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The contribution of phenomenology to the assessment of severe non-psychotic forms of psychopathological conditions in transitional age youth.
IF 1.9 3区 医学
Psychopathology Pub Date : 2025-02-13 DOI: 10.1159/000544720
Matteo Ballabio, Giovanni Stanghellini
{"title":"The contribution of phenomenology to the assessment of severe non-psychotic forms of psychopathological conditions in transitional age youth.","authors":"Matteo Ballabio, Giovanni Stanghellini","doi":"10.1159/000544720","DOIUrl":"https://doi.org/10.1159/000544720","url":null,"abstract":"<p><strong>Background: </strong>In recent times, adolescents with severe forms of psychopathology that do not unambiguously fit into a precise diagnostic category, have come to clinical observation. The diagnoses attributed to these young patients range from borderline personality disorder, to affective disorders, ADHD, and others. These diagnoses are mainly based on behavioural abnormalities (e.g., social withdrawal, aggressiveness, self-injuring behaviour), but fail to capture the experiential core of their suffering.</p><p><strong>Summary: </strong>Research in psychopathology, particularly that with a phenomenological approach, has long been committed to identifying early markers of schizophrenia in clinical pictures that precede the full onset of this pathology. In this paper, two case studies in Transitional Age Youth (TAY) and additional material taken from our own clinical practice are presented where self-disorders and anomalies of common sense - originally developed to phenomenologically characterise the schizophrenic spectrum phenotype, and especially non-delusional forms of schizophrenia - are used to complement standard nosographic assessments. Key-message: We propose that using some of these phenomenological constructs can shed light on certain TAY pictures, in particular the most serious ones, helping us to grasp their psychopathological core and provide further elements for a fine-grained characterization and in-depth understanding. We propose as a work-in-progress a set of tentative criteria to differentiate such phenomena in TAY patients as compared to patients with a diagnosis of schizophrenia.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-17"},"PeriodicalIF":1.9,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mothers of Young Children during the COVID-19 Pandemic: Depressive Symptoms and Perceived Stress.
IF 1.9 3区 医学
Psychopathology Pub Date : 2025-02-03 DOI: 10.1159/000543715
Christian F J Woll-Weber, Corinna Reck, Anton K G Marx, Su Mevsim Küçükakyüz, Mitho Müller, Alexandra von Tettenborn, Nora Nonnenmacher, Anna-Lena Zietlow
{"title":"Mothers of Young Children during the COVID-19 Pandemic: Depressive Symptoms and Perceived Stress.","authors":"Christian F J Woll-Weber, Corinna Reck, Anton K G Marx, Su Mevsim Küçükakyüz, Mitho Müller, Alexandra von Tettenborn, Nora Nonnenmacher, Anna-Lena Zietlow","doi":"10.1159/000543715","DOIUrl":"10.1159/000543715","url":null,"abstract":"<p><strong>Objective: </strong>Due to the COVID-19 pandemic, psychosocial well-being of families and parents worldwide has been impaired. As part of a larger online survey, we analyzed maternal depressive symptoms and perceived stress.</p><p><strong>Method: </strong>A total of 666 mothers from Germany with young children (mostly aged 0-3 years) filled out the Edinburgh Postnatal Depression Scale (EPDS) and the Perceived Stress Scale (PSS) at 2 time points during the pandemic (T1: summer/fall 2020; T2: early spring 2021). We (1) calculated prevalence rates of a risk for depression and high perceived stress levels, (2) analyzed differences between time points via paired t tests, and (3) examined the reciprocal relation between the two constructs via cross-lagged panel modeling.</p><p><strong>Results: </strong>Considering cut-off values of the EPDS (≥10) and PSS (≥27), 33.8% carried a risk for depression and 15.2% high levels of stress at T1, whereas, respectively, 55.1% and 26.0% did so at T2. Depressive symptom severity and perceived stress levels significantly differed between measurement points with higher values at T2 (p < 0.001). Our cross-lagged panel analysis revealed large correlations (p < 0.001) within as well as small to medium (i.e., [0.21, 0.47]) auto-regressive (p < 0.001) and reciprocal (p < 0.001) predictions across time points between the severity of depressive symptoms and perceived stress.</p><p><strong>Conclusions: </strong>This work demonstrates how severely mothers of infants were affected by depressive symptoms and perceived stress in a time of pandemic crisis. Psychosocial support should focus on screening and treating mothers as early as possible to mitigate the risk for subsequent depressive symptoms and perceived stress. Aiming attention at both depressive symptom reduction and stress relief most successfully promotes maternal well-being.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-14"},"PeriodicalIF":1.9,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations between Childhood Trauma and Epistemic Trust, Attachment, Mentalizing, and Symptoms of Borderline Personality Disorder. 儿童创伤与认知信任、依恋、心理化和边缘型人格障碍症状之间的关系。
IF 1.9 3区 医学
Psychopathology Pub Date : 2025-01-14 DOI: 10.1159/000542919
Saskia R Y Knapen, Wendy Mensink, Adriaan W Hoogendoorn, Wilma E Swildens, Puck Duits, Joost Hutsebaut, Aartjan T F Beekman
{"title":"Associations between Childhood Trauma and Epistemic Trust, Attachment, Mentalizing, and Symptoms of Borderline Personality Disorder.","authors":"Saskia R Y Knapen, Wendy Mensink, Adriaan W Hoogendoorn, Wilma E Swildens, Puck Duits, Joost Hutsebaut, Aartjan T F Beekman","doi":"10.1159/000542919","DOIUrl":"10.1159/000542919","url":null,"abstract":"<p><strong>Introduction: </strong>The construct of epistemic trust (ET) has gained wide acceptance and support in the field, although there is little empirical evidence to substantiate the theoretical assumed model. Studies of the assessment of ET were conducted in community samples only and the mediating role of attachment and mentalizing in addition to ET was not investigated. This study examines the theoretical assumed relationships between ET and attachment and mentalizing as well as the mediating role of attachment, mentalizing and ET in the association between childhood adversity and borderline personality disorder (BPD) in a heterogeneous sample containing also patients.</p><p><strong>Methods: </strong>The associations between ET and attachment, mentalizing, childhood maltreatment and BPD were explored in a sample of 245 participants, including subjects from the community as well as patients diagnosed with anxiety and personality disorders from two clinical samples. Multiple mediation analysis was performed to explore the mediating role of attachment (ECR-R), mentalizing (RFQ), and ET within the relationship between childhood trauma (CTQ-SF) and BPD (MSI-BPD).</p><p><strong>Results: </strong>Strong relationships between ET and attachment and mentalizing were found indicating that lower degrees of cET are associated with insecure attachment and lower reflective functioning. Attachment, mentalizing, and ET together accounted for 75% of the mediation between childhood adversity and BPD. Hypomentalizing and anxious attachment accounted for the largest share of the mediation.</p><p><strong>Conclusion: </strong>Our findings provide preliminary evidence for the theoretical supposed model of ET and suggest relevance of ET in the mediation between childhood adversity and PDs, although the role of ET seems smaller than assumed by recent theories.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sex Differences in the Prevalence and Correlates of Suicide Attempts in Patients with First-Episode and Drug-Naïve Psychotic Major Depression. 首次发作和drug-naïve精神病性重性抑郁症患者自杀企图的患病率和相关性的性别差异。
IF 1.9 3区 医学
Psychopathology Pub Date : 2025-01-08 DOI: 10.1159/000542844
Weijian Liu, Chunyu Yang, Xiangyang Zhang
{"title":"Sex Differences in the Prevalence and Correlates of Suicide Attempts in Patients with First-Episode and Drug-Naïve Psychotic Major Depression.","authors":"Weijian Liu, Chunyu Yang, Xiangyang Zhang","doi":"10.1159/000542844","DOIUrl":"10.1159/000542844","url":null,"abstract":"<p><strong>Purpose: </strong>Sex differences play an important role in depression prevalence, symptom profile, treatment response, and disease course. However, sex differences in factors associated with suicide attempts (SAs) in first-episode and drug-naïve (FEDN) patients with psychotic major depression (PMD) remain unclear.</p><p><strong>Methods: </strong>In this study, 171 patients with FEDN PMD were recruited. Patients' symptoms were assessed using the Hamilton Rating Scale for Depression (HAMD), Hamilton Anxiety Rating Scale (HAMA), and Positive and Negative Syndrome Scale (PANSS) positive subscale. In addition, metabolic parameters and thyroid hormone levels were measured.</p><p><strong>Results: </strong>The prevalence of SA was remarkably high in both male and female PMD patients (53.19% vs. 50.81%), without significant differences between the two groups. In male PMD patients, the combination of marital status and thyroid-stimulating hormone (TSH) levels was found to effectively distinguish between SA and non-SA cases, with an AUC value of 0.87. In addition, the HAMD score and diastolic blood pressure (BP) were significantly associated with the frequency of SAs in this subgroup. For female PMD patients, the combination of positive score, diastolic BP, TSH, and antithyroglobulin was found to be an effective discriminator between SA and non-SA cases, with an AUC of 0.91. Furthermore, duration of illness, positive score, systolic BP, and thyroid peroxidase antibody were found to be significantly associated with the frequency of SAs in this subgroup.</p><p><strong>Conclusions: </strong>Our results indicate a high incidence of SAs in both men and women with PMD. Several clinically relevant factors, metabolic parameters, and thyroid hormone function contribute to sex differences in SAs in FEDN PMD patients.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-11"},"PeriodicalIF":1.9,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142953926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Under and Overmentalizing in Personality Disorders: A Principal Component Analysis of Nonadaptive Personality and the Movie Assessment of Social Cognition. 人格障碍中的精神化与过度化:非适应人格的主成分分析与社会认知电影评估。
IF 1.9 3区 医学
Psychopathology Pub Date : 2025-01-02 DOI: 10.1159/000543363
Julia Jurist, Jenna M Traynor, Grace E Murray, Boyu Ren, Sara R Masland, Sam A Mermin, Kevin B Meehan, Lois W Choi-Kain
{"title":"Under and Overmentalizing in Personality Disorders: A Principal Component Analysis of Nonadaptive Personality and the Movie Assessment of Social Cognition.","authors":"Julia Jurist, Jenna M Traynor, Grace E Murray, Boyu Ren, Sara R Masland, Sam A Mermin, Kevin B Meehan, Lois W Choi-Kain","doi":"10.1159/000543363","DOIUrl":"10.1159/000543363","url":null,"abstract":"<p><strong>Introduction: </strong>This secondary analysis of quality control data assessed principal components of personality dysfunction and their relationship to mentalizing in a sample of treatment-seeking women with severe personality disorders.</p><p><strong>Methods: </strong>The Schedule for Nonadaptive and Adaptive Personality (SNAP) and the Movie for the Assessment of Social Cognition (MASC) were administered to 37 females in routine quality assessments of a specialized residential treatment program. Principal component analysis (PCA) of SNAP scores was used to determine dimensions of personality most significantly contributing to overall maladaptive personality functioning. Bootstrapped stepwise regression tested the relationship of dimensional personality indices to hypermentalizing and hypomentalizing on the MASC controlling for general psychiatric severity.</p><p><strong>Results: </strong>Four principal components (PCs) explained 71.4% of the variance in personality dysfunction, mapping onto antisocial, obsessive compulsive, borderline, and narcissistic personality constellations. The borderline and antisocial PCs were positively predictive of hypermentalizing. The obsessive-compulsive PC was positively predictive of hypomentalizing, while the antisocial PC was negatively predictive of hypomentalizing.</p><p><strong>Conclusion: </strong>The study reiterates prior findings of a relationship between hypermentalizing and borderline and antisocial personality profiles. It also contributes evidence to the limited research on hypomentalizing as a clinical indicator and potential treatment target for obsessive-compulsive personality, and shows evidence of a negative relationship between antisocial personality disorder and hypomentalizing. These findings provide clinical indications for enhancing and regulating mentalizing via attention to and interpretations of internal and interpersonal events in individuals with personality disorders. Further research is needed to replicate these associations in larger, more representative clinical samples.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-13"},"PeriodicalIF":1.9,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142922658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Allostatic Load as a Mediator and Perceived Chronic Stress as a Moderator in the Association between Maternal Mental Health and Preterm Birth: A Prospective Cohort Study of Pregnant Women in Pakistan. 在孕产妇心理健康与早产之间的关系中,异质负荷是调解因素,而感知到的慢性压力是调节因素:巴基斯坦孕妇前瞻性队列研究》。
IF 1.9 3区 医学
Psychopathology Pub Date : 2025-01-01 Epub Date: 2024-09-27 DOI: 10.1159/000540579
Shahirose Sadrudin Premji, Sharifa Lalani, Farooq Ghani, Sidrah Nausheen, Ntonghanwah Forcheh, Geoffrey Omuse, Nicole Letourneau, Neelofur Babar, Salima Sulaiman, Musana Wangira, Shahnaz Shahid Ali, Nazneen Islam, Aliyah Dosani, Ilona S Yim
{"title":"Allostatic Load as a Mediator and Perceived Chronic Stress as a Moderator in the Association between Maternal Mental Health and Preterm Birth: A Prospective Cohort Study of Pregnant Women in Pakistan.","authors":"Shahirose Sadrudin Premji, Sharifa Lalani, Farooq Ghani, Sidrah Nausheen, Ntonghanwah Forcheh, Geoffrey Omuse, Nicole Letourneau, Neelofur Babar, Salima Sulaiman, Musana Wangira, Shahnaz Shahid Ali, Nazneen Islam, Aliyah Dosani, Ilona S Yim","doi":"10.1159/000540579","DOIUrl":"10.1159/000540579","url":null,"abstract":"<p><strong>Introduction: </strong>The complex biopsychosocial pathways linking maternal mental health with preterm birth (PTB) are not well understood. This study aimed to explore allostatic load (AL) as a mediator and perceived chronic stress as a moderator in the pathway linking maternal mental health and PTB.</p><p><strong>Methods: </strong>A cohort study of pregnant women (n = 1,567) recruited at clinic visits within 10-19 weeks of gestation was assessed for maternal mental health (i.e., pregnancy-related anxiety, state anxiety, depressive symptoms) and perceived chronic stress. Blood pressure and levels of cortisol, total cholesterol, C-reactive protein, and glycosylated hemoglobin were used to create a composite measure of AL.</p><p><strong>Results: </strong>AL had the most significant effect on PTB (odds ratio (OR) = 1.84, 95% CI = 1.26-12.67, p = 0.001), while systolic blood pressure emerged as the only significant individual marker using variable selection (OR = 22%, 95% CI = 1.06-1.40, p < 0.001) in multiple logistic regression analysis. A mediation analysis revealed that maternal mental health did not have a significant direct effect on PTB (p = 0.824), but its indirect effect mediated by AL was significant (z = 2.33, p < 0.020). Low and high levels of perceived chronic stress, relative to the mean, moderated this indirect effect (z = 3.66, p < 0.001).</p><p><strong>Conclusions: </strong>AL has a significant direct influence on PTB and mediates the effect of maternal mental health on PTB; however, the indirect effect of AL is indistinguishable between women with higher or lower levels of perceived chronic stress than normal.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"13-32"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142352664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"How Can I Get Out of This?": A Qualitative Study of the Phenomenology and Functional Impact of Misophonia in Youth and Families. "我怎样才能摆脱困境?青少年和家庭中的失声症现象学和功能影响的定性研究》(A Qualitative Study of the Phenomenology and Functional Impact of Misophonia in Youth and Families)。
IF 1.9 3区 医学
Psychopathology Pub Date : 2025-01-01 Epub Date: 2024-10-04 DOI: 10.1159/000535044
Andrew Giles Guzick, Catherine Elizabeth Rast, Brenna Burns Maddox, Servando Rodriguez Barajas, Jane Clinger, Joseph McGuire, Eric A Storch
{"title":"\"How Can I Get Out of This?\": A Qualitative Study of the Phenomenology and Functional Impact of Misophonia in Youth and Families.","authors":"Andrew Giles Guzick, Catherine Elizabeth Rast, Brenna Burns Maddox, Servando Rodriguez Barajas, Jane Clinger, Joseph McGuire, Eric A Storch","doi":"10.1159/000535044","DOIUrl":"10.1159/000535044","url":null,"abstract":"<p><strong>Introduction: </strong>Misophonia is an increasingly recognized disorder characterized by negative emotional and sensory reactions to specific noises. Although misophonia most often begins in childhood, there has been minimal research on its clinical presentation in youth. This qualitative study explored cognitive behavioral processes that are involved in misophonia and its associated functional impairment in young people and their families.</p><p><strong>Methods: </strong>Focused interviews were conducted with 20 youth with misophonia (ages 10-17) and their parents. Thematic analyses of these interviews using a cognitive behavioral theoretical framework were conducted.</p><p><strong>Results: </strong>A number of themes were identified, which included internalizing and externalizing cognitive behavioral processes at the individual level (e.g., hypervigilance, anticipatory anxiety, escape, automatic negative attributions), secondary emotional and functional consequences (e.g., negative perception of self, guilt, anxiety, depression, emotional exhaustion, concentration difficulties at school), as well as significant impacts to school, social life, and particularly to family life (e.g., conflict/tension, anger and resentment, family accommodation). These themes are integrated in a proposed theoretical model.</p><p><strong>Discussion: </strong>Misophonia is characterized by several transdiagnostic cognitive behavioral processes, including avoidance, maladaptive cognitions, emotional reactivity, and family communication difficulties, as well as significant functional impairment. Developing treatments that target these processes has the potential to help youth overcome misophonia and improve the quality of life of youth and their families.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"33-43"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11794031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Autobiographical Memory in Feeding and Eating Disorders: A Systematic Review. 喂养和进食障碍中的自传体记忆:系统回顾。
IF 1.9 3区 医学
Psychopathology Pub Date : 2025-01-01 Epub Date: 2024-10-08 DOI: 10.1159/000540901
Fabio Frisone, Giulia Brizzi, Maria Sansoni, Anna Flavia Di Natale, Silvia Francesca Maria Pizzoli, Giovanni Stanghellini, Giuseppe Riva
{"title":"Autobiographical Memory in Feeding and Eating Disorders: A Systematic Review.","authors":"Fabio Frisone, Giulia Brizzi, Maria Sansoni, Anna Flavia Di Natale, Silvia Francesca Maria Pizzoli, Giovanni Stanghellini, Giuseppe Riva","doi":"10.1159/000540901","DOIUrl":"10.1159/000540901","url":null,"abstract":"<p><strong>Introduction: </strong>Prominent eating disorders (EDs) theories identify a critical relationship between body and self. One of the ways to study this relationship is through autobiographical memories (AMs). The present review aimed to evaluate the studies that investigated AM in patients with EDs.</p><p><strong>Methods: </strong>A search of PubMed, ScienceDirect, and Scopus databases was performed to identify relevant articles. Of the 57,113 studies found, 25,016 were not duplicated. After screening, 27 articles were included.</p><p><strong>Results: </strong>The studies had some methodological flaws: none of the articles was a randomized control trial and the sample sizes were small. Nevertheless, important evidence emerged because all studies showed that patients with EDs have impaired AM function. This is because the way patients with EDs remember and define themselves is through an allocentric perspective associated with the gazes of others whose role has an impact on AM, body shape, and self.</p><p><strong>Conclusion: </strong>To our knowledge, this is the first systematic review to examine AM in patients with EDs. Future research is needed in EDs to expand knowledge about the relationship between the body and the self.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"44-68"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring Associations of Somatic Symptom Disorder with Personality Dysfunction and Specific Maladaptive Traits. 探索躯体症状障碍与人格功能障碍和特定适应不良特质的关联。
IF 1.9 3区 医学
Psychopathology Pub Date : 2025-01-01 Epub Date: 2024-09-06 DOI: 10.1159/000540161
Victoria von Schrottenberg, André Kerber, Philipp Sterner, Clara Teusen, Pauline Beigel, Klaus Linde, Peter Henningsen, Sabine C Herpertz, Jochen Gensichen, Antonius Schneider
{"title":"Exploring Associations of Somatic Symptom Disorder with Personality Dysfunction and Specific Maladaptive Traits.","authors":"Victoria von Schrottenberg, André Kerber, Philipp Sterner, Clara Teusen, Pauline Beigel, Klaus Linde, Peter Henningsen, Sabine C Herpertz, Jochen Gensichen, Antonius Schneider","doi":"10.1159/000540161","DOIUrl":"10.1159/000540161","url":null,"abstract":"<p><strong>Introduction: </strong>According to ICD-11, personality disorders (PDs) are defined by the severity of self and interpersonal dysfunction in terms of personality functioning (PF) and an optional assessment of specific maladaptive personality trait expressions. Also, somatoform disorders are replaced by somatic symptom disorder (SSD). This study examines associations using the novel diagnostic criteria of SSD in an unselected primary care sample, PF, and maladaptive traits in patients with and without SSD.</p><p><strong>Methods: </strong>An anonymized cross-sectional study was conducted. A questionnaire including SSD-12 (Somatic Symptom Disorder B Criteria Scale-12) and PHQ-15 (Patient Health Questionnaire-15), LPFS-BF 2.0 (Level of Personality Functioning Scale - Brief Form) and PID-5BF+M (Modified Personality Inventory for DSM-5 - Brief Form Plus) was used. A bifactor (S-1) model was calculated with PF (reference for general factor) and personality traits (specific factors) to estimate associations between PF, specific maladaptive personality traits, and SSD. Differences in personality scales between SSD and non-SSD patients were calculated with the Mann-Whitney U test.</p><p><strong>Results: </strong>A total of 624 patients in six general practices participated (mean age 47 years; 60.4% female). SSD-12 and PHQ-15, respectively, showed significant associations with PF (γ = 0.51; γ = 0.48; p < 0.001), negative affectivity (γ = 0.50; γ = 0.38, p < 0.001) and psychoticism (γ = 0.29; γ = 0.28; p < 0.010). Besides, SSD-12 was significantly associated with disinhibition (γ = -0.38; p < 0.010) and anankastia (γ = -0.16; p < 0.010). Patients with SSD showed significantly impaired PF and maladaptive traits in all scales (p < 0.001).</p><p><strong>Conclusion: </strong>Impaired PF explains moderate to large amounts of the SSD symptoms and maladaptive personality traits negative affectivity, psychoticism, disinhibition, and anankastia show specific associations beyond PF. An in-depth understanding of these relations might be helpful to improve doctor-patient communication and treatment in SSD.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142154793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of Overall and Specific Dimensions of Schizotypy on Theory of Mind. 精神分裂的总体和特定维度对心理理论的影响。
IF 1.9 3区 医学
Psychopathology Pub Date : 2024-12-24 DOI: 10.1159/000542499
Richard A N Glisker, Nicholas Papouchis, Kevin B Meehan, Matthew J Morrison, David Kimhy
{"title":"Impact of Overall and Specific Dimensions of Schizotypy on Theory of Mind.","authors":"Richard A N Glisker, Nicholas Papouchis, Kevin B Meehan, Matthew J Morrison, David Kimhy","doi":"10.1159/000542499","DOIUrl":"https://doi.org/10.1159/000542499","url":null,"abstract":"<p><strong>Background: </strong>Impairments in theory of mind (ToM) are highly prevalent among individuals with schizophrenia, resulting in substantial functional deficits. However, research on impairments in individuals with schizotypy has yielded inconsistent findings, with some studies finding ToM deficits in overall schizotypy, other studies finding ToM deficits in only specific schizotypy dimensions, and yet other studies finding no ToM deficits at all. One potential key factor that may account for this discrepancy is the use of schizotypy measures that do not adequately measure specific schizotypy dimensions. Additional limitations are employment of ToM measures that rely heavily on explicit cultural knowledge, verbal/reading comprehension, and/or other cognitive abilities.</p><p><strong>Method: </strong>To address these discrepant findings, we used the Schizotypal Personality Questionnaire-Brief Revised (Updated; SPQ-BRU) and the Multidimensional Schizotypy Scale (MSS) to tap overall schizotypy and specific schizotypy dimensions. To measure ToM, we used the Frith-Happé animations (FHA) and Strange Stories Film Task (SSFT). We examined the hypothesized negative relationship between schizotypy and ToM in a sample of 233 nonclinical individuals.</p><p><strong>Results: </strong>Regression analysis indicated no significant relationship between overall schizotypy and ToM on both the FHA (b = 0.01, t(196) = -0.75, p = 0.46) and SSFT (b = -0.20, t(195) = -1.69, p = 0.09). However, it did find that the negative schizotypy dimension was associated with poorer ToM performance on both the FHA (b = -0.11, t(194) = -2.7, p = 0.008) and SSFT (b = -0.12, t(193) = -3.22, p = 0.001). Also, exploratory analyses employing an extreme-group design approach indicated high schizotypy and high negative schizotypy groups displayed weaker ToM performance within all specific schizotypy dimensions.</p><p><strong>Conclusion: </strong>These results indicate that ToM impairments are present in schizotypy, especially within the negative schizotypy dimension. The results suggest important methodological implication for studying ToM in schizotypy and conceptualizing the latent structure of schizotypy.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-13"},"PeriodicalIF":1.9,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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