Personality and Mental Health最新文献_第6页

Minimal Impact of Sensation-Related Items on the Association Between Alexithymia and Self-Report Measures of Interoception. 感觉相关项目对述情障碍与内感受自我报告测量之间的关联的最小影响。

IF 2.8 3区医学

Personality and Mental Health Pub Date : 2025-11-01 DOI: 10.1002/pmh.70048

Adam Ottley-Porter, Kiera L Adams, Rebecca Brewer, Jennifer Murphy

{"title":"Minimal Impact of Sensation-Related Items on the Association Between Alexithymia and Self-Report Measures of Interoception.","authors":"Adam Ottley-Porter, Kiera L Adams, Rebecca Brewer, Jennifer Murphy","doi":"10.1002/pmh.70048","DOIUrl":"10.1002/pmh.70048","url":null,"abstract":"Evidence suggests a relationship between alexithymia and self-report measures of interoception. As measures of alexithymia often include items that may pick up on interoceptive difficulty, however, it is possible that previously reported associations are driven by a lack of independence of measurement. Here, we explored the effect of removing sensation-related items from the Toronto Alexithymia Questionnaire (TAS-20) on the association between the TAS-20 and self-report measures of interoceptive accuracy (Studies 1 and 2; N = 330 and N = 476, respectively) and attention (Study 2). In both studies, removal of sensation-related items significantly reduced associations between the self-report measures of interoception and alexithymia. This effect was specific to the removal of sensation-related items (removing a random set of items did not result in a reduction in the size of the association). Importantly, relationships between alexithymia and self-reported interoception remained after item removal. Although effects were modest, it is recommended that future studies exploring relationships with self-report measures of interoception-particularly in relation to constructs where sensation-related items may broadly feature-should implement sensitivity analyses or employ alternative instruments that exclude sensation-related items, to ensure associations are not driven by a lack of independence of measurement.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 4","pages":"e70048"},"PeriodicalIF":2.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12606692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145497129","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

An Investigation of Longitudinal Measurement Invariance and Item Response Theory Analysis of the LPFS-BF 2.0 in a Large Clinical Norwegian Sample. 挪威临床大样本LPFS-BF 2.0的纵向测量不变性及项目反应理论分析。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2025-08-01 DOI: 10.1002/pmh.70032

Muirne C S Paap, Sebastian A J Lortz, Benjamin Hummelen, Jane Fjermestad-Noll, Elfrida H Kvarstein, Geir Pedersen

{"title":"An Investigation of Longitudinal Measurement Invariance and Item Response Theory Analysis of the LPFS-BF 2.0 in a Large Clinical Norwegian Sample.","authors":"Muirne C S Paap, Sebastian A J Lortz, Benjamin Hummelen, Jane Fjermestad-Noll, Elfrida H Kvarstein, Geir Pedersen","doi":"10.1002/pmh.70032","DOIUrl":"10.1002/pmh.70032","url":null,"abstract":"The LPFS-BF 2.0 (Level of Personality Functioning-Brief Form 2.0) is a brief self-report instrument that was developed in order to gain a quick first impression of personality dysfunction and was designed to align with the Level of Personality Scale as outlined in the DSM-5 Alternative Model for Personality Disorders (AMPD). In the current study, we used a factor analytic framework to evaluate the longitudinal measurement invariance of the Norwegian version of the LPFS-BF 2.0 in a sample of 1030 patients referred for personality disorder treatment with the R package lavaan. Additionally, we estimated item response theory (IRT) parameters for the 12 items, as well as local reliability, in order to facilitate comparisons with other studies. We found support for partial measurement invariance. Three items showed different thresholds across time points. However, these differences were minor and did not have a substantial impact on the estimated factor scores. The discrimination parameters were lower than could be expected for an instrument used in a clinical setting. Taking these findings together, we conclude that although the LPFS-BF 2.0 seems to measure the same latent trait across time, the items do not discriminate well between patients with high and low scores in a Norwegian population of adults seeking treatment for PD. Important next steps would be to estimate IRT parameters for comparable patient samples from other countries to assess the generalizability of our findings and to compare the LPFS-BF 2.0 scores to scores obtained through a clinical interview that aligns with the AMPD.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 3","pages":"e70032"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627401","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

Psychoeducation for Caregivers of Individuals With Borderline Personality Disorder: A Randomized Controlled Trial of Multiple Family Group Therapy. 边缘型人格障碍照顾者的心理教育：多家庭团体治疗的随机对照试验。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2025-08-01 DOI: 10.1002/pmh.70029

Silvia Tempia Valenta, Biancamaria Bortolotti, Francesca Martino, Paola Tedesco, Anna Rita Atti, Domenico Berardi, Diana De Ronchi, Marco Menchetti

{"title":"Psychoeducation for Caregivers of Individuals With Borderline Personality Disorder: A Randomized Controlled Trial of Multiple Family Group Therapy.","authors":"Silvia Tempia Valenta, Biancamaria Bortolotti, Francesca Martino, Paola Tedesco, Anna Rita Atti, Domenico Berardi, Diana De Ronchi, Marco Menchetti","doi":"10.1002/pmh.70029","DOIUrl":"10.1002/pmh.70029","url":null,"abstract":"Multiple family group (MFG) therapy is a psychoeducational intervention designed for caregivers of individuals with borderline personality disorder (BPD). This study is the first to compare MFG therapy with treatment as usual (TAU). The objectives were to assess MFG therapy's impact on caregivers' social functioning, perceived support from mental health professionals, coping and communication skills development, and overall satisfaction with the program. A randomized controlled trial (RCT) was conducted at the West Community Mental Health Center in Bologna, Italy. This study enrolled 57 caregivers of 48 adult patients diagnosed with BPD. Participants were randomly assigned to the MFG or TAU intervention. Psychometric assessments were conducted at baseline (T0) and 6 months (T1). Between-group differences in improvements were analyzed using independent sample t-tests and linear mixed model (LMM) analyses to account for unequal group sizes and missing data. Compared to the TAU group, caregivers completing the MFG program reported significant improvements at T1 in social functioning, perceived support from mental health professionals, and family coping skills, including improved access to information and a marked reduction in avoidance behaviors. LMM analysis showed that MFG participants improved more over time in social support, communication, and service satisfaction than controls. This study highlights that MFG therapy has strong potential for improving social functioning and coping skills among caregivers of individuals with BPD. These findings support the feasibility and clinical relevance of integrating MFG programs into generalist mental health services.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 3","pages":"e70029"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12214760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545463","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

Preschool Big Five Personality Traits Predict Childhood Peer Relationships and BPD but Not MDD in Late Adolescence. 学龄前大五人格特征预测童年同伴关系和青春期后期的BPD，而不是MDD。

IF 2.8 3区医学

Personality and Mental Health Pub Date : 2025-08-01 DOI: 10.1002/pmh.70027

Charlie Huntington, Alex Puricelli, Amanda J Wright, Kirsten Gilbert, Alecia C Vogel, Deanna M Barch, Joan L Luby, Diana J Whalen

{"title":"Preschool Big Five Personality Traits Predict Childhood Peer Relationships and BPD but Not MDD in Late Adolescence.","authors":"Charlie Huntington, Alex Puricelli, Amanda J Wright, Kirsten Gilbert, Alecia C Vogel, Deanna M Barch, Joan L Luby, Diana J Whalen","doi":"10.1002/pmh.70027","DOIUrl":"10.1002/pmh.70027","url":null,"abstract":"Growing literatures highlight shared childhood predictors for future borderline personality disorder (BPD) and major depressive disorder (MDD). However, few longitudinal studies have examined both BPD and MDD as simultaneous outcomes. Childhood personality traits and poor peer relationships constitute transdiagnostic phenomena that could impact risk for later BPD and MDD. The current study examined whether school-age peer relationships mediated associations between preschool Big Five traits and adolescent BPD and/or MDD. Preschool Big Five traits were assessed through observational coding. School-age peer relationships were assessed via clinical interview, with separate child and parent reports. The Borderline Personality Features Scale for Children measured BPD symptoms in adolescence. The Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS) measured MDD symptoms in adolescence. Structural equation models with manifest composite variables were performed in a sample (n = 153) from the Preschool Depression Study, a prospective longitudinal study with assessments from preschool through adolescence. Lower preschool conscientiousness predicted adolescent BPD. Lower preschool conscientiousness also predicted poorer school-age peer relationships. In MDD models, preschool agreeableness and conscientiousness predicted better parent-reported school-age peer relationships, but not adolescent MDD. Mediation was not significant in the BPD or MDD models. This study identified preschool conscientiousness as one important factor relating to school-age peer relationships and future BPD, but not MDD. Our findings suggest that these pathways may be unique to BPD development and highlight the need for additional research targeting early personality and peer processes.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 3","pages":"e70027"},"PeriodicalIF":2.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12959898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601880","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

Untying the Knot: Associations Between Personality Functioning and Psychological Distress in an Outpatient Sample of Youth. 解开结：青少年门诊样本中人格功能和心理困扰之间的联系。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2025-08-01 DOI: 10.1002/pmh.70025

Duvera M A Slegten, Nagila Koster, William M van der Veld, Odilia M Laceulle, Paul T van der Heijden

{"title":"Untying the Knot: Associations Between Personality Functioning and Psychological Distress in an Outpatient Sample of Youth.","authors":"Duvera M A Slegten, Nagila Koster, William M van der Veld, Odilia M Laceulle, Paul T van der Heijden","doi":"10.1002/pmh.70025","DOIUrl":"10.1002/pmh.70025","url":null,"abstract":"Impairments in personality functioning often emerge during developmental processes in youth, a period in which the experience of psychological distress peaks. Both impairment in personality functioning and psychological distress are related to general psychopathology and insight in their developmental trajectories may contribute to early detection of severe mental health problems. This study is aimed at examining the temporal dynamics between personality functioning and psychological distress in an outpatient sample of youth (Mage = 20.33) across two timepoints spaced 6 months apart. Mean differences, correlations, and correlated change are examined using bivariate latent change score analysis. The findings revealed a significant negative association between self-reported personality functioning and levels of psychological distress. Both constructs demonstrated moderate improvement over time, and their changes were strongly correlated. Initial scores showed small correlations with change scores within and across domains, indicating that higher initial severity of both impairment in personality functioning and psychological distress is related to greater within-construct and across-construct changes over time. These results provide insight in how impairment in personality functioning and psychological distress seem fundamentally related and suggest that youth entering a treatment setting with higher severity may show greater improvement in both domains during the first 6 months. Limitations and future directions are discussed, as well as the benefit of these results for broadening our understanding of the onset and early intervention of psychopathology in youth.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 3","pages":"e70025"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183456","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

Sleep Disturbances in Female Adolescents With Borderline Personality Disorder: A 5-Year Longitudinal Study. 边缘型人格障碍女性青少年的睡眠障碍：一项5年的纵向研究。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2025-08-01 DOI: 10.1002/pmh.70031

Mie Sedoc Jørgensen, Kiana Cano, Carla Sharp, Sune Bo, Ole Jakob Storebø, Martin Vestergaard, Lise Møller, Stig Poulsen, Emma Beck, Erik Simonsen

{"title":"Sleep Disturbances in Female Adolescents With Borderline Personality Disorder: A 5-Year Longitudinal Study.","authors":"Mie Sedoc Jørgensen, Kiana Cano, Carla Sharp, Sune Bo, Ole Jakob Storebø, Martin Vestergaard, Lise Møller, Stig Poulsen, Emma Beck, Erik Simonsen","doi":"10.1002/pmh.70031","DOIUrl":"10.1002/pmh.70031","url":null,"abstract":"Sleep disturbances are commonly reported in individuals with borderline personality disorder (BPD) and are often worsened by comorbid mental health disorders such as ADHD, PTSD, and depression. Sleep problems may contribute to the persistence of symptoms, highlighting the importance of early identification and treatment of sleep disturbances as part of early intervention strategies. Despite this, the prevalence and predictors of persistent sleep problems in the early course of BPD remain understudied, particularly in longitudinal designs. In this study, we followed up on 110 female adolescents with BPD pathology 5 years after being included in the study to investigate the prevalence and predictors of sleep problems collected using a semistructured interview as participants transitioned into early adulthood. At baseline, BPD severity, ADHD, and melatonin use were associated with sleep disturbances. However, at 5-year follow-up, baseline ADHD, depression severity, and melatonin use emerged as the strongest predictors of persistent sleep problems, while BPD severity was no longer predictive. These findings underscore the complex interplay between comorbid mental health disorders and the development and maintenance of sleep problems in BPD. Targeting adolescents with BPD and severe sleep disturbances requiring medical intervention, comorbid ADHD, and significant depressive symptoms is crucial for alleviating persistent sleep problems. Integrating specific sleep interventions into early treatment strategies represents sound clinical management in the early stages of BPD, and future research should explore whether targeted interventions for these risk factors can mitigate long-term sleep-related challenges and improve overall outcomes for individuals with BPD.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 3","pages":"e70031"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512546","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

Severity Indices of Personality Problems (SIPP-118): Dutch Norms, T-scores, and Percentile Rank Scores. 人格问题严重程度指数（SIPP-118）：荷兰标准、t分数和百分位等级分数。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2025-08-01 DOI: 10.1002/pmh.70030

Edwin de Beurs, Laura Weekers, Dineke J Feenstra

{"title":"Severity Indices of Personality Problems (SIPP-118): Dutch Norms, T-scores, and Percentile Rank Scores.","authors":"Edwin de Beurs, Laura Weekers, Dineke J Feenstra","doi":"10.1002/pmh.70030","DOIUrl":"10.1002/pmh.70030","url":null,"abstract":"For the SIPP-118, a widely used instrument for measuring the severity of personality disorders in 16 facets and five domains, T-scores, and percentile rank scores were established. Various approaches based on classical test theory and item response theory (IRT) for establishing T-scores were compared, which are assumed to achieve in-creasing levels of accuracy. Three approaches were evaluated: (1) a simple linear conversion of raw scores to T-scores, (2) a normalizing conversion (Rankit), and (3) an approach based on IRT. We compared T-scores resulting from these approaches with IRT-based factor scores. The findings show that the linear approach produced distorted T-scores for many facets of the SIPP-118, especially in the lower, more pathological range of scores. The Rankit and IRT-based approaches yielded in practice almost identical T-scores and both corresponded quite well with factor scores that were actually based on an IRT model for these facets or domain scores. Implications for the practice of establishing T-scores are discussed. IRT provided the most accurate trait estimates, but it requires a complex calculation that takes into account item parameters and the individual's response pattern. Regression-based IRT-score approximations and Rankit-based T-scores yielded adequate estimates as well.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 3","pages":"e70030"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12287623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700044","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

Subclinical Psychiatric Symptomatology and a Proposed Diagnostic Criterion Separating Psychopathological Procrastinators From Trait Procrastinators. 亚临床精神症状学和一种分离精神病理性拖延者和特质性拖延者的诊断标准。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2025-05-01 DOI: 10.1002/pmh.70022

Zhiyi Chen, Xuerong Liu, Ting Xu, Wei Li, Rong Zhang, Yi Wu, Lei Xia, Hai Lan, Zhenghi Feng, Tingyong Feng, Fuschia M Sirois

{"title":"Subclinical Psychiatric Symptomatology and a Proposed Diagnostic Criterion Separating Psychopathological Procrastinators From Trait Procrastinators.","authors":"Zhiyi Chen, Xuerong Liu, Ting Xu, Wei Li, Rong Zhang, Yi Wu, Lei Xia, Hai Lan, Zhenghi Feng, Tingyong Feng, Fuschia M Sirois","doi":"10.1002/pmh.70022","DOIUrl":"10.1002/pmh.70022","url":null,"abstract":"Procrastination trait describes irrational delays of scheduled tasks despite clear awareness of the adverse consequences of doing so. Although procrastination is well-known to be linked to psychiatric or pathological processes, the criterion for \"psychopathological procrastination\" distinguishing from the procrastination trait is understudied. This is a 5-year longitudinal observational study. Participants (N = 464) completed measures of trait procrastination in 2018, with a follow-up conducted in 2023 (N = 267) collecting subclinical symptomatology. A constrained multivariate direct gradient model (cmDGM) was employed to prospectively predict subclinical psychiatric symptomatology formulated by the DSM-5 framework. The two-stage psychopathological connectome model was then constructed to constitute a \"diagnostic criterion\" reflecting \"psychopathological procrastination.\" Procrastination prospectively predicted subclinical psychopathological symptoms and unhealthy lifestyles. Subclinical bridge hubs of \"failure to self-regulate delays,\" \"failure to control adverse consequences,\" \"useless to self-change,\" \"out-of-control irruptions,\" \"poor sleep quality,\" and \"negative emotional reactions\" were identified in the two-stage psychopathological network. These hubs constituted the 9-item pathological procrastination diagnostic criterion (3PDC) with good diagnostic performance (AUC = 0.82, p < 0.01). The present study revealed the predictive role of procrastination for subclinical psychiatric symptomatology and further established the subclinical 3PDC to lay the foundation for the \"diagnostics of psychopathological procrastinators.\"","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 2","pages":"e70022"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045865","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

Symptom Overlap Between Depression and Borderline Personality Disorder: A Network Analysis. 抑郁症与边缘型人格障碍症状重叠：网络分析。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2025-05-01 DOI: 10.1002/pmh.70019

Bess M Kew, Nathan J Monk, Tamlin S Conner, Chris Frampton, Roger T Mulder, Richard J Porter, Janet D Carter, Jennifer Jordan, Virginia V W McIntosh, Katie M Douglas

{"title":"Symptom Overlap Between Depression and Borderline Personality Disorder: A Network Analysis.","authors":"Bess M Kew, Nathan J Monk, Tamlin S Conner, Chris Frampton, Roger T Mulder, Richard J Porter, Janet D Carter, Jennifer Jordan, Virginia V W McIntosh, Katie M Douglas","doi":"10.1002/pmh.70019","DOIUrl":"10.1002/pmh.70019","url":null,"abstract":"Major depression (MD) is a serious mental health disorder projected to become the leading cause of global disability by 2030. Borderline personality disorder (BPD) frequently co-occurs with MD. Individuals with both conditions often experience prolonged recovery times and exhibit high levels of suicidal behaviour. Network theory and its application, network analysis, presents a novel framework for conceptualising and understanding the comorbidity between MD and BPD. This network analysis aims to identify influential symptoms within a BPD/MD network and explore the clinical relevance of these relationships. Data from 548 participants were pooled from four clinical trials run between 1994 and 2013 at the Department of Psychological Medicine, University of Otago, Christchurch, New Zealand. All participants were diagnosed with current MD (as part of major depressive disorder or bipolar II disorder). Baseline MD and BPD symptom data from trial entry assessments were entered into a cross-sectional network analysis. A further network analysis was estimated with the addition of three covariates (age, gender and depression severity) alongside the MD and BPD symptoms. Network analyses identified several connecting symptoms between MD and BPD. After controlling for depression severity, BPD symptoms of identity disturbance and unstable relationships had unique and robust relationships with MD suicidal ideation and behaviours. Further exploration of these bridge relationships found that participants who exhibited identity disturbance were almost three times more likely to have reported a previous suicide attempt. Results from this study have implications for risk assessment and treatment of individuals with comorbid MD and BPD.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 2","pages":"e70019"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050220","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

Associations Between Generalist Knowledge of Borderline Personality Disorder and Clinician Factors and Attitudes. 通才边缘型人格障碍知识与临床医师因素及态度的关系。

IF 2.7 3区医学

Personality and Mental Health Pub Date : 2025-05-01 DOI: 10.1002/pmh.70021

Sam Mermin, Ellen F Finch, Gabrielle S Ilagan, Calliope A Chen, James Ross, Lois W Choi-Kain

{"title":"Associations Between Generalist Knowledge of Borderline Personality Disorder and Clinician Factors and Attitudes.","authors":"Sam Mermin, Ellen F Finch, Gabrielle S Ilagan, Calliope A Chen, James Ross, Lois W Choi-Kain","doi":"10.1002/pmh.70021","DOIUrl":"10.1002/pmh.70021","url":null,"abstract":"Borderline personality disorder (BPD) is highly stigmatized. It is associated with negative clinician attitudes, which have been shown to improve with training. This study presents data collected at formal trainings in good psychiatric management (GPM) of BPD at several sites in the United States, Canada, Brazil, and Sweden. Three hundred twenty seven clinical professionals completed a 48-question true/false quiz testing knowledge of GPM, with a small subset (N = 33) that also completed a 13-item assessment of attitudes about BPD. Knowledge of GPM did not differ between course participants of different disciplines (e.g., psychiatry, psychology, and social work) but did differ according to level of GPM training and experience practicing GPM. Clinicians with experience working in specialty treatment programs focused on BPD scored higher than clinicians without this type of experience, but the scores of these more generalist clinicians were lower only by a few points. Using linear regression, we analyzed the association between GPM knowledge and negative clinician attitudes toward care of people with BPD. Greater knowledge of GPM was associated with decreased ratings of dislike of BPD patients, avoidance of treating them, and hopelessness about their prognosis.","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 2","pages":"e70021"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040970","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