Ruksana Begum-Meades, Sophie Feilder, Mike J Crawford
{"title":"Prevalence and Correlates of Self-Stigma in Personality Disorder Compared With Anxiety and Depression: A National Cross-Sectional Survey.","authors":"Ruksana Begum-Meades, Sophie Feilder, Mike J Crawford","doi":"10.1002/pmh.70011","DOIUrl":"10.1002/pmh.70011","url":null,"abstract":"<p><p>Self-stigma occurs when a person with a mental illness internalises the negative stereotypes and attitudes associated with their condition, which can lead to reduced help-seeking and social withdrawal. Previous research has demonstrated high levels of professional stigma towards people with personality disorder, but in contrast to mental disorders such as anxiety and depression, very little is known about self-stigma in people with personality disorder. We conducted an online, cross-sectional survey of 1009 people who had received a diagnosis of personality disorder, anxiety or depression to compare levels of self-stigma and identify associated factors. We assessed self-stigma using the Internalised Stigma of Mental Illness Scale-9 and demographic and clinical factors including level of personality disturbance, invalidating childhood experiences and depressive symptoms. In multilevel analysis, people diagnosed with personality disorder did not have higher levels of self-stigma than those with anxiety and depression. Levels of self-stigma were higher among those with higher levels of personality disturbance, depression and invalidating childhood experiences. These findings highlight the importance of personality disturbance in the development of self-stigma and the need for interventions to increase mental health literacy in this area.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 2","pages":"e70011"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11906914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626451","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}
Pilar Rico-Bordera, David Pineda, Manuel Galán, José A Piqueras
{"title":"Assessing the dark personality traits with observer reports: A meta-analysis of inter-rater agreement on the Dark Triad and Dark Tetrad traits.","authors":"Pilar Rico-Bordera, David Pineda, Manuel Galán, José A Piqueras","doi":"10.1002/pmh.1639","DOIUrl":"10.1002/pmh.1639","url":null,"abstract":"<p><p>Assessing dark personality traits with self-reports may be hampered by biases such as socially desirable responding. To address this, observer reports could be an effective complement or alternative to self-reports. This meta-analysis aimed to investigate the correlations of observer reports of the Dark Triad and Dark Tetrad traits with these traits' self-reports. A comprehensive search in PubMed, Web of Science, Scopus and PsycINFO yielded 24 studies that met the inclusion criteria (with 32 effect sizes) and included the assessment of at least one of the dark traits. Results showed positive self-observer correlations of medium-high magnitude for psychopathy (r = 0.47) and of medium magnitude for narcissism and Machiavellianism (respectively, r = 0.44 and 0.41). In addition, for Machiavellianism and psychopathy, it was shown that the better acquainted the observer and the observed, the higher the self-observer correlations. For sadism, no results could be obtained because only one study included the assessment of this trait. This is the first meta-analysis of inter-rater agreement in assessing the Dark Tetrad. The findings suggest that observer reports could be a supplement or even be alternatives to self-reports when assessing the Dark Tetrad traits.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":" ","pages":"e1639"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559134","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":"\"You sure she's not making this up?\": A qualitative investigation of stigma toward adults with borderline personality disorder in physical healthcare settings.","authors":"Kellyann M Navarre","doi":"10.1002/pmh.1646","DOIUrl":"10.1002/pmh.1646","url":null,"abstract":"<p><p>Borderline personality disorder (BPD) is associated with pervasive stigma that contributes to several consequences, such as inaccessible and inadequate healthcare. Existing literature concerning the experiences of BPD stigma within healthcare settings predominantly centers on mental healthcare contexts. However, individuals with BPD also present with elevated physical disabilities and health concerns, demonstrating a need for regular contact with medical professionals to manage and coordinate physical healthcare. The current qualitative study analyzes the dynamics of stigma and consequences in medical settings for physical healthcare among individuals diagnosed with BPD. Community adults (N = 16, M<sub>age</sub> = 29.50, 44% cisgender women) provided qualitative responses describing their experiences with stigma in medical settings other than for mental health purposes. The inductive thematic analysis generated six key themes: (1) Dismissal and Misattribution of Physical Symptoms, (2) Delayed or Inappropriate Medical Diagnosis and Intervention, (3) Communication and Advocacy Challenges, (4) Invalidation of Emotional Well-Being and Distress, (5) Self-Harm Stigma, and (6) Presumed Drug-Seeking Behavior. This article demonstrates the persistent and complex role of stigma across physical healthcare settings for individuals with BPD, affecting their physical and mental healthcare outcomes. It also identifies areas for future research and improvement and offers insights to ameliorate these issues.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e1646"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11586320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711333","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}
Claire Lauzon, Alyssa A Di Bartolomeo, Sonya Varma, Tali Boritz, Rachel Liebman, Candice Monson, Skye Fitzpatrick
{"title":"Communication Between Individuals With Borderline Personality Disorder and Their Partners.","authors":"Claire Lauzon, Alyssa A Di Bartolomeo, Sonya Varma, Tali Boritz, Rachel Liebman, Candice Monson, Skye Fitzpatrick","doi":"10.1002/pmh.70013","DOIUrl":"10.1002/pmh.70013","url":null,"abstract":"<p><p>Borderline personality disorder (BPD) is characterized by frequent and intense conflict in intimate relationships. Emerging theoretical perspectives have suggested that communication from both individuals with BPD and their partners during times of conflict may exacerbate BPD pathology and therefore reflect an important target for intervention. Communication samples between individuals with BPD and their partners (N = 18 couples) who were seeking conjoint therapy were coded using the Rapid Marital Interactions Coding System-2. No differences were found in the amount of positive, constructive or hostile communication between individuals with BPD and their partners, and both partners used significantly more constructive communication than positive or hostile, though they were misaligned in their use of constructive communication. These findings challenge the notion that individuals with BPD communicate in a more hostile or conflictual way than their partners, despite the stigma they face in healthcare and community settings.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e70013"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469570","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":"The Impact of Age and Sex on the Expression and Severity of Borderline Symptoms in Individuals With Borderline Personality Disorder: An Iranian Study.","authors":"Banafsheh Mohajerin, Richard Charles Howard","doi":"10.1002/pmh.70004","DOIUrl":"10.1002/pmh.70004","url":null,"abstract":"<p><p>Reports of sex and age differences in the presentation of borderline symptoms have been limited to the Western literature and have not systematically compared adolescents with emerging and older adults with borderline personality disorder (BPD). This study aimed to examine the impact of age and sex on the expression of borderline symptoms in adolescents, young adults, and older adults with BPD. A sample of 493 Iranian individuals with a confirmed diagnosis of BPD was segregated into 2 age groups: 134 young people aged 12-25 (mean = 17.60), and 142 adults aged 26 and older (mean = 31.69). Young people were divided into: 241 adolescents (mean = 15.59) and 100 young adults (mean = 22.45). Older groups compared with their younger counterparts showed significantly greater severity of borderline symptoms and greater difficulties with emotion regulation, but younger groups showed greater emotional and behavioral dysregulation. Sex differences generally mirrored those reported in the Western literature. Despite being limited by its cross-sectional design, this study suggests that adolescents, young adults, and older adults differ significantly in the way their borderline symptoms are expressed. The development of gender identity in adolescents with BPD and a disturbed sense of self is a neglected but potentially fruitful area of future research.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e70004"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972747","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":"Relationship-Specific Attachment and Mentalization as Predictors of Borderline Personality Features and Interpersonal Competence Among Emerging Adults.","authors":"Mehak Sikand, Poornima Bhola, K S Meena","doi":"10.1002/pmh.70009","DOIUrl":"10.1002/pmh.70009","url":null,"abstract":"<p><p>Developmental psychopathology models, like the mentalization theory, have facilitated the theoretical understanding of trajectories that contribute to the expression and experience of borderline personality (BP) features. Mentalization theory posits that BP vulnerabilities and interpersonal difficulties arise from insecure attachment experiences and deficits in mentalizing ability. This study explored the intersections of attachment vulnerabilities in close relationships, mentalizing domains, and their combined impact on BP features and interpersonal competence in emerging adults. The sample included 742 emerging adults (18-25 years) from colleges across 23 Indian states, who completed an online survey measuring relationship-specific attachment anxiety and avoidance (mother, father, best friend), mentalization (self-related, other-related, motivation to mentalize), BP features, and interpersonal competence. Path analysis was conducted to examine (a) the association between relationship-specific attachment dimensions and BP features/interpersonal competence and (b) mentalization as a mediator. Attachment anxiety and avoidance in specific relationships were found to have direct positive effects on BP features and direct negative effects on interpersonal competence. However, the strength and significance of these effects were not similar across relationships, shedding light on unique contributions of relationship-specific attachment difficulties on BP features and interpersonal competence. Mentalization mediated these associations, with self-related mentalization uniquely affecting BP features and other-related mentalization influencing interpersonal competence. The findings underscore the importance of relationship-specific attachment and mentalization domains in BP vulnerabilities among emerging adults. They provide empirical support for developing targeted mentalization-based interventions to enhance self and interpersonal functioning.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e70009"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415823","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}
Melissa G A Remeeus, Jordy A W Silvius, Dine J Feenstra, Patrick Luyten, Joost Hutsebaut, Ron H J Scholte
{"title":"Physical Activity, Sleep and Eating in Young People With Borderline Personality Disorder.","authors":"Melissa G A Remeeus, Jordy A W Silvius, Dine J Feenstra, Patrick Luyten, Joost Hutsebaut, Ron H J Scholte","doi":"10.1002/pmh.70003","DOIUrl":"10.1002/pmh.70003","url":null,"abstract":"<p><p>Previous research suggests a connection between borderline personality disorder (BPD) and somatic comorbidities, underscoring the importance of lifestyle and health-related behaviour (LHRB) in the emergence of BPD. We investigated LHRBs-physical activity, sleeping and overeating-among young people at different BPD stages compared to a matched community sample. Furthermore, we explored whether problematic LHRBs intensify in later BPD stages. Participants included 55 young people exhibiting BPD features from a specialized mental health care institution, matched with a community control group based on age, self-reported and education. A MANOVA assessed differences in physical activity, sleep disturbance, sleep-related impairment and emotional overeating between the BPD and control group. A second MANOVA explored these behaviours across BPD stages within the clinical group. Results revealed significantly higher levels of sleep-related problems among young people with BPD features compared to controls. However, no significant differences were found in physical activity or emotional overeating. Furthermore, problematic LHRBs did not show a significant association with BPD stage. These findings contribute to a better understanding of the relationship between BPD and problematic LHRBs, emphasizing the importance of early intervention targeting sleep-related problems in young people with BPD, alongside addressing other aspects of BPD and associated LHRBs.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e70003"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956884","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}
Florian Dufrenois, Chloé Saint-Dizier, Salomé Veltz, Sacha Valdenaire, Emmanuel Chazard, Maxime Bubrovszky, Antoine Lamer
{"title":"Description of Borderline Personality Disorder Hospitalizations for Adolescents and Adults in France Between 2013 and 2022: A Nationwide Retrospective Study.","authors":"Florian Dufrenois, Chloé Saint-Dizier, Salomé Veltz, Sacha Valdenaire, Emmanuel Chazard, Maxime Bubrovszky, Antoine Lamer","doi":"10.1002/pmh.70002","DOIUrl":"10.1002/pmh.70002","url":null,"abstract":"<p><p>Borderline personality disorder (BPD) is a frequent disorder with high mental health care utilization. This study aims to describe BPD hospitalization in France: using the French national hospitals database from 2013 to 2022, regarding sociodemographic factors and hospitalization characteristics. In total, this study included 121,235 patients. The sex ratio was 1.76 female for 1 male. The median age at hospitalization was 33 years. Most hospitalizations concerned female patients around 30 years old, were voluntary, full-time, in public facilities, and lasted around 14 days. Age at first hospitalization decreased between 2015 and 2022. Male patients were more often in public and compulsory care. Hospitalizations were longer when there were comorbidities. The most common comorbidities were mood disorders. The prevalence of BPD inpatients in 2022 approximates 6%. This is the first nationwide French study describing hospitalizations of patients with BPD. Factors influencing inpatient care should be further studied.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e70002"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956883","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}
Ali Zakiei, Habibolah Khazaie, Mohammadreza Alimoradi, Renatha El Rafihi-Ferreira, Mohammad-Taher Moradi, Saeid Komasi
{"title":"Personality and Sleep Psychopathology: Associations Between the DSM-5 Maladaptive Trait Domains and Multiple Sleep Problems in an Adult Population.","authors":"Ali Zakiei, Habibolah Khazaie, Mohammadreza Alimoradi, Renatha El Rafihi-Ferreira, Mohammad-Taher Moradi, Saeid Komasi","doi":"10.1002/pmh.70008","DOIUrl":"10.1002/pmh.70008","url":null,"abstract":"<p><p>Given the lack of sufficient studies exploring the nature of sleep problems from the perspective of the alternative model of personality disorders (AMPD) proposed by the DSM-5, the present study is aimed at determining the associations between five trait domains such as negative affectivity and sleep problems (insomnia, parasomnia, hypersomnia, circadian rhythm sleep disorder, restless legs syndrome, and sleep-disordered breathing) in an adult population. Adults aged 18-65 from western Iran were invited to the study via virtual platforms (N = 928; 62% female) and responded online to the Brief Form of Personality Inventory for DSM-5 and the Holland Sleep Disorder Questionnaire to assess sleep problems. The regression analyses indicated that the AMPD trait domains could significantly predict both specific sleep problems (R<sup>2</sup> ranges from 0.13 to 0.17; all p ≤ 0.001) and total score of sleep problems (R<sup>2</sup> = 0.23; p < 0.001). Psychoticism (β ranges from 0.26 to 0.39; all p < 0.001) and negative affectivity (β ranges from 0.14 to 0.29; all p ≤ 0.002) were the strongest specific domains associated with all sleep problems. The findings highlighted links between maladaptive domains of the AMPD and multiple sleep problems. The unique profiles of each sleep problem are useful in selecting treatments tailored to specific sleep problems in adults.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e70008"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M Amin Abdolahpur, Bo Bach, Mozhgan Lotfi, Iman Hamraz, Mahdi Amini
{"title":"Psychometric Properties of the Persian Version of PID5BF + M in Iranian Drug Users.","authors":"M Amin Abdolahpur, Bo Bach, Mozhgan Lotfi, Iman Hamraz, Mahdi Amini","doi":"10.1002/pmh.70005","DOIUrl":"10.1002/pmh.70005","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to adapt and evaluate the psychometric properties of the PID5BF + M as a brief measure for assessing DSM-5 and ICD-11 personality disorder traits in Iranian drug users. The sample consisted of 380 participants, including both clinical (28.68%) and nonclinical (71.32%) groups, with 43.7% female participants. All participants completed the Personality Inventory for DSM-5 and ICD-11 Brief Form-Modified (PID5BF + M), the Symptom Checklist-25 (SCL-25), the Brief Five-Factor Inventory (BFI-10), the Level of Personality Functioning Scale-Brief Form (LPFS-BF 2.0), and the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST).</p><p><strong>Results: </strong>The findings revealed that the PID5BF + M demonstrates strong psychometric properties, with a six-factor structure that is culturally appropriate for the Iranian population. Significant associations were found between the ICD-11/DSM-5 traits and both internalizing and externalizing symptoms, as well as with normal personality factors.</p><p><strong>Conclusions: </strong>The PID5BF + M appears to be a valid and reliable tool for assessing DSM-5 and ICD-11 personality disorder traits in Iranian drug users, showing promising potential for use in clinical and research settings within this cultural context.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e70005"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048125","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}