Jessie N Doyle, Margo C Watt, Jacqueline N Cohen, Marie-Eve Couture, MacGillivray M Smith
{"title":"Relations Between Anxiety Sensitivity and Attachment in Outpatients With Borderline Personality Disorder.","authors":"Jessie N Doyle, Margo C Watt, Jacqueline N Cohen, Marie-Eve Couture, MacGillivray M Smith","doi":"10.1521/pedi.2022.36.5.606","DOIUrl":"https://doi.org/10.1521/pedi.2022.36.5.606","url":null,"abstract":"<p><p>Borderline personality disorder (BPD) is characterized by dysregulated emotion, interpersonal relationships, and impulsivity, and is putatively linked to a known transdiagnostic risk factor, anxiety sensitivity (AS). AS is a dispositional fear of the physical, cognitive, and/or social consequences of arousal-related somatic sensations. Gratz et al. (2008) demonstrated significantly higher AS in outpatients with BPD and a predictive value of AS over and above emotion dysregulation and impulsivity. The present study sought to extend these findings with a larger sample of outpatients with BPD by investigating predictive value of AS dimensions; relations between AS and attachment style; and impact of BPD treatment on AS. Participants completed measures at three time points: pretreatment and 6 and 12 months posttreatment. AS social was the best predictor; attachment anxiety correlated positively with AS global and AS physical. AS levels significantly decreased from pretreatment to 6 months posttreatment. Clinical implications discussed include targeting AS in BPD treatment.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"36 5","pages":"606-622"},"PeriodicalIF":2.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40386598","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}
Stefania Chiappini, Elena Picutti, Maria Chiara Alessi, Francesco Di Carlo, Giacomo D'Andrea, Andrea Miuli, Mauro Pettorruso, Giovanni Martinotti, Massimo di Giannantonio
{"title":"Efficacy of Noninvasive Brain Stimulation on Borderline Personality Disorder Core Symptoms: A Systematic Review.","authors":"Stefania Chiappini, Elena Picutti, Maria Chiara Alessi, Francesco Di Carlo, Giacomo D'Andrea, Andrea Miuli, Mauro Pettorruso, Giovanni Martinotti, Massimo di Giannantonio","doi":"10.1521/pedi.2022.36.5.505","DOIUrl":"https://doi.org/10.1521/pedi.2022.36.5.505","url":null,"abstract":"<p><p>Although psychotherapy is the first-line treatment of borderline personality disorder (BPD), psychopharmacological agents have not been approved yet. Modulating brain functions with noninvasive brain stimulation (NIBS) interventions, such as repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS), may have a role in the treatment of BPD. In light of the limited knowledge available and the emerging interest in the possible role of NIBS as a therapeutic tool, the authors' main aim is to systematically review the literature on the effect of both rTMS and tDCS on BPD symptoms, specifically affective dysregulation, impulsive-behavioral dyscontrol, and cognitive-perceptual difficulties. The review process was conducted in accordance with PRISMA guidelines. The research methods were registered on PROSPERO (id code CRD42020209491). Eleven studies were included in the review. Despite the limited number of studies retrieved, preliminary data showed an improvement in all domains. Further studies are needed to understand potential long-term advantages of NIBS.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"36 5","pages":"505-526"},"PeriodicalIF":2.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40386594","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}
Rossella Di Pierro, Sara Amelio, Martina Macca, Fabio Madeddu, Marco Di Sarno
{"title":"What If I Feel Rejected? Borderline Personality, Pathological Narcissism, and Social Rejection in Daily Life.","authors":"Rossella Di Pierro, Sara Amelio, Martina Macca, Fabio Madeddu, Marco Di Sarno","doi":"10.1521/pedi.2022.36.5.559","DOIUrl":"https://doi.org/10.1521/pedi.2022.36.5.559","url":null,"abstract":"<p><p>The authors investigate whether and how borderline and pathological narcissistic traits differ in their associations with trait and state rejection sensitivity, and with affective reactions to experiences of social rejection occurring in daily life. Community adults (<i>N</i> = 189) completed baseline measures of rejection sensitivity, borderline personality, and pathological narcissism, and daily measures of perceived social rejection and affective states for 7 days. Vulnerable narcissism was the main driver of negative anticipated emotions for social rejection. Borderline personality made people prone to experiencing social rejection in daily life. Moreover, borderline personality traits predicted greater self-directed aggressive impulses when experiencing social rejection. Grandiose narcissism showed only a negative association with anticipatory anxiety for rejection. These findings highlight that sensitivity to social rejection is crucial in both borderline personality and pathological narcissism.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"36 5","pages":"559-582"},"PeriodicalIF":2.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40386596","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}
Kimberley A Kaseweter, M Erin Browne, Kenneth M Prkachin
{"title":"Insensitivity to Suffering: Psychopathic Traits and Perception of Others' Pain.","authors":"Kimberley A Kaseweter, M Erin Browne, Kenneth M Prkachin","doi":"10.1521/pedi.2022.36.5.583","DOIUrl":"https://doi.org/10.1521/pedi.2022.36.5.583","url":null,"abstract":"<p><p>Despite growing evidence that psychopathy entails reduced emotional processing, the relationship between psychopathic traits and third-person pain perception is poorly understood. This study directly examined perception of others' pain in a sample of male and female students (<i>N</i> = 105) who completed the Self-Report Psychopathy scale (SRP-III) and the Toronto Empathy Questionnaire (TEQ). Participants watched a video of 60 one-second clips of other people experiencing pain. Following each clip, participants rated the perceived level of pain intensity and pain unpleasantness. Psychopathic traits were unrelated to response bias, suggesting that individuals high in psychopathic traits were no more or less likely to impute pain to others. However, higher levels of psychopathic traits, particularly callous affect and antisocial behavior, were associated with a decreased ability to discriminate others' pain. Sensitivity and response bias were unrelated to TEQ scores. These findings provide novel insights into the influence of psychopathic traits on emotional processing.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"36 5","pages":"583-605"},"PeriodicalIF":2.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40386599","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}
Caroline L Mesquita Uchôa, Hannah E Pucker, Christina M Temes, Katherine E Hein, Mary C Zanarini
{"title":"Parental Reports of Physically Self-Destructive Behavior in the Offspring of Patients With Borderline Personality Disorder and Other Personality Disorders.","authors":"Caroline L Mesquita Uchôa, Hannah E Pucker, Christina M Temes, Katherine E Hein, Mary C Zanarini","doi":"10.1521/pedi.2022.36.5.527","DOIUrl":"https://doi.org/10.1521/pedi.2022.36.5.527","url":null,"abstract":"The main aim of this article is to compare the prevalence of four forms of physically self-destructive behavior in the offspring of parents with borderline personality disorder (BPD) and compare them to the offspring of parents with other personality disorders (OPD). At the 4- and 6-year waves in a prospective study of the long-term course of BPD, participants were asked to report on the self-destructive behaviors of their children using the Childhood Self-Destructiveness Scale. A total of 68 parents were interviewed regarding 131 children, 104 of whom were offspring of parents with BPD (n = 55) and 27 were offspring of parents with OPD (n = 13). BPD parents reported significantly more self-injury and substance abuse in their children than OPD parents. The results from this study suggest that both direct and indirect forms of self-destructive behavior are both more common and quite specific for the children of parents with BPD.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"36 5","pages":"527-536"},"PeriodicalIF":2.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40387631","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}
Jennifer M Loya, June P Tangney, Jeffrey B Stuewig
{"title":"Are Borderline Personality Disorder Features Differentially Related to Pre-Incarceration Alcohol, Cannabis, Cocaine, and Opioid Dependence Among People Recently Incarcerated in Jail?","authors":"Jennifer M Loya, June P Tangney, Jeffrey B Stuewig","doi":"10.1521/pedi.2022.36.5.623","DOIUrl":"https://doi.org/10.1521/pedi.2022.36.5.623","url":null,"abstract":"<p><p>Borderline personality disorder (BPD) and substance use disorders (SUDs) commonly co-occur across various settings. However, little research has examined how BPD features relate to specific types of SUDs. This study examined whether BPD features assessed shortly after incarceration were differentially related to symptoms of dependence on alcohol, cannabis, cocaine, and opioids experienced in the 12 months prior to incarceration among 510 people recently incarcerated in jail. Follow-up multigroup analyses evaluated whether gender or race moderated the relation of BPD features to the four SUDs. Using structural equational modeling, the relationships of BPD features were compared to each of the four preincarceration dependence symptoms. BPD features were significantly related to dependence on each of the four substances, but the link between BPD features and cocaine dependence was stronger than BPD's association with alcohol, cannabis, or opioid dependence. These findings generalized across men and women and across White and Black people.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"36 5","pages":"623-640"},"PeriodicalIF":2.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40386597","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}
Tianwei V Du, Katherine M Thomas, Joshua D Miller, Donald R Lynam
{"title":"Differentiations in Interpersonal Functioning Across Narcissism Dimensions.","authors":"Tianwei V Du, Katherine M Thomas, Joshua D Miller, Donald R Lynam","doi":"10.1521/pedi.2022.36.4.455","DOIUrl":"https://doi.org/10.1521/pedi.2022.36.4.455","url":null,"abstract":"<p><p>Narcissism can be conceived hierarchically at three levels: as a global construct (Level 1), as two dimensions (Level 2; grandiosity and vulnerability), and as a trifurcated model with three underlying dimensions: interpersonal antagonism, narcissistic neuroticism, and agentic extraversion (Level 3). The aim of the study was to examine how narcissism dimensions across the three levels differ in their associations with various forms of interpersonal functioning. The authors assessed multiple domains of interpersonal functioning using data collected from 447 MTurk workers, 606 students, and 365 informants. Each narcissism dimension showed unique interpersonal profiles. The profile of interpersonal antagonism largely resembles grandiose and total narcissism in its interpersonal characteristics, narcissistic neuroticism largely resembles vulnerable narcissism, and agentic extraversion does not differ much from the traditional conceptualization of extraversion in its interpersonal qualities (e.g., high communion). Future studies may benefit from studying narcissism and how it relates to other psychological constructs using the trifurcated model.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":" ","pages":"455-475"},"PeriodicalIF":2.3,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40673411","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}
Zalie Merrett, David J Castle, Neil Thomas, Wei Lin Toh, Josephine Beatson, Jillian Broadbear, Sathya Rao, Susan L Rossell
{"title":"Comparison of the Phenomenology of Hallucination and Delusion Characteristics in People Diagnosed With Borderline Personality Disorder and Schizophrenia.","authors":"Zalie Merrett, David J Castle, Neil Thomas, Wei Lin Toh, Josephine Beatson, Jillian Broadbear, Sathya Rao, Susan L Rossell","doi":"10.1521/pedi.2022.36.4.413","DOIUrl":"https://doi.org/10.1521/pedi.2022.36.4.413","url":null,"abstract":"Hallucinations and delusions in borderline personality disorder (BPD) are understudied. The authors explore the phenomenology of multisensory hallucinations and delusions in individuals with BPD and compare them to those in individuals with schizophrenia spectrum disorders (SSD). Clinical psychopathology was also explored. Eighty-nine adults participated and were categorized into four groups: BPD with voices, BPD without voices, SSD with high BPD traits, and SSD with low BPD traits. Among individuals with BPD, 81% reported visual and tactile hallucinations, 75% reported olfactory hallucinations, and 94% experienced delusions. When comparing BPD with and without voices, there were no significant differences in nonpsychotic psychopathology. Slight differences were found when hallucinations in BPD were compared with hallucinations in SSD, but overall the experiences were similar across diagnoses. The BPD group also reported significantly higher rates of paranoia/suspiciousness and delusions of guilt than the SSD group. Multisensory hallucinations and delusions occur in BPD and should be explored when treating people with BPD.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":" ","pages":"413-430"},"PeriodicalIF":2.3,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40673414","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}
Mara J Richman Czégel, Zsolt Unoka, Robert B Dudas, Zsolt Demetrovics
{"title":"Rumination in Borderline Personality Disorder: A Meta-analytic Review.","authors":"Mara J Richman Czégel, Zsolt Unoka, Robert B Dudas, Zsolt Demetrovics","doi":"10.1521/pedi.2022.36.4.399","DOIUrl":"https://doi.org/10.1521/pedi.2022.36.4.399","url":null,"abstract":"<p><p>Borderline personality disorder (BPD) is characterized by deficits in emotion regulation and affective liability, specifically rumination. Despite this, inconsistencies have existed in the literature regarding which rumination type is most prominent in BPD. Taking this into consideration, a meta-analysis was performed to look at how BPD symptoms correlate with rumination, while also considering clinical moderator variables (i.e., BPD symptom domain, comorbidities, GAF score) and demographic moderator variables (i.e., age, gender, sample type, and education level). Analysis of rumination domains for the entire sample revealed a medium correlation between BPD symptoms and rumination. When types of rumination were assessed, the largest correlation was among pain rumination followed by anger, depressive, and anxious rumination. Among BPD symptom domain, affective instability had the strongest correlation with increased rumination, followed by unstable relationships, identity disturbance, and self-harm/impulsivity. Demographic variables showed no significance. Clinical implications and further therapeutic interventions are discussed considering rumination.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":" ","pages":"399-412"},"PeriodicalIF":2.3,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40673416","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}