{"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}
Lauren Taisha Green, Jonathan Chun Luen Tse, Ann Fausset
{"title":"Understanding Barriers in Personality Disorder Services During the Transition From CAMHS: A Service Evaluation.","authors":"Lauren Taisha Green, Jonathan Chun Luen Tse, Ann Fausset","doi":"10.1002/pmh.70061","DOIUrl":"10.1002/pmh.70061","url":null,"abstract":"<p><p>Around 25,000 young people (YP) transition to Adult Mental Health Services (AMHS) from Child and Adolescent Mental Health Services (CAMHS) annually in the United Kingdom. A small percentage experience all the key features of an effective transition-with suboptimal transitions potentially contributing to disengagement as YP approach or undergo the transition. Semistructured interviews were conducted with five YP, five CAMHS practitioners and seven AMHS practitioners working in the Personality Disorder Community Service (PDCS) to ascertain the barriers to engagement during the transition process. Transcripts were analysed using thematic analysis. Four themes were identified: Fragmented and Reactive Transitions, Relational Discontinuity, Systemic Rigidity and Alienation and Fragility of Autonomy. Findings indicated that unclear pathways, relational disruptions and mismatched expectations were key contributors to disengagement and negative perceptions of new services. No features of an optimum transition were being met consistently. Emotional dependency, lack of preparation and systemic rigidity further compounded difficulties for YP navigating the transition. CAMHS should prepare the YP prior to their referral and ensure that it is an informed decision. AMHS must clarify their service offer and provide accessible resources for CAMHS practitioners, YP and families to enable better management of expectations. Both services should collaborate throughout the transition, offer individualised plans and allow time for YP to adjust to the new service environment.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"20 1","pages":"e70061"},"PeriodicalIF":2.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012510","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 Role of Social Adversity in the Association Between Autistic Traits and Borderline Personality Disorder Symptoms.","authors":"Ellie Roberts, Lucy Scott","doi":"10.1002/pmh.70060","DOIUrl":"10.1002/pmh.70060","url":null,"abstract":"<p><p>Autism and personality disorders, including borderline personality disorder (BPD), demonstrate high levels of co-occurrence. Autistic individuals are more likely to experience social adversity and exhibit heightened reactivity to stressors, while social adversity is a well-established precursor to BPD. The current study investigated the role of social adversity in the association between autistic traits and BPD symptoms, and the moderating role of autistic traits in the association between social adversity and BPD symptoms. Data of 7403 individuals from the 2007 Adult Psychiatric Morbidity Survey in Great Britain were used. Path analysis was conducted to determine whether victimisation and a lack of social support have a role in the association between autistic traits and BPD symptoms. Moderation analysis was applied to assess whether associations of victimisation and a lack of social support with BPD symptoms vary as a function of autistic traits. Analysis was conducted before and after adjustment for sociodemographic covariates. Victimisation and a lack of social support had a role in the relationship between autistic traits and BPD symptoms. Autistic traits moderated the association between victimisation and BPD symptoms, such that the association was greater in individuals with more autistic traits. These observations were robust to adjustment for sociodemographic covariates. The co-occurrence of BPD in autistic individuals may reflect a double vulnerability, characterised by both heightened exposure to social adversity and increased susceptibility to its effects. However, it is important to note that these findings must be viewed as associational pathways rather than causal relationships.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"20 1","pages":"e70060"},"PeriodicalIF":2.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12758095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890177","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}
Jillian Papa, Yujung Choi, Evan Nault, Sharon Nelson, Sarah K Fineberg, Paula Tusiani-Eng
{"title":"Processes and Early Lessons From a Peer-Designed Recovery-Oriented Borderline Personality Disorder Online Support Group.","authors":"Jillian Papa, Yujung Choi, Evan Nault, Sharon Nelson, Sarah K Fineberg, Paula Tusiani-Eng","doi":"10.1002/pmh.70057","DOIUrl":"10.1002/pmh.70057","url":null,"abstract":"<p><p>Peer support for people with borderline personality disorder (BPD) holds promise to support recovery and reduce distress, but few BPD peer support programs have been developed or evaluated. We describe the design and implementation of a novel stakeholder-driven initiative to build a peer-led online support group for people with BPD. This manuscript does not present a traditional research study or follow an implementation science framework. Instead, it documents a radical, community-led model of care development-one that expands the possibilities for stakeholder-led innovation in mental health services. People with BPD and their families recognized an unmet need and co-created an intervention; researchers later joined to help assess program outcomes and capture impact. We describe support group design, peer facilitator training, and adaptation to online format during the COVID-19 pandemic using narrative format. We quantify changes in attendance over time (one-way ANOVAs) and participant demographics and satisfaction (N = 598 survey respondents). A 2-year peer-driven process identified core principles and designed a peer-led support group. In the first 26 months, 138 peer-support sessions met (1383 total attendees) with significant increases in registered participants, program attendance, and waitlists. Participants were geographically diverse, likely to attend one session (72%), and reported high satisfaction. Many had never received BPD treatment (44%) or met someone else with BPD (48%). This program demonstrates an example of stakeholder-led design of a sustainable program for people with BPD. The sustained demand we observed underscores the need for accessible empowering support for people with BPD.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"20 1","pages":"e70057"},"PeriodicalIF":2.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012295","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 \"Advancing the Science and Reduction of Personality Disorders Stigma: Introduction to a Special Issue of Personality and Mental Health\".","authors":"","doi":"10.1002/pmh.70062","DOIUrl":"10.1002/pmh.70062","url":null,"abstract":"","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"20 1","pages":"e70062"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967428","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":"Examining the Relationship Between Adverse Childhood Experiences and ICD-11 Personality Disorder in a Community Mental Health Sample.","authors":"Rachael C Martin, Martin Sellbom","doi":"10.1002/pmh.70063","DOIUrl":"10.1002/pmh.70063","url":null,"abstract":"<p><p>Adverse childhood experiences (ACEs) are a well-established risk factor for a wide range of mental health conditions, including personality disorder (PD). Yet, few studies have explored the relationship between ACEs and dimensional models of PD using the ICD-11 framework. The current study aimed to address this gap by establishing risk estimates and examining the potential dose-response relationship between ACEs and PD severity. A total of 918 adults with a history of mental health treatment residing in the United States or United Kingdom completed self-report questionnaires assessing ACE exposure and ICD-11 PD severity. We found a positive relationship between ACE exposure and PD severity, where greater ACE exposure was associated with an increased risk of clinically significant personality dysfunction, and this relationship occurred largely in a dose-response manner. Given that individuals with four or more ACE exposures were most at risk of clinically significant PD, these findings highlight the need to investigate potential mechanisms underlying this vulnerability and the utility of targeted interventions to mitigate risk. Moreover, the ICD-11 framework facilitated the examination of ACEs as a general risk factor relevant across PD presentations.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"20 1","pages":"e70063"},"PeriodicalIF":2.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012272","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}
Virginia Basterra-Gortari, Mario Gil-Conesa, Carmen Sayón-Orea, Francisca Lahortiga-Ramos, Carmen De la Fuente-Arrillaga, Miguel A Martínez-González, Maira Bes-Rastrollo
{"title":"Personality Traits and Psychological Well-Being: Association Within the \"Seguimiento Universidad de Navarra\" (SUN) Cohort.","authors":"Virginia Basterra-Gortari, Mario Gil-Conesa, Carmen Sayón-Orea, Francisca Lahortiga-Ramos, Carmen De la Fuente-Arrillaga, Miguel A Martínez-González, Maira Bes-Rastrollo","doi":"10.1002/pmh.70065","DOIUrl":"10.1002/pmh.70065","url":null,"abstract":"<p><p>Psychological well-being (PWB) is a core component of mental health influenced by personality; however, most prior research focused on subjective well-being and normal-range personality traits. Less is known about the longitudinal role of maladaptive personality traits in shaping eudaimonic well-being. This study examined prospective associations between maladaptive personality domains and subsequent PWB in the SUN cohort. Personality traits were assessed at the 16-year follow-up using the Personality Inventory for DSM-5 Abbreviated Form (PID-5-BF). PWB was evaluated 2 years later using Ryff's 29-item scale. All domains were analyzed as continuous variables in multivariable linear regression models with mutual adjustment. Among 2080 participants (56.9% women, mean age 57 ± 10.9 years), higher levels of detachment (β: -2.43; 95% CI: -2.77, -2.09), negative affect (β: -1.09; 95% CI: -1.38, -0.80), psychoticism (β: -0.76; 95% CI: -1.21, -0.30) and disinhibition (β: -0.52; 95% CI: -0.93, -0.11) were prospectively associated with lower PWB, whereas antagonism showed a positive association (β: 0.76; 95% CI: 0.36, 1.17). Detachment was consistently associated with lower scores across all six PWB dimensions, negative affect and psychoticism showed selective inverse associations with several PWB dimensions, and disinhibition showed an inverse association for autonomy. Nevertheless, antagonism displayed positive associations with environmental mastery, purpose in life, and self-acceptance. In conclusion, maladaptive personality traits are prospectively associated with PWB, with domain-specific patterns, highlighting the importance of a multidimensional perspective when examining personality-PWB relationships.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"20 1","pages":"e70065"},"PeriodicalIF":2.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12931997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285522","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":"DSM-5 Functional Framework: Structure and Psychopathological Correlates of the DSM-5 Levels of Functioning Questionnaire-Short Form.","authors":"Claudio Sica, Corrado Caudek, Ilaria Colpizzi, Gioia Bottesi","doi":"10.1002/pmh.70056","DOIUrl":"10.1002/pmh.70056","url":null,"abstract":"<p><p>Interest in the Level of Personality Functioning (LPF), defined by Criterion A of the Alternative Model for Personality Disorders (AMPD), is growing. LPF includes self-functioning (identity, self-direction) and interpersonal functioning (empathy, intimacy). While LPF is crucial for understanding personality dysfunction, its ability to distinguish personality disorders from other conditions remains debated. The DSM-5 Levels of Functioning Questionnaire-Short Form (DLOPFQ-SF) is a promising LPF measure, but further research in diverse populations is needed. This study examined the internal structure and psychopathological correlates of the DLOPFQ-SF in an Italian nonclinical sample. Specifically, it assessed the tool's factor structure and relations with the Hierarchical Taxonomy of Psychopathology (HiTOP) and positive adjustment. A sample of 1183 Italian participants (46.2% female, mean age = 31.3 ± 14.8) completed the DLOPFQ-SF and other self-report measures. Exploratory and confirmatory factor analyses showed a three-factor structure comprising Identity, Empathy, and Intimacy. Structural equation modeling (SEM) explored links between the three DLOPFQ-SF dimensions, HiTOP dimensions (internalizing, externalizing-antisocial, antagonism, detachment, psychoticism), and positive adjustment. In general, SEM analyses showed that higher LPF scores were associated with increased psychopathology and reduced well-being. The three subscales demonstrated specific links to distinct psychopathological outcomes, thereby supporting the construct validity of the DLOPFQ-SF. Despite the removal of the Self-Direction scale, the instrument proved useful in capturing key aspects of LPF across self and interpersonal domains, reinforcing its relevance within a dimensional model of psychopathology.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"20 1","pages":"e70056"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12741785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145834539","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}
Elizabeth V Franklin, Daniel D Flint, Kendel King, Beth H Garland
{"title":"The Relationship Between Personality Psychopathology Features and Readmission Rates Among Adolescents With Anorexia Nervosa Admitted to a Medical Inpatient Eating Disorder Unit.","authors":"Elizabeth V Franklin, Daniel D Flint, Kendel King, Beth H Garland","doi":"10.1002/pmh.70067","DOIUrl":"10.1002/pmh.70067","url":null,"abstract":"<p><p>Many features of personality psychopathology are shared among patients with Anorexia Nervosa (AN), yet the impact of these shared features is not fully understood, and the impact of having more personality psychopathology features during adolescent onset of AN, especially among adolescents admitted to an inpatient eating disorder unit, has not been explored. This study evaluated how personality psychopathology, utilizing a measure of borderline personality disorder (BPD) symptom severity, has a potential predictive value in understanding risk of readmission for an eating disorder over time. A total of 256 adolescents were admitted for medical stability to an inpatient unit for the first time. Adolescents completed the Borderline Personality Features Scale for Children-11 (BPFSC-11) within the first 14 days of admission; demographic variables, anxiety and mood comorbidities, and readmission status were obtained through chart review. Higher scores on the BPFSC-11 were significantly associated with being readmitted within 1 year of discharge from the inpatient unit. These findings highlight how personality psychopathology features at onset of severe AN in adolescence could indicate a higher risk for recovery complications, including repeated inpatient admission. These findings may underscore the role of supplementary therapeutic interventions alongside family-based therapy, including dialectical behavior therapy.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"20 1","pages":"e70067"},"PeriodicalIF":2.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272391","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":"Comment on \"Implementing Systems Training for Emotional Predictability and Problem Solving (STEPPS) in Norway: An Open Multicenter Study\".","authors":"Neeraj Singh, Monika Srivastav","doi":"10.1002/pmh.70073","DOIUrl":"https://doi.org/10.1002/pmh.70073","url":null,"abstract":"","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"20 2","pages":"e70073"},"PeriodicalIF":2.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533431","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}