Personality and Mental Health最新文献_第10页

The recording of personality strengths: An analysis of the impact of positive personality features on the long‐term outcome of common mental disorders 人格优势的记录：积极的人格特征对常见精神障碍长期结果的影响分析

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2022-05-01 DOI: 10.1002/pmh.1548

Min Yang, P. Tyrer, H. Tyrer

{"title":"The recording of personality strengths: An analysis of the impact of positive personality features on the long‐term outcome of common mental disorders","authors":"Min Yang, P. Tyrer, H. Tyrer","doi":"10.1002/pmh.1548","DOIUrl":"https://doi.org/10.1002/pmh.1548","url":null,"abstract":"Abstract Although personality strengths are assessed frequently in occupational and managerial settings and in children, they have been less used in studies of personality disorder. The aim of this study is to examine the impact of a measure of personality strengths derived from the comprehensive version of the Personality Assessment Schedule (CPAS) (i.e., positive and reinforcing traits) on clinical symptoms and functioning. Eighty‐nine patients with anxiety and depression seen at the 30‐year follow‐up point in a cohort study (Nottingham Study of Neurotic Disorder) were administered the Comprehensive version of the PAS (CPAS). A factor analysis of the results determined the main groupings and their impact on long‐term outcomes as well as their association with change of outcomes over 30 years. Five positive factors (strengths), forceful considerateness, emotional toughness, cautiousness, independence and discernment accounted for 67.2% of the variance using both Varimax and Promax rotations. Low positive scores were strongly associated with suicide attempts, moderate/severe personality disorder, cothymia (mixed anxiety‐depression), greater symptomatology and poor social function. High scores were protective of serious pathology and particularly effective in inhibiting suicidal behaviour. The promotion of personality strengths may be of value in preventing suicidal behaviour and helping pro‐social change in those with personality disturbance.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44907893","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: 7

To love and work: A longitudinal study of everyday life factors in recovery from borderline personality disorder. 爱与工作：边缘型人格障碍康复过程中日常生活因素的纵向研究

IF 2 3区医学

Personality and Mental Health Pub Date : 2022-05-01 Epub Date: 2022-05-10 DOI: 10.1002/pmh.1547

Brin F S Grenyer, Michelle L Townsend, Kate Lewis, Nicholas Day

{"title":"To love and work: A longitudinal study of everyday life factors in recovery from borderline personality disorder.","authors":"Brin F S Grenyer, Michelle L Townsend, Kate Lewis, Nicholas Day","doi":"10.1002/pmh.1547","DOIUrl":"10.1002/pmh.1547","url":null,"abstract":"Although recovery from borderline personality disorder (BPD) is common, not all individuals improve over time. This study sought to examine the features that contribute to response or non-response for individuals at different stages of recovery from BPD over a longitudinal follow-up. Participants were individuals with a diagnosis of BPD that were followed up after 1 year of receiving psychological treatment. There were no significant differences between participants at intake across key indices; however, at 1-year follow-up, two groups were distinguishable as either 'functioning well' (n = 23) or 'functioning poorly' (n = 25) based on symptomatology and functional impairment. Participant qualitative responses were analysed thematically and via Leximancer content analysis. Thematic analysis indicated three key themes: (1) love of self and others, (2) making a contribution through work and study and (3) stability in daily life. Participants who were 'functioning well' described meaningful relationships with others, enjoyment in vocation, and described less frequent or manageable life crises. The 'functioning poorly' group described relationship conflicts, vocational challenges, feelings of aimlessness and purposelessness, instability in daily living and frequent crises. Leximancer content analysis visually depicted these divergent thematic nomological networks. Corroborating quantitative analyses indicated significant differences between these groups for social, occupational and symptom profiles. These findings highlight the centrality of achieving the capacity to 'love and work' in fostering a sense of personal recovery. Treatments may need specific focus on these factors, as they appeared to reinforce symptomatic trajectories of either improvement or poor non-response to therapy.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9287094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48048329","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 influence of personality disorder in predicting suicidal behaviour in common mental disorders: A 30-year study. 人格障碍对预测常见精神障碍患者自杀行为的影响:一项30年的研究

IF 2 3区医学

Personality and Mental Health Pub Date : 2022-05-01 Epub Date: 2022-04-01 DOI: 10.1002/pmh.1543

Peter Tyrer, Helen Tyrer, Min Yang

{"title":"The influence of personality disorder in predicting suicidal behaviour in common mental disorders: A 30-year study.","authors":"Peter Tyrer, Helen Tyrer, Min Yang","doi":"10.1002/pmh.1543","DOIUrl":"10.1002/pmh.1543","url":null,"abstract":"Two hundred ten patients with anxiety and depressive disorders were followed up over 30 years. Personality status was assessed at baseline using the Personality Assessment Schedule (PAS), an instrument that classifies personality disorder in a similar way to the new ICD-11 classification. Assessments of suicidal behaviour were made at 5, 12 and 30 years and suicidal thoughts at 12 and 30 years and analysed by personality status, clinical diagnosis and scores on the General Neurotic Syndrome Scale, a combined diagnosis of mixed anxiety depression and personality dysfunction. Suicide attempts were most frequent in the first 5 years of the study and reduced over time. Baseline personality status was the best predictor of suicide attempts at 5 years (no personality disorder 29.3%, personality disorder 51.6%, p = 0.006), and at 12 years (no personality disorder 11.9%, personality disorder 25.7%, p = 0.042), but no important differences were found at 30 years, when comorbid mental state disorder was the strongest predictor (p < 0.001). Similar but less marked findings were found for the general neurotic syndrome. It is concluded that the presence of personality disorder is a robust predictor of suicidal behaviour in the shorter term but in the long-term comorbid pathology is a better predictor.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9285912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46000511","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

Relations between attachment, identity and borderline personality disorder symptom severity in male inpatients with alcohol use disorder. 男性酒精使用障碍住院患者依恋、身份与边缘型人格障碍症状严重程度的关系。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2022-04-27 DOI: 10.1002/pmh.1545

Ewa Wojtynkiewicz, M. Sekowski

{"title":"Relations between attachment, identity and borderline personality disorder symptom severity in male inpatients with alcohol use disorder.","authors":"Ewa Wojtynkiewicz, M. Sekowski","doi":"10.1002/pmh.1545","DOIUrl":"https://doi.org/10.1002/pmh.1545","url":null,"abstract":"Insecure attachment style and borderline personality disorder (BPD) symptoms are related to the severity of alcohol use disorder (AUD) and can also complicate its course and treatment. We propose a theoretical model of relationships between adult attachment style and BPD and AUD symptom severity in which the sense of identity is a mediator. The aim of our study was to test this model in a sample of male inpatients with AUD. Male inpatients with AUD (N = 114) aged 22-72 years (M = 43.05; SD = 9.84) completed the Experiences in Close Relationships-Revised, the Multidimensional Identity Questionnaire, the Alcohol Use Disorders Identification Test and the Borderline Symptom List 23. Results showed that the sense of identity fully mediated the positive relationship between attachment anxiety and BPD symptom severity. There was also a positive indirect effect of attachment avoidance on BPD symptoms via weaker sense of identity. Contrary to hypothesis, AUD symptom severity was not related to attachment, identity or BPD symptoms in our sample. Sense of identity could be a possible target for interventions for insecurely attached men with AUD to reduce BPD symptoms.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49467248","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: 2

Matching ICD-11 personality status to clinical management in a community team-The Boston (UK) Personality Project: Study protocol. 将ICD-11人格状态与社区团队的临床管理相匹配波士顿（英国）人格项目：研究方案。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2022-04-27 DOI: 10.1002/pmh.1544

Mithilesh Jha, B. Barrett, C. Brewin, Geoffry Bowker, Nick Harwood, Iram Jalil, M. Crawford, J. Phull, Katherine Allen, C. Duggan, Min Yang, P. Tyrer

{"title":"Matching ICD-11 personality status to clinical management in a community team-The Boston (UK) Personality Project: Study protocol.","authors":"Mithilesh Jha, B. Barrett, C. Brewin, Geoffry Bowker, Nick Harwood, Iram Jalil, M. Crawford, J. Phull, Katherine Allen, C. Duggan, Min Yang, P. Tyrer","doi":"10.1002/pmh.1544","DOIUrl":"https://doi.org/10.1002/pmh.1544","url":null,"abstract":"Epidemiological studies show 30% to 50% of all patients in community mental health teams have personality disorders. These are normally comorbid with other psychiatric disorders, often as Galenic syndromes, and are seldom identified. In the Boston (UK) Personality Project all patients under a community health service in Boston in Lincolnshire will be asked to agree to have their personality status assessed using scales recording the new ICD-11 classification, together with clinical ratings, social function and satisfaction. A control group of 100 patients from an adjacent service of similar demographics (Spalding) will also have similar ratings but no personality assessments. Changes in clinical status, social function and service satisfaction will be made after 6 and 12 months in both groups. The patients in the Boston group will be offered matched interventions using a stepped care approach for both the severity of disorder and its domain structure. These interventions will include shorter versions of existing psychological treatments, environmental therapies including nidotherapy, adaptive and acceptance models, drug reduction and social prescribing. Full costs of psychiatric care will be measured in both groups. The main hypothesis is that greater awareness of personality function will lead to better clinical outcomes and satisfaction.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43921562","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: 3

Late life personality disorders: Problems in assessment and management. 晚年人格障碍:评估与管理的问题。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2022-03-18 DOI: 10.1002/pmh.1542

A. Bangash

引用次数: 2

Social impairment and personality disorder features among older adults: An application of the circumplex model. 老年人的社会障碍和人格障碍特征:环复模型的应用。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2022-02-01 Epub Date: 2021-06-22 DOI: 10.1002/pmh.1523

Lisa E Stone, Daniel L Segal

{"title":"Social impairment and personality disorder features among older adults: An application of the circumplex model.","authors":"Lisa E Stone, Daniel L Segal","doi":"10.1002/pmh.1523","DOIUrl":"https://doi.org/10.1002/pmh.1523","url":null,"abstract":"The interpersonal circumplex is a model that places interpersonal problems along two axes (communion and agency), resulting in eight theoretically derived patterns. Application of the circumplex to older adults is poorly understood. Subsequently, this study examined relationships between the interpersonal circumplex and personality disorder (PD) features among older adults, since social impairments are core components of PDs. Two models of PDs were examined: the traditional model of 10 PDs and the Alternative Model of PDs (AMPD) with its personality functioning and pathological personality trait features. Older adults (N = 202) completed the Inventory of Interpersonal Problems-Short Circumplex, Coolidge Axis II Inventory, Levels of Personality Functioning Scale-Self-Report, and Personality Inventory for DSM-5. Overlap between the interpersonal circumplex and PD features were detected, but patterns were distinct from prior studies with younger samples. Cluster B and C PD features showed meaningful relationships, whereas Cluster A did not. The circumplex was limited in its relation to the AMPD's personality functioning. The communion component of the circumplex significantly related to the AMPD's pathological trait model, whereas the agency component was limited in its association with pathological traits. Overall, the circumplex meaningfully related to PD features across two different PD models, providing some evidence of validity.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pmh.1523","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39030030","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: 1

How is type D personality associated with the major psychological outcomes in noncardiac chest pain patients? D型人格与非心源性胸痛患者的主要心理结局有何关系?

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2022-02-01 Epub Date: 2021-09-10 DOI: 10.1002/pmh.1527

Hamidreza Roohafza, Sara Bagherieh, Awat Feizi, Azam Khani, Niloufar Yavari, Parsa Saneian, Zahra Teimouri, Masoumeh Sadeghi

{"title":"How is type D personality associated with the major psychological outcomes in noncardiac chest pain patients?","authors":"Hamidreza Roohafza, Sara Bagherieh, Awat Feizi, Azam Khani, Niloufar Yavari, Parsa Saneian, Zahra Teimouri, Masoumeh Sadeghi","doi":"10.1002/pmh.1527","DOIUrl":"https://doi.org/10.1002/pmh.1527","url":null,"abstract":"Noncardiac chest pain (NCCP) may lead many problems on the health-care system. Having type D personality has been shown to adversely affect NCCP patients. This study aimed to determine the psychological comorbidities that type D personality is associated with, in patients with NCCP. The participants of this cross-sectional study were 360 patients diagnosed with NCCP. Patients filled out questionnaires about sociodemographic, behavioral, and clinical factors (severity of pain, somatization, cardiac anxiety, fear of body sensations, depression, and type D personality). Type D personality was more prevalent among female (p < 0.005), and those people having this personality showed lower sleep quality (p = 0.001) and sexual life satisfaction (p < 0.001) and more likely to be smoker (p < 0.001). Type D personality is strongly associated with fear of body sensations (β = 5.92, SE = 1.95, p = 0.003), pain intensity (β = 3.53, SE = 0.98, p < 0.001), depression (β = 2.91, SE = 0.62, p < 0.001), and somatization (β = 1.75, SE = 0.55, p < 0.001). Type D personality and major psychological comorbidities were strongly associated. Physicians should consider that having type D personality can be linked to NCCP in an effort to help patients receive effective psychological consultations.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pmh.1527","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39403301","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: 3

Issue Information 问题信息

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2022-02-01 DOI: 10.1002/pmh.1515

引用次数: 0

Analysis of the interaction between personality dysfunction and traits in the statistical prediction of physical aggression: Results from outpatient and community samples. 躯体攻击统计预测中人格功能障碍与特质的相互作用分析:来自门诊和社区样本的结果。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2022-02-01 Epub Date: 2021-06-21 DOI: 10.1002/pmh.1522

Philippe Leclerc, Claudia Savard, David D Vachon, Jonathan Faucher, Maude Payant, Mireille Lampron, Marc Tremblay, Dominick Gamache

{"title":"Analysis of the interaction between personality dysfunction and traits in the statistical prediction of physical aggression: Results from outpatient and community samples.","authors":"Philippe Leclerc, Claudia Savard, David D Vachon, Jonathan Faucher, Maude Payant, Mireille Lampron, Marc Tremblay, Dominick Gamache","doi":"10.1002/pmh.1522","DOIUrl":"https://doi.org/10.1002/pmh.1522","url":null,"abstract":"The Alternative Model for Personality Disorders (AMPD), included in the Diagnostic and Statistical Manual of Mental Disorders (5th ed.) and the World Health Organization's International Classification of Diseases (11th ed.; ICD-11) are, respectively, hybrid categorical-dimensional and dimensional frameworks for personality disorders (PDs). Both models emphasize personality dysfunction and personality traits. Previous studies investigating the links between the AMPD and ICD-11, and self-reported physical aggression have mostly focused on traits and did not take into account the potential interaction between personality dysfunction and traits. Thus, the aim of this study is to identify dysfunction*trait interactions using regression-based analysis. Outpatients with personality disorder from a specialized public clinic (N = 285) and community participants (N = 995) were recruited to complete self-report questionnaires. Some small-size, albeit significant and clinically/conceptually meaningful personality dysfunction*trait interactions were found to predict physical aggression in both samples. Interaction analyses might further inform, to some degree, about the current discussion pertaining to the potential redundancy between dysfunction and traits, the optimal personality dysfunction structure (in the case of the AMPD), as well as clinical assessment based on AMPD/ICD-11 PD frameworks.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pmh.1522","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39095980","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: 3