Résumés
Résumé
L’étude examine la contribution du Modèle alternatif pour les troubles de la personnalité au bien-être psychologique (BEP). Des personnes se considérant en bonne santé psychologique (BSP; n = 151) ont été comparés à des personnes consultant en cliniques privées (CP; n = 300). Selon une comparaison de groupes non paramétrique, le groupe CP rapportent un niveau plus faible de BEP que le groupe BSP. Les résultats d’analyses de régression multiple montrent qu’une perturbation de l’identité est le prédicteur le plus important du BEP chez les deux groupes, faisant de cette variable une cible d’intervention cruciale dans une perspective de santé durable.
Mots-clés :
- Bien-être psychologique,
- santé durable,
- modèle alternatif pour les troubles de la personnalité,
- cliniques privées
Abstract
This study examines the contribution of the Alternative Model for Personality Disorders elements (Criterion A) and domains (Criterion B) to psychological well-being (PWB). Individuals considering themselves psychologically healthy (PH; n = 151) were compared to individuals consulting in private practice clinics (PC; n = 300). According to nonparametric group comparisons, the PC group reported a lower level of PWB compared to the PH group. The results of multiple regression analyses showed that the most important predictor of PWB is a low disturbance in identity functioning, making this variable a crucial intervention target from a sustainable health perspective.
Keywords:
- Psychological well-being,
- sustainable health,
- alternative model for personality disorders,
- private practice clinics
Parties annexes
Bibliographie
- Abbott, R. A., Croudace, T. J., Ploubidis, G. B., Kuh, D., Richards, M., & Huppert, F. A. (2008). The relationship between early personality and midlife psychological well-being: Evidence from a UK birth cohort study. Social Psychiatry and Psychiatric Epidemiology, 43(9), 679–687. https://doi.org/10.1007/s00127-008-0355-8
- Alliance santé Québec (2021). Qu’est-ce que la santé durable? https://www.alliancesantequebec.com/quest-ce-que-la-sante-durable/
- American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5e éd.). https://doi.org/10.1176/appi.books.9780890425596
- Anglim, J., Horwood, S., Smillie, L., Marrero, R. J., & Wood, J. (2020). Predicting psychological and subjective well-being from personality: A meta-analysis. Psychological Bulletin, 146(4), 279–323. https://doi.org/10.1037/bul0000226
- Arnett, J. J. (2000). Emerging adulthood. A theory of development from the late teens through the twenties. The American Psychologist, 55(5), 469–480. https://doi.org/10.1037/0003-066X.55.5.469
- Bach, B., & Hutsebaut, J. (2018). Level of Personality Functioning Scale–Brief Form 2.0: Utility in capturing personality problems in psychiatric outpatients and incarcerated addicts. Journal of Personality Assessment, 100(6), 660–670. https://doi.org/10.1080/00223891.2018.1428984
- Bach, B., Sellbom, M., & Simonsen, E. (2018). Personality inventory for DSM-5 (PID-5) in clinical versus nonclinical individuals: Generalizability of psychometric features. Assessment, 25(7), 815–825. https://doi.org/10.1177/1073191117709070
- Berezina, E., Gill, C. M. H. D., & Bovina, I. (2020). A study of the association between identity, life engagement and well-being among young Asian adults. Social Identities, 26(5), 608–623. https://doi.org/10.1080/13504630.2020.1783225
- Bleidorn, W., Schwaba, T., Zheng, A., Hopwood, C. J., Sosa, S. S., Roberts, B. W., & Briley, D. A. (2022). Personality stability and change: A meta-analysis of longitudinal studies. Psychological Bulletin, 148(7–8), 588–619. https://doi.org/10.1037/bul0000365
- Bound, J., Brown, C., & Mathiowetz, N. (2001). Measurement error in survey data. Dans J. J. Heckman & E. Leamer (Dirs.), Handbook of econometrics (vol. 5, p. 3705–3843). Elsevier. https://doi.org/10.1016/S1573-4412(01)05012-7
- Caligor, E., Kernberg, O. F., Clarkin, J. F., & Yeomans, F. E. (2018). Psychodynamic therapy for personality pathology: Treating self and interpersonal functioning. American Psychiatric Association Publishing.
- Cheek, J. M., & Briggs, S. R. (2013). Aspects of Identity Questionnaire (AIQ-IV). www.midss.ie
- Commission de la santé mentale du Canada. (2017). Options for improving access to counselling, psychotherapy and psychological services for mental health problems and illnesses. https://www.mentalhealthcommission.ca/sites/default/files/2017-07/Options_for_improving_access_to_counselling_psychotherapy_and_psychological_services_eng.pdf
- Costa, P. T., & McCrae, R. R. (1980). Influence of extraversion and neuroticism on subjective well-being: Happy and unhappy people. Journal of Personality and Social Psychology, 38(4), 668–678. https://doi.org/10.1037/0022-3514.38.4.668
- Crits-Christoph, P., Rieger, A., Gaines, A., & Gibbons, M. B. C. (2019). Trust and respect in the patient-clinician relationship: Preliminary development of a new scale. BMC Psychology, 7(1), Article 91. https://doi.org/10.1186/s40359-019-0347-3
- Crocker, J., & Park, L. E. (2004). The costly pursuit of self-esteem. Psychological Bulletin, 130(3), 392–414. https://doi.org/10.1037/0033-2909.130.3.392
- Du, H., King, R. B., & Chi, P. (2017). Self-esteem and subjective well-being revisited: The roles of personal, relational, and collective self-esteem. PloS ONE, 12(8), Article e0183958. https://doi.org/10.1371/journal.pone.0183958
- Ferguson, L. J., & Gunnell, K. E. (2016). Eudaimonic well-being: A gendered perspective. Dans J. Vittersø (Dir.), Handbook of eudaimonic well-being (p. 427–436). Springer. https://doi.org/10.1007/978-3-319-42445-3_28
- Gamache, D., Savard, C., Leclerc, P., & Côté, A. (2019). Introducing a short self-report for assessment of DSM-5 level of personality functioning for personality disorders: the Self and Interpersonal Functioning Scale. Personality Disorders: Theory, Research, and Treatment, 10(5), 438–447. https://doi.org/10.1037/per0000335
- Gamache, D., Savard, C., Leclerc, P., Payant, M., Berthelot, N., Côté, A., Faucher, J., Lampron, M., Lemieux, R., Mayrand, K., Nolin, M.-C., & Tremblay, M. (2021). A proposed classification of ICD-11 severity levels of personality pathology using the Self and Interpersonal Functioning Scale (SIFS). Frontiers in Psychiatry, 12, Article 628057. https://doi.org/10.3389/fpsyt.2021.628057
- Gouvernement du Canada. (2021). Agir ensemble : rapport annuel de 2021 du Canada sur le Programme 2030 et les objectifs de développement durable (No. Em1-24F-PDF). https://www.canada.ca/content/dam/esdc-edsc/documents/programs/agenda-2030/odd_agir-ensemble-aoda.pdf
- Gutiérrez, F., Aluja, A., Peri, J. M., Calvo, N., Ferrer, M., Baillés, E., Gutiérrez-Zotes, J. A., Gárriz, M., Caseras, X., Markon, K. E., & Krueger, R. F. (2017). Psychometric properties of the Spanish PID-5 in a clinical and a community sample. Assessment, 24(3), 326–336. https://doi.org/10.1177/1073191115606518
- Hart, W., Richardson, K., Breeden, C. J., & Kinrade, C. (2021). Self-esteem mediates effects of normal and pathological personality traits on subjective well-being. Scandinavian Journal of Psychology, 62(5), 735–745. https://doi.org/10.1111/sjop.12738
- Hobbs, K. A., Mann, F. D., Latzman, R. D., Zimmermann, J., Jaeger, U., Markon, K., & Krueger, R. F. (2023). Pathological personality in relation to multiple domains of quality of life and impairment: Evidence for the specific relevance of the maladaptive poles of major trait domains. Journal of Psychopathology and Clinical Science, 132(2), 135–144. https://doi.org/10.1037/abn0000810
- Joshanloo, M. (2023). Reciprocal relationships between personality traits and psychological well-being. British Journal of Psychology, 114(1), 54–69. https://doi.org/10.1111/bjop.12596
- Kokko, K., Tolvanen, A., & Pulkkinen, L. (2013). Associations between personality traits and psychological well-being across time in middle adulthood. Journal of Research in Personality, 47(6), 748–756. https://doi.org/10.1016/j.jrp.2013.07.002
- Kutner, M. H., Nachsheim, C. J., & Neter, J. (2004). Applied linear regression models (4e éd.). McGraw-Hill/Irwin. http://refhub.elsevier.com/S0049-089X(15)00088-5/h0065
- Leclerc, P., Savard, C., Sellbom, M., Côté, A., Nolin, M.-C., Payant M., Roy, D., & Gamache, D. (2023). Investigating the validity and measurement invariance of the personality inventory for DSM-5 faceted brief form among French-speaking clinical and nonclinical samples. Journal of Psychopathology and Behavioral Assessment, 45(2), 519–536. https://doi.org/10.1007/s10862-022-10000-0
- Leotti, L. A., Iyengar, S. S., & Ochsner, K. N. (2010). Born to choose: The origins and value of the need for control. Trends in Cognitive Sciences, 14(10), 457–463. https://doi.org/10.1016/j.tics.2010.08.001
- Lim, K.-L., Jacobs, P., Ohinmaa, A., Schopflocher, D., & Dewa, C. S. (2008). A new population-based measure of the economic burden of mental illness in Canada. Chronic Diseases in Canada, 28(3), 92–98. https://doi.org/10.24095/hpcdp.28.3.02
- Ly, V., Wang, K. S., Bhanji, J., & Delgado, M. R. (2019). A reward-based framework of perceived control. Frontiers in Neuroscience, 13, Article 65. https://doi.org/10.3389/fnins.2019.00065
- Maples, J. L., Carter, N. T., Few, L. R., Crego, C., Gore, W. L., Samuel, D. B., Williamson, R. L., Lynam, D. R., Widiger, T. A., Markon, K. E., Krueger, R. F., & Miller, J. D. (2015). Testing whether the DSM-5 personality disorder trait model can be measured with a reduced set of items: An item response theory investigation of the personality inventory for DSM-5. Psychological Assessment, 27(4), 1195–1210. https://doi.org/10.1037/pas0000120
- Martin, C. C., & Keyes, C. L. M. (2015). Investigating the goldilocks hypothesis: The non-linear impact of positive trait change on well-being. PLoS ONE, 10(7), Article e0131316. https://doi.org/10.1371/journal.pone.0131316
- Matud, M. P., López-Curbelo, M., & Fortes, D. (2019). Gender and psychological well-being. International Journal of Environmental Research and Public Health, 16(19), Article 3531. https://doi.org/10.3390/ijerph16193531
- McGee Ng, S. A., Bagby, R. M., Goodwin, B. E., Burchett, D., Sellbom, M., Ayearst, L. E., Dhillon, S., Yiu, S., Ben-Porath, Y. S., & Baker, S. (2016). The effect of response bias on the personality inventory for DSM-5 (PID-5). Journal of Personality Assessment, 98(1), 51–61. https://doi.org/10.1080/00223891.2015.1096791
- Nyklíček, I., Vingerhoets, A., & Zeelenberg, M. (Dirs.). (2011). Emotion regulation and well-Being. Springer. https://doi.org/10.1007/978-1-4419-6953-8
- Organisation Mondiale de la Santé. (2022, juin). Santé mentale : renforcer notre action. https://www.who.int/fr/news-room/fact-sheets/detail/mental-health-strengthening-our-response
- Osafo, H., Wood, A. M., Boyce, C. J., & Dunn, G. (2014). An existential-humanistic view of personality change: Co-occurring changes with psychological well-being in a 10-year cohort study. Social Indicators Research, 121(2), 455–470. https://doi.org/10.1007/s11205-014-0648-0
- Roberts, B. W., Walton, K. E., & Viechtbauer, W. (2006). Patterns of mean-level change in personality traits across the life course: A meta-analysis of longitudinal studies. Psychological Bulletin, 132(1), 1–25. https://doi.org/10.1037/0033-2909.132.1.1
- Rodgers, R.-F., Cailhol, L., Bui, E., Klein, R., Schmitt, L., & Chabrol, H. (2010). L’Alliance thérapeutique en psychothérapie : apports de la recherche empirique. L’Encéphale, 36(5), 433–438. https://doi.org/10.1016/j.encep.2010.02.005
- Roothman, B., Kirsten, D. K., & Wissing, M. P. (2003). Gender differences in aspects of psychological well-being. South African Journal of Psychology, 33(4), 212–218. https://doi.org/10.1177/008124630303300403
- Roskam, I., Galdiolo, S., Hansenne, M., Massoudi, K., Rossier, J., Gicquel, L., & Rolland, J.-P. (2015). The psychometric properties of the French version of the Personality Inventory for DSM-5. PloS ONE, 10(7), Article e0133413. https://doi.org/10.1371/journal.pone.0133413
- Schueller, S. M., & Seligman, M. E. P. (2010). Pursuit of pleasure, engagement, and meaning: Relationships to subjective and objective measures of well-being. The Journal of Positive Psychology, 5(4), 253–263. https://doi.org/10.1080/17439761003794130
- Sekowski, M., Gambin, M., Sumlin, E., & Sharp, C. (2022). Associations between symptoms of borderline personality disorder and suicidality in inpatient adolescents: The significance of identity disturbance. Psychiatry Research, 312, Article 114558. https://doi.org/10.1016/j.psychres.2022.114558
- Sexton, J., Hilton, M., Benson, S., & Rosen, A. (2019). Exploring Kernberg's model of personality functioning as a moderator of traits: Focus on DSM-5's section III alternative model of personality disorder. Journal of the American Psychoanalytic Association, 67(6), 1047–1055. https://doi.org/10.1177/0003065119898772
- Shapiro Jr., D. H., Schwartz, C. E., & Astin, J. A. (1996). Controlling ourselves, controlling our world: Psychology’s role in understanding positive and negative consequences of seeking and gaining control. American Psychologist, 51(12), 1213–1230. https://doi.org/10.1037/0003-066X.51.12.1213
- Skodol, A. E., Morey, L. C., Bender, D. S., & Oldham, J. M. (2013). The ironic fate of the personality disorders in DSM-5. Personality Disorders: Theory, Research, and Treatment, 4(4), 342–349. https://doi.org/10.1037/per0000029
- The WHOQOL Group. (1998). Development of the World Health Organization WHOQOL-BREF Quality of Life Assessment. Psychological Medicine, 28(3), 551–558. https://doi.org/10.1017/s0033291798006667
- Yu, H., Jiang, S., & Land, K. C. (2015). Multicollinearity in hierarchical linear models. Social Science Research, 53, 118–136. https://doi.org/10.1016/j.ssresearch.2015.04.008
- Zimmermann, J., Kerber, A., Rek, K., Hopwood, C. J., & Krueger, R. F. (2019). A brief but comprehensive review of research on the alternative DSM-5 model for personality disorders. Current Psychiatry Reports, 21(9), Article 92. https://doi.org/10.1007/s11920-019-1079-z