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Towards a fine-grained analysis of the link between borderline personality pathology and job burnout: Investigating the association with work-family conflict

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Abstract

Although numerous studies have investigated Borderline Personality Pathology (BPP) in relation to unfavorable family-life outcomes, its relationship with job correlates is poorly understood. Using a fine-grained analysis, the present study examined the link between BPP and job burnout. Focusing on both the overall BPP score as well as on the facets of BPP (i.e., anxiousness, depression, emotional lability, hostility, separation insecurity, risk taking, impulsivity), this study explores which specific BPP facets are relevant for explaining (different dimensions of) burnout (i.e., exhaustion, distance and incompetence). In addition, this study examined whether the experience of burnout also translates into difficulties experienced at the crossroads of work and family (i.e., work-family conflict; WFC). Based on a community sample of 474 employees (38.8% male, age range 23–61), the results showed that the BPP facet depression related positively to all three dimensions of burnout. Further, the BPP facets anxiousness and hostility showed a unique positive association with respectively exhaustion and distance, whereas the BPP facet risk taking showed a unique negative association with personal incompetence. Furthermore, the results suggested that job burnout characteristics fully mediated the association between BPP and WFC. Results are discussed in terms of the significance of exploring BPP at a fine-grained trait level for a firmer understanding of its intertwining with characteristics of job burnout and WFC.

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BACKGROUND: Recent studies have shown that work participation is the most impaired occupational domains of individuals with a borderline personality disorder (BPD). OBJECTIVE: This study identifies and describes barriers and facilitators to work participation of individuals with a BPD from both the individual's and service provider's perspectives. METHODS: We used a qualitative multiple case study design (Yin, 2009), with three contexts: 1) work (re) integration, 2) return to work (after a sick leave), and 3) job tenure. Within each context, we held individual interviews with three dyads, including an individual with BPD and their service provider. RESULTS: Qualitative results (n=18) showed that individual factors (e.g., reaction to pressure and relationships at work, emotion regulation), and factors related to stakeholders and procedures from insurance, organizational and health systems (e.g., poor collaboration and communication between stakeholders, work accommodations and natural support in workplace) influenced work participation of individuals with BPD. CONCLUSIONS: This study highlights the specific challenges of work participation for individuals with BPD that involve several personal and environmental factors all stakeholders must consider. Current vocational rehabilitation programs must better address the work participation issues of individuals with BPD and ensure good coordination with current specialized psychotherapies.
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A common concern when faced with multivariate data with missing values is whether the missing data are missing completely at random (MCAR); that is, whether missingness depends on the variables in the data set. One way of assessing this is to compare the means of recorded values of each variable between groups defined by whether other variables in the data set are missing or not. Although informative, this procedure yields potentially many correlated statistics for testing MCAR, resulting in multiple-comparison problems. This article proposes a single global test statistic for MCAR that uses all of the available data. The asymptotic null distribution is given, and the small-sample null distribution is derived for multivariate normal data with a monotone pattern of missing data. The test reduces to a standard t test when the data are bivariate with missing data confined to a single variable. A limited simulation study of empirical sizes for the test applied to normal and nonnormal data suggests that the test is conservative for small samples.
Article
In this study, we investigated the relationship between work-family conflict and job burnout as well as the potential mediation/moderation effects of psychological capital. Participants were 357 university teachers who completed a questionnaire packet containing a work-family conflict scale, psychological capital questionnaire, and Maslach Burnout Inventory-General survey. According to the results, work-family conflict and psychological capital were both significantly correlated with job burnout. In addition, psychological capital cannot mediate-but can moderate-the relationship between work-family conflict and job burnout. Taken together, our findings shed light on the psychological capital underlying the association of work-family conflict and job burnout.
Article
This paper examines the factorial validity and measurement invariance of the Dutch version (UBOS-A) of the Maslach Burnout Inventory - General Survey (MBI-GS). Confirmatory factor analyses of data from security guards (n = 544) and employees of a technology company (n = 799) reveal that the fit of the oblique three factor model with the factors Exhaustion, Cynicism and Reduced Personal Accomplishment was excellent, but these factors don't have adequate loadings on a higher order burnout factor. With respect to gender complete measurement invariance is observed. With respect to the difference between both industrial sectors partial measurement invariance is observed. The authors conclude that for security guards the questionnaire items might have a different connotation than for technology employees.
Article
A significant change to DSM-V that is being considered is the use of a dimensional, instead of a categorical, approach to the diagnosis of mental disorders. The research agenda for personality disorders in DSM-V can be considered a test case for such a change.
Article
When social structures are viewed as made up of roles, social stability is not explicable as a function of (a) the normative consensual commitment of individuals or (b) normative integration. Instead, dissensus and role strain--the difficulty of fulfilling role demands--are normal. In a sequence of role bargains, the individual's choices are shaped by mechanisms, outlined here, through which he organizes his total role system and performs well or ill in any role relationship. Reduction of role strain is allocative or economic in form, but the economic model is different. "Third parties" interact with an individual and his alter, to keep their bargain within institutionalized limits. The larger social structure is held in place by role strains. The cumulative pattern of all such role bargains determines the flow of performances to all institutions. The research utility of this conception is explained.
Article
We quantitatively summarized the relationship between Five-Factor Model personality traits, job burnout dimensions (emotional exhaustion, depersonalization, and personal accomplishment), and absenteeism, turnover, and job performance. All five of the Five-Factor Model personality traits had multiple true score correlations of .57 with emotional exhaustion, .46 with depersonalization, and .52 with personal accomplishment. Also, all three dimensions of job burnout had multiple correlations of .23 with absenteeism, .33 with turnover, and .36 with job performance. Meta-analytic path modeling indicated that the sequential ordering of job burnout dimensions was contingent on the focal outcome, supporting three different models of the burnout process. Finally, job burnout partially mediated the relationships between Five-Factor Model personality traits and turnover and job performance while fully mediating the relationships with absenteeism.
Article
DSM-IV-TR suggests that clinicians should assess clinically relevant personality traits that do not necessarily constitute a formal personality disorder (PD), and should note these traits on Axis II, but DSM-IV-TR does not provide a trait model to guide the clinician. Our goal was to provide a provisional trait model and a preliminary corresponding assessment instrument, in our roles as members of the DSM-5 Personality and Personality Disorders Workgroup and workgroup advisors. An initial list of specific traits and domains (broader groups of traits) was derived from DSM-5 literature reviews and workgroup deliberations, with a focus on capturing maladaptive personality characteristics deemed clinically salient, including those related to the criteria for DSM-IV-TR PDs. The model and instrument were then developed iteratively using data from community samples of treatment-seeking participants. The analytic approach relied on tools of modern psychometrics (e.g. item response theory models). A total of 25 reliably measured core elements of personality description emerged that, together, delineate five broad domains of maladaptive personality variation: negative affect, detachment, antagonism, disinhibition, and psychoticism. We developed a maladaptive personality trait model and corresponding instrument as a step on the path toward helping users of DSM-5 assess traits that may or may not constitute a formal PD. The inventory we developed is reprinted in its entirety in the Supplementary online material, with the goal of encouraging additional refinement and development by other investigators prior to the finalization of DSM-5. Continuing discussion should focus on various options for integrating personality traits into DSM-5.
Official Dutch translation of the personality inventory for DSM-5 (PID-5)
  • B De Clercq
  • F De Fruyt
  • I Mervielde
  • B Krueger
  • K Markon
De Clercq, B., De Fruyt, F., Mervielde, I., Krueger, B., & Markon, K. (2011). Official Dutch translation of the personality inventory for DSM-5 (PID-5). (Unpublished manuscript).
Utrechtse burnout schaal (UBOS): Testhandleiding
  • W B Schaufeli
  • D Van Dierendonck
Schaufeli, W. B., & van Dierendonck, D. (2000). Utrechtse burnout schaal (UBOS): Testhandleiding [Utrecht Burnout Scale: Test manual]. Amsterdam: Harcourt Test Services.