I have been running X1 for quite a long time, (even before they teamed up with Yahoo) together with Outlook 2003.
Never had a problem with PST file corruption.
But nowadays, ever since I converted to Gmail, I rarely use Outlook 2003, except to enter a few names every now and then to update the contacts.
Initially, I was diligent in downloading my gmail into Outlook 2003 as a backup and I would then use X1 to index it.
But admitedly, I have been less than diligent using Outlook 2003 to backup my gmail over the last few months. But I do continue to use X1 (Enterprise version - now free) without experiencing problems.