Association of Positive, Negative, and Disorganized Schizotypy With Cluster A, Borderline, and Avoidant Personality Disorders and Traits

Thomas R. Kwapil, Haley E. Clark, Katrina S. Rbeiz, Alyssa J. Bathery, Kathryn C. Kemp, Neus Barrantes-Vidal

Research output: Contribution to journalArticlepeer-review


The present study examined the associations of positive, negative, and disorganized schizotypy dimensions assessed by the Multidimensional Schizotypy Scale with 5 interview-rated personality disorder diagnoses and traits in 151 young adults. As hypothesized, all 3 schizotypy dimensions were associated with impaired functioning. Positive schizotypy was associated with schizotypal and borderline personality traits; negative schizotypy was associated with schizotypal, schizoid, paranoid, and avoidant personality traits; and disorganized schizotypy was associated with paranoid, borderline, and avoidant personality disorder traits. Negative schizotypy predicted broad diagnoses of Cluster A personality disorders. Both negative and disorganized schizotypy predicted the broad diagnosis of any of the 5 personality disorders. The study further examined the association of the schizotypy dimensions with the individual personality disorder criteria to better understand the overall associations. Given the common origins and high comorbidity, we examined whether the schizotypy dimensions explained the association of borderline and schizotypal personality disorder traits. Positive and disorganized schizotypy fully mediated the association between borderline and schizotypal traits. In summary, the study replicated and extended previous findings that the schizotypy dimensions are uniquely associated with personality disorders and traits, as well as impaired functioning, in young adults. The study also provided additional support for the construct validity of the Multidimensional Schizotypy Scale and for the use of psychometric assessment of schizotypy.

Original languageEnglish (US)
Pages (from-to)182-191
Number of pages10
JournalPersonality Disorders: Theory, Research, and Treatment
Issue number2
StatePublished - Apr 15 2021


  • Borderline
  • Personality disorders
  • Schizoid
  • Schizotypal
  • Schizotypy

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology


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