Personality and Mental Health最新文献

{"title":"The Relationship Between Maternal Personality Pathology and Parent Emotion Socialization: The Moderating Effect of Reflective Function.","authors":"Tess Gecha, Kiana Cano, Carla Sharp","doi":"10.1002/pmh.70077","DOIUrl":"10.1002/pmh.70077","url":null,"abstract":"<p><p>While abundant research has examined parent emotion socialization (PES) in mothers, only two studies have examined PES in mothers with borderline personality disorder (BPD), and none has looked at its relationship with level of personality functioning-defined personality disorder (PD). Further, no study has assessed the moderating effect of reflective functioning (RF) in this context, which may help elucidate the mentalizing conditions under which mothers with PD engage in certain types of PES. The present study aims to examine the relationship between maternal level of personality functioning (LPF) and PES, group differences between mothers with PD and mothers without PD on PES, and the moderating effect of RF on the relationship between LPF and PES. The study sample was comprised of 149 mothers (M_age = 34.88). Of those mothers, 42 met clinical criteria for PD. Study measures included the Level of Personality Functioning Scale Brief Form 2.0, the Coping with Children's Negative Emotions Scale, and the Reflective Functioning Questionnaire-8 item form. Maternal LPF was negatively correlated with supportive PES and positively correlated with nonsupportive PES. Mothers with PD and mothers without PD demonstrated significant differences on supportive and nonsupportive PES. Finally, RF had a significant moderating effect on the relationship between maternal LPF and nonsupportive PES. Taken together, findings suggest similar challenges for mothers with LPF-defined PD to those previously found for mothers with BPD. Results further indicate that increasing supportive PES, decreasing nonsupportive PES, and improving RF capacity could be helpful treatment targets for mothers with PD.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"20 2","pages":"e70077"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147729890","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":"The DSM-5 Alternative Model of Personality Disorder's Coverage of Borderline Personality Concepts.","authors":"Kimberly J Gilbert, Isabella A Manuel, Reed M Morgan, Gabrielle S Ilagan, Emilia Soroko, Christopher C Conway","doi":"10.1002/pmh.70070","DOIUrl":"10.1002/pmh.70070","url":null,"abstract":"<p><p>The clinical utility of the DSM-5's Alternative Model of Personality Disorders (AMPD) depends on how well it encodes diagnostic concepts recognized in clinical descriptions of PDs. The present study examined the AMPD's coverage of borderline personality features identified in the clinical literature. In three independent samples (total N = 1166), community adults and university students rated their borderline features, level of personality functioning (AMPD Criterion A), and maladaptive personality traits (AMPD Criterion B). We observed that, collectively, the AMPD dimensions accounted for 76%-82% of borderline PD variance across samples. In supplemental analyses that adjusted for measurement error, the variance-explained range climbed to 84%-96%. Some domains of borderline pathology were better represented than others in the AMPD, highlighting areas for improvement in future iterations of the AMPD and related dimensional nosologies. We conclude that, at least in the populations studied here, the AMPD is a serviceable model of longstanding borderline constructs, providing a bridge from categorical to dimensional conceptualizations of borderline PD.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"20 2","pages":"e70070"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379136","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":"Nothing About Us Without Us: Centering Lived Experience as the AMPD Moves Forward.","authors":"Kimberly J Gilbert","doi":"10.1002/pmh.70072","DOIUrl":"10.1002/pmh.70072","url":null,"abstract":"<p><p>The alternative model for personality disorders (AMPD) is approaching readiness for inclusion in the main section of the DSM, yet research informing its development has largely overlooked the perspectives of those who receive personality disorder diagnoses. This commentary argues that centering lived experience is essential for evaluating the AMPD's diagnostic language, given evidence that certain trait terminology (notably \"manipulativeness\") is perceived as highly stigmatizing. The AMPD's Criterion A, which emphasizes personality functioning rather than dispositional traits, may offer a less stigmatizing framework-a possibility supported by emerging lived experience accounts. Building on recent work by Sharp, Cano, Masland, Navarré, and colleagues, this commentary proposes research priorities for integrating lived experience perspectives into AMPD evaluation and considers whether the ICD-11‧s sub-diagnostic \"personality difficulty\" category could serve both clinical and destigmatizing functions if adopted within the AMPD.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"20 2","pages":"e70072"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533445","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":"Lots of Narcissism Out There, Treatment Needed: Perspectives on Narcissism Among the General Public.","authors":"David Kealy, Ellen F Finch, Nicholas J S Day, John S Ogrodniczuk","doi":"10.1002/pmh.70074","DOIUrl":"10.1002/pmh.70074","url":null,"abstract":"<p><p>Narcissism is a hot topic in popular media, which often emphasizes harmful aspects and behaviours of individuals with narcissistic features. Such media likely contributes to negative perspectives that could further stigmatize narcissism and those who may suffer from narcissistic difficulties. However, limited research has investigated perspectives about narcissism among the general public. The present study surveyed 815 US-based adults to explore public perspectives regarding the prevalence of narcissism, attitudes related to stigma, perspectives on suffering and hope, therapeutic issues and experiences of harm associated with narcissism. Findings indicate that a majority view narcissism as a prevalent and undesirable personality feature and warrant considerable clinical intervention. Individuals who endorsed having experienced harm by someone with narcissistic features were more likely to express negative perspectives. The mixture of public perspectives regarding narcissism seems to indicate a potential role for public education in order to reduce stigma and promote help-seeking and treatment efforts.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"20 2","pages":"e70074"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13067315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646863","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":"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":"<p><p>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).</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"20 2","pages":"e70081"},"PeriodicalIF":2.8,"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}

{"title":"Associations Between Maladaptive and Normal-Range Personality Traits and Obsessive-Compulsive Disorder Features.","authors":"Saeid Komasi, Mohammad Sadeghi, Zeinab Lorestani, Alessandro Ocera, Christopher J Hopwood","doi":"10.1002/pmh.70075","DOIUrl":"10.1002/pmh.70075","url":null,"abstract":"<p><p>Personality provides a general structure for variation in psychopathology, but several issues involving associations between personality traits and obsessive-compulsive disorder (OCD) remain poorly understood. These issues include differences in associations across normal-range and maladaptive traits, differences across OCD features, and possible non-linear associations. In this study, we estimated linear and non-linear associations between personality traits and OCD features in 350 Iranian adults aged 18-70 (mean 32.2 ± 9.6). Participants completed the NEO Five-Factor Inventory (NEO-FFI), the Personality Inventory for DSM-5 Brief Form (PID-5-BF), the Obsessive-Compulsive Inventory-Revised (OCI-R), and the Obsessional Beliefs Questionnaire (OBQ). Findings strongly supported associations between personality traits and all OCD features. OCD beliefs were more strongly related to personality than OCD symptoms, and associations were stronger for maladaptive than normal range traits. Associations were predominately linear, although in some cases the opposite tails of normal-range and maladaptive traits were related to OCD features (e.g., Conscientiousness and Disinhibition). Overall, these findings support the importance of personality for understanding obsessive-compulsive psychopathology.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"20 2","pages":"e70075"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700057","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 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":"<p><p>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.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"20 2","pages":"e70071"},"PeriodicalIF":2.8,"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}

{"title":"Differential Transdiagnostic Relevance of Early Maladaptive Schemas Across Personality Traits and Psychopathological Symptoms.","authors":"Jutta Major, András Matuz, Boróka Gács, Béla Birkás","doi":"10.1002/pmh.70068","DOIUrl":"10.1002/pmh.70068","url":null,"abstract":"<p><p>The Alternative Model for Personality Disorders in DSM-5 conceptualizes personality pathology using dimensional trait domains, yet the cognitive mechanisms underlying these traits remain insufficiently understood. Early maladaptive schemas (EMSs) represent enduring cognitive-affective structures that may contribute to both personality pathology and general psychological distress. However, it remains unclear whether all schemas function as broadly transdiagnostic vulnerability factors or whether their relevance varies across symptom- and trait-based outcomes. In this study, we examined associations between 18 EMSs, DSM-5 pathological personality traits, and general psychopathological symptoms in a nonclinical sample (N = 489). Each schema was examined separately in regression analyses, and only associations with large standardized effects (|β| ≥ 0.50) were interpreted following Bonferroni correction. The results revealed substantial heterogeneity among EMSs. Rather than all schemas demonstrating comparable transdiagnostic relevance, only a limited subset showed strong associations across multiple outcome domains. Schemas characterized by heightened threat sensitivity and negative expectancy patterns (Vulnerability to Harm, Negativity/Pessimism) exhibited the broadest and most consistent associations with affective, anxiety-related, and psychoticism-related symptoms, as well as with Negative Affectivity at the trait level. In contrast, other schemas showed more circumscribed, domain-specific associations, mapping preferentially onto either symptom dimensions or personality trait domains. These findings indicate that EMSs differ meaningfully in the scope and strength of their associations with psychopathology. Rather than constituting a uniform transdiagnostic substrate, schemas appear to operate at different levels of the psychopathological hierarchy, with some functioning as broad cognitive-affective vulnerability factors and others reflecting more specific regulatory or interpersonal processes.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"20 2","pages":"e70068"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12963707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147366978","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":"Level of Personality Functioning in Turkish Clinical and Community Samples: Validation of the LPFS-SR-TR and Its Associations With Axis I Disorders.","authors":"Begum Yaman Ozcan, Sengul Cangur, Neslihan Kara, Numan Konuk","doi":"10.1002/pmh.70076","DOIUrl":"10.1002/pmh.70076","url":null,"abstract":"<p><p>This study examines the validity and reliability of the Turkish version of the Level of Personality Functioning Scale-Self-Report (LPFS-SR-TR) and its associations with personality disorder (PD) categories and Axis I comorbidities. The cross-sectional study included 720 participants aged 18-65. From a consecutive sample of 732 patients who presented to the outpatient psychiatry clinic, experienced psychiatrists suspected 207 of having PD. They were further diagnosed using the structured clinical interview for DSM-III-R personality disorders (SCID-II). Patients were also investigated for Axis I disorders using the SCID-5 clinical version. A community-based control group of 513 participants recruited through convenience sampling received self-assessment-based SCID-II without a clinical interview. Both groups underwent the Big Five Inventory (BFI) and LPFS-SR-TR. The six-factor model provided the best statistical fit. Significant correlations between the LPFS-SR-TR and BFI indicate concurrent validity. Patients scored higher on the LPFS-SR-TR. Using a total score threshold of greater than 277.5 resulted in 93.2% sensitivity and 83.0% specificity (AUC = 0.94) for identifying PDs, indicating discriminant validity. Serial logistic models suggested incremental validity. The scale demonstrated strong internal consistency (Cronbach's α = 0.96) and test-retest reliability (ICC = 0.86). The LPFS-SR-TR is valid and reliable for assessing the presence and severity of PDs. The hypothesized one-dimensional factor structure may be supported given its ability to distinguish PDs from a community sample. Axis I comorbidities are common and diverse without any discernible pattern.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"20 2","pages":"e70076"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677653","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":"Disordered Personality Dimensions and Emotion Regulation Among Older Adults.","authors":"Sarah E Pieper, Judy J Thomas, Patrick L Hill","doi":"10.1002/pmh.70064","DOIUrl":"10.1002/pmh.70064","url":null,"abstract":"<p><p>Disordered personality traits are frequently defined with respect to emotion dysregulation. However, research has needed to explore connections between disordered personality traits and emotion regulation strategies, particularly in older adulthood. The current study had older adult participants (n = 210; mean age: 66 years) complete measures of disordered personality traits, emotion regulation strategies, and difficulties in emotion regulation. Results demonstrated that disordered personality traits were more robustly associated with difficulties with emotion regulation relative to strategy use frequency. However, the five disordered traits exhibited distinct profiles of correlations with the regulation measures. Notably, detachment was largely unrelated to regulatory strategy use, whereas anankastia was similarly related to engagement and disengagement in emotion regulation.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"20 1","pages":"e70064"},"PeriodicalIF":2.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146150952","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}