Personality and Mental Health最新文献

{"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":"<p><p>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.</p>","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}

{"title":"Mental Health and Personality Functioning of People With Probable Personality Disorder Who Have Coexisting Complex Post Traumatic Stress Disorder.","authors":"Sapphira McBride, Nia Goulden, Kirsten Barnicot, Kieron Corrigan, Sophie Shen, Serena Guillemard, Violet Effiom, Gemma Harrison, Lizwi Nyathi, Lyn Charles, Snehal P Pandya, Verity Leeson, Rachel Evans, Mike J Crawford","doi":"10.1002/pmh.70010","DOIUrl":"10.1002/pmh.70010","url":null,"abstract":"<p><p>This paper examines the prevalence and comorbidity of complex post-traumatic stress disorder (CPTSD) and borderline personality disorder (BPD) among individuals with probable personality disorder, using baseline data from the Structured Psychological Support clinical trial. The clinical characteristics and personality functioning of participants are summarised and compared between those meeting criteria for BPD, CPTSD, both or neither condition. Among 292 participants, 97% reported significant trauma exposure, and over half met the criteria for CPTSD. Those with CPTSD exhibited higher levels of social dysfunction and depression compared with those with BPD, despite both groups showing elevated emotion dysregulation and anxiety. Comorbidity of CPTSD and BPD was high, with 50% of the sample meeting criteria for both conditions. Participants with comorbid CPTSD and BPD displayed poorer baseline scores across all measures of mental health and functioning than those who met criteria for BPD alone. No statistically significant differences were found in suicidal behaviour or treatment-seeking between groups. There were no significant differences in International Classification of Diseases-11 personality trait domains between participants with CPTSD and BPD, but people with comorbid CPTSD and BPD displayed higher levels of trait negative affectivity than those with BPD alone. The findings highlight the need for trauma-informed assessments in clinical settings and a better understanding of the impact of CPTSD on treatment outcomes for people with personality disorder, including how existing treatments may need to be modified to better meet the needs of people with these highly comorbid conditions. TRIAL REGISTRATION: Current controlled trials ISRCTN13918289 (registered 11/11/2022).</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e70010"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469551","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":"Psychotherapeutic Change in Intensive Day Treatment for Personality Disorders: A Single Case Study of Quantitative and Qualitative Change in Agency and Communion.","authors":"Silvia M Pol, Elke Brok, Gerben J Westerhof","doi":"10.1002/pmh.70007","DOIUrl":"10.1002/pmh.70007","url":null,"abstract":"<p><p>A better understanding of psychotherapeutic change is seen as essential for further development of treatment for personality disorders. The objective of this study is to describe the psychotherapeutic change process of a client with personality disorder to develop more insight in psychotherapeutic change processes. The change process was described quantitatively from ROM data and quantitatively and qualitatively from two narrative themes, agency and communion, described from the perspectives of client and treatment team. Reliable change analyses showed decrease in personality problems and increase in personality functioning and mental well-being. Content analyses from the client perspective showed positive changes in meaning, actual behavior change, and connection with others. The treatment team noticed growth in self-management ability and in connecting with own emotions and with others. These changes resulted in an increase in agency and communion. By mapping change processes through multiple sources and perspectives, the efficacy of psychotherapeutic treatment can be better understood.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e70007"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11815315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400253","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":"Meaning in Life as an Outcome of Inpatient or Day-Hospital Psychotherapy for Personality Disorder.","authors":"Angelien Steen, Arjan W Braam, Adriaan W Hoogendoorn, Han Berghuis, Gerrit Glas","doi":"10.1002/pmh.70001","DOIUrl":"10.1002/pmh.70001","url":null,"abstract":"<p><p>Psychotherapy may contribute to the experience of meaning in life. This study investigated meaning in life among patients with personality disorders during inpatient or day-hospital psychotherapy. Meaning in life was approached from two conceptual perspectives: personality functioning with an emphasis on self-direction and existential psychology. We investigated changes in the sense of meaning in life and accounted for changes in depressive symptoms and identity and interpersonal pathology. Using pre-post measures, Livesley's General Assessment of Personality Disorder, especially, the Lack-of-Meaning-Purpose-and-Direction subscale and Steger's Meaning-in-Life Presence subscale were administered to 75 patients with personality disorders during inpatient or day-hospital psychotherapy for 8-12 months. Regression models showed that levels of the lack and presence of meaning decreased and increased during treatment, respectively, controlled for changes in depressive symptoms. Decreased identity pathology was significantly associated with changes in the lack or presence of meaning. Meaning in life may act as an outcome variable in intensive psychotherapy for personality disorders. The development of identity and self-direction may restore or create the ability to give life meaning.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e70001"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048099","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":"Disruption of Epistemic Trust in Borderline Personality Disorder: A Possible Adaptation to Avoid Making Costly Mistakes.","authors":"Yağızcan Kurt","doi":"10.1002/pmh.70006","DOIUrl":"10.1002/pmh.70006","url":null,"abstract":"<p><p>This paper applies error management theory (EMT) (Haselton and Buss 2000) to explore how disruptions in epistemic trust-trust in communicated information-can be understood as adaptive responses to early adversity in individuals with borderline personality disorder (BPD). I propose that epistemic mistrust (EM) and epistemic credulity (EC), characterized by inappropriate trust patterns, arise from the differential costs of trusting unreliable versus mistrusting reliable information. Although these biases may seem maladaptive, they function as evolutionary survival mechanisms in response to harsh environments. Signal detection analysis can provide empirical evidence for these trust biases by assessing how individuals with BPD make trust-related decisions. Clinically, understanding these biases as evolutionary adaptations helps reduce stigma and informs evolutionary-informed interventions to recalibrate trust responses and improve interpersonal relationships. This approach highlights the significance of integrating evolutionary perspectives in treating trust disturbances in BPD.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e70006"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025219","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":"Correspondence on \"Unveiling Public Stigma for Borderline Personality Disorder: A Comparative Study of Artificial Intelligence and Mental Health Care Providers\".","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1002/pmh.70026","DOIUrl":"https://doi.org/10.1002/pmh.70026","url":null,"abstract":"","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 3","pages":"e70026"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200420","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":"Correction to Long-Lasting Symptoms in Borderline Personality Disorder: Defining an Emergent Population With Differential Clinical and Therapeutic Features.","authors":"","doi":"10.1002/pmh.70040","DOIUrl":"https://doi.org/10.1002/pmh.70040","url":null,"abstract":"","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 4","pages":"e20000"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070828","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":"Psychometric Properties of the Latvian LPFS-SR in Clinical and Nonclinical Samples.","authors":"Agnese Zagorska, Anna Briede, Ksenija Vasiļjeva, Evija Strika, Ieva Stokenberga","doi":"10.1002/pmh.70028","DOIUrl":"10.1002/pmh.70028","url":null,"abstract":"<p><p>This study examines the psychometric properties of the Latvian adaptation of the Level of Personality Functioning Scale-Self Report (LPFS-SR) and its alignment with the Alternative DSM-5 Model for Personality Disorders (AMPD). A clinical sample (N = 142) and a nonclinical sample (N = 306) were formed. Internal consistency, factor structure, and criterion validity were assessed to evaluate the scale's psychometric properties. Confirmatory factor analysis compared five structural models: one-factor, two-factor, four-factor, higher order, and bifactor. The bifactor model demonstrated the best fit, capturing both general and subscale-specific variance in personality functioning. Correlation and regression analyses explored associations between the LPFS-SR and the Personality Inventory for DSM-5 (PID-5). The findings support the Latvian LPFS-SR as a valid and reliable tool for assessing personality functioning and are consistent with the principles of the AMPD.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 3","pages":"e70028"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530335","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 Functioning Is Not a Unitary Entity.","authors":"Orestis Zavlis","doi":"10.1002/pmh.70033","DOIUrl":"10.1002/pmh.70033","url":null,"abstract":"","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 3","pages":"e70033"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12206940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530334","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":"Classification of Personality Pathology.","authors":"Peter Tyrer, Roger Mulder, Carla Sharp","doi":"10.1002/pmh.70043","DOIUrl":"https://doi.org/10.1002/pmh.70043","url":null,"abstract":"","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 4","pages":"e70043"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309531","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}