Personality and Mental Health最新文献

{"title":"Assessing the dark personality traits with observer reports: A meta-analysis of inter-rater agreement on the Dark Triad and Dark Tetrad traits.","authors":"Pilar Rico-Bordera, David Pineda, Manuel Galán, José A Piqueras","doi":"10.1002/pmh.1639","DOIUrl":"10.1002/pmh.1639","url":null,"abstract":"<p><p>Assessing dark personality traits with self-reports may be hampered by biases such as socially desirable responding. To address this, observer reports could be an effective complement or alternative to self-reports. This meta-analysis aimed to investigate the correlations of observer reports of the Dark Triad and Dark Tetrad traits with these traits' self-reports. A comprehensive search in PubMed, Web of Science, Scopus and PsycINFO yielded 24 studies that met the inclusion criteria (with 32 effect sizes) and included the assessment of at least one of the dark traits. Results showed positive self-observer correlations of medium-high magnitude for psychopathy (r = 0.47) and of medium magnitude for narcissism and Machiavellianism (respectively, r = 0.44 and 0.41). In addition, for Machiavellianism and psychopathy, it was shown that the better acquainted the observer and the observed, the higher the self-observer correlations. For sadism, no results could be obtained because only one study included the assessment of this trait. This is the first meta-analysis of inter-rater agreement in assessing the Dark Tetrad. The findings suggest that observer reports could be a supplement or even be alternatives to self-reports when assessing the Dark Tetrad traits.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":" ","pages":"e1639"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559134","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}

{"title":"Communication Between Individuals With Borderline Personality Disorder and Their Partners.","authors":"Claire Lauzon, Alyssa A Di Bartolomeo, Sonya Varma, Tali Boritz, Rachel Liebman, Candice Monson, Skye Fitzpatrick","doi":"10.1002/pmh.70013","DOIUrl":"10.1002/pmh.70013","url":null,"abstract":"<p><p>Borderline personality disorder (BPD) is characterized by frequent and intense conflict in intimate relationships. Emerging theoretical perspectives have suggested that communication from both individuals with BPD and their partners during times of conflict may exacerbate BPD pathology and therefore reflect an important target for intervention. Communication samples between individuals with BPD and their partners (N = 18 couples) who were seeking conjoint therapy were coded using the Rapid Marital Interactions Coding System-2. No differences were found in the amount of positive, constructive or hostile communication between individuals with BPD and their partners, and both partners used significantly more constructive communication than positive or hostile, though they were misaligned in their use of constructive communication. These findings challenge the notion that individuals with BPD communicate in a more hostile or conflictual way than their partners, despite the stigma they face in healthcare and community settings.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e70013"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469570","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}

{"title":"Relationship-Specific Attachment and Mentalization as Predictors of Borderline Personality Features and Interpersonal Competence Among Emerging Adults.","authors":"Mehak Sikand, Poornima Bhola, K S Meena","doi":"10.1002/pmh.70009","DOIUrl":"https://doi.org/10.1002/pmh.70009","url":null,"abstract":"<p><p>Developmental psychopathology models, like the mentalization theory, have facilitated the theoretical understanding of trajectories that contribute to the expression and experience of borderline personality (BP) features. Mentalization theory posits that BP vulnerabilities and interpersonal difficulties arise from insecure attachment experiences and deficits in mentalizing ability. This study explored the intersections of attachment vulnerabilities in close relationships, mentalizing domains, and their combined impact on BP features and interpersonal competence in emerging adults. The sample included 742 emerging adults (18-25 years) from colleges across 23 Indian states, who completed an online survey measuring relationship-specific attachment anxiety and avoidance (mother, father, best friend), mentalization (self-related, other-related, motivation to mentalize), BP features, and interpersonal competence. Path analysis was conducted to examine (a) the association between relationship-specific attachment dimensions and BP features/interpersonal competence and (b) mentalization as a mediator. Attachment anxiety and avoidance in specific relationships were found to have direct positive effects on BP features and direct negative effects on interpersonal competence. However, the strength and significance of these effects were not similar across relationships, shedding light on unique contributions of relationship-specific attachment difficulties on BP features and interpersonal competence. Mentalization mediated these associations, with self-related mentalization uniquely affecting BP features and other-related mentalization influencing interpersonal competence. The findings underscore the importance of relationship-specific attachment and mentalization domains in BP vulnerabilities among emerging adults. They provide empirical support for developing targeted mentalization-based interventions to enhance self and interpersonal functioning.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e70009"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415823","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}

{"title":"Personality and Sleep Psychopathology: Associations Between the DSM-5 Maladaptive Trait Domains and Multiple Sleep Problems in an Adult Population.","authors":"Ali Zakiei, Habibolah Khazaie, Mohammadreza Alimoradi, Renatha El Rafihi-Ferreira, Mohammad-Taher Moradi, Saeid Komasi","doi":"10.1002/pmh.70008","DOIUrl":"https://doi.org/10.1002/pmh.70008","url":null,"abstract":"<p><p>Given the lack of sufficient studies exploring the nature of sleep problems from the perspective of the alternative model of personality disorders (AMPD) proposed by the DSM-5, the present study is aimed at determining the associations between five trait domains such as negative affectivity and sleep problems (insomnia, parasomnia, hypersomnia, circadian rhythm sleep disorder, restless legs syndrome, and sleep-disordered breathing) in an adult population. Adults aged 18-65 from western Iran were invited to the study via virtual platforms (N = 928; 62% female) and responded online to the Brief Form of Personality Inventory for DSM-5 and the Holland Sleep Disorder Questionnaire to assess sleep problems. The regression analyses indicated that the AMPD trait domains could significantly predict both specific sleep problems (R² ranges from 0.13 to 0.17; all p ≤ 0.001) and total score of sleep problems (R² = 0.23; p < 0.001). Psychoticism (β ranges from 0.26 to 0.39; all p < 0.001) and negative affectivity (β ranges from 0.14 to 0.29; all p ≤ 0.002) were the strongest specific domains associated with all sleep problems. The findings highlighted links between maladaptive domains of the AMPD and multiple sleep problems. The unique profiles of each sleep problem are useful in selecting treatments tailored to specific sleep problems in adults.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e70008"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190813","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}

{"title":"Psychotherapeutic Change in Intensive Day Treatment for Personality Disorders: A Single Case Study of Quantitative and Qualitative Change in Agency and Communion.","authors":"Silvia M Pol, Elke Brok, Gerben J Westerhof","doi":"10.1002/pmh.70007","DOIUrl":"10.1002/pmh.70007","url":null,"abstract":"<p><p>A better understanding of psychotherapeutic change is seen as essential for further development of treatment for personality disorders. The objective of this study is to describe the psychotherapeutic change process of a client with personality disorder to develop more insight in psychotherapeutic change processes. The change process was described quantitatively from ROM data and quantitatively and qualitatively from two narrative themes, agency and communion, described from the perspectives of client and treatment team. Reliable change analyses showed decrease in personality problems and increase in personality functioning and mental well-being. Content analyses from the client perspective showed positive changes in meaning, actual behavior change, and connection with others. The treatment team noticed growth in self-management ability and in connecting with own emotions and with others. These changes resulted in an increase in agency and communion. By mapping change processes through multiple sources and perspectives, the efficacy of psychotherapeutic treatment can be better understood.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e70007"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11815315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400253","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}

{"title":"Mental Health and Personality Functioning of People With Probable Personality Disorder Who Have Coexisting Complex Post Traumatic Stress Disorder.","authors":"Sapphira McBride, Nia Goulden, Kirsten Barnicot, Kieron Corrigan, Sophie Shen, Serena Guillemard, Violet Effiom, Gemma Harrison, Lizwi Nyathi, Lyn Charles, Snehal P Pandya, Verity Leeson, Rachel Evans, Mike J Crawford","doi":"10.1002/pmh.70010","DOIUrl":"10.1002/pmh.70010","url":null,"abstract":"<p><p>This paper examines the prevalence and comorbidity of complex post-traumatic stress disorder (CPTSD) and borderline personality disorder (BPD) among individuals with probable personality disorder, using baseline data from the Structured Psychological Support clinical trial. The clinical characteristics and personality functioning of participants are summarised and compared between those meeting criteria for BPD, CPTSD, both or neither condition. Among 292 participants, 97% reported significant trauma exposure, and over half met the criteria for CPTSD. Those with CPTSD exhibited higher levels of social dysfunction and depression compared with those with BPD, despite both groups showing elevated emotion dysregulation and anxiety. Comorbidity of CPTSD and BPD was high, with 50% of the sample meeting criteria for both conditions. Participants with comorbid CPTSD and BPD displayed poorer baseline scores across all measures of mental health and functioning than those who met criteria for BPD alone. No statistically significant differences were found in suicidal behaviour or treatment-seeking between groups. There were no significant differences in International Classification of Diseases-11 personality trait domains between participants with CPTSD and BPD, but people with comorbid CPTSD and BPD displayed higher levels of trait negative affectivity than those with BPD alone. The findings highlight the need for trauma-informed assessments in clinical settings and a better understanding of the impact of CPTSD on treatment outcomes for people with personality disorder, including how existing treatments may need to be modified to better meet the needs of people with these highly comorbid conditions. TRIAL REGISTRATION: Current controlled trials ISRCTN13918289 (registered 11/11/2022).</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e70010"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469551","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}

{"title":"Meaning in Life as an Outcome of Inpatient or Day-Hospital Psychotherapy for Personality Disorder.","authors":"Angelien Steen, Arjan W Braam, Adriaan W Hoogendoorn, Han Berghuis, Gerrit Glas","doi":"10.1002/pmh.70001","DOIUrl":"10.1002/pmh.70001","url":null,"abstract":"<p><p>Psychotherapy may contribute to the experience of meaning in life. This study investigated meaning in life among patients with personality disorders during inpatient or day-hospital psychotherapy. Meaning in life was approached from two conceptual perspectives: personality functioning with an emphasis on self-direction and existential psychology. We investigated changes in the sense of meaning in life and accounted for changes in depressive symptoms and identity and interpersonal pathology. Using pre-post measures, Livesley's General Assessment of Personality Disorder, especially, the Lack-of-Meaning-Purpose-and-Direction subscale and Steger's Meaning-in-Life Presence subscale were administered to 75 patients with personality disorders during inpatient or day-hospital psychotherapy for 8-12 months. Regression models showed that levels of the lack and presence of meaning decreased and increased during treatment, respectively, controlled for changes in depressive symptoms. Decreased identity pathology was significantly associated with changes in the lack or presence of meaning. Meaning in life may act as an outcome variable in intensive psychotherapy for personality disorders. The development of identity and self-direction may restore or create the ability to give life meaning.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e70001"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048099","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}

{"title":"Disruption of Epistemic Trust in Borderline Personality Disorder: A Possible Adaptation to Avoid Making Costly Mistakes.","authors":"Yağızcan Kurt","doi":"10.1002/pmh.70006","DOIUrl":"10.1002/pmh.70006","url":null,"abstract":"<p><p>This paper applies error management theory (EMT) (Haselton and Buss 2000) to explore how disruptions in epistemic trust-trust in communicated information-can be understood as adaptive responses to early adversity in individuals with borderline personality disorder (BPD). I propose that epistemic mistrust (EM) and epistemic credulity (EC), characterized by inappropriate trust patterns, arise from the differential costs of trusting unreliable versus mistrusting reliable information. Although these biases may seem maladaptive, they function as evolutionary survival mechanisms in response to harsh environments. Signal detection analysis can provide empirical evidence for these trust biases by assessing how individuals with BPD make trust-related decisions. Clinically, understanding these biases as evolutionary adaptations helps reduce stigma and informs evolutionary-informed interventions to recalibrate trust responses and improve interpersonal relationships. This approach highlights the significance of integrating evolutionary perspectives in treating trust disturbances in BPD.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e70006"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025219","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}

{"title":"The structure of pathological personality traits and temperament in a Persian community sample.","authors":"Katherine M Lawson, Azad Hemmati, Farzin Rezaei, Khaled Rahmani, Saeid Komasi, Christopher J Hopwood","doi":"10.1002/pmh.1634","DOIUrl":"10.1002/pmh.1634","url":null,"abstract":"<p><p>The present study examined the extent to which the currently established factor structure of the Personality Inventory for DSM-5 (PID-5; Krueger et al., 2013) generalizes to a large Persian community sample, as well as relations between the resulting PID-5 factors and two temperament measures. Cross-sectional data came from 946 adults (65% female) from western Iran. With the use of exploratory structural equation modeling (ESEM) with target rotation, we found factor loadings that showed fairly similar patterns to those found in two previous meta-analytic PID-5 studies with predominantly North American and European samples (Watters & Bagby, 2018; Somma et al., 2019). Despite slight differences in each of the target rotations, there were moderate congruence coefficients (~0.85) between loadings for the five PID-5 domains, with the weakest evidence supporting the Disinhibition factor. The resulting PID-5 factors showed meaningful associations with temperament domains assessed via the Temperament and Character Inventory (TCI; Cloninger, 1994) and Temperament Evaluation of Memphis, Pisa, Paris and San Diego-Autoquestionnaire (TEMPS-A; Akiskal et al., 2005). Overall, our findings suggest that the documented structure of personality pathology assessed by the PID-5 generalizes somewhat to this sample of Persian participants, and pathological personality traits show important overlap with temperament, although these constructs are meaningfully distinct.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":" ","pages":"387-401"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141380","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}

{"title":"Unravelling inter-relations within and between psychodynamic constructs and psychopathology using network analysis.","authors":"Larissa Vierl, Philipp Wülfing, Florian Juen, Susanne Hörz-Sagstetter, Carsten Spitzer, Cord Benecke","doi":"10.1002/pmh.1628","DOIUrl":"10.1002/pmh.1628","url":null,"abstract":"<p><p>Psychodynamic constructs and psychopathology are closely inter-related, but more detailed insight is needed. We investigated these complex inter-relations using network analysis. A Gaussian graphical model in a sample of N = 2232 psychotherapeutic inpatients was estimated. Self-administered questionnaires to assess interpersonal relations (Inventory of Interpersonal Problems-32), psychodynamic conflicts (Operationalized Psychodynamic Diagnosis-Conflict Questionnaire), personality functioning (Operationalized Psychodynamic Diagnosis-Structure Questionnaire-Short Form, Inventory of Personality Organization-Short Form), and psychopathology (Brief Symptom Inventory) were utilized. We investigated the network structure, identified the most inter-related psychodynamic constructs and the psychodynamic constructs with the strongest inter-relations to psychopathology, and explored the clustering of all included constructs. Active and passive conflict processing modes were negatively inter-related in most conflicts. Passive conflict processing modes were more strongly related to psychopathology than active ones in all conflicts, apart from the care versus autarky conflict. Identity diffusion shared the strongest inter-relations within psychodynamic constructs. The psychodynamic constructs that were most strongly related to psychopathology were impairments in self-perception and the passive self-worth conflict. Psychopathology and psychodynamic constructs formed distinct clusters. Our results emphasize the relevance of personality functioning within psychodynamic constructs and in relation to psychopathology.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":" ","pages":"323-338"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421385","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}