of the Youth Psychopathic Traits Inventory (YPI)-Triarchic Scales and the YPI in a Sample of Justice-Involved Youth.

The Triarchic model (Patrick, Fowles, & Krueger, 2009) posits that psychopathy consists of three elements: Boldness, Meanness, and Disinhibition. Drislane et al. (2015) recently derived scales from the Youth Psychopathic Traits Inventory (YPI; Andershed, Kerr, Stattin, & Levander, 2002) to assess these traits. The initial validation efforts appeared promising, but researchers have yet to evaluate these scales among justice-involved youth. The current study examines the validity of the YPI-Triarchic scales in an archival sample of 928 male adolescent offenders and tests whether the new scales provide information incremental to the original YPI. The YPI-Triarchic scales were strongly correlated with original YPI scales (rs = .56-.96), and some associations were contrary to predictions and previous findings about the Triarchic model (e.g., YPI-Boldness was not inversely related to symptomatology). Thus, caution is warranted when attempting to study the Triarchic model with the YPI-Triarchic scales.

Triarchic psychopathy and deficits in facial affect recognition.

OBJECTIVE: Impaired socialization due to amygdala dysfunction has been proposed as a factor underlying psychopathy. Supporting this hypothesis, some research indicates that psychopathy is associated with deficits in facial affect recognition, but other studies have failed to find such a relationship. This study investigated whether healthy young adults elevated in psychopathic traits displayed deficits in identifying facial affective displays overall as well as deficits specific to fear recognition. METHOD: Facial affect recognition was measured in a sample of 110 undergraduate men (n = 36) and women (n = 74). Participants completed the Triarchic Psychopathy Measure, and participants' eye gaze was measured using ASL Eye Trac 6. The facial affect recognition task was created using the NimStim facial expression stimuli. RESULTS: Individuals elevated in psychopathic traits did not display deficits in recognition of emotional faces overall or for fearful faces compared to individuals lower in psychopathic traits. However, meanness was negatively correlated with fear identification. CONCLUSIONS: We conclude that deficient emotion processing in psychopathic individuals may be specific to ambiguous affective expressions. We discuss implications for the study of psychopathy and emotion processing.

Examining the utility of the Personality Assessment Screener in three criminal justice samples.

Many individuals in forensic/correctional settings experience significant mental health problems, yet effective screening tools to identify such difficulties are in relatively short supply. This study investigates the clinical utility of the Personality Assessment Screener (PAS; Morey, 1997), a 22-item self-report measure of risk for emotional and behavioral dysfunction, across three archival criminal justice samples (incarcerated sex offenders, prison inmates housed in general population and psychiatric units, and jail detainees). The PAS is derived from the Personality Assessment Inventory (PAI; Morey, 1991, 2007), a more comprehensive measure of emotional and behavioral disturbances that is widely used in forensic/correctional settings. The PAS total score effectively identified those with clinically significant elevations on the PAI and also significantly correlated with various criterion measures tapping psychological dysfunction. Existing interpretive ranges and labels used to describe PAS scores in general clinical settings were problematic, however, and may require revision for use in these contexts. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Development and initial validation of the HEXACO-Triarchic scales.

The Triarchic Model posits that psychopathic personality traits are captured by three dimensions-boldness, meanness, and disinhibition. Recent findings indicate considerable overlap between the Triarchic constructs and the six-factor HEXACO (honesty-humility, emotionality, extraversion, agreeableness, conscientiousness, and openness to experience) model of normal personality traits (Ruchensky & Donnellan, 2017). The current study describes the development and validation of Triarchic proxy scales drawn from the HEXACO-100 item pool (Lee & Ashton, 2016) using two large undergraduate samples (Ns = 545, 398) and a community sample from MTurk (N = 391). The HEXACO-Triarchic scales were strongly correlated with other Triarchic measures and showed theoretically predicted relations with criterion variables. The HEXACO-Triarchic scales also appear to have greater discrimination between the three Triarchic dimensions compared with alternative measures. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Evaluating the structure of psychopathic personality traits: A meta-analysis of the Psychopathic Personality Inventory.

Which core traits exemplify psychopathic personality disorder is a hotly debated question within psychology, particularly regarding the role of ostensibly adaptive traits such as stress immunity, social potency, and fearlessness. Much of the research on the interrelationships among putatively adaptive and more maladaptive traits of psychopathy has focused on the factor structure of the Psychopathic Personality Inventory (PPI) and its revision, the Psychopathic Personality Inventory-Revised (PPI-R). These instruments include content scales that have coalesced to form 2 higher order factors in some (but not all) prior studies: Fearless Dominance and Self-Centered Impulsivity. Given the inconsistencies in prior research, we performed a meta-analytic factor analysis of the 8 content scales from these instruments (total N > 18,000) and found general support for these 2 dimensions in community samples. The structure among offender samples (e.g., prisoners, forensic patients) supported a 3-factor model in which the Fearlessness content scale loaded onto Self-Centered Impulsivity (rather than Fearless Dominance). There were also indications that the Stress Immunity content scale had different relations to the other PPI scales in offender versus community samples. We discuss the theoretical and diagnostic implications of these differing factor structures for the field of psychopathy research. (PsycINFO Database Record

Using the Personality Assessment Inventory Antisocial and Borderline Features Scales to Predict Behavior Change: A Multisite Longitudinal Study of Youthful Offenders.

A substantial amount of research has examined the developmental trajectory of antisocial behavior and, in particular, the relationship between antisocial behavior and maladaptive personality traits. However, research typically has not controlled for previous behavior (e.g., past violence) when examining the utility of personality measures, such as self-report scales of antisocial and borderline traits, in predicting future behavior (e.g., subsequent violence). Examination of the potential interactive effects of measures of both antisocial and borderline traits also is relatively rare in longitudinal research predicting adverse outcomes. The current study utilizes a large sample of youthful offenders ( N = 1,354) from the Pathways to Desistance project to examine the separate effects of the Personality Assessment Inventory Antisocial Features (ANT) and Borderline Features (BOR) scales in predicting future offending behavior as well as trends in other negative outcomes (e.g., substance abuse, violence, employment difficulties) over a 1-year follow-up period. In addition, an ANT × BOR interaction term was created to explore the predictive effects of secondary psychopathy. ANT and BOR both explained unique variance in the prediction of various negative outcomes even after controlling for past indicators of those same behaviors during the preceding year.

Development and Initial Validation of an Inconsistent Responding Scale for the Youth Psychopathic Traits Inventory.

The Youth Psychopathic Traits Inventory (YPI) is widely used in research, but there currently exist no means to identify potentially invalid protocols resulting from careless or random responding. We describe the development of an inconsistent responding scale for the YPI using three archival samples of youths, including two from the United States (juvenile justice and middle school) and one from Germany (vocational training school). We first identified pairs of correlated YPI items and then created a total score based on the sum of the absolute value of the differences for each item pair. The resulting scale strongly differentiated between genuine protocols and randomly generated YPI data (n = 1,000) across samples (AUC values = .88-.92). It also differentiated between genuine protocols and those same protocols after 50% of the original YPI items were replaced with random data (AUCs = .77-.84). Scores on this scale also demonstrated fairly consistent patterns of association with theoretically relevant correlates.

Item response theory applications in personality disorder research.

This article describes how item response theory (IRT) has begun to address several of the measurement limitations inherent in the personality disorder (PD) literature. In particular, we describe how IRT can be used to improve PD measurement precision, develop PD instruments, and inform PD theory. In closing, we address a key assumption of unidimensional IRT models, and address the need to move beyond these models to include multidimensional models. In this context, we outline what we see as a future direction in PD measurement. (PsycINFO Database Record

Examining the reliability and validity of an abbreviated Psychopathic Personality Inventory-Revised (PPI-R) in four samples.

A recently developed 40-item short-form of the Psychopathic Personality Inventory-Revised (PPI-R; Lilienfeld & Widows, 2005) has shown considerable promise as an alternative to the long-form of the instrument (Eisenbarth, Lilienfeld, & Yarkoni, 2015). Beyond the initial construction of the short-form, however, Eisenbarth et al. only evaluated a small number of external correlates in a German college student sample. In this study, we evaluate the internal consistency of the short-form scales in 4 samples previously administered the full PPI-R (3 U.S. college student samples and 1 U.S. forensic psychiatric inpatient sample) and examine a wide range of external correlates to compare the nomological nets of the short- and long-forms. Across all 4 samples, correlations between each short-form scale and its corresponding long-form scale were uniformly high (all rs > .75). In terms of external correlates, the pattern of associations was exceedingly similar, for the short-form and long-form composites with a largely trivial reduction in effect size. Collectively, our findings offer considerable support for the utility of this new short-form as a substitute for the full PPI-R. (PsycINFO Database Record

Interrater reliability of Violence Risk Appraisal Guide scores provided in Canadian criminal proceedings.

Published research suggests that most violence risk assessment tools have relatively high levels of interrater reliability, but recent evidence of inconsistent scores among forensic examiners in adversarial settings raises concerns about the "field reliability" of such measures. This study specifically examined the reliability of Violence Risk Appraisal Guide (VRAG) scores in Canadian criminal cases identified in the legal database, LexisNexis. Over 250 reported cases were located that made mention of the VRAG, with 42 of these cases containing 2 or more scores that could be submitted to interrater reliability analyses. Overall, scores were skewed toward higher risk categories. The intraclass correlation (ICCA1) was .66, with pairs of forensic examiners placing defendants into the same VRAG risk "bin" in 68% of the cases. For categorical risk statements (i.e., low, moderate, high), examiners provided converging assessment results in most instances (86%). In terms of potential predictors of rater disagreement, there was no evidence for adversarial allegiance in our sample. Rater disagreement in the scoring of 1 VRAG item (Psychopathy Checklist-Revised; Hare, 2003), however, strongly predicted rater disagreement in the scoring of the VRAG (r = .58). (PsycINFO Database Record