Personality and Mental Health最新文献_第6页

Using the HEXACO to explain the structure of borderline and psychopathic personality traits. 用HEXACO来解释边缘型人格特征和精神病态人格特征的结构。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2023-11-01 Epub Date: 2023-03-29 DOI: 10.1002/pmh.1584

Jennifer Roters, Angela Book

引用次数: 0

Attitudes of psychiatry trainees towards patients with borderline personality disorder: Does the stigma begin during training? 精神病学培训生对边缘型人格障碍患者的态度:耻辱感是否从培训开始?

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2023-11-01 Epub Date: 2023-05-21 DOI: 10.1002/pmh.1587

Rhea Lindell-Innes, Alexander L Phillips-Hughes, Dianna Bartsch, Cherrie Galletly, Cathy Ludbrook

{"title":"Attitudes of psychiatry trainees towards patients with borderline personality disorder: Does the stigma begin during training?","authors":"Rhea Lindell-Innes, Alexander L Phillips-Hughes, Dianna Bartsch, Cherrie Galletly, Cathy Ludbrook","doi":"10.1002/pmh.1587","DOIUrl":"10.1002/pmh.1587","url":null,"abstract":"Research suggests there is a widespread stigma among clinicians towards patients with borderline personality disorder (BPD) and that this contributes to poor treatment outcomes. Given the influence of learning environments in shaping perceptions, this study investigated the attitude of South Australian psychiatry trainees towards patients with BPD. A questionnaire was distributed to 89 South Australian doctors, from both The Adelaide Prevocational Psychiatry Program (TAPPP) and psychiatry trainees of The Royal Australian and New Zealand College of Psychiatrists (RANZCP). This questionnaire investigated the domains of treatment optimism, clinician attitude and empathy towards patients with BPD. Results indicated that psychiatry trainees near the end of training scored significantly lower across all domains, indicating a more negative perception of patients with BPD, when compared to early- and mid-stage trainees. This study identifies a need to understand why trainees closer to qualifying as psychiatrists have increased stigma towards patients with BPD. Improved education and training surrounding patients with BPD is warranted to reduce negative stigma and improve clinical outcomes.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":" ","pages":"387-395"},"PeriodicalIF":2.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9497549","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

New Zealand (Aotearoa) clinicians' perspectives on the utility of the ICD-11 personality disorder diagnosis. 新西兰（Aotearoa）临床医生对ICD-11人格障碍诊断实用性的看法。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2023-08-01 Epub Date: 2023-03-08 DOI: 10.1002/pmh.1582

Tiffany A Brown, Martin Sellbom, Bo Bach, Giles Newton-Howes

{"title":"New Zealand (Aotearoa) clinicians' perspectives on the utility of the ICD-11 personality disorder diagnosis.","authors":"Tiffany A Brown, Martin Sellbom, Bo Bach, Giles Newton-Howes","doi":"10.1002/pmh.1582","DOIUrl":"10.1002/pmh.1582","url":null,"abstract":"The ICD-11 has now taken effect and includes a new dimensional personality disorder (PD) diagnosis. The current study aimed to examine Aotearoa/New Zealand practitioners' perceptions of the clinical utility of the new PD system. A sample of 124 psychologists and psychiatrists completed a survey, applying the DSM-5 and ICD-11 PD diagnostic systems to a current patient, and completed clinical utility metrics on the DSM-5 and ICD-11 models. Additional open-ended questions further elicited clinicians' perceptions of the strengths, weaknesses and potential application issues of the ICD-11 PD diagnosis, and these responses were analysed through thematic analysis. Overall, the ICD-11 system was rated higher than the DSM-5 on all six clinical metrics, with no significant difference between psychologists' and psychiatrists' ratings. Five themes emerged: appreciation for an alternative to DSM-5, structural barriers preventing ICD-11 PD implementation, personal barriers to ICD-11 implementation, diagnoses viewed as low utility, clinician preference for formulation and cultural safety considerations for implementation of ICD-11 PD in Aotearoa/NZ. Overall, clinicians had positive opinions of the clinical utility of the ICD-11 PD diagnosis, although expressed some concerns about its implementation. The study expands upon initial evidence that mental health practitioners have generally positive perceptions of the ICD-11 PDs' clinical utility.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"17 3","pages":"282-291"},"PeriodicalIF":2.7,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10470858","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 predictive validity of the DSM-5 alternative model for borderline personality disorder: Associations with coping strategies, general distress, rumination, and suicidal ideation across one year. DSM-5替代模型对边缘型人格障碍的预测有效性：一年内与应对策略、一般痛苦、沉思和自杀意念的关系。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2023-08-01 Epub Date: 2023-03-15 DOI: 10.1002/pmh.1580

Kapil Chauhan, John Donahue, Rebecca Thompson

{"title":"The predictive validity of the DSM-5 alternative model for borderline personality disorder: Associations with coping strategies, general distress, rumination, and suicidal ideation across one year.","authors":"Kapil Chauhan, John Donahue, Rebecca Thompson","doi":"10.1002/pmh.1580","DOIUrl":"10.1002/pmh.1580","url":null,"abstract":"The DSM-5 Alternative Model for Personality Disorders (AMPD) characterizes borderline personality disorder (BPD) in part as a constellation of maladaptive personality trait facets including emotional lability, anxiousness, separation insecurity, depressivity, impulsivity, risk-taking, and hostility. Previous studies have supported the construct validity of AMPD-BPD; however, research examining its predictive validity in relation to theoretically and clinically relevant constructs remains needed. The present study investigates the longitudinal relationships between AMPD-BPD and general distress, rumination, and suicidal ideation, as well as adaptive and maladaptive coping targeted in Dialectical Behavior Therapy (DBT) in a sample of participants with elevated BPD symptomology. We also examined if dysfunctional coping skill use at 9-month follow-up explained the relationship between baseline BPD traits and outcomes at 1-year. There were significant correlations between baseline trait BPD with dysfunctional coping skill use at 9-month follow-up and psychological distress and rumination at 1-year follow-up. Dysfunctional skill use exhibited a significant indirect effect in the association between trait BPD and rumination after 1 year. The findings of this study support the construct validity of AMPD-BPD that can inform treatment and research.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"17 3","pages":"272-281"},"PeriodicalIF":2.7,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10488932","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

Investigation of the role of personality traits and emotion regulation on personality functioning in patients with depression/anxiety disorder. 抑郁症/焦虑症患者人格特征和情绪调节对人格功能的作用研究。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2023-08-01 Epub Date: 2023-01-24 DOI: 10.1002/pmh.1577

Kübra Sezer Katar, Sibel Örsel, Ayse Gökçen Gündoğmuş

{"title":"Investigation of the role of personality traits and emotion regulation on personality functioning in patients with depression/anxiety disorder.","authors":"Kübra Sezer Katar, Sibel Örsel, Ayse Gökçen Gündoğmuş","doi":"10.1002/pmh.1577","DOIUrl":"10.1002/pmh.1577","url":null,"abstract":"The relationship between the dimensional assessment of personality and difficulties in emotion regulation has yet to be made clear. The present study aimed to investigate the role of personality traits and emotion regulation on personality functioning. Difficulties in Emotion Regulation Scale (DERS), Beck Anxiety Inventory, Beck Depression Inventory, Personality Inventory for DSM-5 (PID-5) and Level of Personality Functioning Scale (LPFS) were rated for 220 patients with depression and/or anxiety disorder diagnosis and 100 healthy controls. Stepwise regression analyses (SRA) were used to find potential predictors of personality functioning, and generalized linear analyses (GLA) were used to find mediators between the traits and personality functioning. SRA results in the clinical group showed that higher depression, antagonism, difficulties in impulse control and difficulties in awareness predicted higher levels of dysfunction in personality. According to GLA results in the clinical group, the impulse subscale of DERS partially mediated the relationship between antagonism and level of impairment in personality functioning. Our results indicate that certain emotion regulation styles and personality traits play an important role in predicting personality functioning in the clinical sample of depression and anxiety patients. Future studies should focus on specific emotion dysregulation strategies and broaden the dimensional personality literature in different samples.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"17 3","pages":"232-245"},"PeriodicalIF":2.7,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10170275","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

Do self and interpersonal dysfunction cross-sectionally mediate the association between adverse childhood experiences and personality pathology? 自我和人际功能障碍是否在儿童不良经历和人格病理之间起到了交叉中介作用？

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2023-08-01 Epub Date: 2023-07-03 DOI: 10.1002/pmh.1588

Chloe M Evans, Leonard J Simms

{"title":"Do self and interpersonal dysfunction cross-sectionally mediate the association between adverse childhood experiences and personality pathology?","authors":"Chloe M Evans, Leonard J Simms","doi":"10.1002/pmh.1588","DOIUrl":"10.1002/pmh.1588","url":null,"abstract":"Two primary limitations of research on the association between adverse childhood experiences (ACEs) and personality disorder (PD) are (1) failure to consider mechanisms of association and (2) inconsistent results due, in part, to inconsistent approaches to quantifying ACE exposure. The current study will address these limitations by examining the cross-sectional mediating role of self- and interpersonal dysfunction on the association between ACE and three PDs (antisocial, schizotypal, and borderline) using three quantifications of ACE exposure (cumulative, individual, and unique risk). Participants were 149 current or recent psychiatric patients, and data analyses were performed through estimation of a series of cross-sectional mediation models. Taken together, results suggest that (1) the association between ACE and PD is moderate, (2) self- and interpersonal dysfunction cross-sectionally mediate this association, (3) after accounting for variance shared among ACEs, associations between specific ACE subtypes and PD were negligible, (4) much of the association between ACE and PD is accounted for by general processes impacted by all forms of ACE and implicated in all forms of PD, and (5) emotional neglect may uniquely contribute to self- and interpersonal dysfunction and thereby, PD risk.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"17 3","pages":"259-271"},"PeriodicalIF":2.7,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10116141","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

Adverse childhood experiences and personality functioning interact substantially in predicting depression, anxiety, and somatization. 不良的童年经历和人格功能在预测抑郁、焦虑和躯体化方面有很大的相互作用。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2023-08-01 Epub Date: 2023-02-05 DOI: 10.1002/pmh.1578

André Kerber, Elsa Gewehr, Johannes Zimmermann, Cedric Sachser, Jörg M Fegert, Christine Knaevelsrud, Carsten Spitzer

{"title":"Adverse childhood experiences and personality functioning interact substantially in predicting depression, anxiety, and somatization.","authors":"André Kerber, Elsa Gewehr, Johannes Zimmermann, Cedric Sachser, Jörg M Fegert, Christine Knaevelsrud, Carsten Spitzer","doi":"10.1002/pmh.1578","DOIUrl":"10.1002/pmh.1578","url":null,"abstract":"Etiological theories on the development of psychopathology often incorporate adverse childhood experiences (ACE) as an important contributing factor. Recent studies suggest personality functioning (PF; i.e., stability of the self and interpersonal relationships) as an important transdiagnostic construct that could be useful in better understanding when persons with ACE do (not) develop psychopathological symptoms. A representative sample of N = 2363 was assessed by questionnaires on ACE, PF (Level of Personality Functioning Scale-Brief Form 2.0), and current symptoms of depression, anxiety, and somatization (Brief Symptom Inventory 18). The interaction between ACE and PF on symptoms was investigated using multiple group models and Bayesian structural equation modeling. ACE were positively associated with psychopathology and PF impairments. The interaction effect between ACE and PF explained incremental variance in current symptoms, ranging from 26% for somatization to 49% for depression with the complete model explaining up to 91% of the latent variance in psychopathology. Our findings indicate a diathesis-stress model with PF as a resource or resilience that may buffer against the development of symptoms in the face of adversity. Treatments of depression and anxiety targeting self and interpersonal functioning therefore may lead to improvements in resilience and relapse prevention. [Correction added on 15 March 2023, after first online publication: Level of Personality Functioning Scale-Brief Form has been replaced to Level of Personality Functioning Scale-Brief Form 2.0 ].","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"17 3","pages":"246-258"},"PeriodicalIF":2.7,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10170279","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

Examining the construct validity of the Personality Assessment Questionnaire for ICD-11 (PAQ-11) personality trait domains in a community sample. 在社区样本中检验ICD-11（PAQ-11）人格特质领域人格评估问卷的结构有效性。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2023-08-01 Epub Date: 2022-12-17 DOI: 10.1002/pmh.1573

Martin Sellbom, Payton M Chiasson, Tiffany A Brown, Bo Bach

{"title":"Examining the construct validity of the Personality Assessment Questionnaire for ICD-11 (PAQ-11) personality trait domains in a community sample.","authors":"Martin Sellbom, Payton M Chiasson, Tiffany A Brown, Bo Bach","doi":"10.1002/pmh.1573","DOIUrl":"10.1002/pmh.1573","url":null,"abstract":"The ICD-11 has a new diagnostic system for personality disorder, which includes five optional trait specifiers to characterize the diagnosed pathology. The current study evaluated the internal structure and construct validity of the Personality Assessment Questionnaire for ICD-11 (PAQ-11) personality trait domains in a US population-representative community sample. An exploratory factor analysis revealed the support for a four-factor model underlying the 17 PAQ-11 items, reflecting four of the five ICD-11 trait domains (Negative Affectivity, Detachment, Disinhibition and Anankastia). Moreover, correlation analyses revealed that the PAQ-11 domain scale scores were associated, as expected, with their counterparts from two other ICD-11 trait domain measures, as well as with traditional personality disorder scores. More broadly, the results raised questions about the structural integrity of the Dissociality domain scale, and the discriminant validity of the Disinhibition and Anankastia scales. The overall conclusion was nevertheless promising with respect to the PAQ-11 serving as a brief screening measure for the ICD-11 trait domains.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"17 3","pages":"197-207"},"PeriodicalIF":2.7,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10115036","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: 2

Connecting DSM-5 and ICD-11 trait domains with schema therapy and dialectical behavior therapy constructs. 将DSM-5和ICD-11特征域与图式治疗和辩证行为治疗结构联系起来。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2023-08-01 Epub Date: 2022-12-27 DOI: 10.1002/pmh.1574

Mikaela Tracy, Louise Sharpe, Bo Bach, Niko Tiliopoulos

{"title":"Connecting DSM-5 and ICD-11 trait domains with schema therapy and dialectical behavior therapy constructs.","authors":"Mikaela Tracy, Louise Sharpe, Bo Bach, Niko Tiliopoulos","doi":"10.1002/pmh.1574","DOIUrl":"10.1002/pmh.1574","url":null,"abstract":"The DSM-5 Section III alternative model of personality disorder (AMPD) and the International Classification of Diseases - 11th Edition's (ICD-11) personality disorder classification allow clinicians to identify individual trait domains in which people score highly. However, how these domains relate to constructs associated with efficacious treatment approaches is unclear. The current study aimed to determine whether constructs from two evidence-based treatments (schema therapy [ST] and dialectical behavior therapy [DBT]) were associated with maladaptive personality traits in a way consistent with underlying theories. We examined associations between ST constructs, DBT skill use and maladaptive coping styles, and personality traits in a sample of 525 adults. Bivariate intercorrelations and a series of multiple regression analyses were conducted to investigate the associations. As hypothesized, maladaptive coping was strongly associated with all trait domains. Surprisingly, poor DBT-skill use was only associated with negative affectivity, detachment, and disinhibition trait domains. Specific schema domains were associated with each personality trait domain, supporting trait domain-schema domain specificity. The current study highlights the potential clinical utility of the AMPD and ICD-11 trait models and ultimately contributes to the dearth of evidence on their likely usefulness for treatment selection, planning, and applications.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"17 3","pages":"208-219"},"PeriodicalIF":2.7,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10117842","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: 2

Associations between physical health and the alternative model of personality disorders: A cross-sectional age study. 身体健康与人格障碍替代模式之间的关系：一项横断面年龄研究。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2023-08-01 Epub Date: 2023-01-20 DOI: 10.1002/pmh.1576

Lisa E Stone, Daniel L Segal

{"title":"Associations between physical health and the alternative model of personality disorders: A cross-sectional age study.","authors":"Lisa E Stone, Daniel L Segal","doi":"10.1002/pmh.1576","DOIUrl":"10.1002/pmh.1576","url":null,"abstract":"The Alternative Model of Personality Disorders (AMPD) is a relatively new dimensional model of personality disorders (PDs) that assesses two diagnostic constructs: personality functioning and pathological personality traits. Thus far, research on the AMPD among older adults has been limited, but the research that does exist suggests limited generalizability to the unique biopsychosocial context of later life. To further examine the applicability of the AMPD to older adults, the purpose of this study was to examine relationships between the AMPD's two constructs with perceived physical health status among younger and older adult samples. Older adults (n = 222) and younger adults (n = 215) completed the Short Form-36 (SF-36), Levels of Personality Functioning Scale-Self-Report (LPFS-SR), and Personality Inventory for DSM-5-Brief Form (PID-5-BF). Correlations and Fisher's z-tests revealed significantly stronger relationships between the SF-36 with the LPFS-SR and PID-5-BF domains for older adults than younger adults. Additionally, age group significantly moderated the relationships between personality functioning and pathological personality traits and health. The stronger relationships between health and the AMPD's constructs for older adults suggest meaningful overlap between negative health outcomes and PD pathology. Future research should further investigate specific mechanisms in which personality pathology negatively impacts health in older adults.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"17 3","pages":"220-231"},"PeriodicalIF":2.7,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10117856","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