Personality and Mental Health最新文献_第5页

Effects of two treatments on interpersonal, affective, and lifestyle features of psychopathy and emotion dysregulation. 两种治疗对精神病和情绪失调的人际、情感和生活方式特征的影响。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2024-02-01 Epub Date: 2023-10-05 DOI: 10.1002/pmh.1593

Banafsheh Mohajerin, Richard Charles Howard

{"title":"Effects of two treatments on interpersonal, affective, and lifestyle features of psychopathy and emotion dysregulation.","authors":"Banafsheh Mohajerin, Richard Charles Howard","doi":"10.1002/pmh.1593","DOIUrl":"10.1002/pmh.1593","url":null,"abstract":"This study investigated the relative efficacy of Mentalization-based therapy (MBT) and United Protocol (UP) in reducing symptoms of psychopathy and emotion dysregulation in a sample of Iranian community residents with concurrent diagnoses of antisocial and borderline personality disorders (PDs). Interpersonal, affective, and lifestyle features of psychopathy were measured post-treatment and at 6-, 12-, 18-, 24-, and 36-months follow-up using the 13-item version of the Psychopathy Revised-Checklist (PCL-R), which excluded, by design, criminal history features. Emotion dysregulation was measured using the Deficits in Emotion Regulation Scale (DERS) developed by Gratz and Roemer (2004). After treatment, both UP- and MBT-treated individuals showed significantly fewer features of psychopathy and significantly less emotion dysregulation. Compared with those treated with MBT, UP-treated individuals showed significantly less emotion dysregulation in all DERS subscales and a greater reduction in psychopathy features, particularly affective features. It is suggested that this likely reflected the particular emphasis placed by UP on improving emotional self-regulation and facilitating the therapeutic alliance. These results suggest that, despite the traditional pessimism that surrounds psychopathic individuals' treatability, they can be successfully treated.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":" ","pages":"43-59"},"PeriodicalIF":2.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41154944","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

Changes in the journal. 期刊的变化。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2024-02-01 DOI: 10.1002/pmh.1594

Peter Tyrer, Roger Mulder, Carla Sharp

引用次数: 0

Effectiveness of compassion-focused therapy for self-criticism in patients with personality disorders: a multiple baseline case series study. 以同情为中心的治疗对人格障碍患者自我批评的有效性：一项多基线病例系列研究。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2024-02-01 Epub Date: 2023-11-09 DOI: 10.1002/pmh.1597

Silvia M Pol, Audrey de Jong, Hester Trompetter, Ernst T Bohlmeijer, Farid Chakhssi

{"title":"Effectiveness of compassion-focused therapy for self-criticism in patients with personality disorders: a multiple baseline case series study.","authors":"Silvia M Pol, Audrey de Jong, Hester Trompetter, Ernst T Bohlmeijer, Farid Chakhssi","doi":"10.1002/pmh.1597","DOIUrl":"10.1002/pmh.1597","url":null,"abstract":"Objective: Targeting self-criticism, the tendency to negatively evaluate and judge aspects of oneself, may improve treatment efficacy for personality disorders (PDs). This study aimed to test whether adding 12-week group compassion-focused therapy (CFT) that explicitly targets self-criticism to treatment as usual (TAU) would reduce self-criticism in patients with PDs.Method: Twelve patients with PDs participated in a multiple baseline study, randomly allocated to different baseline lengths. The primary outcome was twice-weekly assessed self-critical beliefs during baseline, treatment, and follow-up phases. Secondary outcomes were self-criticism, self-compassion, and PD severity at the end of CFT and follow-up (trial registered: NL8131). Nine participants completed the intervention. No significant changes were observed during CFT, but at follow-up significant decrease in self-critical beliefs (Cohen's d = -0.43; 95% CI = -0.73 to -0.12) was reported compared to baseline. On secondary outcomes, most participants showed reliable improvement on self-reported criticism (66.7%) and self-compassion (55.6%), and a minority of patients showed reliable improvement in PD severity (33.3%).Conclusions: This study seems to provide preliminary evidence for the effectiveness of 12-week CFT for self-critical beliefs in patients with PDs compared to TAU. CFT for self-criticism in PDs may complement treatment offerings and warrant further research.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":" ","pages":"69-79"},"PeriodicalIF":2.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71522922","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 a combined mentalisation-based therapy and therapeutic community programme for adolescents with borderline personality disorder traits on service utilisation in Western Australia. 西澳大利亚州边缘型人格障碍青少年综合心理治疗和社区治疗方案对服务利用的影响。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2023-11-01 Epub Date: 2023-03-24 DOI: 10.1002/pmh.1579

Jemima Robinson Lake, Natasha Bear, Carl Fletcher, Giulia Pace, Ivan Salmin, Georgia Brealey

{"title":"The impact of a combined mentalisation-based therapy and therapeutic community programme for adolescents with borderline personality disorder traits on service utilisation in Western Australia.","authors":"Jemima Robinson Lake, Natasha Bear, Carl Fletcher, Giulia Pace, Ivan Salmin, Georgia Brealey","doi":"10.1002/pmh.1579","DOIUrl":"10.1002/pmh.1579","url":null,"abstract":"This study assessed the effect of a mentalisation-based therapy (MBT) treatment programme on the utilisation of Western Australian public hospitals for mental health presentations over an 18-month period. Hospital data included the number of visits to the emergency department (ED), the number of inpatient admissions to hospital and length of stay of the admissions. Participants included 76 adolescents aged 13-17 years old, who presented with borderline personality disorder (BPD) traits. The Touchstone treatment programme is a time-limited intensive programme that utilises MBT in the context of a therapeutic community. Hospital data for the participants were collected and analysed from three time points; 6 months prior to attending the programme, during the 6-month programme (active treatment) and 6 months after the programme. Results found a statistically significant decrease in hospital utilisation from pre to post programme, with a decline in ED visits, inpatient admissions and admission length of stay. This study presents promising preliminary evidence for the effectiveness of an intensive MBT programme as an intervention for adolescents with BPD features and has significant implications for the public health system in terms of providing effective community-based treatment for this difficult to treat population as well as reducing pressure on tertiary care.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":" ","pages":"300-312"},"PeriodicalIF":2.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9221888","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: 1

The relationship between trait mindfulness and resilience: A meta-analysis. 特质正念与心理弹性的关系:元分析。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2023-11-01 Epub Date: 2023-03-23 DOI: 10.1002/pmh.1581

Juan Zhang, Yidi Mao, Yihui Wang, Yihan Zhang

{"title":"The relationship between trait mindfulness and resilience: A meta-analysis.","authors":"Juan Zhang, Yidi Mao, Yihui Wang, Yihan Zhang","doi":"10.1002/pmh.1581","DOIUrl":"10.1002/pmh.1581","url":null,"abstract":"Resilience is a positive psychological resource that promotes health. Trait mindfulness was found to be related to resilience. However, previous studies on this relationship have shown contradictory results. The current meta-analysis explored the relationship between trait mindfulness and resilience based on a three-level random-effects meta-analysis model. A significant and positive relationship between trait mindfulness and resilience (r = 0.385; p < 0.0001) was revealed by analyzing 197 effect sizes from 103 studies. Furthermore, the subsequent moderator analysis found that the facet of mindfulness (e.g., awareness, nonjudging) (F(6, 190) = 6.181; p < 0.001), measurement of mindfulness (e.g., the Mindful Attention Awareness Scale) (F(7, 191) = 4.758; p < 0.001), aspect of resilience (e.g., family resilience) (F(5, 191) = 3.455; p < 0.05), measurement of resilience (e.g., the Connor-Davidson Resilience Scale) (F(11, 185) = 2.256; p < 0.05), and age (F(1, 150) = 4.588; p < 0.05) acted as significant moderators. Overall, this study confirmed the positive relationship between trait mindfulness and resilience, suggesting that people with higher levels of trait mindfulness were more likely to have higher levels of resilience. The current findings provided insightful information for interventions targeted at improving resilience.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":" ","pages":"313-327"},"PeriodicalIF":2.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9247458","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: 1

Disinhibition domain and facets uniquely predict changes in depressive symptoms and psychosocial functioning. 去抑制域和面独特地预测抑郁症状和社会心理功能的变化。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2023-11-01 Epub Date: 2023-05-10 DOI: 10.1002/pmh.1585

Eunyoe Ro, Jeffrey R Vittengl, Robin B Jarrett, Lee Anna Clark

{"title":"Disinhibition domain and facets uniquely predict changes in depressive symptoms and psychosocial functioning.","authors":"Eunyoe Ro, Jeffrey R Vittengl, Robin B Jarrett, Lee Anna Clark","doi":"10.1002/pmh.1585","DOIUrl":"10.1002/pmh.1585","url":null,"abstract":"This study aimed to understand the role of disinhibition (low conscientiousness)-in conjunction with the other major personality traits of negative affectivity, detachment, antagonism, and psychoticism-in predicting changes in depressive symptoms and psychosocial functioning. Both the disinhibition trait domain and its primary facets (i.e., irresponsibility, impulsivity, and distractibility) were examined. In a large sample (Time 1 N = 605, Time 2 N = 497) of psychiatric outpatients and high-risk community residents, personality traits, depressive symptoms (both self-reported and interviewer-rated), and psychosocial functioning levels (i.e., daily functioning, interpersonal functioning, health-related quality of life, and global quality of life) were collected across two time points. Results showed that the disinhibition domain was the strongest predictor of changes in depressive symptoms and general quality of life levels. Disinhibition facets also predicted changes in depressive symptoms but showed a less consistent pattern compared to the broader trait domain. Finally, the irresponsibility and distractibility facets significantly and uniquely explained changes in interpersonal functioning. The study highlights the importance of assessing the disinhibition trait rather than only negative and positive affectivity (which are well-known correlates of depression), for understanding changes in depressive symptoms and psychosocial functioning. The findings identify potential targets in psychotherapy for individuals with disinhibition traits and depressive disorders.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":" ","pages":"363-376"},"PeriodicalIF":2.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9443436","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 riddle of deliberate self-harm: Physiological and subjective effects of self-cutting cues in patients with borderline personality disorder and healthy controls. 故意自残之谜:自我切割线索在边缘型人格障碍患者和健康对照中的生理和主观影响。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2023-11-01 Epub Date: 2023-04-11 DOI: 10.1002/pmh.1583

Valeska Reichel Pape, Silke Braun, Svenja Peters, Markus Stingl, Oliver Tucha, Gebhard Sammer

{"title":"The riddle of deliberate self-harm: Physiological and subjective effects of self-cutting cues in patients with borderline personality disorder and healthy controls.","authors":"Valeska Reichel Pape, Silke Braun, Svenja Peters, Markus Stingl, Oliver Tucha, Gebhard Sammer","doi":"10.1002/pmh.1583","DOIUrl":"10.1002/pmh.1583","url":null,"abstract":"Self-harming behavior is a core symptom of borderline personality disorder. Self-report studies show a correlation between a lack of self-reported negative feelings toward self-cutting cues and the likelihood of future self-destructive behavior. Despite these findings, there has so far been insufficient investigation into the implicit emotional processes evoked by this stimulus type. Forty patients with borderline personality disorder and 35 healthy controls between 20 and 50 years of age were confronted with pictures of self-cutting cues and affective reference pictures. A startle reflex paradigm was used for measuring implicit emotional responses, and the Self-Assessment Manikin was used for subjective responses. In line with previous studies, the patients rated the self-cutting pictures significantly less negatively than healthy individuals. On the physiological level, a significant startle inhibition was observed, indicating an activation of the behavioral approach system. A more detailed analysis showed that this startle inhibition effect was specific to scary pictures, whereas no such effect was observed for bloody wounds and self-cutting instruments. For pleasant standard pictures, in contrast, no startle reflex inhibition and no increase in emotional arousal parameters were found. The data replicate the findings of previous studies, demonstrating a generally diminished emotional reactivity to pleasant stimuli in patients with borderline personality disorder. In addition, a physiological approach reaction to self-cutting pictures was found, especially for the scary pictures. These results might indicate a positive identification with the long-lasting consequences of self-cutting behavior in the patients. Implications for therapy are discussed.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":" ","pages":"328-351"},"PeriodicalIF":2.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9638415","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

Establishing efficacy and effectiveness in the treatment of personality disorders. 建立治疗人格障碍的疗效和有效性。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2023-11-01 DOI: 10.1002/pmh.1595

Peter Tyrer, Carla Sharp

引用次数: 0

The Clinical Interview for Borderline Personality Disorder for Adolescents (CI-BOR-A): Development, acceptability and expert panel evaluation. 青少年边缘型人格障碍(CI-BOR-A)的临床访谈:发展、可接受性和专家小组评估。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2023-11-01 Epub Date: 2023-05-14 DOI: 10.1002/pmh.1586

Diogo Carreiras, Marina Cunha, Carla Sharp, Paula Castilho

{"title":"The Clinical Interview for Borderline Personality Disorder for Adolescents (CI-BOR-A): Development, acceptability and expert panel evaluation.","authors":"Diogo Carreiras, Marina Cunha, Carla Sharp, Paula Castilho","doi":"10.1002/pmh.1586","DOIUrl":"10.1002/pmh.1586","url":null,"abstract":"Borderline personality disorder (BPD) is a severe mental disorder with marked impulsivity, instability, emotional dysregulation and self-harm. These features tend to develop over time and can be identified in adolescence. Early diagnosis is the first step to prevent the development of these features to a personality disorder. The purpose of this study was to develop the Clinical Interview for BPD for Adolescents (CI-BOR-A), a new instrument based on a sound clinical interview for BPD in youth (CI-BPD). We tested its acceptability with 43 adolescents and its content validity with the quantitative and qualitative evaluation of 23 experts in mental health. The CI-BOR-A is a hybrid semi-structured interview that considers both categorical and dimensional approaches of personality disorders of DSM-5-TR, including 16 items, decision tables for diagnosis, and an appendix to explore self-harm history further. Adolescents accepted the interview, and none refused to complete the assessment. The expert panel considered the interview relevant, clear, accurate and complete. Important feedback was provided in terms of structure and content to improve the CI-BOR-A quality. In general, the CI-BOR-A is a rigorous interview to assess BPD in adolescents and adds an important contribution to early detection in clinical and community settings.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":" ","pages":"377-386"},"PeriodicalIF":2.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9461986","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

Comparison of childhood trauma between depressive disorders and personality disorders. 抑郁症与人格障碍儿童创伤的比较。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2023-11-01 Epub Date: 2023-07-15 DOI: 10.1002/pmh.1589

Kaushadh Jayakody, Shalmini Gunadasa

{"title":"Comparison of childhood trauma between depressive disorders and personality disorders.","authors":"Kaushadh Jayakody, Shalmini Gunadasa","doi":"10.1002/pmh.1589","DOIUrl":"10.1002/pmh.1589","url":null,"abstract":"The relationship between childhood trauma with major depressive disorder (MDD) and personality disorders is complex. We explored the differences in the subjective reporting of childhood trauma to determine whether there were differences between those with a diagnosis of personality disorder and those with MDD. Adult patients with depressive symptoms were recruited from three adult psychiatry inpatient wards. Sixty inpatients fulfilled the study criteria and were requested to complete the childhood trauma questionnaire (CTQ). At discharge, diagnosis was determined and was allocated mainly to two groups: those with MDD and those with personality disorder. Those with MDD, dysthymia and subsyndromal depressive symptoms were included in the Depression Broad Definition (DBD) group (secondary analysis). Significantly higher subjective reporting of childhood trauma was observed in the personality disorder group compared with MDD in three CTQ domains. Similarly, significantly higher reporting of childhood trauma was observed in all five CTQ domains in those with a personality disorder compared with the DBD group. In conclusion, the presence of personality disorder was associated with greater subjective reporting of childhood trauma compared with those with MDD, and further research is required to explore the differences in objective experience of childhood trauma between the diagnoses using objective measures.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":" ","pages":"396-407"},"PeriodicalIF":2.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9781660","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