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Journal of Personality Disorders最新文献

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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
Personality Disorder Symptoms in Intermittent Explosive Disorder: A Latent Class Analysis. 间歇性爆发障碍中的人格障碍症状：潜类分析
IF 2.1 3区 医学
Journal of Personality Disorders Pub Date : 2024-02-01 DOI: 10.1521/pedi.2024.38.1.34
Nicole K Ciesinski, Deborah A G Drabick, Mitchell E Berman, Michael S McCloskey
{"title":"Personality Disorder Symptoms in Intermittent Explosive Disorder: A Latent Class Analysis.","authors":"Nicole K Ciesinski, Deborah A G Drabick, Mitchell E Berman, Michael S McCloskey","doi":"10.1521/pedi.2024.38.1.34","DOIUrl":"10.1521/pedi.2024.38.1.34","url":null,"abstract":"<p><p>Intermittent explosive disorder (IED) is characterized by recurrent reactive aggression. IED is associated with significant personality pathology that is suggestive of higher levels of general personality disorder (PD). However, little is known about how personality factors impact the severity and presentation of IED. The present study employed a latent class analysis to assess for distinct PD symptom classes within IED and to evaluate whether these classes differed in terms of severity and behavioral presentation. Statistical and clinical indicators revealed a four-class model, with latent classes distinguished primarily on general levels of PD symptoms (low, moderate, high). However, the two moderate PD symptom classes were distinguished from other classes on avoidant PD. In addition, classes differed in terms of severity and presentation, suggesting important implications for both general PD and avoidant PD comorbidity within IED. Results provide further insight into the heterogeneity within IED and suggest a more nuanced approach in treating this serious condition.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"38 1","pages":"34-52"},"PeriodicalIF":2.1,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11323261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bayesian Decision-Making Under Uncertainty in Borderline Personality Disorder. 边缘型人格障碍患者不确定情况下的贝叶斯决策。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2024-02-01 DOI: 10.1521/pedi.2024.38.1.53
Mathi Manavalan, Xin Song, Tobias Nolte, Peter Fonagy, P Read Montague, Iris Vilares
{"title":"Bayesian Decision-Making Under Uncertainty in Borderline Personality Disorder.","authors":"Mathi Manavalan, Xin Song, Tobias Nolte, Peter Fonagy, P Read Montague, Iris Vilares","doi":"10.1521/pedi.2024.38.1.53","DOIUrl":"10.1521/pedi.2024.38.1.53","url":null,"abstract":"<p><p>Bayesian decision theory suggests that optimal decision-making should use and weigh prior beliefs with current information, according to their relative uncertainties. However, some characteristics of borderline personality disorder (BPD) patients, such as fast, drastic changes in the overall perception of themselves and others, suggest they may be underrelying on priors. Here, we investigated if BPD patients have a general deficit in relying on or combining prior with current information. We analyzed this by having BPD patients (<i>n</i> = 23) and healthy controls (<i>n</i> = 18) perform a coin-catching sensorimotor task with varying levels of prior and current information uncertainty. Our results indicate that BPD patients learned and used prior information and combined it with current information in a qualitatively Bayesian-like way. Our results show that, at least in a lower-level, nonsocial sensorimotor task, BPD patients can appropriately use both prior and current information, illustrating that potential deficits using priors may not be widespread or domain-general.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"38 1","pages":"53-74"},"PeriodicalIF":2.3,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698712","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.2024.38.1.10
Peter Fonagy, Chloe Campbell, Elizabeth Allison, Patrick Luyten
{"title":"Commentary: Special Issue on Interpersonal Trust.","authors":"Peter Fonagy, Chloe Campbell, Elizabeth Allison, Patrick Luyten","doi":"10.1521/pedi.2024.38.1.10","DOIUrl":"10.1521/pedi.2024.38.1.10","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":"10-18"},"PeriodicalIF":2.3,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698714","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
Adverse Childhood Experiences Are Associated With Personality Disorder: A Prospective, Longitudinal Study. 童年的不良经历与人格障碍有关：一项前瞻性纵向研究。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2024-02-01 DOI: 10.1521/pedi.2024.38.1.19
Rosalie Broekhof, Hans M Nordahl, Ingeborg Ulltveit-Moe Eikenæs, Sara G Selvik
{"title":"Adverse Childhood Experiences Are Associated With Personality Disorder: A Prospective, Longitudinal Study.","authors":"Rosalie Broekhof, Hans M Nordahl, Ingeborg Ulltveit-Moe Eikenæs, Sara G Selvik","doi":"10.1521/pedi.2024.38.1.19","DOIUrl":"10.1521/pedi.2024.38.1.19","url":null,"abstract":"<p><p>There is a lack of studies that have prospectively examined adverse childhood experiences (ACEs) in association with a personality disorder (PD). Data from a sample of 8,199 adolescents first assessed for ACEs were linked with subsequent data from the Norwegian Patient Register in order to obtain diagnoses of a PD in adulthood (after a 14-year follow-up). We used logistic regression analysis. Any type of ACE gave a 3.8-fold higher risk of developing a PD. Abuse, more specifically emotional abuse, came out as one of the strongest predictors. Of the adolescents who developed a PD, approximately 90% had a history of ACE. The results of this study support the importance of assessing ACEs, such as abuse, neglect, and household dysfunction, in the diagnostic procedure and treatment for PD.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"38 1","pages":"19-33"},"PeriodicalIF":2.3,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698711","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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