Personality and Mental Health最新文献_第2页

Stigma, Situational Triggers, and Symptoms: How Providers Justify Borderline Personality Disorder Among Sexual and Gender Minority Individuals. 污名，情境触发和症状：提供者如何证明性和性别少数个体的边缘性人格障碍。

IF 2 3区医学

Personality and Mental Health Pub Date : 2025-05-01 DOI: 10.1002/pmh.70012

Anita Shubert, Najia Griffin, August Mashburn, Spirit Dorsey, Craig Rodriguez-Seijas

{"title":"Stigma, Situational Triggers, and Symptoms: How Providers Justify Borderline Personality Disorder Among Sexual and Gender Minority Individuals.","authors":"Anita Shubert, Najia Griffin, August Mashburn, Spirit Dorsey, Craig Rodriguez-Seijas","doi":"10.1002/pmh.70012","DOIUrl":"10.1002/pmh.70012","url":null,"abstract":"Borderline personality disorder (BPD) is disproportionately diagnosed among sexual and gender minority (SGM) individuals relative to cisgender heterosexuals. However, research aimed at understanding the reasons for this disparity is scarce. The current study employed a mixed-methods design to understand how mental healthcare providers' justifications for the BPD diagnosis differ based on the SGM status of the patient described and their own professional backgrounds. Two hundred seventy-one providers who were randomly assigned to one of three identical vignette conditions, with SGM status manipulated, indicated their agreement with the BPD diagnosis and explained the reason for their agreement. Results from thematic content analyses illustrated that providers referenced three themes when explaining their agreement with the BPD diagnosis: (1) BPD as provisional, (2) BPD as certain, and (3) BPD criteria met. Providers referenced a greater variety of themes to explain their disagreement with the diagnosis: (1) situational factors, (2) insufficient time course, (3) diagnostic criteria unmet, (4) insufficient assessment information, (5) differential diagnosis, (6) developmental immaturity, and (7) stigma concerns. None of these justifications were differentially employed based on the SGM status of the vignette. However, differences were observed based on providers' backgrounds; psychologists more frequently cited concerns about time course, developmental immaturity, and having insufficient assessment information than psychiatrists, counselors, and social workers in disagreeing with the BPD diagnosis. Implications for reducing BPD diagnostic bias are discussed.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 2","pages":"e70012"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531914","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

"Labeled, Criticized, Looked Down On": Characterizing the Stigma of Narcissistic Personality Disorder. “标签，批评，看不起”：自恋型人格障碍的污名特征。

IF 2 3区医学

Personality and Mental Health Pub Date : 2025-05-01 DOI: 10.1002/pmh.70015

Ellen F Finch, Emily J Mellen

{"title":"\"Labeled, Criticized, Looked Down On\": Characterizing the Stigma of Narcissistic Personality Disorder.","authors":"Ellen F Finch, Emily J Mellen","doi":"10.1002/pmh.70015","DOIUrl":"10.1002/pmh.70015","url":null,"abstract":"Narcissistic personality disorder (NPD) is widely thought to be highly stigmatized; however, little empirical research has characterized this stigma. In this investigation, we draw on seminal theories and constructs from the stigma literature to improve the field's understanding of NPD stigma across stigma levels (individual, interpersonal, and structural) and dimensions (concealability, origin, course, disruptiveness, aesthetics, and peril). Participants were mental health clinicians (N = 9) with experience treating NPD. Participants completed semistructured qualitative interviews exploring their observations of NPD stigma. Interview questions were guided by existing stigma frameworks. Responses were then coded thematically using inductive and deductive techniques. Results are reported by theme. Overall, clinicians agreed that NPD was a highly stigmatized disorder in both public and healthcare settings. NPD stigma was consistently reported at the individual, interpersonal, and structural levels and was most salient in the dimensions of course, origin, and peril. Stigma is thought to be a central barrier to diagnosing and treating NPD. More research and clinician education are critical next steps in reducing stigma. This investigation represents an important step forward in the characterization and conceptualization of NPD stigma. Additional work is needed to understand the experience of NPD stigma from the perspective of patients, further quantify potential mental health implications, and identify opportunities for stigma intervention.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 2","pages":"e70015"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665069","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

The Mediating Effects of Borderline Personality Disorder Stigma on Work Stress and Precarity. 边缘型人格障碍耻辱感对工作压力和不稳定性的中介作用。

IF 2 3区医学

Personality and Mental Health Pub Date : 2025-05-01 DOI: 10.1002/pmh.70023

Evan Nault, Isaac E Sabat

引用次数: 0

Prevalence and Correlates of Self-Stigma in Personality Disorder Compared With Anxiety and Depression: A National Cross-Sectional Survey. 与焦虑和抑郁相比，人格障碍中自我耻辱的患病率及其相关因素：一项全国性的横断面调查。

IF 2 3区医学

Personality and Mental Health Pub Date : 2025-05-01 DOI: 10.1002/pmh.70011

Ruksana Begum-Meades, Sophie Feilder, Mike J Crawford

{"title":"Prevalence and Correlates of Self-Stigma in Personality Disorder Compared With Anxiety and Depression: A National Cross-Sectional Survey.","authors":"Ruksana Begum-Meades, Sophie Feilder, Mike J Crawford","doi":"10.1002/pmh.70011","DOIUrl":"10.1002/pmh.70011","url":null,"abstract":"Self-stigma occurs when a person with a mental illness internalises the negative stereotypes and attitudes associated with their condition, which can lead to reduced help-seeking and social withdrawal. Previous research has demonstrated high levels of professional stigma towards people with personality disorder, but in contrast to mental disorders such as anxiety and depression, very little is known about self-stigma in people with personality disorder. We conducted an online, cross-sectional survey of 1009 people who had received a diagnosis of personality disorder, anxiety or depression to compare levels of self-stigma and identify associated factors. We assessed self-stigma using the Internalised Stigma of Mental Illness Scale-9 and demographic and clinical factors including level of personality disturbance, invalidating childhood experiences and depressive symptoms. In multilevel analysis, people diagnosed with personality disorder did not have higher levels of self-stigma than those with anxiety and depression. Levels of self-stigma were higher among those with higher levels of personality disturbance, depression and invalidating childhood experiences. These findings highlight the importance of personality disturbance in the development of self-stigma and the need for interventions to increase mental health literacy in this area.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 2","pages":"e70011"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11906914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626451","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

Assessing the dark personality traits with observer reports: A meta-analysis of inter-rater agreement on the Dark Triad and Dark Tetrad traits. 用观察者报告评估黑暗人格特质：对 "黑暗三联征 "和 "黑暗四联征 "的评分者间一致性的荟萃分析。

IF 2 3区医学

Personality and Mental Health Pub Date : 2025-02-01 Epub Date: 2024-10-31 DOI: 10.1002/pmh.1639

Pilar Rico-Bordera, David Pineda, Manuel Galán, José A Piqueras

{"title":"Assessing the dark personality traits with observer reports: A meta-analysis of inter-rater agreement on the Dark Triad and Dark Tetrad traits.","authors":"Pilar Rico-Bordera, David Pineda, Manuel Galán, José A Piqueras","doi":"10.1002/pmh.1639","DOIUrl":"10.1002/pmh.1639","url":null,"abstract":"Assessing dark personality traits with self-reports may be hampered by biases such as socially desirable responding. To address this, observer reports could be an effective complement or alternative to self-reports. This meta-analysis aimed to investigate the correlations of observer reports of the Dark Triad and Dark Tetrad traits with these traits' self-reports. A comprehensive search in PubMed, Web of Science, Scopus and PsycINFO yielded 24 studies that met the inclusion criteria (with 32 effect sizes) and included the assessment of at least one of the dark traits. Results showed positive self-observer correlations of medium-high magnitude for psychopathy (r = 0.47) and of medium magnitude for narcissism and Machiavellianism (respectively, r = 0.44 and 0.41). In addition, for Machiavellianism and psychopathy, it was shown that the better acquainted the observer and the observed, the higher the self-observer correlations. For sadism, no results could be obtained because only one study included the assessment of this trait. This is the first meta-analysis of inter-rater agreement in assessing the Dark Tetrad. The findings suggest that observer reports could be a supplement or even be alternatives to self-reports when assessing the Dark Tetrad traits.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":" ","pages":"e1639"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559134","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

Communication Between Individuals With Borderline Personality Disorder and Their Partners. 边缘型人格障碍患者与伴侣之间的交流。

IF 2 3区医学

Personality and Mental Health Pub Date : 2025-02-01 DOI: 10.1002/pmh.70013

Claire Lauzon, Alyssa A Di Bartolomeo, Sonya Varma, Tali Boritz, Rachel Liebman, Candice Monson, Skye Fitzpatrick

{"title":"Communication Between Individuals With Borderline Personality Disorder and Their Partners.","authors":"Claire Lauzon, Alyssa A Di Bartolomeo, Sonya Varma, Tali Boritz, Rachel Liebman, Candice Monson, Skye Fitzpatrick","doi":"10.1002/pmh.70013","DOIUrl":"10.1002/pmh.70013","url":null,"abstract":"Borderline personality disorder (BPD) is characterized by frequent and intense conflict in intimate relationships. Emerging theoretical perspectives have suggested that communication from both individuals with BPD and their partners during times of conflict may exacerbate BPD pathology and therefore reflect an important target for intervention. Communication samples between individuals with BPD and their partners (N = 18 couples) who were seeking conjoint therapy were coded using the Rapid Marital Interactions Coding System-2. No differences were found in the amount of positive, constructive or hostile communication between individuals with BPD and their partners, and both partners used significantly more constructive communication than positive or hostile, though they were misaligned in their use of constructive communication. These findings challenge the notion that individuals with BPD communicate in a more hostile or conflictual way than their partners, despite the stigma they face in healthcare and community settings.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e70013"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469570","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

Relationship-Specific Attachment and Mentalization as Predictors of Borderline Personality Features and Interpersonal Competence Among Emerging Adults. 关系特异性依恋和心理化作为新兴成人边缘人格特征和人际交往能力的预测因子。

IF 2 3区医学

Personality and Mental Health Pub Date : 2025-02-01 DOI: 10.1002/pmh.70009

Mehak Sikand, Poornima Bhola, K S Meena

{"title":"Relationship-Specific Attachment and Mentalization as Predictors of Borderline Personality Features and Interpersonal Competence Among Emerging Adults.","authors":"Mehak Sikand, Poornima Bhola, K S Meena","doi":"10.1002/pmh.70009","DOIUrl":"10.1002/pmh.70009","url":null,"abstract":"Developmental psychopathology models, like the mentalization theory, have facilitated the theoretical understanding of trajectories that contribute to the expression and experience of borderline personality (BP) features. Mentalization theory posits that BP vulnerabilities and interpersonal difficulties arise from insecure attachment experiences and deficits in mentalizing ability. This study explored the intersections of attachment vulnerabilities in close relationships, mentalizing domains, and their combined impact on BP features and interpersonal competence in emerging adults. The sample included 742 emerging adults (18-25 years) from colleges across 23 Indian states, who completed an online survey measuring relationship-specific attachment anxiety and avoidance (mother, father, best friend), mentalization (self-related, other-related, motivation to mentalize), BP features, and interpersonal competence. Path analysis was conducted to examine (a) the association between relationship-specific attachment dimensions and BP features/interpersonal competence and (b) mentalization as a mediator. Attachment anxiety and avoidance in specific relationships were found to have direct positive effects on BP features and direct negative effects on interpersonal competence. However, the strength and significance of these effects were not similar across relationships, shedding light on unique contributions of relationship-specific attachment difficulties on BP features and interpersonal competence. Mentalization mediated these associations, with self-related mentalization uniquely affecting BP features and other-related mentalization influencing interpersonal competence. The findings underscore the importance of relationship-specific attachment and mentalization domains in BP vulnerabilities among emerging adults. They provide empirical support for developing targeted mentalization-based interventions to enhance self and interpersonal functioning.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e70009"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415823","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

The Impact of Age and Sex on the Expression and Severity of Borderline Symptoms in Individuals With Borderline Personality Disorder: An Iranian Study. 年龄和性别对边缘性人格障碍患者边缘性症状的表达和严重程度的影响：一项伊朗研究

IF 2 3区医学

Personality and Mental Health Pub Date : 2025-02-01 DOI: 10.1002/pmh.70004

Banafsheh Mohajerin, Richard Charles Howard

{"title":"The Impact of Age and Sex on the Expression and Severity of Borderline Symptoms in Individuals With Borderline Personality Disorder: An Iranian Study.","authors":"Banafsheh Mohajerin, Richard Charles Howard","doi":"10.1002/pmh.70004","DOIUrl":"10.1002/pmh.70004","url":null,"abstract":"Reports of sex and age differences in the presentation of borderline symptoms have been limited to the Western literature and have not systematically compared adolescents with emerging and older adults with borderline personality disorder (BPD). This study aimed to examine the impact of age and sex on the expression of borderline symptoms in adolescents, young adults, and older adults with BPD. A sample of 493 Iranian individuals with a confirmed diagnosis of BPD was segregated into 2 age groups: 134 young people aged 12-25 (mean = 17.60), and 142 adults aged 26 and older (mean = 31.69). Young people were divided into: 241 adolescents (mean = 15.59) and 100 young adults (mean = 22.45). Older groups compared with their younger counterparts showed significantly greater severity of borderline symptoms and greater difficulties with emotion regulation, but younger groups showed greater emotional and behavioral dysregulation. Sex differences generally mirrored those reported in the Western literature. Despite being limited by its cross-sectional design, this study suggests that adolescents, young adults, and older adults differ significantly in the way their borderline symptoms are expressed. The development of gender identity in adolescents with BPD and a disturbed sense of self is a neglected but potentially fruitful area of future research.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e70004"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972747","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

Psychometric Properties of the Persian Version of PID5BF + M in Iranian Drug Users. 伊朗吸毒者PID5BF + M波斯语版本的心理测量特征

IF 2 3区医学

Personality and Mental Health Pub Date : 2025-02-01 DOI: 10.1002/pmh.70005

M Amin Abdolahpur, Bo Bach, Mozhgan Lotfi, Iman Hamraz, Mahdi Amini

{"title":"Psychometric Properties of the Persian Version of PID5BF + M in Iranian Drug Users.","authors":"M Amin Abdolahpur, Bo Bach, Mozhgan Lotfi, Iman Hamraz, Mahdi Amini","doi":"10.1002/pmh.70005","DOIUrl":"10.1002/pmh.70005","url":null,"abstract":"Background: This study aimed to adapt and evaluate the psychometric properties of the PID5BF + M as a brief measure for assessing DSM-5 and ICD-11 personality disorder traits in Iranian drug users. The sample consisted of 380 participants, including both clinical (28.68%) and nonclinical (71.32%) groups, with 43.7% female participants. All participants completed the Personality Inventory for DSM-5 and ICD-11 Brief Form-Modified (PID5BF + M), the Symptom Checklist-25 (SCL-25), the Brief Five-Factor Inventory (BFI-10), the Level of Personality Functioning Scale-Brief Form (LPFS-BF 2.0), and the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST).Results: The findings revealed that the PID5BF + M demonstrates strong psychometric properties, with a six-factor structure that is culturally appropriate for the Iranian population. Significant associations were found between the ICD-11/DSM-5 traits and both internalizing and externalizing symptoms, as well as with normal personality factors.Conclusions: The PID5BF + M appears to be a valid and reliable tool for assessing DSM-5 and ICD-11 personality disorder traits in Iranian drug users, showing promising potential for use in clinical and research settings within this cultural context.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e70005"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048125","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

Personality and Sleep Psychopathology: Associations Between the DSM-5 Maladaptive Trait Domains and Multiple Sleep Problems in an Adult Population. 人格与睡眠病理学：DSM-5 适应不良特质领域与成人群体中多种睡眠问题之间的关联。

IF 2 3区医学

Personality and Mental Health Pub Date : 2025-02-01 DOI: 10.1002/pmh.70008

Ali Zakiei, Habibolah Khazaie, Mohammadreza Alimoradi, Renatha El Rafihi-Ferreira, Mohammad-Taher Moradi, Saeid Komasi

{"title":"Personality and Sleep Psychopathology: Associations Between the DSM-5 Maladaptive Trait Domains and Multiple Sleep Problems in an Adult Population.","authors":"Ali Zakiei, Habibolah Khazaie, Mohammadreza Alimoradi, Renatha El Rafihi-Ferreira, Mohammad-Taher Moradi, Saeid Komasi","doi":"10.1002/pmh.70008","DOIUrl":"10.1002/pmh.70008","url":null,"abstract":"Given the lack of sufficient studies exploring the nature of sleep problems from the perspective of the alternative model of personality disorders (AMPD) proposed by the DSM-5, the present study is aimed at determining the associations between five trait domains such as negative affectivity and sleep problems (insomnia, parasomnia, hypersomnia, circadian rhythm sleep disorder, restless legs syndrome, and sleep-disordered breathing) in an adult population. Adults aged 18-65 from western Iran were invited to the study via virtual platforms (N = 928; 62% female) and responded online to the Brief Form of Personality Inventory for DSM-5 and the Holland Sleep Disorder Questionnaire to assess sleep problems. The regression analyses indicated that the AMPD trait domains could significantly predict both specific sleep problems (R2 ranges from 0.13 to 0.17; all p ≤ 0.001) and total score of sleep problems (R2 = 0.23; p < 0.001). Psychoticism (β ranges from 0.26 to 0.39; all p < 0.001) and negative affectivity (β ranges from 0.14 to 0.29; all p ≤ 0.002) were the strongest specific domains associated with all sleep problems. The findings highlighted links between maladaptive domains of the AMPD and multiple sleep problems. The unique profiles of each sleep problem are useful in selecting treatments tailored to specific sleep problems in adults.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e70008"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190813","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