Skip to main content
Top
Published in: Quality of Life Research 2/2021

Open Access 01-02-2021

A multi-center psychometric evaluation of the Severity Indices of Personality Problems 118 (SIPP-118): Do we really need all those facets?

Authors: Muirne C. S. Paap, Benjamin Hummelen, Johan Braeken, Espen A. Arnevik, Espen Walderhaug, Theresa Wilberg, Han Berghuis, Joost Hutsebaut, Geir Pedersen

Published in: Quality of Life Research | Issue 2/2021

Login to get access

Abstract

Purpose

The Severity Indices of Personality Problems 118 (SIPP-118) is a self-report questionnaire that aims to measure core components of (mal)adaptive personality functioning that can change over time. In this study, we aimed to assess the facet strength of the 16 facets across three large clinical samples.

Methods

Data from Norwegian and Dutch psychiatric patients were analyzed in this international multi-center study (N1 = 2814, N2 = 4751, N3 = 2217). Bi-factor modeling was used to assess to what degree the SIPP items tap into an overall general factor. The incremental value (distinctiveness) of the facets was studied using proportional reduction in mean squared error (PRMSE) based statistics.

Results

The estimated model showed adequate fit. The explained common variance (ECV) attributable to the general factor equaled 50% for all three samples. All but two facets (stable self-image and frustration tolerance) showed sufficient levels of distinctiveness. The findings were observed to be comparable across the three samples.

Conclusion

Our findings showed that the general factor was relatively weak, and the facets had a clear incremental value.
Footnotes
1
The computation was based on primary and secondary factor loadings as regression weights for the facets combined with clinical judgment [7]. Note that some facets are thought to load on multiple higher-order factors.
 
Literature
2.
go back to reference Saß, H. (2001). Personality disorders. In P. B. Baltes (Ed.), International Encyclopedia of the Social & Behavioral Sciences (pp. 11301-11308). Oxford: Pergamon. Saß, H. (2001). Personality disorders. In P. B. Baltes (Ed.), International Encyclopedia of the Social & Behavioral Sciences (pp. 11301-11308). Oxford: Pergamon.
5.
go back to reference Andrea, H., Verheul, R., Berghout, C., Dolan, C., Vanderkroft, P., Busschbach, J., Bateman, A., & Fonagy, P. (2007). Measuring the Core Components of Maladaptive Personality: Severity Indices of Personality Problems (SIPP-118) - The first technical report. Halsteren, The Netherlands: Viersprong Institute for Studies on Personality Disorders (VISPD) Medical Psychology and Psychotherapy. Andrea, H., Verheul, R., Berghout, C., Dolan, C., Vanderkroft, P., Busschbach, J., Bateman, A., & Fonagy, P. (2007). Measuring the Core Components of Maladaptive Personality: Severity Indices of Personality Problems (SIPP-118) - The first technical report. Halsteren, The Netherlands: Viersprong Institute for Studies on Personality Disorders (VISPD) Medical Psychology and Psychotherapy.
8.
go back to reference Pedersen, G., Arnevik, E. A., Hummelen, B., Walderhaug, E., & Wilberg, T. (2019). Psychometric properties of the Severity Indices of Personality Problems (SIPP) in two samples: A Norwegian community sample and clinical samples of patients with and without personality disorders. European Journal of Psychological Assessment, 35(5), 698–711.CrossRef Pedersen, G., Arnevik, E. A., Hummelen, B., Walderhaug, E., & Wilberg, T. (2019). Psychometric properties of the Severity Indices of Personality Problems (SIPP) in two samples: A Norwegian community sample and clinical samples of patients with and without personality disorders. European Journal of Psychological Assessment, 35(5), 698–711.CrossRef
11.
go back to reference Bales, D. L., Timman, R., Andrea, H., Busschbach, J. J., Verheul, R., & Kamphuis, J. H. (2015). Effectiveness of day hospital mentalization-based treatment for patients with severe borderline personality disorder: A matched control study. Clinical Psychology & Psychotherapy, 22(5), 409–417. https://doi.org/10.1002/cpp.1914.CrossRef Bales, D. L., Timman, R., Andrea, H., Busschbach, J. J., Verheul, R., & Kamphuis, J. H. (2015). Effectiveness of day hospital mentalization-based treatment for patients with severe borderline personality disorder: A matched control study. Clinical Psychology & Psychotherapy, 22(5), 409–417. https://​doi.​org/​10.​1002/​cpp.​1914.CrossRef
18.
go back to reference Bastiaansen, L., Hopwood, C. J., Van den Broeck, J., Rossi, G., Schotte, C., & De Fruyt, F. (2016). The twofold diagnosis of personality disorder: How do personality dysfunction and pathological traits increment each other at successive levels of the trait hierarchy? Personality Disorder, 7(3), 280–292. https://doi.org/10.1037/per0000149.CrossRef Bastiaansen, L., Hopwood, C. J., Van den Broeck, J., Rossi, G., Schotte, C., & De Fruyt, F. (2016). The twofold diagnosis of personality disorder: How do personality dysfunction and pathological traits increment each other at successive levels of the trait hierarchy? Personality Disorder, 7(3), 280–292. https://​doi.​org/​10.​1037/​per0000149.CrossRef
19.
go back to reference Meijer, R. R., Niessen, S., & Boevé, A. (2015). Rapporteren van subtestscores in de klinische praktijk: Oppassen met de interpretatie [Reporting subtestscores in clinical practice: Be careful with interpretation]. De Psycholoog, 50(9), 35–41. Meijer, R. R., Niessen, S., & Boevé, A. (2015). Rapporteren van subtestscores in de klinische praktijk: Oppassen met de interpretatie [Reporting subtestscores in clinical practice: Be careful with interpretation]. De Psycholoog, 50(9), 35–41.
21.
go back to reference Karterud, S., Pedersen, G., Friis, S., Urnes, Ø., Irion, T., Brabrand, J., et al. (1998). The Norwegian network of psychotherapeutic day hospitals. Therapeutic Communities, 19(1), 15–28. Karterud, S., Pedersen, G., Friis, S., Urnes, Ø., Irion, T., Brabrand, J., et al. (1998). The Norwegian network of psychotherapeutic day hospitals. Therapeutic Communities, 19(1), 15–28.
24.
go back to reference Hutsebaut, J., Kamphuis, J. H., Feenstra, D. J., Weekers, L. C., & De Saeger, H. (2017). Assessing DSM-5-oriented level of personality functioning: Development and psychometric evaluation of the Semi-Structured Interview for Personality Functioning DSM-5 (STiP-5.1). Personality Disorder, 8(1), 94–101. https://doi.org/10.1037/per0000197.CrossRef Hutsebaut, J., Kamphuis, J. H., Feenstra, D. J., Weekers, L. C., & De Saeger, H. (2017). Assessing DSM-5-oriented level of personality functioning: Development and psychometric evaluation of the Semi-Structured Interview for Personality Functioning DSM-5 (STiP-5.1). Personality Disorder, 8(1), 94–101. https://​doi.​org/​10.​1037/​per0000197.CrossRef
32.
go back to reference Hu, L., & Bentler, P. M. (1998). Fit indices in covariance structure modeling: Sensitivity to unparameterized model misspecification. Psychological Methods, 3, 424–453.CrossRef Hu, L., & Bentler, P. M. (1998). Fit indices in covariance structure modeling: Sensitivity to unparameterized model misspecification. Psychological Methods, 3, 424–453.CrossRef
36.
go back to reference R Development Core Team. (2017). R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing. R Development Core Team. (2017). R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing.
38.
go back to reference Skodol, A. E., Clark, L. A., Bender, D. S., Krueger, R. F., Morey, L. C., Verheul, R., et al. (2011). Proposed changes in personality and personality disorder assessment and diagnosis for DSM-5 Part I: Description and rationale. Personality Disorders: Theory, Research, and Treatment, 2(1), 4–22. https://doi.org/10.1037/a0021891.CrossRef Skodol, A. E., Clark, L. A., Bender, D. S., Krueger, R. F., Morey, L. C., Verheul, R., et al. (2011). Proposed changes in personality and personality disorder assessment and diagnosis for DSM-5 Part I: Description and rationale. Personality Disorders: Theory, Research, and Treatment, 2(1), 4–22. https://​doi.​org/​10.​1037/​a0021891.CrossRef
39.
go back to reference Tyrer, P., Crawford, M., Mulder, R., Blashfield, R., Farnam, A., Fossati, A., et al. (2011). The rationale for the reclassification of personality disorder in the 11th revision of the International Classification of Diseases (ICD-11). Personality and Mental Health, 5(4), 246–259. https://doi.org/10.1002/pmh.190.CrossRef Tyrer, P., Crawford, M., Mulder, R., Blashfield, R., Farnam, A., Fossati, A., et al. (2011). The rationale for the reclassification of personality disorder in the 11th revision of the International Classification of Diseases (ICD-11). Personality and Mental Health, 5(4), 246–259. https://​doi.​org/​10.​1002/​pmh.​190.CrossRef
Metadata
Title
A multi-center psychometric evaluation of the Severity Indices of Personality Problems 118 (SIPP-118): Do we really need all those facets?
Authors
Muirne C. S. Paap
Benjamin Hummelen
Johan Braeken
Espen A. Arnevik
Espen Walderhaug
Theresa Wilberg
Han Berghuis
Joost Hutsebaut
Geir Pedersen
Publication date
01-02-2021
Publisher
Springer International Publishing
Published in
Quality of Life Research / Issue 2/2021
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02654-8

Other articles of this Issue 2/2021

Quality of Life Research 2/2021 Go to the issue