Katrina S Rbeiz, Haley E Clark, Kathryn C Kemp, Alyssa J Bathery, Mahogany A Monette, Neus Barrantes-Vidal, Thomas R Kwapil
{"title":"The association of multidimensional schizotypy with symptoms and impairment across racial groups.","authors":"Katrina S Rbeiz, Haley E Clark, Kathryn C Kemp, Alyssa J Bathery, Mahogany A Monette, Neus Barrantes-Vidal, Thomas R Kwapil","doi":"10.1002/pmh.1528","DOIUrl":"https://doi.org/10.1002/pmh.1528","url":null,"abstract":"<p><p>The assessment of schizotypy and schizophrenia-spectrum psychopathology has historically been adversely impacted by multiple forms of measurement bias, including racial bias. The Multidimensional Schizotypy Scale (MSS) was developed using modern scale construction methods to minimize measurement bias in the assessment of schizotypic traits. However, studies have not examined the validity of the measurement across different racial groups. The present study examined whether the associations of MSS positive, negative, and disorganized schizotypy subscales with interview-assessed ratings of functioning, schizophrenia-spectrum personality traits, and depressive disorders were generally comparable across nonclinically ascertained samples of Black (n = 46), Asian (n = 87), and White (n = 116) young adults. Consistent with previous findings, all three schizotypy subscales were associated with impairment and schizotypal and paranoid traits. Negative schizotypy was associated with schizoid traits, and disorganized schizotypy was associated with depressive disorders. These associations were comparable across the racial groups, supporting the use of the MSS in these groups. Culturally and empirically valid assessments are essential for providing accurate assessments across racial/ethnic groups and reducing the risk of overpathologizing people of color. The present findings support the cross-cultural validity of the MSS; however, future studies should expand upon these findings by including more diverse samples and longitudinal designs.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"16 1","pages":"79-89"},"PeriodicalIF":2.7,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pmh.1528","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39420980","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":"Michael Rutter: A man for all childhood seasons.","authors":"Peter Tyrer","doi":"10.1002/pmh.1536","DOIUrl":"https://doi.org/10.1002/pmh.1536","url":null,"abstract":"","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"16 1","pages":"3-4"},"PeriodicalIF":2.7,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39924886","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":"Is social function a good proxy measure of personality disorder?","authors":"Peter Tyrer, Min Yang, Helen Tyrer, Mike Crawford","doi":"10.1002/pmh.1513","DOIUrl":"10.1002/pmh.1513","url":null,"abstract":"<p><strong>Background: </strong>Personality assessment may be helped by proxy measures.</p><p><strong>Aims: </strong>To examine the assessment of social functioning in relationship to personality disorder.</p><p><strong>Method: </strong>Secondary analysis of data from three clinical studies, following deliberate self-harm (n = 460), cognitive behaviour therapy for health anxiety (n = 444) and a 30-year follow-up of 200 anxious/depressed patients. Social function and personality were assessed using the Social Functioning Questionnaire (SFQ) and the Personality Assessment Schedule, with its ICD-11 modification. A 5-item short version of the SFQ, the Short Social Functioning Questionnaire (SSFQ), was also developed. The SFQ score in the first two studies (area under curve [AUC] 0.64 and 0.65) partly predicted personality status; in the third study, this achieved close agreement (AUC SFQ 0.85 [95% CI 0.8-0.9]; AUC SSFQ 0.84 [95% CI 0.78-0.89]). In all studies, social function deteriorated linearly with increasing personality pathology. Cut-off points of 4 on the SSFQ and 7 on the SFQ had high sensitivity (SSFQ 82%-90%; SFQ 82%-83%) and acceptable specificity (SSFQ 66%-75%; SFQ 69%-75%) in identifying personality disorder in the third study.</p><p><strong>Conclusions: </strong>Social functioning recorded in either a 5-item or 8-item self-rating is a useful proxy measure of personality disturbance and may be the core of disorder.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"15 4","pages":"261-272"},"PeriodicalIF":2.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11475642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38990190","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}
Timothy A Allen, Kate L Harkness, Raymond W Lam, Roumen Milev, Benicio N Frey, Daniel J Mueller, Rudolf Uher, Sidney H Kennedy, Lena C Quilty
{"title":"Interactions between neuroticism and stressful life events predict response to pharmacotherapy for major depression: A CAN-BIND 1 report.","authors":"Timothy A Allen, Kate L Harkness, Raymond W Lam, Roumen Milev, Benicio N Frey, Daniel J Mueller, Rudolf Uher, Sidney H Kennedy, Lena C Quilty","doi":"10.1002/pmh.1514","DOIUrl":"10.1002/pmh.1514","url":null,"abstract":"<p><p>Exposure to stressful life events and individual differences in the personality trait neuroticism are important risk factors that interact to predict major depressive disorder (MDD). Less is known about their effect on treatment response in depression. Here, we examine whether stressful life events experienced prior to and during treatment interact with neuroticism to predict response to 16-week pharmacotherapy for MDD. Participants included 159 outpatients with MDD who were initially treated with 8 weeks of escitalopram. Those who responded to the initial treatment continued on escitalopram monotherapy, whereas non-responders received 8 weeks of adjunctive aripiprazole. Personality was assessed using the NEO-Five Factor Inventory, and stressful life events were assessed using the Life Events and Difficulties Schedule, a rigorous contextual interview that includes independent ratings of threatening life events. High baseline neuroticism was associated with a lower likelihood of response when patients experienced one or more negative life events before treatment. Secondary analyses indicated that this effect was specific to neuroticism, and not better accounted for by its self-criticism or negative affect facets. Our results suggest that assessing personality and stressful life events at baseline can help clinicians assess which patients will respond to antidepressant therapy and which may need treatment augmentation.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"15 4","pages":"273-282"},"PeriodicalIF":2.7,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8959246/pdf/nihms-1782774.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38997496","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}
Robbert J Langwerden, Michelle G Thompson, Eric F Wagner
{"title":"Multidimensional conceptualization of identity and psychopathology: Assessing mental health disparities from an intersectional and dimensional framework.","authors":"Robbert J Langwerden, Michelle G Thompson, Eric F Wagner","doi":"10.1002/pmh.1519","DOIUrl":"https://doi.org/10.1002/pmh.1519","url":null,"abstract":"<p><p>Black, Indigenous, and People of Color (BIPOC) currently constitute 40% of the US population and will become the majority by 2045. Current mental health systems have not sufficiently accounted for disparities, inequities, and social determinants impacting BIPOC lives. We outline several advances that could improve mental health disparities research. Research on BIPOC requires mental health assessment accurately capturing multiple facets of one's identity, taking into account the complexities of multifaceted historical oppression. Assessing (personality) psychopathology in a dimensional and hierarchical manner could provide greater insight into mental health disparities between diverse identity individuals. We encourage studying moderators that are protective assets for BIPOC-such as resiliency and community factors-as opposed to deficit-dominant, category-based, and majority-dominant assessments.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"15 4","pages":"293-308"},"PeriodicalIF":2.7,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pmh.1519","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39235946","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":"Catastrophizing, negative affectivity, and borderline personality disorder.","authors":"Courtney K Mason, Stephanie N Mullins-Sweatt","doi":"10.1002/pmh.1520","DOIUrl":"https://doi.org/10.1002/pmh.1520","url":null,"abstract":"<p><p>The core features of borderline personality disorder (BPD) include problematic interpersonal relationships, behavioral and affective dysregulation, identity problems, and cognitive dysregulation. Cognitive dysregulation, such as catastrophizing, rumination, and thought suppression, contributes to emotion dysregulation in BPD. Previous research suggested that thought suppression fully mediated the relationship between negative affect intensity/reactivity and BPD symptoms. We predicted that catastrophizing similarly will serve as a mediator between negative affect intensity/reactivity and BPD symptoms. Two samples completed the study. First, students (N = 191) self-selected to participate in an online study through the university psychology research recruitment system. Additionally, a second sample using Amazon Mechanical Turk (MTurk; N = 172) was utilized. Catastrophizing partially mediated the relationship between negative affect intensity/reactivity and BPD symptoms. Across these samples, results suggest that catastrophizing may have a significant role in understanding BPD symptoms, which is similar with rumination. Limitations and future directions are also discussed.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"15 4","pages":"283-292"},"PeriodicalIF":2.7,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pmh.1520","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39093415","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}
Loris Grandjean, Jana Hummel, Dominik Wyer, Hélène Beuchat, Franz Caspar, Rainer Sachse, Thomas Berger, Ueli Kramer
{"title":"Psychotherapeutic case formulation: Plan analysis for narcissistic personality disorder.","authors":"Loris Grandjean, Jana Hummel, Dominik Wyer, Hélène Beuchat, Franz Caspar, Rainer Sachse, Thomas Berger, Ueli Kramer","doi":"10.1002/pmh.1521","DOIUrl":"https://doi.org/10.1002/pmh.1521","url":null,"abstract":"<p><strong>Background: </strong>One of the relevant case formulation methods for personality difficulties is plan analysis. The present study aimed at delivering a prototypical plan analysis for clients presenting with a diagnosis of narcissistic personality disorder (NPD). The sample consisted of 14 participants diagnosed with an NPD. Based on audio clinical material, we developed 14 individual plan analyses that we then merged into a single prototypical plan analysis. For explorative purposes, we ran an ordinary least squares regression model to predict the narcissistic symptoms severity (NAR) measured on a scale of 1-7 of the 14 clients by the presence (respectively absence) of certain plans in their individual plan analysis. The synthesis revealed that clients with pathological narcissism share common basic motives. Results of the regression model reveal that the presence of the plan 'be strong' reduces the NAR scale by 1.52 points (p = 0.011).</p><p><strong>Discussion: </strong>In the treatment of psychological disorders, precise case formulations allow therapists for making clinically appropriate decision, personalizing the intervention and gaining insight into the client's subjective experience. In the prototypical plan structure we developed for NPD, clients strive to strengthen their self-esteem and avoid loss of control, criticism and confrontation as well as to get support, understanding and solidarity. When beginning psychotherapy with a client presenting with NPD, the therapist can use these plans as valuable information to help writing tailored, and therefore more efficient, case formulations for their patients presenting with an NPD.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"15 4","pages":"309-316"},"PeriodicalIF":2.7,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pmh.1521","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39247670","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}
Brett E Adams, John H Porcerelli, Steven Abell, Steven K Huprich
{"title":"Malevolent object relations: A multimethod study of female survivors of childhood abuse.","authors":"Brett E Adams, John H Porcerelli, Steven Abell, Steven K Huprich","doi":"10.1002/pmh.1512","DOIUrl":"https://doi.org/10.1002/pmh.1512","url":null,"abstract":"<p><p>Although childhood victimization is associated with impairments in object relations, it is not clear how different measures comparatively perform in assessing this relationship. This study examined the connection between emotional, physical, and sexual abuse in childhood and three methods of assessing malevolent object representations. Sixty adult women, recruited from an urban primary-care clinic, were administered the Thematic Apperception Test (TAT), the Object Relations Inventory (ORI) interview, and a version of the Early Memories Test (EMT)/interview. Ratings of malevolent object relations were obtained using the affect-tone dimension from the Social Cognition and Object Relations (SCORS-G) scale with both TAT and early memory narratives and through Malevolence ratings from the ORI interview. It was found that, outside of emotional abuse, ORI interview ratings of malevolence consistently differentiated adult childhood abuse groups and nonabuse groups, whereas early memory ratings of malevolence differentiated groups in two of four analyses. Malevolence ratings based upon TAT ratings failed to differentiate any type of abuse from nonabuse. These findings suggest that the use of malevolence ratings from the ORI and early memory narratives are preferred methods for assessing malevolent object relations in urban-dwelling women who have been victimized as children.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"15 4","pages":"252-260"},"PeriodicalIF":2.7,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pmh.1512","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38887747","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}
Fernando Gutiérrez, Enrique Vicente, Anton Aluja, Josep M Peri, Alfonso Gutiérrez-Zotes, Eva Baillés, Silvia Edo Villamón, María Ángeles Ruipérez Rodríguez, Amanda Meliá de Alba, Gemma Vall, David Gallardo-Pujol
{"title":"A third hierarchical level of narrower traits for the Dimensional Assessment of Personality Pathology-Basic Questionnaire.","authors":"Fernando Gutiérrez, Enrique Vicente, Anton Aluja, Josep M Peri, Alfonso Gutiérrez-Zotes, Eva Baillés, Silvia Edo Villamón, María Ángeles Ruipérez Rodríguez, Amanda Meliá de Alba, Gemma Vall, David Gallardo-Pujol","doi":"10.1002/pmh.1511","DOIUrl":"https://doi.org/10.1002/pmh.1511","url":null,"abstract":"<p><p>Current dimensional taxonomies of personality disorder show a stronger empirical grounding than categories, but may lack the necessary level of detail to make accurate predictions and case formulations. We need to further develop the lower levels of the hierarchy until reaching the building blocks of personality pathology. The Dimensional Assessment of Personality Pathology-Basic Questionnaire (DAPP-BQ) is well-suited to this purpose due to its multilayered structure and its agreement with the official dimensional classifications. We disaggregated the 18 DAPP-BQ mid-level facets through exploratory and confirmatory factor analysis in a sample of 3233 community subjects and outpatients. We obtained a set of 72 clinically relevant, narrower subfacets, which were reliable, well-fitted to the data, and invariant between clinical and community subjects and between the sexes. This third level of abstraction increases by 4.7% the capacity to predict DSM categorical personality disorders, gives a particular advantage in capturing dependent, histrionic, paranoid, obsessive, and schizoid features and can provide the detailed information that clinical decisions demand.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"15 4","pages":"239-251"},"PeriodicalIF":2.7,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pmh.1511","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38887744","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}