Journal of Personality Disorders最新文献

Alexithymia and Personality Pathology. Alexithymia and Personality Pathology.

IF 2.1 3区医学

Journal of Personality Disorders Pub Date : 2024-10-01 DOI: 10.1521/pedi.2024.38.5.435

Sabrina Winterstein, Trevor G Mazzucchelli, James J Gross, Robert F Krueger, David A Preece

{"title":"Alexithymia and Personality Pathology.","authors":"Sabrina Winterstein, Trevor G Mazzucchelli, James J Gross, Robert F Krueger, David A Preece","doi":"10.1521/pedi.2024.38.5.435","DOIUrl":"https://doi.org/10.1521/pedi.2024.38.5.435","url":null,"abstract":"Alexithymia is an important transdiagnostic risk factor for many psychopathologies. To explore its relevance for personality disorders, we examined the association between alexithymia and maladaptive personality traits, as conceptualized within the DSM-5-TR Alternative Model for Personality Disorders (i.e., negative affect, detachment, antagonism, disinhibition, psychoticism). Participants (N = 651) completed a battery of psychometric questionnaires. Regressions revealed that alexithymia facets accounted for a significant 15% of the variance in negative affect, 22% in detachment, 11% in antagonism, 18% in disinhibition, and 25% in psychoticism. Latent profile analysis showed that profiles with more severe personality pathology were generally characterized by more severe levels of alexithymia. Overall, our data highlight that alexithymia is important in understanding personality dysfunction. All facets of alexithymia, across both positive and negative emotions, are linked to each maladaptive personality trait. The assessment and targeting of alexithymia may therefore be of high relevance for the treatment of personality pathology.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"38 5","pages":"435-454"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477917","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

A Qualitative Exploration of Help-Seeking and Experiences of Diagnosis Among Men With Borderline Personality Disorder. 对边缘型人格障碍男性患者寻求帮助和诊断经历的定性研究。

IF 2.1 3区医学

Journal of Personality Disorders Pub Date : 2024-10-01 DOI: 10.1521/pedi.2024.38.5.455

Chloe Dean, Helen Mildred, Anna Klas, Sathya Rao, Jillian H Broadbear

{"title":"A Qualitative Exploration of Help-Seeking and Experiences of Diagnosis Among Men With Borderline Personality Disorder.","authors":"Chloe Dean, Helen Mildred, Anna Klas, Sathya Rao, Jillian H Broadbear","doi":"10.1521/pedi.2024.38.5.455","DOIUrl":"https://doi.org/10.1521/pedi.2024.38.5.455","url":null,"abstract":"Borderline personality disorder (BPD) is frequently understood as a diagnosis applicable mainly to women, despite population studies suggesting similar prevalence between men and women. The scarce available information suggests that compared to women, men may face additional gender-related barriers to diagnosis and treatment when attempting to engage with support and treatment for BPD-related difficulties. The current study presents a qualitative in-depth exploration of the help-seeking and diagnosis experiences of four men with BPD. Using Interpretive Phenomenological Analysis, three themes were generated: (1) \"There's just no help out there\": barriers to treatment; (2) self-understanding and insight; and (3) the importance of emotional and psychological connection with health care professionals and close family and friends. Having a greater understanding of male-specific experiences of BPD could improve the helpseeking journeys of men with BPD through early identification, accurate and timely diagnosis, to relevant and effective treatment and support.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"38 5","pages":"455-476"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477916","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

Increasing Prevalence of Attention-Deficit/Hyperactivity Disorder in Patients With Borderline Personality Disorder. 边缘型人格障碍患者中注意力缺陷/多动障碍的患病率越来越高。

IF 2.1 3区医学

Journal of Personality Disorders Pub Date : 2024-10-01 DOI: 10.1521/pedi.2024.38.5.493

Kelly V Huynh, Isabel V Glass, Mary C Zanarini

引用次数: 0

Underdiagnosis of Posttraumatic Stress Disorder Among Outpatients With Personality Disorders in Clinical Practice Despite the Use of a Diagnostic Instrument. 尽管使用了诊断工具，但在临床实践中对患有人格障碍的门诊患者中创伤后应激障碍的诊断不足。

IF 2.1 3区医学

Journal of Personality Disorders Pub Date : 2024-10-01 DOI: 10.1521/pedi.2024.38.5.477

Simon Hofman, Christina W Slotema

{"title":"Underdiagnosis of Posttraumatic Stress Disorder Among Outpatients With Personality Disorders in Clinical Practice Despite the Use of a Diagnostic Instrument.","authors":"Simon Hofman, Christina W Slotema","doi":"10.1521/pedi.2024.38.5.477","DOIUrl":"https://doi.org/10.1521/pedi.2024.38.5.477","url":null,"abstract":"While existing literature suggests that posttraumatic stress disorder (PTSD) is frequently undetected in routine clinical practice, the detection rate of PTSD in patients with a personality disorder (PD) has not been investigated. This study examined the point prevalence of PTSD and frequency of trauma-focused treatment in 204 outpatients with a PD. Data were derived from electronic patient files. Compared to the mean weighted prevalence of PTSD in the literature, the Mini International Neuropsychiatric Interview Plus (MINI-Plus) found lower rates of PTSD for the entire sample (29.2%), but not separately for patients with borderline PD (BPD; 33.3%) and patients with other PDs (26.9%). In addition, PTSD diagnoses following intake were less prevalent for PD patients overall (18.6%), BPD patients (27%), and patients with other PDs (13.8%). The present study provides preliminary evidence that PTSD might be underdiagnosed and consequently unmanaged in PD patients in clinical practice, suggesting that the recognition of PTSD among patients with PD needs improvement.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"38 5","pages":"477-492"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477921","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 Role of Diagnostic Models in Prejudice Toward People With Borderline Personality Disorder: An Experimental Investigation. 诊断模型在对边缘型人格障碍患者的偏见中的作用：一项实验研究

IF 2.1 3区医学

Journal of Personality Disorders Pub Date : 2024-10-01 DOI: 10.1521/pedi.2024.38.5.415

Nicholas Wai, Boris Bizumic, Conal Monaghan, Hannah Sheppard, Lisa-Marie Greenwood

{"title":"The Role of Diagnostic Models in Prejudice Toward People With Borderline Personality Disorder: An Experimental Investigation.","authors":"Nicholas Wai, Boris Bizumic, Conal Monaghan, Hannah Sheppard, Lisa-Marie Greenwood","doi":"10.1521/pedi.2024.38.5.415","DOIUrl":"https://doi.org/10.1521/pedi.2024.38.5.415","url":null,"abstract":"We tested whether dimensional personality disorder models such as the Alternative Model for Personality Disorders (AMPD) cause less prejudice toward people with borderline personality disorder (BPD) than categorical models, and we sought to identify the mechanisms underpinning this reduction in prejudice. Undergraduate psychology students (n = 183) were randomly assigned to one of three conditions (AMPD, categorical, control) and given descriptive information about BPD. Participants in the AMPD and categorical conditions also received a presentation about their respective BPD diagnostic criteria. Students in all conditions then completed a survey assessing their prejudice toward people with BPD. There was no difference between conditions on overall prejudice toward people with BPD. However, the AMPD increased continuum beliefs and decreased categorical beliefs, and these, in turn, affected perceptions of people with BPD as ingroup members, which indirectly reduced prejudice. We have identified pathways through which the AMPD indirectly reduces prejudice toward people with BPD.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"38 5","pages":"415-434"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477920","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

Erratum. 勘误。

IF 2.1 3区医学

Journal of Personality Disorders Pub Date : 2024-10-01 DOI: 10.1521/pedi.2024.38.5.503

引用次数: 0

Comparing the DSM-5 Dimensional Trait and Triarchic Model Conceptions of Psychopathy: An External Validity Analysis. 比较 DSM-5 心理变态的维度特质和三元模型概念：外部有效性分析

IF 2.1 3区医学

Journal of Personality Disorders Pub Date : 2024-08-01 DOI: 10.1521/pedi.2024.38.4.368

Claudio Sica, Corrado Caudek, Ilaria Colpizzi, Gioia Bottesi, Sara Iannattone, Christopher J Patrick

{"title":"Comparing the DSM-5 Dimensional Trait and Triarchic Model Conceptions of Psychopathy: An External Validity Analysis.","authors":"Claudio Sica, Corrado Caudek, Ilaria Colpizzi, Gioia Bottesi, Sara Iannattone, Christopher J Patrick","doi":"10.1521/pedi.2024.38.4.368","DOIUrl":"https://doi.org/10.1521/pedi.2024.38.4.368","url":null,"abstract":"In the DSM-5 Alternative Model of Personality Disorders (AMPD), psychopathy is marked by the presence of attention seeking, low anxiousness, and lack of social withdrawal, along with traits from the domains of Antagonism and Disinhibition. The triarchic model of psychopathy (TriPM) posits three biobehaviorally based traits underlying it: disinhibition, meanness, and boldness. The current study directly compared relations for measures of the two models with the broad dimensions of externalizing, internalizing, and positive adjustment. Participants (1,678 adults) were surveyed regarding maladaptive personality traits, clinical symptoms, and positive adjustment features. The TriPM model explained more variance than the AMPD in substance use, positive adjustment, and empathy, whereas the AMPD model explained more variance in internalizing symptoms. In addition, AMPD Antagonism and the Psychopathy Specifier diverged from TriPM Meanness and Boldness in their associations with some specific outcomes. Overall, our study provides evidence for complementarity of the two models in characterizing the multifaceted nature of psychopathy.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"38 4","pages":"368-400"},"PeriodicalIF":2.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879542","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

Self-Reported ICD-11 Personality Disorder Severity in Peruvian Adolescents: Structure, Validity, and Tentative Cutoffs. 秘鲁青少年自述的 ICD-11 人格障碍严重程度：结构、有效性和暂定临界值。

IF 2.1 3区医学

Journal of Personality Disorders Pub Date : 2024-08-01 DOI: 10.1521/pedi.2024.38.4.401

Luis Hualparuca-Olivera, Margarita Calle-Arancibia, Tomás Caycho-Rodríguez, Bo Bach

{"title":"Self-Reported ICD-11 Personality Disorder Severity in Peruvian Adolescents: Structure, Validity, and Tentative Cutoffs.","authors":"Luis Hualparuca-Olivera, Margarita Calle-Arancibia, Tomás Caycho-Rodríguez, Bo Bach","doi":"10.1521/pedi.2024.38.4.401","DOIUrl":"https://doi.org/10.1521/pedi.2024.38.4.401","url":null,"abstract":"Personality disorder (PD) is particularly common in adolescents, which underscores the significance of early screening, diagnosis, and intervention. To date, the definition of PD in the new ICD-11 has not yet been investigated in adolescents. This study therefore aimed to investigate the unidimensionality and criterion validity of self-reported ICD-11 PD features in Peruvian adolescents using the Personality Disorder Severity ICD-11 (PDS-ICD-11) scale. A total of 1,073 students (63% female; age range 12-16 years) were administered the PDS-ICD-11 scale along with criterion measures of personality pathology and symptom distress. The PDS-ICD-11 score showed adequate unidimensionality and conceptually meaningful associations with external criterion variables. The findings indicate that ICD-11 PD features, as measured with the PDS-ICD-11 scale, are structurally and conceptually sound when employed with adolescents. Norm-based cutoffs derived from the present study may be used for clinical interpretation. The PDS-ICD-11 may be employed as an efficient screening tool for personality dysfunction in adolescents.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"38 4","pages":"401-413"},"PeriodicalIF":2.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879546","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

Exploring the Nexus: Personality Disorders and Their Impact on Violent Extremism, Radicalism, and Activism. 探索联系：人格障碍及其对暴力极端主义、激进主义和激进主义的影响。

IF 2.1 3区医学

Journal of Personality Disorders Pub Date : 2024-08-01 DOI: 10.1521/pedi.2024.38.4.350

Nicholas D Thomson, Sophie L Kjaervik

引用次数: 0

Examining the Validity of the Levels of Personality Functioning Questionnaire for Adolescents Aged 12-18 (LOPF-Q 12-18): A Replication and Extension With a Sample of Lithuanian Adolescents. 检验 12-18 岁青少年人格功能水平问卷（LOPF-Q 12-18）的有效性：立陶宛青少年样本的复制和扩展。

IF 2.1 3区医学

Journal of Personality Disorders Pub Date : 2024-08-01 DOI: 10.1521/pedi.2024.38.4.330

Rasa Barkauskienė, Carla Sharp, Sophie Kerr, Elena Gaudiešiūtė, Kirstin Goth, Gabrielė Skabeikytė-Norkienė

{"title":"Examining the Validity of the Levels of Personality Functioning Questionnaire for Adolescents Aged 12-18 (LOPF-Q 12-18): A Replication and Extension With a Sample of Lithuanian Adolescents.","authors":"Rasa Barkauskienė, Carla Sharp, Sophie Kerr, Elena Gaudiešiūtė, Kirstin Goth, Gabrielė Skabeikytė-Norkienė","doi":"10.1521/pedi.2024.38.4.330","DOIUrl":"https://doi.org/10.1521/pedi.2024.38.4.330","url":null,"abstract":"With the shift to the dimensional model of personality pathology, the need for measures assessing personality functioning in adolescence has emerged. The Levels of Personality Functioning Questionnaire 12-18 (LoPF-Q 12-18) was developed specifically for adolescents, tailoring the Alternative Model of Personality Disorders in the DSM-5. Using the Lithuanian LoPF-Q 1218, we further investigate its validity by reexamining its factorial structure and extending convergent, discriminant, and incremental validity analyses. A total of 1,048 community-based and clinically referred 12-18-year-old adolescents completed the LoPF-Q 12-18 along with other self-report measures of personality pathology, psychopathological symptoms, and psychosocial functioning. In line with previous findings, the results supported the bifactor model consisting of a strong general factor and little multidimensionality caused by the group factors, overall suggesting an essentially unidimensional structure. Further analyses provided additional information on the construct validity of the LoPF-Q 12-18.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"38 4","pages":"330-349"},"PeriodicalIF":2.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879543","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