Personality and Mental Health最新文献

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The Personality Disorder Severity ICD-11 (PDS-ICD-11) Scale: Psychometric Properties and Incremental Predictive Validity for Trait Domains in Czech Community and Treatment-Seeking Groups. 人格障碍严重程度ICD-11 (PDS-ICD-11)量表:捷克社区和寻求治疗群体特质域的心理测量特性和增量预测效度。
IF 2.7 3区 医学
Personality and Mental Health Pub Date : 2025-11-01 DOI: 10.1002/pmh.70050
Nikola Doubková, Radek Heissler, Veronika Juríčková, Pavel Mohr, Marek Preiss, Gina Rossi
{"title":"The Personality Disorder Severity ICD-11 (PDS-ICD-11) Scale: Psychometric Properties and Incremental Predictive Validity for Trait Domains in Czech Community and Treatment-Seeking Groups.","authors":"Nikola Doubková, Radek Heissler, Veronika Juríčková, Pavel Mohr, Marek Preiss, Gina Rossi","doi":"10.1002/pmh.70050","DOIUrl":"https://doi.org/10.1002/pmh.70050","url":null,"abstract":"<p><p>The 11th revision of the International Classification of Diseases defines the severity of dysfunction as a core diagnostic criterion for personality disorders. This study examined the psychometric properties of the Czech adaptation of the Personality Disorder Severity-ICD-11 (PDS-ICD-11) scale. The sample consisted of 1704 participants (72.4% women) in community (n = 612) and treatment-seeking (n = 1092) groups. Results supported the unidimensionality of the PDS-ICD-11, good internal consistency, and expected associations with a validated measure of severity (Levels of Personality Function Scale-Brief Form 2.0; LPFS-BF 2.0), as well as with pathological traits and quality of life measures. Compared with the LPFS-BF 2.0, the PDS-ICD-11 demonstrated stronger associations with quality of life (small effect size) and was a better predictor of treatment-seeking status; however, it explained less variance in pathological traits, except for negative affectivity. Neither severity measure showed a balanced representation of trait domains, suggesting a need for refinement. Overall, the Czech PDS-ICD-11 offers a valid and efficient tool for screening the severity of personality dysfunction, with utility in both research and clinical settings.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 4","pages":"e70050"},"PeriodicalIF":2.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589408","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
Borderline Personality Disorder vs. PTSD: Exploring the Influence of Labels and Gender on Psychologists' Attitudes. 边缘型人格障碍与创伤后应激障碍:标签和性别对心理学家态度的影响
IF 2.7 3区 医学
Personality and Mental Health Pub Date : 2025-11-01 DOI: 10.1002/pmh.70047
Susan Hannan
{"title":"Borderline Personality Disorder vs. PTSD: Exploring the Influence of Labels and Gender on Psychologists' Attitudes.","authors":"Susan Hannan","doi":"10.1002/pmh.70047","DOIUrl":"10.1002/pmh.70047","url":null,"abstract":"<p><p>The current study examined how psychiatric labels-BPD vs. PTSD-and client gender influence psychologists' attitudes toward a mock client, holding constant variables such as symptom presentation, relational difficulties, and trauma history. Prior research suggests that BPD is heavily stigmatized, partly due to negative stereotypes, gender bias, and the historical misuse of the borderline label. In this online experimental study, a random sample of 267 psychologists was randomly assigned to read one of four vignettes describing a female or male client diagnosed with either BPD or PTSD. The demographics of the sample were largely representative of the general population of licensed psychologists in the United States; however, individuals identifying as Hispanic and Black were under-represented. After reading the vignette, participants completed an adapted Attitudes to Personality Disorders Questionnaire and several single-item questions that captured critical aspects of clinical judgment. Overall, although psychologists reported generally positive attitudes, subtle biases toward the BPD label and gender differences in diagnostic perceptions were evident. The study highlights the need for continued efforts to address diagnostic stigma and gender bias in clinical practice, as well as for future research to examine the nuanced factors that contribute to BPD-related stigma.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 4","pages":"e70047"},"PeriodicalIF":2.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145497151","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
Interpersonal Problems and the Alternative Model of Personality Disorders: An Investigation Using the Interpersonal Circumplex. 人际关系问题与人格障碍的替代模型:基于人际关系环的调查。
IF 2.7 3区 医学
Personality and Mental Health Pub Date : 2025-11-01 DOI: 10.1002/pmh.70045
Peter L A Schiemainski, Julia I Kunz, Sophie Nagl, Johannes Wolf, Stephan Goerigk, Andrea Jobst, Frank Padberg, Matthias A Reinhard
{"title":"Interpersonal Problems and the Alternative Model of Personality Disorders: An Investigation Using the Interpersonal Circumplex.","authors":"Peter L A Schiemainski, Julia I Kunz, Sophie Nagl, Johannes Wolf, Stephan Goerigk, Andrea Jobst, Frank Padberg, Matthias A Reinhard","doi":"10.1002/pmh.70045","DOIUrl":"10.1002/pmh.70045","url":null,"abstract":"<p><p>A central feature of personality disorders (PDs) is interpersonal problems, which can be effectively conceptualized using the interpersonal circumplex (IPC). This study replicates and extends previous research on the relationship between the dimensional DSM-5 Alternative Model for Personality Disorders (AMPD) and interpersonal problems, as there are only a few studies in this area. The Structural Summary Method (SSM) was used in a sample of 168 psychiatric inpatients who completed Criterion A and B measures according to the AMPD: The Semi-Structured Interview for Personality Functioning DSM-5 (STiP-5.1), the Level of Personality Functioning Scale (LPFS-BF 2.0), and the Personality Inventory for DSM-5 (PID-5-BF+). Additionally, general and specific interpersonal problems were assessed with the Inventory of Interpersonal Problems (IIP-C). We found associations of both Criteria A and B of the AMPD with general interpersonal distress. Criterion A domains did not map cleanly onto the IPC's meta-concepts of agency and communion; only a subset yielded interpretable circumplex profiles, primarily in the interpersonal functioning domain. Criterion B domains generally showed clearer and more specific associations, with most mapping onto domineering and cold interpersonal problems but showing little association with nonassertive or maladaptive warm problems. These results support and extend previous evidence of empirical links between the AMPD and the IPC, highlighting the IIP-C's value for comprehensive assessment of interpersonal problems in PD. Further research is needed to clarify the overlap and distinctions between these models and to identify the interpersonal problems most relevant for treatment planning.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 4","pages":"e70045"},"PeriodicalIF":2.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12629892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558086","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 Total Score of the Level of Personality Functioning Scale Is Empirically and Theoretically Well-Justified: A Reply to Zavlis (2025). 人格功能水平量表的总分在经验和理论上都是合理的——对Zavlis(2025)的回答。
IF 2.7 3区 医学
Personality and Mental Health Pub Date : 2025-11-01 DOI: 10.1002/pmh.70049
Johannes Zimmermann, André Kerber, Susanne Hörz-Sagstetter, Christopher J Hopwood, Ludwig Ohse
{"title":"The Total Score of the Level of Personality Functioning Scale Is Empirically and Theoretically Well-Justified: A Reply to Zavlis (2025).","authors":"Johannes Zimmermann, André Kerber, Susanne Hörz-Sagstetter, Christopher J Hopwood, Ludwig Ohse","doi":"10.1002/pmh.70049","DOIUrl":"10.1002/pmh.70049","url":null,"abstract":"","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 4","pages":"e70049"},"PeriodicalIF":2.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12589701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453594","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
Mania Symptoms' Complex Relations With Psychosocial Dysfunction and Personality Traits: The Role of Positive and Negative Affect. 躁狂症状与心理社会功能障碍和人格特质的复杂关系:积极和消极情绪的作用。
IF 2.7 3区 医学
Personality and Mental Health Pub Date : 2025-11-01 DOI: 10.1002/pmh.70046
Jeffrey R Vittengl, Eunyoe Ro, Robin B Jarrett, Lee Anna Clark
{"title":"Mania Symptoms' Complex Relations With Psychosocial Dysfunction and Personality Traits: The Role of Positive and Negative Affect.","authors":"Jeffrey R Vittengl, Eunyoe Ro, Robin B Jarrett, Lee Anna Clark","doi":"10.1002/pmh.70046","DOIUrl":"10.1002/pmh.70046","url":null,"abstract":"<p><p>Mania symptoms are impairing, multidimensional, and complexly related to other mood and psychopathology dimensions. For example, manic activation (e.g., restlessness and flight of ideas) and euphoria (e.g., expansive and grandiose mood) correlate with both dysphoria (e.g., depressed mood and worry) and well-being (e.g., hopefulness and energy). This empirical overlap may distort or obscure mania's observed relations to psychosocial dysfunction and personality traits. Adults (N = 605; M = 46 years old; 57% women), recruited from community mental health centers and by random telephone dialing, completed mood (Inventory of Depression and Anxiety Symptomatology), personality (Personality Inventory for DSM-5; Schedule for Nonadaptive and Adaptive Personality), and psychosocial functioning (e.g., Disability Assessment Schedule; Social Functioning Questionnaire) measures. We tested cross-sectional relations of manic activation and euphoria with functioning and trait dimensions. Using linear correlation and regression analyses, we interpreted results significant at p < 0.01 with effect size r ≥ 0.10. Part correlations (controlling for dysphoria or well-being) that were stronger or reversed compared to whole correlations indicated statistical suppression. Manic activation correlated widely with dysfunction (e.g., disability and social problems) and traits (e.g., negative affectivity, disinhibition, and psychoticism). Well-being suppressed manic euphoria's relations, particularly with dysfunction, negative affectivity, disinhibition, and psychoticism. Dysphoria also suppressed manic activation's relations with trait positive temperament and related dimensions. The full extent of manic euphoria and activation's relations with psychosocial dysfunction and personality became clear only after accounting for concurrent well-being or dysphoria. The placement of mania in multidimensional symptom assessment systems may advance by considering these suppression situations.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 4","pages":"e70046"},"PeriodicalIF":2.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565730","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
Minimal Impact of Sensation-Related Items on the Association Between Alexithymia and Self-Report Measures of Interoception. 感觉相关项目对述情障碍与内感受自我报告测量之间的关联的最小影响。
IF 2.7 3区 医学
Personality and Mental Health Pub Date : 2025-11-01 DOI: 10.1002/pmh.70048
Adam Ottley-Porter, Kiera L Adams, Rebecca Brewer, Jennifer Murphy
{"title":"Minimal Impact of Sensation-Related Items on the Association Between Alexithymia and Self-Report Measures of Interoception.","authors":"Adam Ottley-Porter, Kiera L Adams, Rebecca Brewer, Jennifer Murphy","doi":"10.1002/pmh.70048","DOIUrl":"10.1002/pmh.70048","url":null,"abstract":"<p><p>Evidence suggests a relationship between alexithymia and self-report measures of interoception. As measures of alexithymia often include items that may pick up on interoceptive difficulty, however, it is possible that previously reported associations are driven by a lack of independence of measurement. Here, we explored the effect of removing sensation-related items from the Toronto Alexithymia Questionnaire (TAS-20) on the association between the TAS-20 and self-report measures of interoceptive accuracy (Studies 1 and 2; N = 330 and N = 476, respectively) and attention (Study 2). In both studies, removal of sensation-related items significantly reduced associations between the self-report measures of interoception and alexithymia. This effect was specific to the removal of sensation-related items (removing a random set of items did not result in a reduction in the size of the association). Importantly, relationships between alexithymia and self-reported interoception remained after item removal. Although effects were modest, it is recommended that future studies exploring relationships with self-report measures of interoception-particularly in relation to constructs where sensation-related items may broadly feature-should implement sensitivity analyses or employ alternative instruments that exclude sensation-related items, to ensure associations are not driven by a lack of independence of measurement.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 4","pages":"e70048"},"PeriodicalIF":2.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12606692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145497129","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
Preschool Big Five Personality Traits Predict Childhood Peer Relationships and BPD but Not MDD in Late Adolescence. 学龄前大五人格特征预测童年同伴关系和青春期后期的BPD,而不是MDD。
IF 2.7 3区 医学
Personality and Mental Health Pub Date : 2025-08-01 DOI: 10.1002/pmh.70027
Charlie Huntington, Alex Puricelli, Amanda J Wright, Kirsten Gilbert, Alecia C Vogel, Deanna M Barch, Joan L Luby, Diana J Whalen
{"title":"Preschool Big Five Personality Traits Predict Childhood Peer Relationships and BPD but Not MDD in Late Adolescence.","authors":"Charlie Huntington, Alex Puricelli, Amanda J Wright, Kirsten Gilbert, Alecia C Vogel, Deanna M Barch, Joan L Luby, Diana J Whalen","doi":"10.1002/pmh.70027","DOIUrl":"10.1002/pmh.70027","url":null,"abstract":"<p><p>Growing literatures highlight shared childhood predictors for future borderline personality disorder (BPD) and major depressive disorder (MDD). However, few longitudinal studies have examined both BPD and MDD as simultaneous outcomes. Childhood personality traits and poor peer relationships constitute transdiagnostic phenomena that could impact risk for later BPD and MDD. The current study examined whether school-age peer relationships mediated associations between preschool Big Five traits and adolescent BPD and/or MDD. Preschool Big Five traits were assessed through observational coding. School-age peer relationships were assessed via clinical interview, with separate child and parent reports. The Borderline Personality Features Scale for Children measured BPD symptoms in adolescence. The Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS) measured MDD symptoms in adolescence. Structural equation models with manifest composite variables were performed in a sample (n = 153) from the Preschool Depression Study, a prospective longitudinal study with assessments from preschool through adolescence. Lower preschool conscientiousness predicted adolescent BPD. Lower preschool conscientiousness also predicted poorer school-age peer relationships. In MDD models, preschool agreeableness and conscientiousness predicted better parent-reported school-age peer relationships, but not adolescent MDD. Mediation was not significant in the BPD or MDD models. This study identified preschool conscientiousness as one important factor relating to school-age peer relationships and future BPD, but not MDD. Our findings suggest that these pathways may be unique to BPD development and highlight the need for additional research targeting early personality and peer processes.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 3","pages":"e70027"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12959898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601880","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
Severity Indices of Personality Problems (SIPP-118): Dutch Norms, T-scores, and Percentile Rank Scores. 人格问题严重程度指数(SIPP-118):荷兰标准、t分数和百分位等级分数。
IF 2.7 3区 医学
Personality and Mental Health Pub Date : 2025-08-01 DOI: 10.1002/pmh.70030
Edwin de Beurs, Laura Weekers, Dineke J Feenstra
{"title":"Severity Indices of Personality Problems (SIPP-118): Dutch Norms, T-scores, and Percentile Rank Scores.","authors":"Edwin de Beurs, Laura Weekers, Dineke J Feenstra","doi":"10.1002/pmh.70030","DOIUrl":"10.1002/pmh.70030","url":null,"abstract":"<p><p>For the SIPP-118, a widely used instrument for measuring the severity of personality disorders in 16 facets and five domains, T-scores, and percentile rank scores were established. Various approaches based on classical test theory and item response theory (IRT) for establishing T-scores were compared, which are assumed to achieve in-creasing levels of accuracy. Three approaches were evaluated: (1) a simple linear conversion of raw scores to T-scores, (2) a normalizing conversion (Rankit), and (3) an approach based on IRT. We compared T-scores resulting from these approaches with IRT-based factor scores. The findings show that the linear approach produced distorted T-scores for many facets of the SIPP-118, especially in the lower, more pathological range of scores. The Rankit and IRT-based approaches yielded in practice almost identical T-scores and both corresponded quite well with factor scores that were actually based on an IRT model for these facets or domain scores. Implications for the practice of establishing T-scores are discussed. IRT provided the most accurate trait estimates, but it requires a complex calculation that takes into account item parameters and the individual's response pattern. Regression-based IRT-score approximations and Rankit-based T-scores yielded adequate estimates as well.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 3","pages":"e70030"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12287623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700044","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
Symptom Overlap Between Depression and Borderline Personality Disorder: A Network Analysis. 抑郁症与边缘型人格障碍症状重叠:网络分析。
IF 2 3区 医学
Personality and Mental Health Pub Date : 2025-05-01 DOI: 10.1002/pmh.70019
Bess M Kew, Nathan J Monk, Tamlin S Conner, Chris Frampton, Roger T Mulder, Richard J Porter, Janet D Carter, Jennifer Jordan, Virginia V W McIntosh, Katie M Douglas
{"title":"Symptom Overlap Between Depression and Borderline Personality Disorder: A Network Analysis.","authors":"Bess M Kew, Nathan J Monk, Tamlin S Conner, Chris Frampton, Roger T Mulder, Richard J Porter, Janet D Carter, Jennifer Jordan, Virginia V W McIntosh, Katie M Douglas","doi":"10.1002/pmh.70019","DOIUrl":"https://doi.org/10.1002/pmh.70019","url":null,"abstract":"<p><p>Major depression (MD) is a serious mental health disorder projected to become the leading cause of global disability by 2030. Borderline personality disorder (BPD) frequently co-occurs with MD. Individuals with both conditions often experience prolonged recovery times and exhibit high levels of suicidal behaviour. Network theory and its application, network analysis, presents a novel framework for conceptualising and understanding the comorbidity between MD and BPD. This network analysis aims to identify influential symptoms within a BPD/MD network and explore the clinical relevance of these relationships. Data from 548 participants were pooled from four clinical trials run between 1994 and 2013 at the Department of Psychological Medicine, University of Otago, Christchurch, New Zealand. All participants were diagnosed with current MD (as part of major depressive disorder or bipolar II disorder). Baseline MD and BPD symptom data from trial entry assessments were entered into a cross-sectional network analysis. A further network analysis was estimated with the addition of three covariates (age, gender and depression severity) alongside the MD and BPD symptoms. Network analyses identified several connecting symptoms between MD and BPD. After controlling for depression severity, BPD symptoms of identity disturbance and unstable relationships had unique and robust relationships with MD suicidal ideation and behaviours. Further exploration of these bridge relationships found that participants who exhibited identity disturbance were almost three times more likely to have reported a previous suicide attempt. Results from this study have implications for risk assessment and treatment of individuals with comorbid MD and BPD.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 2","pages":"e70019"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050220","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
Subclinical Psychiatric Symptomatology and a Proposed Diagnostic Criterion Separating Psychopathological Procrastinators From Trait Procrastinators. 亚临床精神症状学和一种分离精神病理性拖延者和特质性拖延者的诊断标准。
IF 2 3区 医学
Personality and Mental Health Pub Date : 2025-05-01 DOI: 10.1002/pmh.70022
Zhiyi Chen, Xuerong Liu, Ting Xu, Wei Li, Rong Zhang, Yi Wu, Lei Xia, Hai Lan, Zhenghi Feng, Tingyong Feng, Fuschia M Sirois
{"title":"Subclinical Psychiatric Symptomatology and a Proposed Diagnostic Criterion Separating Psychopathological Procrastinators From Trait Procrastinators.","authors":"Zhiyi Chen, Xuerong Liu, Ting Xu, Wei Li, Rong Zhang, Yi Wu, Lei Xia, Hai Lan, Zhenghi Feng, Tingyong Feng, Fuschia M Sirois","doi":"10.1002/pmh.70022","DOIUrl":"10.1002/pmh.70022","url":null,"abstract":"<p><p>Procrastination trait describes irrational delays of scheduled tasks despite clear awareness of the adverse consequences of doing so. Although procrastination is well-known to be linked to psychiatric or pathological processes, the criterion for \"psychopathological procrastination\" distinguishing from the procrastination trait is understudied. This is a 5-year longitudinal observational study. Participants (N = 464) completed measures of trait procrastination in 2018, with a follow-up conducted in 2023 (N = 267) collecting subclinical symptomatology. A constrained multivariate direct gradient model (cmDGM) was employed to prospectively predict subclinical psychiatric symptomatology formulated by the DSM-5 framework. The two-stage psychopathological connectome model was then constructed to constitute a \"diagnostic criterion\" reflecting \"psychopathological procrastination.\" Procrastination prospectively predicted subclinical psychopathological symptoms and unhealthy lifestyles. Subclinical bridge hubs of \"failure to self-regulate delays,\" \"failure to control adverse consequences,\" \"useless to self-change,\" \"out-of-control irruptions,\" \"poor sleep quality,\" and \"negative emotional reactions\" were identified in the two-stage psychopathological network. These hubs constituted the 9-item pathological procrastination diagnostic criterion (3PDC) with good diagnostic performance (AUC = 0.82, p < 0.01). The present study revealed the predictive role of procrastination for subclinical psychiatric symptomatology and further established the subclinical 3PDC to lay the foundation for the \"diagnostics of psychopathological procrastinators.\"</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 2","pages":"e70022"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045865","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
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