Jan Wyrzykowski, Barbara Kostecka, Philip Santangelo, Katarzyna Kucharska
{"title":"Emotional Dysregulation and Sexual Risk Behavior in Individuals With Borderline Personality Disorder: Interactions With Psychological Pain, Impulsivity, Anxiety, and Depression.","authors":"Jan Wyrzykowski, Barbara Kostecka, Philip Santangelo, Katarzyna Kucharska","doi":"10.1521/pedi.2025.39.1.77","DOIUrl":"https://doi.org/10.1521/pedi.2025.39.1.77","url":null,"abstract":"<p><p>The aim of this study was to assess emotional dysregulation (ED) and sexual risk behavior (SRB) in borderline personality disorder (BPD) and to investigate the relationship between ED, SRB and other clinical variables. Sixty-one women with BPD and 76 healthy controls (HCs) completed: SRB Scale, DERS, Inventory of Statements About Self-Injury, SUPPS-P, HADS, Mental Pain Scale, and BPD Checklist. The BPD group exhibited higher levels of ED, SRB, psychological pain, anxiety, depression, and impulsivity than the HCs. In the BPD group, significant correlations were found between ED, SRB, and psychological pain, impulsivity, and specific dimensions of nonsuicidal self-injury (NSSI). To identify predictors of SRB, stepwise multiple regression analysis was used. The BPD model included five significant predictors accounting for 65% variability: number of sexual partners and age of sexual initiation, NSSI, impulsivity, and ED - lack of emotional clarity, while in HCs, it was influenced by alcohol misuse.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"39 1","pages":"77-94"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524851","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}
Simone Cheli, Gil Goldzweig, Paul L Hewitt, Sara Bui, Veronica Cavalletti
{"title":"Evolutionary Systems Therapy for Obsessive-Compulsive Personality Disorder: A Five-Case Series.","authors":"Simone Cheli, Gil Goldzweig, Paul L Hewitt, Sara Bui, Veronica Cavalletti","doi":"10.1521/pedi.2025.39.1.61","DOIUrl":"https://doi.org/10.1521/pedi.2025.39.1.61","url":null,"abstract":"<p><p>Obsessive-compulsive personality disorder is the most common personality disorder, with a prevalence of approximately 6.5% in the general population. However, little is known about the effective psychotherapy for this disorder. In this case series, we employed evolutionary systems therapy to support five adults diagnosed with obsessive-compulsive personality disorder. Evolutionary systems therapy is a novel form of psychotherapy that integrates evolutionary psychopathology, compassion-focused therapy, and metacognitively oriented treatments. Primary outcome (personality pathology) was assessed monthly from baseline to follow-up. Secondary outcomes (anxiety, depression, perfectionism, self-criticism, overcontrol) were assessed at initial and final sessions. Moreover, we evaluated the feasibility of intervention (completion, attendance, adverse events). At the end of 6 months of treatment, all the participants reported reliable changes and remitted from diagnosis. These outcomes were maintained at 1-month and 3-month follow-ups. Further research is needed to provide evidence about the acceptability of evolutionary systems therapy in the treatment of obsessive-compulsive personality disorder.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"39 1","pages":"61-76"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524857","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":"The Dynamics of Narcissus: Exploring the Covariation of Narcissistic States in Daily Life.","authors":"Emily A Dowgwillo, Erika Fanti, Aaron L Pincus","doi":"10.1521/pedi.2025.39.1.22","DOIUrl":"https://doi.org/10.1521/pedi.2025.39.1.22","url":null,"abstract":"<p><p>Advanced empirical research and clinical theory suggest that narcissistic personality states fluctuate over time. However, these fluctuations are poorly understood. To address this, we recruited 88 undergraduates to complete baseline measures and respond to smartphone prompts assessing narcissistic states and emotions in daily life seven times a day for 10 days. Narcissistic states were assessed using a state-adapted version of the Super Brief Pathological Narcissism Inventory (SB-PNI). Findings showed that within-person covariation of narcissistic states ranged from -.55 to .52 and was negatively associated with trait grandiosity, guilt, and mood activation. In addition, there was a significant quadratic relationship between narcissistic covariation and trait vulnerability and between narcissistic covariation and mean state vulnerability, self-esteem, pleasant and activated mood, and shame across 10 days. These findings suggest a potential state-based dynamic taxonomy of narcissistic presentations and highlight the importance of understanding distinctions between co-occurring, contrasting, and dissociated narcissistic states.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"39 1","pages":"22-47"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524917","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}
Rachel Tennenhouse, Anthony C Ruocco, Shelley F McMain, Anne Sonley
{"title":"Suicidal and Self-Harming Behaviors in Patients With Borderline Personality Disorder With and Without Eating Disorders.","authors":"Rachel Tennenhouse, Anthony C Ruocco, Shelley F McMain, Anne Sonley","doi":"10.1521/pedi.2025.39.1.48","DOIUrl":"https://doi.org/10.1521/pedi.2025.39.1.48","url":null,"abstract":"<p><p>Borderline personality disorder (BPD) and eating disorders (EDs) frequently co-occur. The present study investigated whether treatment-seeking patients with BPD and a comorbid ED experienced increased risk of self-harm or suicide behaviors. In a sample of 350 patients with BPD, 61 (17.4%) had a comorbid ED: 25 (7.1%) had bulimia nervosa (BN), 15 (4.2%) had an eating disorder not otherwise specified (EDNOS), 13 (3.7%) had bingeeating disorder (BED), and 8 (2.2%) had anorexia nervosa (AN). Comorbid BED and AN were individually significantly associated with recurrent suicide attempt over the past year, while comorbid AN was associated with greater lethality of recent self-harm. These results suggest that ED diagnosis may constitute a risk factor for self-harm and suicide behaviors in patients with BPD.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"39 1","pages":"48-60"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524906","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}
Kathryn Berluti, Montana L Ploe, Heather Doherty, Danielle N Jones, Christopher J Patrick, Abigail A Marsh
{"title":"Prevalence and Correlates of Psychopathy in the General Population.","authors":"Kathryn Berluti, Montana L Ploe, Heather Doherty, Danielle N Jones, Christopher J Patrick, Abigail A Marsh","doi":"10.1521/pedi.2025.39.1.1","DOIUrl":"https://doi.org/10.1521/pedi.2025.39.1.1","url":null,"abstract":"<p><p>Psychopathy encompasses a constellation of personality traits-including callousness, boldness, and disinhibition-associated with lifetime outcomes such as criminal activity, substance use, aggression, and other antisocial behaviors. However, psychopathy's relationship with these outcomes can vary depending on the sample tested, and no prior study has assessed outcomes related to psychopathy in a representative U.S. population sample. We thus assessed the relationship between psychopathy and relevant outcomes using the Triarchic Psychopathy Measure (TriPM) administered to a sample recruited to be demographically representative of American adults (<i>N</i> = 289). Results showed that TriPM psychopathy was normally distributed and associated with antisociality and criminal behavior. Unlike some prior results, we found that neither gender nor income moderated the relationship between psychopathy and criminal behavior. Disinhibition and boldness subscales, but not meanness, were associated with criminal behavior. These results underscore the importance of understanding psychopathy in the general population to improve public safety and health.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"39 1","pages":"1-21"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524904","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}
Christina O Carlisi, Jennifer C Fielder, Annchen R Knodt, Adrienne L Romer, Ahmad R Hariri, Essi Viding
{"title":"Differential Mapping of Psychopathic Traits and General Psychopathology in a Large Young Adult Sample.","authors":"Christina O Carlisi, Jennifer C Fielder, Annchen R Knodt, Adrienne L Romer, Ahmad R Hariri, Essi Viding","doi":"10.1521/pedi.2024.38.6.535","DOIUrl":"https://doi.org/10.1521/pedi.2024.38.6.535","url":null,"abstract":"<p><p>Psychopathy is a personality disorder characterized by affective-interpersonal features and an impulsive-antisocial lifestyle. Psychopathy commonly co-occurs with other forms of psychopathology, but current understanding of how behavioral features of psychopathy co-occur with, or are distinct from, other mental health problems is limited. In this study, we analysed data from a large sample of young adults to study the relationship between different facets of psychopathic traits and general psychopathology (\"p\"). Data were collected between 2010 and 2016 and included 1,324 U.S. undergraduate students (<i>M</i><sub>age</sub> = 19.7 years; 57% female). Linear regression models revealed that the antisocial facet of psychopathy was distinct from p, while the lifestyle facet was correlated with <i>p</i> and externalizing behavior. Interpersonal and affective facets were correlated with internalizing behaviors. Collectively, these findings suggest that psychopathic traits of severe, premeditated antisocial behavior are distinct from general psychopathology, whereas impulsive and uninhibited lifestyle traits are a shared feature of psychopathology.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"38 6","pages":"535-558"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869751","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":"Deconstructing Detachment: Contrasting Trait Profiles in Community Adults With Schizoid Versus Avoidant Personality Styles.","authors":"Feyza Urer, Robert F Bornstein","doi":"10.1521/pedi.2024.38.6.520","DOIUrl":"https://doi.org/10.1521/pedi.2024.38.6.520","url":null,"abstract":"<p><p>The degree to which schizoid and avoidant personality styles represent unique variants of interpersonal detachment remains controversial. This study contrasted core traits associated with schizoid versus avoidant personalities in a mixed-sex sample of 221 community adults, using the five traits that comprise the Alternative Model for Personality Disorders (AMPD). The International Personality Disorders Examination Screening Questionnaire was used to assess schizoid and avoidant personality traits; the Personality Inventory for DSM-5 was used to assess negative affectivity, detachment, antagonism, disinhibition, and psychoticism. As expected, schizoid and avoidant scores were both positively associated with AMPD detachment scores <i>(rs</i> were .68 and .57, respectively). Regression analyses confirmed that, in addition to detachment, high levels of negative affectivity and low levels of disinhibition were uniquely predictive of avoidant personality traits, whereas low levels of antagonism were uniquely predictive of schizoid personality traits. The present findings support the distinctiveness of these two contrasting expressions of detachment.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"38 6","pages":"520-534"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869738","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":"Author Index to Volume 38 Journal of Personality Disorders.","authors":"","doi":"10.1521/pedi.2024.38.6.599","DOIUrl":"https://doi.org/10.1521/pedi.2024.38.6.599","url":null,"abstract":"","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"38 6","pages":"599-605"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869737","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}
Isabel V Glass, Frances R Frankenburg, Garrett M Fitzmaurice, Mary C Zanarini
{"title":"Longitudinal Course of Physical and Psychosocial Impairment in Patients With Borderline Personality Disorder and Personality-Disordered Comparison Subjects: Description and Prediction.","authors":"Isabel V Glass, Frances R Frankenburg, Garrett M Fitzmaurice, Mary C Zanarini","doi":"10.1521/pedi.2024.38.6.503","DOIUrl":"https://doi.org/10.1521/pedi.2024.38.6.503","url":null,"abstract":"<p><p>This study describes the 8-year course of physical and psychosocial impairment in middle-aged patients with borderline personality disorder (BPD) and other personality disorders (OPD). This study also compares BPD subgroups (recovered vs. nonrecovered) and explores predictors of physical impairment. Patients (<i>N</i> = 282) were assessed as part of the McLean Study of Adult Development. Physical and psychosocial impairments were assessed using the 36-Item Short-Form Health Survey. Patients with BPD reported significantly more impairment than OPD patients across all domains. Nonrecovered BPD patients reported significantly more impairment than their recovered counterparts. Three medical conditions (osteoarthritis, chronic fatigue syndrome, and obesity) and two symptomatic disorders (mood disorder and posttraumatic stress disorder) were significant multivariate predictors of physical impairment in BPD patients. These results suggest that BPD patients experience serious functioning impairment that persists over time and that physical functioning impairments reported by these patients are strongly related to certain physical and psychiatric health conditions.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"38 6","pages":"503-519"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869752","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}
Jonathan Phillips, Thomas Whitehead, Alvaro Barrera
{"title":"Auditory Hallucinations in Borderline Personality Disorder and Schizophrenia: A Quantitative Comparison Using Patient Records.","authors":"Jonathan Phillips, Thomas Whitehead, Alvaro Barrera","doi":"10.1521/pedi.2024.38.6.559","DOIUrl":"https://doi.org/10.1521/pedi.2024.38.6.559","url":null,"abstract":"<p><p>The phenomenological differences in auditory hallucinations between schizophrenia and borderline personality disorder (BPD) are unclear in the existing literature, in part due to underpowered studies and heterogeneous research populations that do not represent those in the acute clinical setting. This study addresses this by using patient records to compare auditory hallucinations at the point of clinical psychiatric assessment for 341 unique patients, 165 with BPD and 176 with schizophrenia. Patients with BPD were found to have more subjectively distressing and objectively negative hallucinations, as well as more command hallucinations. Furthermore, they possessed more insight and were less likely to incorporate hallucinations into delusions. These results support the hypothesis that, while descriptively similar, auditory hallucinations are interpreted differently between the two groups. This study also supports that electronic records of patient assessments are a feasible way to assess large numbers of reports of auditory hallucinations.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"38 6","pages":"559-572"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869736","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}