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Journal of Personality Disorders最新文献

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Psychiatrists' Perspectives on Prescription Decisions for Patients With Personality Disorders. 精神科医生对人格障碍患者处方决定的看法。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2024-06-01 DOI: 10.1521/pedi.2024.38.3.225
Peter Sand, Evelina Dervisoski, Sofia Kollia, Jennifer Strand, Flavio Di Leone
{"title":"Psychiatrists' Perspectives on Prescription Decisions for Patients With Personality Disorders.","authors":"Peter Sand, Evelina Dervisoski, Sofia Kollia, Jennifer Strand, Flavio Di Leone","doi":"10.1521/pedi.2024.38.3.225","DOIUrl":"https://doi.org/10.1521/pedi.2024.38.3.225","url":null,"abstract":"<p><p>There is currently insufficient evidence for the use of a specific pharmacological treatment for personality disorders (PD). The research literature lacks a systematic exploration of clinicians' experiences of pharmacological treatment of PD. The aim of the qualitative study was to examine how psychiatrists make decisions about pharmacological treatment for patients with PD. The interviews were analyzed using inductive thematic analysis. The results showed that ambiguous guidelines had the effect that the psychiatrists often relied on their own experience, or that of their colleagues. As a basis for decisions concerning drug treatment, an interpersonal component was also identified. Some of the psychiatrists in the current study argued that medications may be part of the alliance-building with the patient and that medications were a way of tying the patient to the clinic. Our findings show that it is important to work on how the clinical guidelines should be implemented in practice.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141301871","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
Assessing Criterion A of the Alternative Model for Personality Disorders: The Potential of Performance-Based Personality Measures. 评估人格障碍替代模式的标准 A：基于表现的人格测量的潜力》。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2024-04-01 DOI: 10.1521/pedi.2024.38.2.171
John Rucker, Benjamin Berry, Carla Sharp
{"title":"Assessing Criterion A of the Alternative Model for Personality Disorders: The Potential of Performance-Based Personality Measures.","authors":"John Rucker, Benjamin Berry, Carla Sharp","doi":"10.1521/pedi.2024.38.2.171","DOIUrl":"https://doi.org/10.1521/pedi.2024.38.2.171","url":null,"abstract":"The conceptualization of personality disorder has been refined through recent nosological advances introduced in the Alternative Model for Personality Disorders (AMPD). These advances locate self and interpersonal (dys)function at the core of personality pathology. Self-report personality assessment instruments have demonstrated promise in the assessment of Criterion A domains. However, research highlighting the utility of performance-based personality assessment instruments has been largely absent in these advances, despite acknowledgment of their potential. We adhered to PRISMA review guidelines to survey and assess the potential relevance and utility of select performance-based personality instruments in assessing Criterion A domains of the AMPD. We conclude that performance-based personality measures are uniquely positioned to assess maladaptive self- and interpersonal functioning and may address some limitations of self-report measures. Toward this end, we propose a working model that provides ranges of test scores that correspond to the 5-point scale of the Criterion A domains of the AMPD.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140759201","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 Dimensional Conceptualization of Personality Disorders: Personality Organization, Personality Functioning, and Personality Disorders. 人格障碍的维度概念化：人格组织、人格功能和人格障碍。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2024-04-01 DOI: 10.1521/pedi.2024.38.2.105
Young Ran Kim, Young-Ho Lee
{"title":"The Dimensional Conceptualization of Personality Disorders: Personality Organization, Personality Functioning, and Personality Disorders.","authors":"Young Ran Kim, Young-Ho Lee","doi":"10.1521/pedi.2024.38.2.105","DOIUrl":"https://doi.org/10.1521/pedi.2024.38.2.105","url":null,"abstract":"Over the past several decades, significant criticism of the categorical classification system for personality disorders has highlighted the need to transition to a dimensional classification system. This study reviewed key issues involved in the potential conversion of the diagnostic system of personality disorders from a categorical to a dimensional model. The result suggests that Kernberg's concept of personality organization can be used to indicate the overall severity of personality pathology.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140780759","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
Do PID-5 Trait Scores Predict Symptom Disorders? A Meta-analytic Review. PID-5 特质评分能预测症状障碍吗？元分析综述。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2024-04-01 DOI: 10.1521/pedi.2024.38.2.126
Anthony I Gioletti, Robert F Bornstein
{"title":"Do PID-5 Trait Scores Predict Symptom Disorders? A Meta-analytic Review.","authors":"Anthony I Gioletti, Robert F Bornstein","doi":"10.1521/pedi.2024.38.2.126","DOIUrl":"https://doi.org/10.1521/pedi.2024.38.2.126","url":null,"abstract":"The Personality Inventory for DSM-5 (PID-5) has become influential in the dimensional assessment of personality dysfunction. Though most studies have examined links between PID-5 trait domains and personality pathology, a number of investigations have assessed relationships between PID-5 scores and symptom disorders (e.g., depression, anxiety). We employed meta-analytic techniques to synthesize findings in this area, identifying 26 publications assessing associations between PID-5 scores and symptom disorders (N of effect sizes across the five trait domains = 260). PID-5 domain score effect sizes (rs) ranged from 0.20 for Antagonism to 0.35 for Negative Affect (all ps < .00001). Relationships between PID-5 scores and specific forms of psychopathology were generally consistent with expectations, with some unanticipated relationships as well. Findings confirm that the pathological personality traits assessed by the PID-5 predict symptom disorders as well as personality dysfunction, extending the heuristic value and clinical utility of the measure.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140779809","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-Hatred: The Unaddressed Symptom of Borderline Personality Disorder. 自我憎恨：边缘型人格障碍未得到解决的症状。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2024-04-01 DOI: 10.1521/pedi.2024.38.2.157
Julianne G Wilner, Blake Ronzio, Carly Gillen, Blaise Aguirre
{"title":"Self-Hatred: The Unaddressed Symptom of Borderline Personality Disorder.","authors":"Julianne G Wilner, Blake Ronzio, Carly Gillen, Blaise Aguirre","doi":"10.1521/pedi.2024.38.2.157","DOIUrl":"https://doi.org/10.1521/pedi.2024.38.2.157","url":null,"abstract":"Individuals with borderline personality disorder (BPD) often report chronic, severe self-hatred. It is frequently experienced as immutable, seen as a barrier to recovery, and is associated with risk for self-injury and suicide attempts. Yet self-hatred remains a poorly understood, underdiagnosed, and undertreated presentation of BPD. In this concept article and review, we describe the nature of self-hatred in BPD and related disorders, propose a theory as to the development of self-hatred in BPD, review the assessments of and interventions for self-hatred, and consider next steps in the research, assessment, and treatment of self-hatred in BPD. Through increased awareness, understanding, and measures of self-hatred in BPD, new treatment paradigms can be developed to ensure more comprehensive recovery.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140791766","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
Clarifying Relations Between Core Features of Psychopathy and Substance (Mis)use: A Replication and Extension in Two Large Independent Samples. 澄清精神病态的核心特征与药物（误）使用之间的关系：在两个大型独立样本中的复制与扩展》（A Replication and Extension in Two Large Independent Samples）。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2024-04-01 DOI: 10.1521/pedi.2024.38.2.138
Chelsea L. Brieman, William J McGarrigle, Lora M Cope, Kent A Kiehl, D. Kosson
{"title":"Clarifying Relations Between Core Features of Psychopathy and Substance (Mis)use: A Replication and Extension in Two Large Independent Samples.","authors":"Chelsea L. Brieman, William J McGarrigle, Lora M Cope, Kent A Kiehl, D. Kosson","doi":"10.1521/pedi.2024.38.2.138","DOIUrl":"https://doi.org/10.1521/pedi.2024.38.2.138","url":null,"abstract":"Two studies examined the consistency of associations between specific components of psychopathy and two indices of drug use: (a) abstinence and (b) severity (i.e., counts) of lifetime substance use disorder (SUD) symptoms. Participants were 418 male county jail inmates in Illinois (Study One) and 354 male state prison inmates in New Mexico (Study Two). Across samples, lifestyle and antisocial trait ratings were associated with a reduced likelihood of abstinence from most substances. Lifestyle traits were also uniquely associated with severity of substance dependence ratings. Consistent with prior research, interpersonal traits were uniquely related to cocaine indices in both samples. Furthermore, analyses revealed negative associations between the affective features of psychopathy and alcohol dependence in one sample (Study Two), and illicit substance use across samples. These findings demonstrate the robustness of the associations between the interpersonal and affective features of psychopathy and specific aspects of substance (mis)use.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140760992","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
Recognizing Borderline Personality Disorder in Men: Gender Differences in BPD Symptom Presentation. 识别男性边缘型人格障碍：BPD 症状表现的性别差异。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2024-04-01 DOI: 10.1521/pedi.2024.38.2.195
Saivone N Sanchious, Mark Zimmerman, Shereen Khoo
{"title":"Recognizing Borderline Personality Disorder in Men: Gender Differences in BPD Symptom Presentation.","authors":"Saivone N Sanchious, Mark Zimmerman, Shereen Khoo","doi":"10.1521/pedi.2024.38.2.195","DOIUrl":"https://doi.org/10.1521/pedi.2024.38.2.195","url":null,"abstract":"Women are predominantly diagnosed with BPD, with studies estimating a 3:1 female-to-male diagnostic ratio in clinical settings. Previous studies present conflicting findings regarding gender-level criterion differences, with some indicating differences in contradictory criteria. These studies primarily utilize outpatient samples, highlighting gaps in the literature. Thus, the current study investigates gender-level criterion differences, functioning, and impairment within a novel, partial hospital sample. Participants included (a) a sample of 1,153 individuals from the total population of partial hospital patients regardless of BPD diagnosis and (b) 365 BPD-positive patients who were assessed via semistructured clinical interview and provided consent for data collection during the intake process. Results indicated that (a) women endorsed higher relationship instability than men and (b) there were no significant differences in level of functioning across the gender subsamples. Examining gender differences in BPD symptomatology has clinical implications in improving recognition and addressing potential biases associated with men and mental health.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140780679","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
Public Stigma and Continuum Beliefs Across Personality Disorder Severity Levels. 不同人格障碍严重程度的公众污名和连续性信念。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2024-02-01 DOI: 10.1521/pedi.2024.38.1.75
Johannes Stricker, Laureen Hasenburg, Louisa Jakob, Tobias Weigl, Reinhard Pietrowsky
{"title":"Public Stigma and Continuum Beliefs Across Personality Disorder Severity Levels.","authors":"Johannes Stricker, Laureen Hasenburg, Louisa Jakob, Tobias Weigl, Reinhard Pietrowsky","doi":"10.1521/pedi.2024.38.1.75","DOIUrl":"10.1521/pedi.2024.38.1.75","url":null,"abstract":"<p><p>Stigmatizing attitudes toward persons with personality disorders are common. Preliminary evidence suggests that continuum beliefs (the view that presented symptoms lie on a continuum with normality) are associated with reduced personality disorder stigma. This study aimed to evaluate whether this association holds across the entire spectrum of personality disorder severity and whether greater personality disorder severity is linked to higher stigma. A general population sample (<i>N</i> = 848) completed questions about a vignette depicting mild, moderate, or severe personality disorder severity. Higher continuum beliefs were associated with a lower desire for social distance from persons with mild, moderate, or severe personality disorder. In addition, continuum beliefs were higher, and the desired social distance was lower toward a person with mild than a person with moderate or severe personality disorder. Thus, fostering continuum beliefs might aid in combating personality disorder stigma, including toward severely affected persons who experience strong stigmatization.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698716","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 State-Wide Initiative to Improve Health System Responses to People With Borderline Personality Disorder Symptoms in Crisis: A Retrospective Audit. 改善医疗系统对危机中边缘型人格障碍患者的应对措施的全州倡议：回顾性审计。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2024-02-01 DOI: 10.1521/pedi.2024.38.1.87
Dianna R Bartsch, Cathy McLeod Everitt, Jana Bednarz, Cathy Ludbrook, Paul Cammell
{"title":"A State-Wide Initiative to Improve Health System Responses to People With Borderline Personality Disorder Symptoms in Crisis: A Retrospective Audit.","authors":"Dianna R Bartsch, Cathy McLeod Everitt, Jana Bednarz, Cathy Ludbrook, Paul Cammell","doi":"10.1521/pedi.2024.38.1.87","DOIUrl":"10.1521/pedi.2024.38.1.87","url":null,"abstract":"<p><p>Gold Card SA is a four-session structured psychological intervention offered soon after an acute crisis presentation to people with symptoms characteristic of borderline personality disorder. This study describes individual and system-level outcomes from a large-scale health-care improvement initiative to implement Gold Card SA across South Australia. An uncontrolled pre-post study design was utilized examining service user (<i>n</i> = 332) patient-reported outcome measures and hospital service utilization records (6 months before and after Gold Card SA). Mixed-effects negative binomial regression analysis revealed a significant decrease in rates of service utilization across emergency department presentations (63%), mental health-related inpatient admissions (65%), and bed days (82%). Linear mixed-effect regression indicated large reductions in borderline symptoms and nonspecific psychological distress, and small to moderate improvements in psychosocial functioning. People presenting with or experiencing borderline personality disorder symptoms may benefit from a brief crisis intervention embedded within a stepped care model.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698710","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
Commentary: Special Issue on Interpersonal Trust. 评论：人际信任特刊
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2024-02-01 DOI: 10.1521/pedi.2024.38.1.1
John F Clarkin
{"title":"Commentary: Special Issue on Interpersonal Trust.","authors":"John F Clarkin","doi":"10.1521/pedi.2024.38.1.1","DOIUrl":"10.1521/pedi.2024.38.1.1","url":null,"abstract":"<p><p>This commentary reviews the <i>Journal of Personality Disorders</i> special issue \"Interpersonal Trust and Borderline Personality Disorder: Insights From Clinical Practice and Research,\" published in Volume 37, Number 5, October 2023.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698713","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
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