Personality and Mental Health最新文献

Avoidant Personality Traits and Avoidant Coping in Cognitive-Behavioral Therapy vs. Short-Term Psychodynamic Psychotherapy for Adult Depression. 认知行为疗法与短期心理动力疗法治疗成人抑郁症的回避型人格特质与回避型应对。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2026-05-01 DOI: 10.1002/pmh.70081

Saskia de Bruin, Pauline L Herrmann, Jack J M Dekker, Jaap Peen, Henricus L Van, Frank Don, Ellen Driessen

{"title":"Avoidant Personality Traits and Avoidant Coping in Cognitive-Behavioral Therapy vs. Short-Term Psychodynamic Psychotherapy for Adult Depression.","authors":"Saskia de Bruin, Pauline L Herrmann, Jack J M Dekker, Jaap Peen, Henricus L Van, Frank Don, Ellen Driessen","doi":"10.1002/pmh.70081","DOIUrl":"10.1002/pmh.70081","url":null,"abstract":"Research on the significance of comorbid personality disorders (PD) on the outcome of depression treatment has shown inconsistent findings. In addition, it is still unclear whether treatment choice based on personality traits and coping can enhance the efficacy of depression treatment. Aiming to deliver clinically representative results, we use dimensional measures to examine avoidant personality and coping as moderators for the efficacy of cognitive-behavioral therapy (CBT) versus short-term psychodynamic psychotherapy (STPP) for depression. Furthermore, we explored whether these depression treatments reduced avoidant personality traits and coping. Included were 265 patients with major depressive disorder who received 16-week CBT or STPP in a randomized clinical trial. Depression, avoidant personality traits, and avoidant coping were measured with, respectively, the Hamilton Depression Rating Scale, NEO Five Factor Inventory (extraversion and neuroticism subscales), and Utrecht Coping List (avoidance subscale). Multilevel regression analyses estimated the moderating effects of avoidant personality traits and avoidant coping on the relationship between treatment type and depressive symptom change, as well as changes in avoidant personality traits and avoidant coping in CBT and STPP. Avoidant personality traits and avoidant coping did not moderate the efficacy of CBT and STPP. Both treatments resulted in significant reductions in avoidant personality traits, but not in coping. Both CBT and STPP can be offered to patients with avoidant personality traits and avoidant coping and can reduce avoidant personality traits. Trial Registration: ISRCTN31263312 (http://www.controlled-trials.com).","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"20 2","pages":"e70081"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13135863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822080","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

Personality Pathology and Functional Outcomes During Pharmacological Treatment of Adult ADHD. 成人ADHD药物治疗期间的人格病理和功能结果。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2026-05-01 DOI: 10.1002/pmh.70071

Peter Jacobsson, Elin Palage, Christopher J Hopwood, Bo Söderpalm, Robert F Krueger, Viktor Tasselius, Thomas Nilsson

{"title":"Personality Pathology and Functional Outcomes During Pharmacological Treatment of Adult ADHD.","authors":"Peter Jacobsson, Elin Palage, Christopher J Hopwood, Bo Söderpalm, Robert F Krueger, Viktor Tasselius, Thomas Nilsson","doi":"10.1002/pmh.70071","DOIUrl":"10.1002/pmh.70071","url":null,"abstract":"Adults with ADHD show substantial variability in response to pharmacological treatment, and comorbid personality pathology may help explain why symptom improvement often fails to translate into meaningful functional improvement. This naturalistic longitudinal study examined whether dimensional personality pathology predicts symptomatic and functional outcomes during routine stimulant treatment. A total of 246 adults with ADHD (66% women; mean age = 33.5) contributed repeated assessments over irregular follow-up intervals, with substantial attrition across waves. Linear mixed-effects models were used to accommodate unbalanced repeated measures. Linear mixed-effects models indicated that higher personality dysfunction was strongly associated with less improvement in functioning (β = 0.44, p < 0.001) and more persistent ADHD symptoms (β = 0.20, p < 0.001), independent of stimulant dose and time in treatment. Negative affectivity, detachment, psychoticism, and disinhibition were the maladaptive trait domains most consistently linked to poorer functional outcomes, whereas disinhibition showed the strongest association with residual ADHD symptom burden. Medication-related effects were modest in comparison. These findings identify personality pathology as a clinically relevant source of heterogeneity in adult ADHD treatment response and support routine assessment of personality functioning to inform clinical decision-making.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"20 2","pages":"e70071"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13033909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575883","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

Disordered Personality Dimensions and Emotion Regulation Among Older Adults. 老年人人格障碍维度与情绪调节。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2026-02-01 DOI: 10.1002/pmh.70064

Sarah E Pieper, Judy J Thomas, Patrick L Hill

引用次数: 0

Personality Traits and Psychological Well-Being: Association Within the "Seguimiento Universidad de Navarra" (SUN) Cohort. 人格特质与心理健康：在“Seguimiento university de Navarra”（SUN）队列中的关联。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2026-02-01 DOI: 10.1002/pmh.70065

Virginia Basterra-Gortari, Mario Gil-Conesa, Carmen Sayón-Orea, Francisca Lahortiga-Ramos, Carmen De la Fuente-Arrillaga, Miguel A Martínez-González, Maira Bes-Rastrollo

{"title":"Personality Traits and Psychological Well-Being: Association Within the \"Seguimiento Universidad de Navarra\" (SUN) Cohort.","authors":"Virginia Basterra-Gortari, Mario Gil-Conesa, Carmen Sayón-Orea, Francisca Lahortiga-Ramos, Carmen De la Fuente-Arrillaga, Miguel A Martínez-González, Maira Bes-Rastrollo","doi":"10.1002/pmh.70065","DOIUrl":"10.1002/pmh.70065","url":null,"abstract":"Psychological well-being (PWB) is a core component of mental health influenced by personality; however, most prior research focused on subjective well-being and normal-range personality traits. Less is known about the longitudinal role of maladaptive personality traits in shaping eudaimonic well-being. This study examined prospective associations between maladaptive personality domains and subsequent PWB in the SUN cohort. Personality traits were assessed at the 16-year follow-up using the Personality Inventory for DSM-5 Abbreviated Form (PID-5-BF). PWB was evaluated 2 years later using Ryff's 29-item scale. All domains were analyzed as continuous variables in multivariable linear regression models with mutual adjustment. Among 2080 participants (56.9% women, mean age 57 ± 10.9 years), higher levels of detachment (β: -2.43; 95% CI: -2.77, -2.09), negative affect (β: -1.09; 95% CI: -1.38, -0.80), psychoticism (β: -0.76; 95% CI: -1.21, -0.30) and disinhibition (β: -0.52; 95% CI: -0.93, -0.11) were prospectively associated with lower PWB, whereas antagonism showed a positive association (β: 0.76; 95% CI: 0.36, 1.17). Detachment was consistently associated with lower scores across all six PWB dimensions, negative affect and psychoticism showed selective inverse associations with several PWB dimensions, and disinhibition showed an inverse association for autonomy. Nevertheless, antagonism displayed positive associations with environmental mastery, purpose in life, and self-acceptance. In conclusion, maladaptive personality traits are prospectively associated with PWB, with domain-specific patterns, highlighting the importance of a multidimensional perspective when examining personality-PWB relationships.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"20 1","pages":"e70065"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12931997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285522","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

The Relationship Between Personality Psychopathology Features and Readmission Rates Among Adolescents With Anorexia Nervosa Admitted to a Medical Inpatient Eating Disorder Unit. 青少年神经性厌食症患者的人格、精神病理特征与再入院率的关系

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2026-02-01 DOI: 10.1002/pmh.70067

Elizabeth V Franklin, Daniel D Flint, Kendel King, Beth H Garland

{"title":"The Relationship Between Personality Psychopathology Features and Readmission Rates Among Adolescents With Anorexia Nervosa Admitted to a Medical Inpatient Eating Disorder Unit.","authors":"Elizabeth V Franklin, Daniel D Flint, Kendel King, Beth H Garland","doi":"10.1002/pmh.70067","DOIUrl":"https://doi.org/10.1002/pmh.70067","url":null,"abstract":"Many features of personality psychopathology are shared among patients with Anorexia Nervosa (AN), yet the impact of these shared features is not fully understood, and the impact of having more personality psychopathology features during adolescent onset of AN, especially among adolescents admitted to an inpatient eating disorder unit, has not been explored. This study evaluated how personality psychopathology, utilizing a measure of borderline personality disorder (BPD) symptom severity, has a potential predictive value in understanding risk of readmission for an eating disorder over time. A total of 256 adolescents were admitted for medical stability to an inpatient unit for the first time. Adolescents completed the Borderline Personality Features Scale for Children-11 (BPFSC-11) within the first 14 days of admission; demographic variables, anxiety and mood comorbidities, and readmission status were obtained through chart review. Higher scores on the BPFSC-11 were significantly associated with being readmitted within 1 year of discharge from the inpatient unit. These findings highlight how personality psychopathology features at onset of severe AN in adolescence could indicate a higher risk for recovery complications, including repeated inpatient admission. These findings may underscore the role of supplementary therapeutic interventions alongside family-based therapy, including dialectical behavior therapy.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"20 1","pages":"e70067"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272391","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

Comment on "Implementing Systems Training for Emotional Predictability and Problem Solving (STEPPS) in Norway: An Open Multicenter Study". 评论“在挪威实施情绪可预测性和解决问题的系统培训（STEPPS）：一项开放的多中心研究”。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2026-01-01 DOI: 10.1002/pmh.70073

Neeraj Singh, Monika Srivastav

引用次数: 0

Criterion A as Developmental Severity: Reclaiming the Psychodynamic Core of Personality Functioning. 标准A作为发展严重性：重拾人格功能的心理动力学核心。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2026-01-01 DOI: 10.1002/pmh.70059

Kimberly J Gilbert

{"title":"Criterion A as Developmental Severity: Reclaiming the Psychodynamic Core of Personality Functioning.","authors":"Kimberly J Gilbert","doi":"10.1002/pmh.70059","DOIUrl":"10.1002/pmh.70059","url":null,"abstract":"The Alternative Model for Personality Disorders (AMPD) distinguishes severity of personality dysfunction (Criterion A) from maladaptive trait expression (Criterion B). Debates about whether the Level of Personality Functioning Scale (LPFS) is unidimensional or multidimensional have attracted considerable attention but largely miss the point. Personality functioning, as conceived within psychodynamic developmental theory, is singular by definition-not because factor analyses extract a dominant factor but because psychological development itself is one process. The DSM-5 Work Group constructed Criterion A from psychodynamic instruments that interpret personality pathology as failures to develop a stable, coherent sense of self, and the capacity for meaningful relationships. Evidence for this developmental achievement appears in identity, self-direction, empathy, and intimacy, but these domains reflect facets of a single capacity rather than separable dimensions. This commentary traces the psychodynamic roots of Criterion A, integrates contemporary trait research to clarify how Criteria A and B differ conceptually, addresses key psychometric critiques, and outlines treatment implications.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"20 1","pages":"e70059"},"PeriodicalIF":2.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145834109","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

Low-Dose Lithium Monotherapy in Borderline Personality Disorder: Complete Remission of Impulsive Self-Harming Behaviors and Affective Instability. 低剂量锂单药治疗边缘型人格障碍：冲动性自我伤害行为和情感不稳定的完全缓解。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2026-01-01 DOI: 10.1002/pmh.70080

Halil İbrahim Yamaç, Alpaslan Girgin, Meltem Derya Şahin

引用次数: 0

Comment on "Personality Pathology and Functional Outcomes During Pharmacological Treatment of Adult ADHD". 对“成人ADHD药物治疗中的人格病理和功能结果”的评论。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2026-01-01 DOI: 10.1002/pmh.70078

Vijay Kumar K V, Pankaj Kshirsagar, Mansi Mishra, Surbhi Panwar

引用次数: 0

Comment on 'Coercive Control and Intimate Partner Violence: Relationship With Personality Disorder Severity and Pathological Narcissism'. “强迫控制和亲密伴侣暴力：与人格障碍严重程度和病态自恋的关系”评论。