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Journal of Personality Disorders最新文献

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Mapping Emotion Regulation Patterns Within the Alternative Model of Personality Disorders Personality Traits. 绘制人格障碍人格特质替代模型中的情绪调节模式图。
IF 2.1 3区 医学
Journal of Personality Disorders Pub Date : 2024-08-01 DOI: 10.1521/pedi.2024.38.4.311
Lewis B Stulcbauer, Wai Chen, James J Gross, Robert F Krueger, David A Preece
{"title":"Mapping Emotion Regulation Patterns Within the Alternative Model of Personality Disorders Personality Traits.","authors":"Lewis B Stulcbauer, Wai Chen, James J Gross, Robert F Krueger, David A Preece","doi":"10.1521/pedi.2024.38.4.311","DOIUrl":"https://doi.org/10.1521/pedi.2024.38.4.311","url":null,"abstract":"<p><p>Personality pathology is associated with emotional problems that are potentially attributable to problematic emotion regulation strategy patterns. We evaluated the emotion regulation strategies associated with the pathological personality traits in the Alternative Model of Personality Disorders (AMPD). A total of 504 participants completed measures of AMPD traits and strategy usage, which were analyzed using hierarchical regressions and latent profile analysis (LPA). Regression results demonstrated that each trait was associated with a unique strategy pattern: <i>negative affect</i> with emotional overengagement, <i>detachment</i> with socialemotional avoidance, <i>antagonism</i> with emotional externalization/avoidance, <i>disinhibition</i> with emotional avoidance and overengagement, and <i>psychoticism</i> with strategies linked to psychotic/dissociative experiences. The LPA identified three profiles with heightened AMPD traits: an internalizing/distressed profile, an externalizing/distressed profile, and a schizoid-schizotypal profile; each had a unique strategy pattern that varied depending on trait composition. This research highlights the relevance of emotion regulation strategy patterns in the assessment, conceptualization, and treatment of personality pathology.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"38 4","pages":"311-329"},"PeriodicalIF":2.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879545","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
Understanding the Interplay Between ICD-11 Complex PTSD and Personality Disorder Features in Relation to Traumatic Life Events in a Trauma-Exposed Community Sample. 了解创伤暴露社区样本中 ICD-11 复杂创伤后应激障碍和人格障碍特征与创伤性生活事件之间的相互作用。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2024-06-01 DOI: 10.1521/pedi.2024.38.3.207
Sally Jowett, Philip Hyland, Maj Hansen, Bo Bach
{"title":"Understanding the Interplay Between <i>ICD-11</i> Complex PTSD and Personality Disorder Features in Relation to Traumatic Life Events in a Trauma-Exposed Community Sample.","authors":"Sally Jowett, Philip Hyland, Maj Hansen, Bo Bach","doi":"10.1521/pedi.2024.38.3.207","DOIUrl":"https://doi.org/10.1521/pedi.2024.38.3.207","url":null,"abstract":"<p><p>In the ICD-11, PD and CPTSD overlap in impaired aspects of self- and interpersonal functioning, with implications for assessment and treatment. This article aimed to explore the relationship between CPTSD and PD features. A trauma-exposed community sample in Denmark (<i>N</i> = 470) completed the ITQ, PDS-ICD-11, and BTQ. Data were analyzed using exploratory structural equation modeling. Both two- and three-factor models were viable. In the two-factor model, both disturbances in self-organization (DSO) and PD items belonged to the same disturbed self-interpersonal functioning factor. Both factors predicted quality of life and functioning and were predicted by number of life events. In the three-factor model (PTSD, DSO, and PD), there was some overlap between DSO and PD items. Number of life events predicted belonging to the PTSD and DSO classes but not the PD class. The findings demonstrate clear overlapping and differentiating features. Multiple traumas and functioning in self-concept and relationships appear to differentiate.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"38 3","pages":"207-224"},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141301874","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
Theoretical and Empirical Integration of "Dark" Traits and Socially Aversive Personality Psychopathology. 黑暗 "特质与社会厌恶型人格心理病理学的理论与实证整合。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2024-06-01 DOI: 10.1521/pedi.2024.38.3.241
David D Scholz, Johannes Zimmermann, Morten Moshagen, Ingo Zettler, Benjamin E Hilbig
{"title":"Theoretical and Empirical Integration of \"Dark\" Traits and Socially Aversive Personality Psychopathology.","authors":"David D Scholz, Johannes Zimmermann, Morten Moshagen, Ingo Zettler, Benjamin E Hilbig","doi":"10.1521/pedi.2024.38.3.241","DOIUrl":"https://doi.org/10.1521/pedi.2024.38.3.241","url":null,"abstract":"<p><p>Conceptual work integrating constructs from mainstream personality research (especially so-called \"dark\" traits) and clinical psychopathology research has been limited. Herein, we propose <i>all</i> socially and/or ethically aversive traits as \"flavored\" manifestations of the D factor of personality (D). We argue that the D framework provides the commonality of all aversive traits, including the aversive traits from the <i>DSM-5</i> Alternative Model for Personality Disorders (AMPD), a more thorough theoretical foundation. Moreover, D covers aspects that are not captured by any of the aversive AMPD traits directly (e.g., greed), thus offering indications for possible expansions to the AMPD. We tested our predictions in two online studies (<i>N</i> = 1,781 and <i>N</i> = 2,006) using quota-representative samples of the German population regarding age and gender. Twelve aversive traits from mainstream personality research and eight aversive AMPD traits were assessed together with consequential behavior in an economic game. Analyses using structural equation modeling overall confirmed predictions.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"38 3","pages":"241-267"},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141301873","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
Reported Personality Traits and Histories of Childhood Maltreatment in Borderline Personality Disorder and Bipolar 2 Disorder: A Comparative Study. 边缘型人格障碍和双相情感障碍中的人格特征和童年虐待史：比较研究。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2024-06-01 DOI: 10.1521/pedi.2024.38.3.301
D Bradford Reich, Jalan Gatchell, Nathaniel Lovell-Smith, Boyu Ren, Mary C Zanarini
{"title":"Reported Personality Traits and Histories of Childhood Maltreatment in Borderline Personality Disorder and Bipolar 2 Disorder: A Comparative Study.","authors":"D Bradford Reich, Jalan Gatchell, Nathaniel Lovell-Smith, Boyu Ren, Mary C Zanarini","doi":"10.1521/pedi.2024.38.3.301","DOIUrl":"https://doi.org/10.1521/pedi.2024.38.3.301","url":null,"abstract":"<p><p>This study compared borderline personality disorder (BPD) and bipolar 2 disorder (BP 2 disorder) with respect to reported childhood trauma and Five-Factor personality traits using the Childhood Trauma Questionnaire (CTQ) and the NEO Five-Factor Inventory (NEO-FFI). Participants were 50 men and women, aged 18-45, with <i>DSM</i>-5-diagnosed BPD and 50 men and women in the same age group with <i>DSM</i>-5-diagnosed BP 2 disorder. Participants could not meet criteria for both BPD and BP 2 disorder. Borderline participants had significantly higher scores on the neuroticism subscale and significantly lower scores on the agreeableness subscale of the NEO-FFI. After correction for multiple comparisons, there were no between-group differences on CTQ scores. Study results suggest that BPD and BP 2 disorder differ primarily with respect to underlying temperament/genetic architecture and that environmental factors have only a limited role in the differential etiologies of the two disorders.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"38 3","pages":"301-310"},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141301872","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
Maternal Borderline Personality Disorder Severity and Parenting Behaviors During Conflict Discussions With Adolescent Offspring. 母亲边缘型人格障碍的严重程度与与青少年后代讨论冲突时的养育行为。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2024-06-01 DOI: 10.1521/pedi.2024.38.3.284
Sophie Kerr, Breana R Cervantes, Stephanie Stepp, Carla Sharp
{"title":"Maternal Borderline Personality Disorder Severity and Parenting Behaviors During Conflict Discussions With Adolescent Offspring.","authors":"Sophie Kerr, Breana R Cervantes, Stephanie Stepp, Carla Sharp","doi":"10.1521/pedi.2024.38.3.284","DOIUrl":"https://doi.org/10.1521/pedi.2024.38.3.284","url":null,"abstract":"<p><p>Examining the impact of maternal borderline personality disorder (BPD) on parent-child interactions could elucidate pathways of intergenerational risk and inform intervention. The current study used an expanded version of the Observing Mediational Interactions to investigate (a) associations between maternal BPD symptom severity and mediational parenting behaviors during conflict discussions with clinically referred early adolescent offspring (<i>N</i> = 56, age = 10-15, 54% female) and their mothers, and (b) the potential moderating role of early adolescent BPD symptom severity in those associations. Consistent with hypotheses, mothers with higher levels of BPD symptom severity engaged in fewer positive emotional/attachment-based behaviors and more negative (i.e., invalidating, controlling, coercive, or insensitive) parenting behaviors. Only parent-reported, but not self-reported, adolescent BPD severity moderated these associations; maternal BPD severity was significantly associated only with negative parenting in dyads with low-to-moderate levels of parent-reported adolescent BPD severity. We discuss implications including targeting attachment-based and negative parenting behaviors in intervention.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"38 3","pages":"284-300"},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141301870","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
An Evolutionary Perspective on the DSM-5 Alternative Model for Personality Disorders. DSM-5 人格障碍替代模型的进化视角。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2024-06-01 DOI: 10.1521/pedi.2024.38.3.268
Matthew M Yalch, Sydney N Stone
{"title":"An Evolutionary Perspective on the <i>DSM-5</i> Alternative Model for Personality Disorders.","authors":"Matthew M Yalch, Sydney N Stone","doi":"10.1521/pedi.2024.38.3.268","DOIUrl":"https://doi.org/10.1521/pedi.2024.38.3.268","url":null,"abstract":"<p><p>Recent work has nested the Alternative Model for Personality Disorders (AMPD) within several theoretical paradigms of personality and clinical psychology (e.g., multivariate, psychodynamic). This has both spurred on additional research and aided in practical application. Connecting the model to other theoretical heuristics may lead to further advances. One candidate for such a theory is that of evolutionary psychology, which attempts to provide explanations of human behavior (including personality traits) rooted in adaptation. In this article, we review and integrate the theoretical and empirical literature on the AMPD and evolutionary psychology, providing a synthesis of the two models in the hope of furthering the research and application of both.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"38 3","pages":"268-283"},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141301869","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
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":"38 3","pages":"225-240"},"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
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":"38 1","pages":"75-86"},"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":"38 1","pages":"87-108"},"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":"38 1","pages":"1-9"},"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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