Abstract
The alternative model of personality disorders (AMPD) has gained widespread recognition, yet the extent of overlap between personality functioning, maladaptive traits, and normal-range traits—and its implications for clinical practice—remains debated. Existing evidence is largely based on cross-sectional designs and Western convenience samples. In this registered report, we tested 11 preregistered hypotheses examining associations and distinctions among personality functioning, normal-range traits, and maladaptive traits in two Chinese offender samples (Sample 1: N = 1,395; Sample 2: N = 1,017) using four waves of data collected over 1 year. Results revealed notable differences in the distributions and longitudinal properties of personality functioning and traits. Moreover, maladaptive traits were partly jointly predicted by personality functioning and normal-range traits. With this study, we provide the most comprehensive longitudinal test to date of similarities and differences between personality functioning and traits and extend the AMPD literature to a non-Western offender population in which personality assessment may be particularly informative.
Keywords
Since its introduction, the alternative model of personality disorders (AMPD) has received widespread attention from researchers. A persistent theme has been the nature and meaning of overlap between its two criteria: level of personality functioning and maladaptive traits. The observation that these two criteria are strongly related to one another and predict external outcomes similarly has been interpreted as a feature rather than bug of the model by some, others have suggested that the AMPD would be improved by eliminating the first criterion, and others have suggested that replacing maladaptive traits with normal-range traits would reduce overlap and make the model more clinically useful. The goal of this study was to examine more closely the similarities, differences, and interrelations between the two primary criteria for personality disorders in the AMPD. In contrast to much of the existing research on this topic that has used cross-sectional studies conducted in Western samples, we used longitudinal data from two large incarcerated samples in China (Sample 1: N = 1,395 men; Sample 2: N = 1,017 women) to test 11 hypotheses concerning the distinctiveness and interrelations of personality functioning, normal-range traits, and maladaptive traits.
The AMPD Framework: Personality Functioning and Maladaptive Traits
The AMPD in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013) defines personality disorder in terms of the level of personality functioning (Criterion A) and describes variation in personality disorder using maladaptive traits (Criterion B). Criterion A is operationalized by the Level of Personality Functioning Scale (LPFS), which was derived from psychoanalytic developmental theory and empirical models of the core features of personality disorders (Bender et al., 2011; Morey, McCredie, et al., 2022; Sharp & Wall, 2021). The functions of the LPFS are to distinguish personality disorders as a class of psychopathology from both normal personality and other kinds of disorders, determine whether an individual merits a personality-disorder diagnosis, and quantify the severity of the individual’s personality dysfunction. The LPFS proposes that personality functioning consists of four interpenetrating capacities: empathy, intimacy, self-direction, and identity (Bender et al., 2011). These capacities are thought to mature over the course of development and in adulthood and provide the individual with psychological resources required to adapt to life’s challenges. In practice, the LPFS is a unidimensional construct by definition that ranges from no impairment to extreme impairment (American Psychiatric Association, 2013). The LPFS is strongly related to maladaptive personality traits (McCabe et al., 2021; Oltmanns & Widiger, 2016; Roche & Jaweed, 2023; Sleep et al., 2019, 2020), and emerging research indicates that it is sensitive to treatment (Kiel et al., 2024; Kvarstein et al., 2023; Weekers et al., 2024).
Criterion B is a set of traits based on quantitative analyses of the covariance of personality-disorder symptoms that reflect maladaptive variants of normal-range Big Five traits commonly studied in the basic personality literature: negative affectivity (neuroticism), detachment (low extraversion), antagonism (low agreeableness), disinhibition (low conscientiousness), and psychoticism (openness to experience 1 ). These traits comprise 25 facets that were generated based on factor analyses of items designed to capture the symptoms of DSM personality-disorder types. In AMPD diagnosis, Criterion A personality functioning determines diagnosis and describes the severity of personality dysfunction, whereas Criterion B maladaptive traits characterize the nature and manifestation of personality disorder.
Limitations of Criterion B and the Case for Normal-Range Traits
Although the AMPD is widely used and recognized by researchers and clinical practitioners (Clark & Watson, 2022), it has both theoretical and practical limitations. First, maladaptive traits are specifically designed to capture functioning at the extreme ends of each trait domain, which are probabilistically related to dysfunction (Hopwood, 2022; Suzuki et al., 2015; Williams & Simms, 2018). This limits the ability of Criterion B to describe the opposite pole (e.g., high agreeableness, high conscientiousness, low openness, high extraversion, or low neuroticism; Widiger & Costa, 2012). Second, the high intercorrelations among Criterion B traits reduce the discriminant validity between dimensions (Emery et al., 2024; Morey, Good, & Hopwood, 2022), limiting its ability to accurately capture the nature of distinct styles of personality disorder.
Some researchers have proposed incorporating normal-range traits into the AMPD framework to address these issues (Hopwood, 2022; Widiger & McCabe, 2020). Normal-range models commonly used in personality research differ from the maladaptive traits in the AMPD in that they aim to capture features across the full range of traits. Some evidence suggests that the broader and more neutral focus of normal-range traits reduces their intercorrelations, thereby enhancing their discriminant validity compared with maladaptive traits (Emery et al., 2024; Morey, Good, & Hopwood, 2022). Thus, based on the severity of personality dysfunction described by Criterion A, normal-range traits might more accurately differentiate specific manifestations of personality. Normal-range traits also align more closely with the basic science literature, allowing clinicians to leverage foundational research to inform clinical diagnosis—a feature often highlighted as one of the AMPD’s key advantages. For instance, studies have found differences between maladaptive and normal-range traits in areas such as stability (Bleidorn et al., 2022) and etiology (Kendler et al., 2019; Reichborn-Kjennerud et al., 2017). However, normal-range traits may fall short in capturing the more extreme features that Criterion B is designed to assess.
Overlap Between Personality Functioning and Traits
A related issue is that since the introduction of the dimensional model of personality disorders, questions about the distinctiveness and overlap of personality functioning and personality traits have emerged. These variables are strongly correlated (McCabe et al., 2021; Oltmanns & Widiger, 2016; Roche & Jaweed, 2023; Sleep et al., 2019, 2020), have similar patterns of associations with other constructs (e.g., Y. Liu et al., 2025; Sleep et al., 2019, 2020; Suzuki et al., 2017), and provide limited incremental information about external outcomes (Bastiaansen et al., 2016; Few et al., 2013; Sleep et al., 2019, 2020; Weekers et al., 2024). Normal-range traits also demonstrate strong correlations with personality-functioning measures (Barchi-Ferreira Bel & Osório, 2020; Emery et al., 2024; Morey, McCredie, et al., 2022), limited incremental validity (Sleep et al., 2020), and comparable nomological networks (Y. Liu et al., 2025; Suzuki et al., 2017). Criterion A reflects the overall severity of dysfunction, and Criterion B distinguishes different styles of maladaptive behavior; it is reasonable to expect that aggregating specific style of personality disorder experienced by an individual would closely approximate the individual’s overall level of personality dysfunction (Hopwood, 2025; Morey & Hopwood, 2013). At the same time, measuring two strongly overlapping variables is practically inefficient. Clarifying the relationships and differences between personality functioning and traits could improve the parsimony and efficiency of the AMPD and empower practitioners to make informed choices based on clinical objectives.
The Current Study
Currently, much of the research in this field relies on cross-sectional questionnaire studies conducted in Western samples—either with healthy participants or clinical patients. This limits generalizability of findings in several ways. First, cross-sectional evidence is insensitive to the dynamic and evolving nature of personality and some purported theoretical differences between personality functioning and traits. Longitudinal studies can provide important evidence regarding distinctions between “sibling” constructs (Haehner, Sleep, et al., 2024; Lawson & Robins, 2021; A. J. Wright et al., 2026). Longitudinal patterns also have significant clinical implications. In psychotherapy, the focus on enhancing personality functioning and adaptability necessitates a nuanced understanding of how traits manifest and evolve over time. Longitudinal patterns are important for developing more effective therapeutic strategies that promote meaningful personality change.
Second, samples have been predominantly drawn from Western cultures, which limits the generalizability of findings. Previous research shows that personality variables often exhibit some cross-cultural differences (Bagby et al., 2022; Lau et al., 2024). In China, public stigma around mental-health problems remains prevalent (Xu et al., 2017). Moreover, in the Chinese cultural context, the word “personality” often carries connotations of dignity or integrity. This cultural nuance may make individuals more resistant to acknowledge personality-related issues and less open to pursuing change. As a result, the understanding of personality-related concepts, particularly maladaptive features, and attributions about change may be different for Chinese relative to Western participants.
Third, existing evidence is primarily based on convenience samples (e.g., Morey, Good, & Hopwood, 2022) or clinical samples (e.g., Emery et al., 2024), and less attention has been paid to forensic populations. Personality assessments are both common and critical in offender samples (Barrett & Byford, 2012; Putkonen et al., 2003). In Chinese prisons, offenders are convicted of various crimes (e.g., murder, fraud, white-collar crime, drug crimes) with different sentence lengths. This diversity may translate to significant variability in maladaptive personality features that are important to assess to evaluate issues such as risk or likelihood of recidivism (Nagin & Paternoster, 2000). Although some offenders may exhibit significant personality problems, others may not show any notable issues or may face challenges that are less specific to personality. Furthermore, context may also affect personality. Chinese prisoners are imprisoned together in an extremely confined environment, interact only with people of the same gender, and follow strict daily schedules and engage in activities within limited spaces, leading to a highly structured and regulated lifestyle in a relatively isolated setting. This creates a unique social context, providing a rare and valuable opportunity for research.
In summary, Chinese offender samples offer a valuable opportunity to address questions about the nature of personality pathology in general and distinctions between different features in particular. The goal of this registered report was to provide the most comprehensive examination to date of the differences and relationships between personality functioning, normal-range traits, and maladaptive traits in two incarcerated offender samples in China (Sample 1: N = 1,395 men; Sample 2: N = 1,017 women). This study used four-wave longitudinal data collected over 1 year. We tested 11 hypotheses as described presently and examined stability of the results across samples of incarcerated men and women.
Distributions
As described above, normal-range traits are theoretically bipolar, meaning that they capture variance at both the high and low levels of each domain. In contrast, maladaptive traits are unipolar and positively skewed, meaning that they focus on variance at the tails of traits that are nomothetically related to problems in living. Although the developers of the LPFS have emphasized that it is meant to capture the full spectrum of health (Bender et al., 2011), it serves as a diagnostic indicator, and its indicators focus primarily on dysfunction. Thus, it is possible that the personality-functioning distribution is similar to that of maladaptive traits. Thus, we hypothesized the following:
Hypothesis 1: Maladaptive traits and personality functioning will have more skewed distributions than normal-range traits.
Stability
Recent research indicates that both personality functioning and personality traits can change over time, and some evidence suggests that maladaptive personality features are less stable than normal-range traits (Bleidorn et al., 2022; Haehner, Sleep, et al., 2024; A. G. C. Wright et al., 2016; A. J. Wright et al., 2026). There are multiple types of stability; we focused on three: rank-order stability, mean-level change, and individual differences in change.
Rank-order stability
“Rank-order stability” refers to the consistency of an individual’s standing compared with others over time and is typically estimated with retest correlations. Haehner, Sleep, et al. (2024) found that personality functioning was less rank-order stable than every normal-range trait except neuroticism, although the difference was significant only for conscientiousness. A meta-analytic study indicated that maladaptive traits exhibit lower rank-order stability compared with normal-range traits (Bleidorn et al., 2022). We hypothesized the following:
Hypothesis 2: Personality functioning, maladaptive traits, and neuroticism will be less rank-order stable than other normal-range traits.
Mean-level change
“Mean-level change” refers to the degree to which the average level of a trait changes in a sample over time. Forensic settings and the events that lead people into them can represent major life experiences that could affect personality change (see Bühler et al., 2024). People in such settings often lose contact with their social networks, have limited opportunities to advance their careers, must learn a new set of norms and subcultural rules, and are often exposed to significant stressors and risks. Haehner, Sleep, et al. (2024) found that in the 6 months following negative life events, personality functioning changed more on average than normal-range traits, with the exception of neuroticism. This finding suggests that in certain situations, personality dysfunction (and possibly maladaptive traits, given that they are both undesirable) may be more prone to change than normal-range traits. Moreover, judicial systems often devote resources to reducing personality problems among incarcerated offenders (Joseph & Benefield, 2012), and demonstrating improvement is often a condition for sentence reduction or parole. However, the prison environment may lead to opposite changes in certain maladaptive traits. For example, distrust, suspiciousness, or avoidance of intimacy could be reinforced during incarceration rather than diminished. We predicted the following:
Hypothesis 3: Maladaptive traits, personality functioning, and neuroticism will exhibit more change compared with other normal-range traits.
We explored direction of change for specific traits.
Individual differences in mean-level change
“Individual differences in mean-level change” (i.e., between-persons variance in mean-level changes) refers to how changes in the level of a variable vary across individuals. Like rank-order stability, individual differences in change reflect the heterogeneity in personality change across people. However, rank-order stability reflects the relative ordering of individuals on personality change, and individual difference in change reflects how people vary around a mean-level trajectory (Schwaba & Bleidorn, 2018).
A recent meta-analysis indicated that maladaptive traits and normal-range traits do not differ in terms of individual differences in mean-level change (Haehner, Buecker, et al., 2024). In another study focused on the 6 months following negative life events, individual differences in mean-level change in personality functioning was lower than neuroticism but higher than a composite score of Big Five traits (Haehner, Sleep, et al., 2024). Overall, findings in the research literature are limited, particularly regarding offender samples, and mixed. We therefore drew again on the reasons described for rank-order stability and hypothesized the following:
Hypothesis 4: Maladaptive traits, personality functioning, and neuroticism will exhibit larger individual differences in change than other normal-range traits.
Intercorrelations among normal-range and maladaptive traits
Normal-range-trait domains were originally thought to be orthogonal, although subsequent research suggested that relatively modest correlations among the traits could be modeled as higher-order factors (Digman, 1997). If maladaptive traits are simply variants of normal-range traits, they should also be modestly intercorrelated. However, if they reflect a combination of normal-range traits and personality dysfunction, they would be more strongly intercorrelated because personality dysfunction would be shared across traits. Emery et al. (2024) recently found that the average correlation for maladaptive traits was .49 for the Personality Inventory for DSM-5 (PID-5; Krueger et al., 2012) and .55 for the Computer Adaptive Test for Personality Disorder (CAT-PD; Simms et al., 2011), whereas the average correlation for normal-range traits measured with the Big Five Inventory (BFI; John & Srivastava, 1999) was .27. Building on these findings, we hypothesized the following:
Hypothesis 5: The intercorrelations among maladaptive traits will be higher than intercorrelations among normal-range traits.
Personality functioning as an explanation for intercorrelation differences between maladaptive and normal-range traits
As mentioned earlier, stronger intercorrelations among maladaptive traits may arise from their common characteristics related to personality dysfunction. If personality functioning explains the higher intercorrelation among maladaptive traits relative to normal-range traits, controlling for the LPFS in the maladaptive traits should reduce their intercorrelations and make them more similar to those of normal-range traits. For instance, Emery et al. (2024) found that controlling for personality functioning reduced the intercorrelations among maladaptive traits from .49 to .42 for the PID-5 and from .55 to .43 for the CAT-PD. In both cases, although maladaptive traits were still more correlated than normal-range traits, removing personality functioning reduced those correlations and made them more similar to normal-range traits. Meanwhile, Emery et al. used an interview measure for the LPFS and questionnaires to measure maladaptive and normal-range traits. Although there are general advantages to multimethod research, in this case, method variance shared with LPFS and maladaptive traits could not be eliminated, reducing the power of this test. Overall, their findings suggest that saturation with personality functioning partly explains their high intercorrelations:
Hypothesis 6: The finding that controlling for personality functioning reduces interrelations of maladaptive traits will be replicated.
Discriminant validity of maladaptive traits
In theory, maladaptive traits should have high correlations with corresponding normal-range traits but low correlations with the rest of the normal-range traits (i.e., good discriminant validity). However, Morey, Good, and Hopwood (2022) found that maladaptive traits had moderate to strong cross-correlations with noncorresponding normal-range traits, indicating low discriminant validity. For example, detachment not only had a high correlation with its corresponding normal-range trait (i.e., extraversion, average |r| = .62) but also had high correlations with neuroticism (average |r| = .51), agreeableness (average |r| = .49), and conscientiousness (average |r| = .43). After variance associated with LPFS was removed from maladaptive traits, the discriminant validity of maladaptive traits significantly improved to .19, .23, and .15, respectively. However, Emery et al. (2024) did not replicate this effect in their multimethod study, perhaps because of the method effect described above. We hypothesized the following:
Hypothesis 7: Removing variance associated with personality functioning from maladaptive traits will improve its discriminant validity with normal-range traits.
Maladaptive traits as a joint function of normal-range traits and personality dysfunction
The Morey, Good, and Hopwood (2022) article and Emery et al. (2024) replication study both tested the hypothesis that maladaptive traits would be a joint function of normal-range traits and personality dysfunction. This gets to the heart of the “hybrid” concept that inspired the combination of A and B Criteria in the AMPD, that is, that personality disorder is a function of what the person is like in general (personality traits) and the person’s overall capacity to adapt to life’s stressors and challenges (personality dysfunction; Morey et al., 2011). In both studies, the hypothesis was tested using a regression model that examined one trait domain at a time. In these models, normal-range traits and personality functioning were used to predict the corresponding maladaptive traits simultaneously. The results showed that both normal-range traits and personality functioning consistently had significant regression coefficients on maladaptive traits.
We tested this effect in three ways with the general expectation that normal-range traits and personality dysfunction would jointly predict maladaptive traits. First, we expected the following:
Hypothesis 8: The joint function at cross-sectional level can be directly replicated.
Second, we expected the following:
Hypothesis 9: The joint function can be replicated with between-persons change scores over time.
This provided the first test of whether changes in both personality functioning and normal-range traits mutually explain changes in maladaptive traits. Third, we examined the joint function of within-persons changes. Nearly all research so far in this field has been concerned with how people are different from each other. However, within-persons questions about how people change relative to themselves are rated by clinicians as at least as important than between-persons questions for clinical practice (Hopwood et al., 2025). We expected the following:
Hypothesis 10: People’s deviations from their own averages in normal-range traits and personality functioning will jointly explain deviations from their own averages in corresponding maladaptive traits.
Cross-lagged within-persons associations
One of the important underlying questions about personality traits and dysfunction in the literature has to do with which is primary. One perspective is that traits influence functioning such that changes in traits should precede/cause changes in functioning (Clark & Ro, 2014). For instance, if people become less conscientious, they might have a more difficult time adapting to their life situation and thus experience decreases in personality functioning. A different perspective is that functioning is primary such that changes in functioning should precede changes in traits (Zimmermann et al., 2015). For instance, if people mature and are better able to adapt to a range of circumstances, they will adopt the kinds of roles and habits that fit their circumstances better, which might involve being more conscientious. A middle perspective is that personality functioning and traits transact. For example, impairments in empathy (functioning) could lead to increased distrust and withdrawal (traits). These traits, in turn, may limit relational learning opportunities, further reinforcing the original impairment. Haehner, Sleep, et al. (2024) found that changes in personality functioning led to changes in normal-range traits more than the other way around:
Hypothesis 11: We expect to replicate this finding and explore cross-lagged effects between normal-range and maladaptive traits and personality functioning and maladaptive traits.
Gender differences
Some previous research has identified gender differences in the internal structure of maladaptive personality features (McIntyre, 2010), external associations (Silberschmidt et al., 2015), stability across adulthood (Vergauwe et al., 2023), and treatment engagement (Bozzatello et al., 2024). Gender differences in levels of certain traits are also established (Gomez et al., 2023; Weisberg et al., 2011). Although we anticipated that results from hypothesis tests listed above will replicate across samples, we also explored potential gender differences in hypothesized effects.
Method
Transparency and openness
This registered report was based on data from two four-wave data sets collected with Chinese offenders. Stage 1 of this registered report is available at https://osf.io/x5qjf/. The analysis plan for this study was preregistered; however, the data collection was not preregistered. By the time Stage 1 of the registered report was accepted, data collection for all four waves had already been completed. However, at that point, only the Time 1 (T1) data for both samples had been digitized. All the code, materials, de-identified data, and supplemental materials are available at https://osf.io/x5qjf/. Because of data-security requirements imposed by the collaborating institution, we were granted access only to a screened data set prepared specifically for the purposes of this study. As a result, the analysis scripts begin from the stage of formal data analysis rather than from raw data preprocessing. In addition, demographic information was not uploaded together with the other variables because it contains personal information about the offenders and is subject to confidentiality restrictions. We report how we determined our sample size, all data exclusions, all manipulations, and all measures in the study. This study was approved by the ethics committee of Guangzhou University (Protocol No. 2024 [056]), and all procedures were in accordance with the Declaration of Helsinki.
Procedure
We recruited two samples from prisons for men (Sample 1) and women (Sample 2) in southwestern China. All the participants are Chinese. Participants completed paper-and-pencil tests in groups of 50 to 100 people, supervised by researchers. A total of four measurements were conducted; Time 2 (T2) to Time 4 (T4) measurements were about 17, 34, and 53 weeks after T1 for Sample 1 and about 18, 35, and 52 weeks after T1 for Sample 2. Participants received daily necessities (valued at 35 RMB, or about $5) in exchange for their participation.
Participants
All participants had completed at least primary school and were able to read and understand the survey. Sample sizes were determined by participant availability in the prison. In Sample 1, a total of 1,395 participants had valid data for at least one time point; valid sample sizes across the four waves were 1,173, 916, 910, and 714, respectively. At T1, mean age was 39.68 ± 10.33 years. Education levels were primary school (n = 281), junior high (n = 652), high school (n = 223), college or above (n = 110), and unknown (n = 129). Average incarceration duration was 4.34 ± 4.30 years; 367 participants were violent offenders, 395 were people convicted of drug-related crimes, 129 had unknown offenses, and the remaining were convicted of fraud, theft, and property crimes. In Sample 2, a total of 1,017 participants had valid data for at least one time point; four-wave valid sample sizes were 887, 805, 696, and 680, respectively. At T1, mean age was 39.35 ± 9.71 years. Education levels were primary school (n = 152), junior high (n = 477), high school (n = 218), college or above (n = 148), and unknown (n = 22). Average incarceration duration was 4.64 ± 3.26 years; 111 were violent offenders, 474 were convicted of drug-related crimes, 21 offenses were unknown, and the remaining were convicted of fraud, theft, and property crimes.
Measures
All McDonald’s omega values were above .58 and had a median of .77 across the two samples (Table S1 in the Supplemental Material available online). For the results of the confirmatory factor analysis for the LPFS, Big Five Inventory–2 Extra-Short Form (BFI-2-XS), and PID-5-Brief Form (PID-5-BF), see Table S2 in the Supplemental Material. Across all models, comparative-fit-index (CFI) values ranged from .823 to .934 (Mdn = .897), root mean square error of approximation (RMSEA) ranged from .058 to .120 (Mdn = .083), and mean standardized root mean squared residual (SRMR) ranged from .038 to .075 (Mdn = .059). These indices are in the desirable range of values observed for other common personality-assessment measures (Hopwood & Donnellan, 2010).
Personality functioning
The level of personality functioning was assessed using the 12-item version of the Level of Personality Functioning Scale–Brief Form 2.0 (LPFS-BF 2.0, Weekers et al., 2019; Chinese version, Cheng et al., 2025), which is scored on a Likert scale from 1 to 4 points. Higher LPFS scores were scaled to indicate worse personality functioning.
Normal-range personality traits
Normal-range personality traits were assessed using the BFI-2-XS (Soto & John, 2017; Chinese version, W. J. Zhang et al., 2022), a 15-item measure to assess the Big Five traits (three items each) on a Likert scale from 1 to 5. We reverse-scored extraversion, agreeableness, and conscientiousness in the figures and tables so that higher scores indicate more socially desirable traits and align positively with the corresponding maladaptive traits. As for openness, it is conceptually aligned with psychoticism; therefore, we retained its original scoring. 2
Maladaptive personality traits
Maladaptive personality traits were measured using PID-5-BF (Krueger et al., 2013; Chinese version, B. Zhang et al., 2022), a 25-item measure to assess the five maladaptive traits (detachment, antagonism, disinhibition, negative affectivity, and psychoticism; five items per trait) on a Likert scale from 0 to 3.
Negative affect
We measured negative affect to control for distress in examining the influence of personality functioning on the intercorrelations of personality traits, as described below in Hypotheses 5 and 6. Negative affect was measured using the International Positive and Negative Affect Schedule Short Form (Thompson, 2007; Chinese version, J. D. Liu et al., 2020). The measure includes five items assessing negative affect, rated on a 5-point Likert scale.
Validity items
We used four items to check the data quality: “I sleep everyday,” “I swam across the Pacific,” “I am an alien,” and “I’ve never told a lie.” Each item had a 5-point response scale; we removed data from measurement occasions in which participants had an average score of 2 or higher on the validity items.
Analysis plan
The Stage 1 registered report and supplementary materials are available at https://osf.io/x5qjf/. Because of issues such as model convergence and redundancy, there were some differences between this article and preregistered plan regarding Hypotheses 3 and 4 (see details in the sections on Hypotheses 3 and 4 and Supplemental Material). We report only the adjusted models and results in the main text. For the results based on the preregistered methods and the reasons for deviations from the preregistration, see Tables S6 through S8 in the Supplemental Material.
All analyses were conducted in R Studio. We conducted Hypothesis 2 and Hypotheses 5 through 8 in a latent-variable framework with full information maximum likelihood estimation. The three items for each normal-range trait and the five items for each maladaptive trait were used to estimate latent variables. For the LPFS, four item parcels (three items per parcel) were created based on its four elements—empathy, intimacy, self-direction, and identity—to improve model estimation (Little, 2013). For Hypotheses 3, 4, 9, and 10, because of model complexity and convergence difficulties at the item level, we applied the analysis using total scores to estimate the constructs directly. Cross-sectional analyses used T1 through T4 data, but only T1 results are reported in the article because it had the largest sample size; results from T2 to T4 are provided in the Supplemental Material. Unless otherwise noted, all coefficients are standardized, and a significance level of α = .05 was used for all hypothesized effects. We focused on effect sizes and the overlap of 95% confident intervals (CIs) to interpret gender differences (cf. Cumming, 2014). A nonoverlapping 95% CI is roughly equivalent to p = .01 in the traditional null-hypothesis-significance-testing framework (Cumming, 2009).
Results
Measurement invariance
We estimated configural, metric, and scalar models to ensure that scores are comparable across occasions. We used three indices to evaluate metric and scalar invariance: ΔCFI < .01, ΔMcDonald’s Noncentrality Index (NCI) < .02, 3 and ΔRMSEA < .015 (Chen, 2007; Cheung & Rensvold, 2002). Across the two samples, we tested 66 longitudinal invariance models involving 11 variables (configural, metric, and scalar invariance), all of which met at least two criteria; 61 models satisfied all three criteria (Table S3 in the Supplemental Material). These results support comparisons of mean levels and associations across assessment waves. However, measurement invariance was not fully supported for some variables across samples (Table S4 in the Supplemental Material), complicating gender comparisons.
Hypothesis 1: descriptive analysis and distributions
We computed mean, standard deviations, and skewness of personality functioning, normal-range traits, and maladaptive traits. We used R package Boot (Canty & Ripley, 2024) to calculate the 95% CI of skewness differences between two variables. Consistent with Hypothesis 1, normal-range traits had more normal distributions than maladaptive traits in general, although not all differences were statistically significant (see Table 1). The LPFS distribution was between normal-range and maladaptive traits in Sample 1 but was more skewed in Sample 2. For distributions for each variable, see Figures S1 and S2 in the Supplemental Material.
Descriptive Statistics for Personality Functioning, Normal-Range Traits, and Maladaptive Traits at Time 1
Note: Values in brackets are 95% confident intervals. Values that differ by gender are in italics. Letter “a” indicates significant difference between normal-range trait and its corresponding maladaptive traits. Letter “b” indicates significant difference with LPFS. Reversed scores are indicated with “.r” at the end of the variable name. LPFS = Level of Personality Functioning Scale.
Hypotheses 2 through 4: stability
We compared the stability of personality functioning, normal-range traits, and maladaptive traits to test Hypotheses 2 to 4. We first fit univariate models to examine rank-order stability, mean-level change, and individual differences in mean-level change. We then estimated nested bivariate models to test differences in stability. All comparisons were pairwise, comprising (a) personality functioning and a normal-range trait, (b) personality functioning and a maladaptive trait, and (c) a normal-range trait and the corresponding maladaptive trait.
Hypothesis 2: rank-order stability
We examined rank-order stability using latent test-retest correlations between T1 and T4 (illustrated in Fig. S3a in the Supplemental Material) to detect stability over longer time frames. As shown in Tables 2 and S9, with the exception of openness and agreeableness in Sample 1 (below .55) and negative affectivity in Sample 2 (.76), rank-order stabilities ranged from .61 to .72.
Summary of Stability Indicators for Each Construct
Note: Values in brackets are 95% confident intervals. Values that differ by gender are in italics. Letter “a” indicates significant difference between normal-range trait and its corresponding maladaptive traits. Letter “b” indicates significant difference with LPFS. Bold values indicate significant difference from 0. Reversed scores are indicated with “.r” at the end of the variable name. LPFS = Level of Personality Functioning Scale.
We used nested models to test differences in rank-order stability (illustrated in Fig. S3b in the Supplemental Material). We compared models in which latent correlations (r1 and r2 in Fig. S3b in the Supplemental Material) were freely estimated or restricted to be equal using χ2-difference test (Satorra & Bentler, 1994). As shown in Table 2, most comparisons were nonsignificant, with three exceptions. In Sample 1, openness and agreeableness were both less stable than LPFS, and openness was less stable than psychoticism. Overall, stabilities were similar across variables, and thus Hypothesis 2 was not supported.
Hypothesis 3: mean-level stability
Because of some converge issues with the preregistered latent growth-curve models (for specific issues, see Table S6–S8 in the Supplemental Material), we used latent change-score models (LCSMs; Kievit et al., 2018) to test Hypotheses 3 and 4. As illustrated in Figure S4 in the Supplemental Material, the latent change score of each construct was estimated between adjacent occasions. To enhance interpretability and comparability, we constrained the means and variances of ΔD across the three intervals to be equal (i.e., assuming linear change). The mean of ΔD was used to evaluate Hypothesis 3 (mean-level change), and the variance of ΔD was used to evaluate Hypothesis 4 (individual differences in change). We again compared freed and constrained models using χ2-difference tests (Table S10). Because only unstandardized estimates can be fixed to be equal, all measures were rescaled to a range from 1 to 5 to account for differences in scale and ensure comparability of means and variances.
As indicated in Table 2 (for spaghetti plots, see Figs. S5 and S6 in the Supplemental Material), maladaptive traits, normal-range traits, and LPFS showed basically small mean-level changes; some specific differences are reported in Table 2. Overall, Hypothesis 3 was not supported.
Hypotheses 4: individual differences in mean-level change
Across the two samples, seven out of 10 trait pairs showed a trend whereby the variances of mean-level changes for normal-range traits were larger than those of the corresponding maladaptive traits; the LPFS exhibited smaller variance than most traits (Tables 2 and S11). Thus, contrary to Hypothesis 4, these findings suggest that participants tended to vary more around mean-level trajectories for normal-range traits relative to maladaptive traits and that individual differences were larger for traits than personality functioning.
Hypothesis 5: intercorrelations among normal-range traits and maladaptive traits
We computed latent correlations among normal-range traits, maladaptive traits, and LPFS (Table 3). For Hypotheses 5 to 7, we used Fisher’s r to z transformation before averaging correlations and used Fisher’s Z back-transformation after averaging. The average absolute intercorrelations for normal-range traits and maladaptive traits were .50 and .88 in Sample 1 and .34 and .68 in Sample 2, respectively. The differences exceeded our preregistered benchmark of .10 (.16 and .20, respectively), supporting Hypothesis 5. 4 In addition, the LPFS showed moderate correlations with normal-range traits (.30 for Sample 1 and .26 for Sample 2) and higher correlations with maladaptive traits (.70 for Sample 1 and .66 for Sample 2). For results for T2 through T4, see Tables S12 to S14 in the Supplemental Material. For results based on observed scores, see Tables S15 to S18 in the Supplemental Material.
Zero-Order and Partial Latent Correlation Matrices for Normal-Range Traits, Maladaptive Traits, and LPFS at Time 1
Note: Reversed scores are indicated with “.r” at the end of the variable name. E = extraversion; A = agreeableness; C = conscientiousness; N = neuroticism; O = openness; DET = detachment; ANT = antagonism; DIS = disinhibition; NA = negative affectivity; PSY = psychoticism; LPFS = Level of Personality Functioning Scale.
Hypothesis 6: personality functioning as an explanation for intercorrelation differences between maladaptive traits and normal-range traits
We sought to examine whether the intercorrelations of maladaptive traits would decrease after controlling for the LPFS. Following a reviewer’s suggestion, to confirm that the reduction in intercorrelations is primarily attributable to LPFS rather than general factors, we controlled for negative affect to account for general distress or response style and then controlled for LPFS (i.e., controlling for both negative affect and LPFS) to capture the specific reduction attributable to LPFS. When controlling only for LPFS but not negative affect, we found that the averaged intercorrelations of the maladaptive traits decreased from .88 and .68 to .57 and .25 in two samples, respectively. As shown in Table 3, after controlling only for negative affect, we found that the intercorrelations of maladaptive traits changed very little, decreasing from .88 to .82 in Sample 1 and from .68 to .63 in Sample 2. However, when LPFS was controlled for in addition to negative affect, the averaged intercorrelations of maladaptive traits further decreased to .60 and .25, respectively, and both reductions exceeded the preregistered benchmark of .10. Overall, Hypothesis 6 is confirmed.
Hypothesis 7: discriminant validity of maladaptive traits
We computed the latent correlation matrix between normal-range traits and maladaptive traits to evaluate their discriminant validity. In the lower-left box of Table 3, the off-diagonal coefficients represent correlations between nonmatching normal-range traits and maladaptive traits, which theoretically should not be high; thus, lower absolute values indicate higher discriminant validity. When controlling for LPFS, we found that the average absolute off-diagonal zero-order correlation in Sample 1 decreased from .40 to .20 and that those in Sample 2 decreased from .26 to .20. Furthermore, in Sample 1, the average absolute off-diagonal zero-order correlation was .40, decreasing to .30 after controlling for negative affect and further to .20 when both negative affect and LPFS were controlled. In Sample 2, the corresponding values were .26, .23, and .20. Taken together, these results partly confirm Hypothesis 7 that controlling for LPFS can improve the discriminant validity of maladaptive traits.
Hypotheses 8 through 10: joint prediction of maladaptive traits by personality functioning and normal-range traits
Hypothesis 8: cross-sectional regressions
We estimated five cross-sectional regression models in each sample with personality functioning and the corresponding normal-range trait as predictors of each maladaptive trait (as shown in Table 4). Across both samples, LPFS and normal-range traits jointly predicted maladaptive traits, except openness did not significantly predict psychoticism in Sample 1. LPFS showed consistently larger effect sizes than normal-range traits. Results at later time points replicated the T1 findings (see Table S19 in the Supplemental Material). Overall, Hypothesis 8 is supported.
Independent Predictions of Personality Functioning and Normal-Range Traits on Maladaptive Traits
Note: Values in brackets are 95% confident intervals. Significant values (p < .05) are in bold. Values that differ by gender are in italic. Reversed scores are indicated with “.r” at the end of the variable name. E = Extraversion; A = Agreeableness; C = Conscientiousness;, N = Neuroticism; O = Openness; DET = Detachment; ANT = Antagonism; DIS = Disinhibition; NA = Negative affectivity; PSY = Psychoticism; LPFS = Level of Personality Functioning Scale.
Hypothesis 9: longitudinal-change-score associations
We next estimated a set of trivariate LCSMs (illustrated in Fig. S7 in the Supplemental Material) to test whether changes in personality functioning and normal-range traits jointly explain changes in maladaptive traits. We used the latent change score of LPFS and normal-range traits to predict change in the corresponding maladaptive traits at the same occasion. We fixed these parameters to be equal across occasions to obtain an average effect size. 5 As shown in Table 4, in both samples, changes in four normal-range traits significantly predicted changes in the corresponding maladaptive traits, with the exception for extraversion and detachment. Changes in LPFS significantly predicted changes in all maladaptive traits. Overall, Hypothesis 9 was basically confirmed.
Hypothesis 10: within-persons associations
To test the above joint function at the within-persons level (Hypothesis 10), we estimated a set of trivariate random-intercept cross-lagged panel models (RI-CLPMs; Hamaker et al., 2015). Personality functioning, one normal-range trait, and the corresponding maladaptive trait were included in each of five trivariate RI-CLPMs. In the regular RI-CLPMs (illustrated in Fig. S9 in the Supplemental Material), concurrent associations (correlations between different variables at the same time) reflect within-persons associations. We replaced concurrent associations with within-persons regression coefficients (illustrated in Fig. S8 in the Supplemental Material). Specifically, we used LPFS and normal-range traits to predict the corresponding maladaptive traits at the same occasion (β1–β2 in Fig. S8 in the Supplemental Material). We fixed these regression coefficients to be equal across occasions to obtain an average effect size. 6 As predicted (Hypothesis 10), within-persons deviations in LPFS and normal-range trait jointly accounted for within-persons deviations in maladaptive traits (Table 4). One exceptions was openness to psychoticism in Sample 1.
Hypothesis 11: cross-lagged within-persons associations
Using RI-CLPMs, we estimated the standardized cross-lagged effects (c1–c6 in Fig. S9 in the Supplemental Material) to explore cross-lagged within-persons associations between personality functioning, normal-range traits, and maladaptive traits. These effects show how one construct predicts another from one occasion to the next at the within-persons level, serving as the test for Hypothesis 11. We fixed cross-lagged effects to be equal across intervals to obtain an average effect size. 7 Few (13/60) cross-lagged effects were significant, and only one significant path was replicated in both samples (Table 5). In Sample 1, we found four significant paths from LPFS to traits, three significant paths from traits to LPFS, and negative reciprocal association between openness and psychoticism. In Sample 2, the four significant cross-lagged effects all reflected LPFS predicting traits. This suggests that the cross-lagged effects among the three constructs are weak and less stable. When they were evident, it was more likely that changes in personality functioning preceded changes in traits than the other way around, providing evidence for the exploration of Hypothesis 11.
Cross-Lagged Effects Estimated With Trivariate Random-Intercept Cross-Lagged Panel Models
Note: Values in brackets are 95% confidence intervals. Significant values (p < .05) are in bold. Reversed scores are indicated with “.r” at the end of the variable name. T1 = Time 1; T2 = Time 2; T3 = Time 3; T4 = Time 4; LPFS = Level of Personality Functioning Scale.
Discussion
The goal of this article was to test 11 preregistered hypotheses about similarities and differences between personality functioning, normal-range personality traits, and maladaptive traits in the context of ongoing questions about the overlap between variables that comprise the DSM-5 (American Psychiatric Association, 2013) AMPD. Although we found evidence that these variables—and particularly personality functioning and maladaptive traits—are similar, we also found important differences, consistent with our preregistered hypotheses.
Similarities and differences between personality functioning, normal-range traits, and maladaptive traits
First, whereas normal-range traits have normal distributions, maladaptive traits are positively skewed, and the LPFS is somewhere in between. This is important because although one tail of each trait (as described by maladaptive traits) is more likely to be related to personality-related impairments, it is possible for tails not captured by maladaptive traits to be related to impairment for some people (Widiger & McCabe, 2020). For example, obsessive-compulsive problems may involve extreme conscientiousness (Samuel & Widiger, 2011) or low openness (Mike et al., 2018). Differences between maladaptive traits and normal-range traits in basic distributional properties also complicate the translation of basic personality science to personality-disorder assessment because nearly all evidence about personality in nonclinical research comes from measures with normally distributed scales.
Second, maladaptive traits are more strongly correlated with one another than normal-range traits, but correcting for personality functioning significantly reduces these intercorrelations. Third, controlling for personality functioning improved otherwise problematic discriminant validity of maladaptive traits in relation to normal-range traits. This pattern of results closely replicates previous findings (Emery et al., 2024; Morey, Good, & Hopwood, 2022) and further suggests that the skewed distributions of maladaptive traits may be driven by their saturation with personality dysfunction, which, in turn, contributes to the empirical overlap between maladaptive traits and personality dysfunction and negatively affects the discriminant validity of maladaptive traits. Fourth, in most cases, personality functioning and normal-range traits jointly predicted maladaptive traits across cross-sectional analyses, longitudinal models, and within-persons changes. These findings replicate results previously observed at the cross-sectional level (Emery et al., 2024; Morey, Good, & Hopwood, 2022) and to our knowledge, represent the first study to provide evidence for this perspective from longitudinal changes and within-persons fluctuations.
Taken together, these results provide a robust demonstration that maladaptive traits reflect a combination of normal-range traits and personality dysfunction. Consistent with this observation, the associations between LPFS and maladaptive traits were relatively high, and their associations with normal-range traits were only moderate. Perhaps the most important conclusion from these results—and from this study more generally—is that a significant source of overlap between personality functioning and traits in the AMPD is due to the trait measures focusing on maladaptive content. Replacing maladaptive traits with normal-range traits would make the A and B Criteria more distinct, allow for a more comprehensive assessment of personality style that capture both trails of each trait, and better connect Criterion B to basic personality research (Morey, McCredie, et al., 2022). However, this does not seem to be the direction that the AMPD or personality-disorder diagnosis is likely to go in (Sharp et al., 2025), and thus, overlap and redundancy between traits and functioning is likely to continue to be a problem.
Clinical and theoretical implications
The findings of this study regarding the associations between LPFS and traits carry important clinical and theoretical implications. The observation that LPFS was more skewed than normal-range traits is consistent with the LPFS being a clinical variable that reflects dysfunction, in contrast to traits that represent variation in personality across individuals regardless of clinical status. This is consistent with the view that personality functioning represents an intervention target, although it may also reflect features of these specific samples or the measure used in this study or the AMPD more generally.
Finding that changes in personality functioning were more likely to precede changes in traits than vice versa addresses an important theoretical question about the nature of personality disorder. This finding is consistent with the view that personality functioning is expressed through behaviors that can be described by traits, and thus changes in personality functioning lead to changes in trait expression (Haehner, Sleep, et al., 2024; Zimmermann et al., 2015). This may suggest that changing level of personality functioning could have the effect of improving maladaptive traits, reinforcing the idea of targeting personality functioning in therapeutic interventions.
Several findings in this study were consistent with the perspective that maladaptive traits represent a combination of personality functioning and normal-range traits (Emery et al., 2024; Morey, Good, & Hopwood, 2022). This helps explain empirical overlap between the two criteria of the AMPD. Clinically, it suggests that measuring personality functioning and normal-range traits will provide more comprehensive and useful information and that having done that, there is likely to be limited additional value to measuring maladaptive traits.
In contrast to some previous research (Bleidorn et al., 2022; Haehner, Sleep, et al., 2024), we did not find consistent support for stability differences in study variables. Even when differences have been found in previous research, they have tended to be small and inconsistent. One possible conclusion is that the stability of personality functioning, maladaptive traits, and normal-range traits is largely the same; another might be that differences are difficult to detect and highly sensitive to methodological factors, such as sampling and timescale. For example, in this study, there was relatively little mean-level change in general, perhaps because differences may be more likely to emerge in studies with more plausible reasons for change, such as life events or psychotherapy.
Population generalizability and implications on forensic practice
This study was conducted in two offender samples in China, providing a valuable opportunity to examine the generalizability of personality-disorder research in a diverse context. Findings were largely consistent across samples and with those of previous studies, generally supporting the applicability of personality assessment among Chinese offenders. Moreover, although both samples consisted of offenders, they differed substantially in demographic characteristics—most notably in gender and types of crimes—yet the overall pattern of results was replicated well. This strengthens confidence in the robustness and stability of the findings.
One of the central functions of mental-health care in prisons is to facilitate offenders’ reintegration into society, and many offenders are also motivated to pursue such change. Personality-related problems are also very common and challenging issues in prisons (Barrett & Byford, 2012; Putkonen et al., 2003). Overall, although effect sizes were modest, both personality functioning and maladaptive traits showed declines over 1 year, suggesting that the routine rehabilitative practices in the Chinese prison system may have a generally positive influence on personality pathology. At the same time, our findings on rank-order stability and individual differences in mean-level change revealed substantial heterogeneity in trajectories of change. This highlights the need for prison practitioners to attend to such individual variability in rehabilitation efforts and for researchers to investigate the factors underlying these differences to better facilitate improvements in offenders’ personality functioning.
Limitations and directions for future research
There were three main limitations to this study. First, all data were from self-report questionnaires. The shortcomings of self-report measures in general and these measures in particular (e.g., similarities in item content) could inflate associations and generally provide only one perspective on personality. Self-report is the most widely used approach in personality research and many clinical and forensic settings, and questionnaires perform comparably with or even outperform other measurement methods, such as interviews (Hopwood et al., 2008; Kaplan et al., 1994), behavioral measures (Kormos & Gifford, 2014), or implicit tests (Corneille & Gawronski, 2024). Thus, this approach provides a strong basis for testing study hypotheses, but there are multiple advantages to multimethod assessment for research and practice. For example, the correlations among maladaptive traits and between some of the Big Five traits were somewhat high, which may be related to response styles that could be amplified in prison settings. Specifically, in the prison environment, offenders’ defensive response tendencies when reporting maladaptive traits may constitute a common factor, thereby inflating the intercorrelations among maladaptive traits.
Second, the use of offender samples, although advantageous in certain respects, introduces unique challenges. Although the offender sample offers valuable insights into a specific population, results derived from this sample may not necessarily translate to nonoffender populations. Moreover, because both samples were Chinese offenders, any differences between these results and those from other studies may be related to Chinese culture, the offender population, or sampling error, and these three factors could not be distinguished in this study.
Third, patterns observed in longitudinal research are often influenced by the timescale of measurement (Hopwood et al., 2022). This study used four waves of data collected over 1 year with intervals of approximately 4 months. Although such timescales may be adequate to detect changes in personality functioning and traits, this was ultimately more of a practical than a theoretically informed decision. Different patterns would be likely to emerge at longer or shorter timescales.
Conclusion
Across 11 preregistered tests, we found both similarities and differences in maladaptive traits, normal-range traits, and personality functioning in two Chinese offender samples assessed four times over a year. The overall pattern of results supports the conceptualization of Criterion B maladaptive traits in the DSM-5 (American Psychiatric Association, 2013) AMPD as a combination of normal-range traits and personality dysfunction. Replacing maladaptive traits with normal-range traits would improve personality-disorder diagnosis by better distinguishing the A and B Criteria, providing broader coverage of personality style, and better connecting personality-disorder diagnoses with basic science.
Supplemental Material
sj-docx-1-cpx-10.1177_21677026261432206 – Supplemental material for Distinguishing Personality Functioning, Normal-Range Traits, and Maladaptive Traits in Offenders
Supplemental material, sj-docx-1-cpx-10.1177_21677026261432206 for Distinguishing Personality Functioning, Normal-Range Traits, and Maladaptive Traits in Offenders by Yuping Liu, Bingtao Zhou, Peter Haehner, Leonard J. Simms, Bo Yang and Christopher J. Hopwood in Clinical Psychological Science
Footnotes
Transparency
Action Editor: Pim Cuijpers
Editor: Jennifer L. Tackett
Author Contributions
Notes
References
Supplementary Material
Please find the following supplemental material available below.
For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.
For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.
