Journal of Personality Disorders最新文献_第7页

Experiences of Stigma and Discrimination in Borderline Personality Disorder: A Systematic Review and Qualitative Meta-Synthesis. 边缘型人格障碍患者的耻辱感和歧视经验:系统回顾和定性综合。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-04-01 DOI: 10.1521/pedi.2023.37.2.177

Ciara Stiles, Rachel Batchelor, Andrew Gumley, Ruchika Gajwani

{"title":"Experiences of Stigma and Discrimination in Borderline Personality Disorder: A Systematic Review and Qualitative Meta-Synthesis.","authors":"Ciara Stiles, Rachel Batchelor, Andrew Gumley, Ruchika Gajwani","doi":"10.1521/pedi.2023.37.2.177","DOIUrl":"https://doi.org/10.1521/pedi.2023.37.2.177","url":null,"abstract":"Individuals with a diagnosis of borderline personality disorder (BPD) typically experience discrimination and stigma, resulting in poor identification and delayed care. We conducted a review to examine and synthesize qualitative studies exploring experiences of stigma and discrimination among individuals with BPD. In August 2021, we systematically searched the following databases: Embase, Medline, Cochrane Library, PsycINFO, and Cinhal. We also hand searched reference lists and Google Scholar. We then synthesized studies using meta-ethnography. We included seven articles in the study, all of high or moderate quality. Five themes were identified: (1) resistance from clinicians (withholding information), (2) othering, (3) negative impact on self-image/esteem, (4) hopelessness surrounding the perceived permanency of BPD, and (5) feeling like a burden. This review highlights the need for improved understanding of BPD across health care services. We also discussed the need to introduce a standardized pathway of care across health services following a BPD diagnosis.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 2","pages":"177-194"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10046907","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 Systematic Review of the Heterogeneity of Schema Therapy. 图式治疗异质性的系统回顾。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-04-01 DOI: 10.1521/pedi.2023.37.2.262

Silvia D M van Dijk, Martine S Veenstra, Rob H S van den Brink, Sebastiaan P J van Alphen, Richard C Oude Voshaar

{"title":"A Systematic Review of the Heterogeneity of Schema Therapy.","authors":"Silvia D M van Dijk, Martine S Veenstra, Rob H S van den Brink, Sebastiaan P J van Alphen, Richard C Oude Voshaar","doi":"10.1521/pedi.2023.37.2.262","DOIUrl":"https://doi.org/10.1521/pedi.2023.37.2.262","url":null,"abstract":"We aimed to explore the heterogeneity of schema therapy regarding (a) patient characteristics, (b) content, and (c) way of delivering schema therapy. A search was conducted of the electronic databases EMBASE, PsycINFO, Web of Science, MEDLINE, and COCHRANE up to June 15, 2022. Treatment studies were eligible if they (a) used schema therapy as (component of) the intervention examined, and (b) reported an outcome measure quantitatively. A total of 101 studies met the inclusion criteria, including randomized controlled trials (n = 30), non-randomized controlled trials (n = 8), pre-post designs (n = 22), cases series (n = 13), and case reports (n = 28), including 4006 patients. Good feasibility was consistently reported irrespective of format (group versus individual), setting (outpatient, day-treatment, inpatient), intensity of treatment, and the specific therapeutic components included. Schema therapy was applied to various (psychiatric) disorders. All studies presented promising results. Effectiveness of the different models of schema therapy as well as application beyond personality disorders should be examined more rigorously.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 2","pages":"233-262"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9690103","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: 1

Cognitive Reappraisal Impairs Negative Affect Regulation in the Context of Social Rejection for Youth With Early-Stage Borderline Personality Disorder. 早期边缘型人格障碍青少年社会排斥情境下的认知重评损害负性情绪调节。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-04-01 DOI: 10.1521/pedi.2023.37.2.156

Elizabeth Pizarro-Campagna, Gill Terrett, Martina Jovev, Peter G Rendell, Julie D Henry, Andrew M Chanen

{"title":"Cognitive Reappraisal Impairs Negative Affect Regulation in the Context of Social Rejection for Youth With Early-Stage Borderline Personality Disorder.","authors":"Elizabeth Pizarro-Campagna, Gill Terrett, Martina Jovev, Peter G Rendell, Julie D Henry, Andrew M Chanen","doi":"10.1521/pedi.2023.37.2.156","DOIUrl":"https://doi.org/10.1521/pedi.2023.37.2.156","url":null,"abstract":"Application of emotion regulation strategies might be susceptible to the context of social rejection for individuals with borderline personality disorder (BPD). This study compared the ability of 27 outpatient youths (15-25 years old) with early-stage BPD and 37 healthy controls (HC) to apply expressive suppression and cognitive reappraisal in standard and socially rejecting laboratory contexts. BPD youths were largely as able as HCs to regulate negative affect across instruction and contexts. However, cognitive reappraisal in the context of social rejection heightened BPD negative facial expression relative to HCs. Thus, while BPD emotion regulation ability was largely normative, cognitive reappraisal might be ineffective in the context of social rejection for this group, with social rejection acting as an accelerant that heightens the expression of negative affect. Given the common experience of perceived and actual social rejection for this group, clinicians should carefully consider treatments that include cognitive reappraisal strategies because they might be contraindicated.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 2","pages":"156-176"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10065250","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

Traumatic Brain Injury and Psychopathic Traits in Justice-Involved Adult Women. 成年司法涉事女性的创伤性脑损伤与心理变态特征。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-04-01 DOI: 10.1521/pedi.2023.37.2.195

Tessa Cappelle, Craig S Neumann, Amanda M Cook, Esther Kim, Carla L Harenski, Bethany G Edwards, Gerard J B Clarke, Jean Decety, Kent A Kiehl

{"title":"Traumatic Brain Injury and Psychopathic Traits in Justice-Involved Adult Women.","authors":"Tessa Cappelle, Craig S Neumann, Amanda M Cook, Esther Kim, Carla L Harenski, Bethany G Edwards, Gerard J B Clarke, Jean Decety, Kent A Kiehl","doi":"10.1521/pedi.2023.37.2.195","DOIUrl":"https://doi.org/10.1521/pedi.2023.37.2.195","url":null,"abstract":"Studies have documented associations between traumatic brain injury (TBI) and mental disorders. The relationship between psychopathic personality and TBI remains poorly understood, though both are associated with similar characteristics (e.g., low empathy, aggression, disturbances in social/moral behavior). Yet, it is not clear whether assessment of psychopathic features is influenced by presence versus absence of TBI, and which aspects of TBI may be associated with psychopathic traits. This study examined the psychopathy-TBI association in justice-involved women (N = 341) with structural equation modeling. We tested if measurement invariance of psychopathic traits was evident among those with versus without TBI and which TBI variables (number, severity, age at first TBI) predicted psychopathic features in conjunction with symptoms of psychopathology, IQ, and age. Results provided evidence of measurement invariance, and more women with TBI, compared to those without, met criteria for psychopathy. Younger age of TBI and TBI severity predicted interpersonal-affective psychopathic features.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 2","pages":"195-212"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10065252","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

"Feeling Invisible": Individuals With Borderline Personality Disorder Underestimate the Transparency of Their Emotions. “感觉隐形”:患有边缘型人格障碍的个体低估了他们情绪的透明度。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-04-01 DOI: 10.1521/pedi.2023.37.2.213

Celine De Meulemeester, Benedicte Lowyck, Bart Boets, Stephanie van der Donck, Yannic Verhaest, Patrick Luyten

{"title":"\"Feeling Invisible\": Individuals With Borderline Personality Disorder Underestimate the Transparency of Their Emotions.","authors":"Celine De Meulemeester, Benedicte Lowyck, Bart Boets, Stephanie van der Donck, Yannic Verhaest, Patrick Luyten","doi":"10.1521/pedi.2023.37.2.213","DOIUrl":"https://doi.org/10.1521/pedi.2023.37.2.213","url":null,"abstract":"The present study investigated transparency estimation, that is, the ability to estimate how observable one's emotions are, in patients diagnosed with borderline personality disorder (BPD) (n = 35) and healthy controls (HCs; n = 35). Participants watched emotionally evocative video clips and estimated the transparency of their own emotional experience while watching the clip. Facial expression coding software (FaceReader) quantified their objective transparency. BPD patients felt significantly less transparent than HCs, but there were no differences in objective transparency. BPD patients tended to underestimate the transparency of their emotions compared to HCs, who in turn overestimated their transparency. This suggests that BPD patients expect that others will not know how they feel, irrespective of how observable their emotions actually are. We link these findings to low emotional awareness and a history of emotional invalidation in BPD, and we discuss their impact on BPD patients' social functioning.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 2","pages":"213-232"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10046908","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 Systematic Review of the Association Between Early Childhood Trauma and Borderline Personality Disorder. 儿童早期创伤与边缘型人格障碍关系的系统综述。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-02-01 DOI: 10.1521/pedi.2023.37.1.16

Yan Yuan, Hyunji Lee, Shaun M Eack, Christina E Newhill

引用次数: 4

Situating Psychopathy Within the DSM-5 Alternative Model of Personality Disorders (AMPD) Among Italian Community-Dwelling Adults. 在意大利社区居住成人的DSM-5人格障碍替代模型(AMPD)中定位精神病。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-02-01 DOI: 10.1521/pedi.2023.37.1.49

Isabella M Palumbo, Claudio Sica, Christopher J Patrick, Robert D Latzman

{"title":"Situating Psychopathy Within the DSM-5 Alternative Model of Personality Disorders (AMPD) Among Italian Community-Dwelling Adults.","authors":"Isabella M Palumbo, Claudio Sica, Christopher J Patrick, Robert D Latzman","doi":"10.1521/pedi.2023.37.1.49","DOIUrl":"https://doi.org/10.1521/pedi.2023.37.1.49","url":null,"abstract":"Given growing evidence for a joint hierarchical framework of clinical and personality symptomatology, situating triarchic traits within this model would acknowledge transdiagnostic trait-related variance and provide a basis for linking the DSM-5 Alternative Model of Personality Disorders (AMPD) domains to established indicators of these neurobehavioral traits. The current study (N = 2,041 Italian adults) sought to replicate and extend recent evidence regarding the locations of triarchic traits within the AMPD and to examine relations with criterion measures at different levels of the hierarchy. \"Bass-ackwards\" analyses revealed a hierarchical structure of personality pathology in which triarchic traits aligned with broad dispositional domains of the AMPD. Boldness, meanness, and disinhibition were clearly situated within the Externalizing branch of the hierarchy and helped to differentiate the Negative Affect, Antagonism, Detachment, and Disinhibition domains at lower levels. The current findings support the view of psychopathy as multidimensional and encompassing developmentally meaningful and neurobehaviorally relevant traits.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 1","pages":"49-70"},"PeriodicalIF":2.3,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10660962","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: 1

Borderline Personality Disorder (BPD) and Complex Posttraumatic Stress Disorder (CPTSD): A Network Analysis in a Highly Traumatized Clinical Sample. 边缘型人格障碍(BPD)和复杂创伤后应激障碍(CPTSD):一个高度创伤临床样本的网络分析。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-02-01 DOI: 10.1521/pedi.2023.37.1.112

Marcin Owczarek, Thanos Karatzias, Eoin McElroy, Philip Hyland, Marylène Cloitre, Leonhard Kratzer, Matthias Knefel, Graeme Grandison, Grace W K Ho, Deborah Morris, Mark Shevlin

{"title":"Borderline Personality Disorder (BPD) and Complex Posttraumatic Stress Disorder (CPTSD): A Network Analysis in a Highly Traumatized Clinical Sample.","authors":"Marcin Owczarek, Thanos Karatzias, Eoin McElroy, Philip Hyland, Marylène Cloitre, Leonhard Kratzer, Matthias Knefel, Graeme Grandison, Grace W K Ho, Deborah Morris, Mark Shevlin","doi":"10.1521/pedi.2023.37.1.112","DOIUrl":"https://doi.org/10.1521/pedi.2023.37.1.112","url":null,"abstract":"Whether complex posttraumatic stress disorder (CPTSD) and borderline personality disorder (BPD) diagnoses differ substantially enough to warrant separate diagnostic classifications has been a subject of controversy for years. To contribute to the nomological network of cumulative evidence, the main goal of the present study was to explore, using network analysis, how the symptoms of ICD-11 PTSD and disturbances in self-organization (DSO) are interconnected with BPD in a clinical sample of polytraumatized individuals (N = 330). Participants completed measures of life events, CPTSD, and BPD. Overall, our study suggests that BPD and CPTSD are largely separated. The bridges between BPD and CPTSD symptom clusters were scarce, with \"Affective Dysregulation\" items being the only items related to BPD. The present study contributes to the growing literature on discriminant validity of CPTSD and supports its distinctiveness from BPD. Implications for treatment are discussed.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 1","pages":"112-129"},"PeriodicalIF":2.3,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10651061","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: 1

Identifying Splitting Through Sentiment Analysis. 通过情感分析识别分裂。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-02-01 DOI: 10.1521/pedi.2023.37.1.36

Tiziano Colibazzi, Avner Abrami, Barry Stern, Eve Caligor, Eric A Fertuck, Michael Lubin, John Clarkin, Guillermo Cecchi

{"title":"Identifying Splitting Through Sentiment Analysis.","authors":"Tiziano Colibazzi, Avner Abrami, Barry Stern, Eve Caligor, Eric A Fertuck, Michael Lubin, John Clarkin, Guillermo Cecchi","doi":"10.1521/pedi.2023.37.1.36","DOIUrl":"https://doi.org/10.1521/pedi.2023.37.1.36","url":null,"abstract":"In Kernerg's Object Relations Theory model of personality pathology, splitting, the mutual polarization of aspects of experience, is thought to result in a failure of identity integration. The authors sought to identify a clinician-independent, automated measure of splitting by examining 54 subjects' natural speech. Splitting in these individuals, recruited from the community, was investigated and evaluated with a shortened version of the Structured Interview of Personality Organization (STIPO-R). A type of automated sentiment textual analysis called VADER was applied to transcripts from the section of the STIPO-R that probes identity integration. Higher variability in speech valence, more negative minimum valence, and more frequent shifts in valence polarity were associated with more severe identity disturbance. The authors concluded that the degree of splitting elicited during the description of self and others is related to the degree of identity disturbance, and to the degree of negativity and instability of these descriptions of self and others.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 1","pages":"36-48"},"PeriodicalIF":2.3,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10660958","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

Attitudes, Clinical Practices, and Perceived Advocacy Needs of Professionals With Interests in Personality Disorders. 对人格障碍感兴趣的专业人员的态度、临床实践和感知的倡导需求。

IF 2.3 3区医学

Journal of Personality Disorders Pub Date : 2023-02-01 DOI: 10.1521/pedi.2023.37.1.1

William D Ellison, Steven Huprich, Alex Behn, Marianne Goodman, Sophie Kerr, Kenneth N Levy, Sharon M Nelson, Carla Sharp

{"title":"Attitudes, Clinical Practices, and Perceived Advocacy Needs of Professionals With Interests in Personality Disorders.","authors":"William D Ellison, Steven Huprich, Alex Behn, Marianne Goodman, Sophie Kerr, Kenneth N Levy, Sharon M Nelson, Carla Sharp","doi":"10.1521/pedi.2023.37.1.1","DOIUrl":"https://doi.org/10.1521/pedi.2023.37.1.1","url":null,"abstract":"Experts in personality disorders (PDs) generally prefer dimensional diagnostic systems to categorical ones, but less is known about experts' attitudes toward personality pathology diagnoses in adolescents, and little is known about public health shortfalls and advocacy needs and how these might differ geographically. To fill these gaps, the International Society for the Study of Personality Disorders surveyed 248 professionals with interests in PDs about their attitudes toward different diagnostic systems for adults and adolescents, their PD-related clinical practices, and perceived advocacy needs in their area. Results suggested that dimensional diagnostic systems are preferable to categorical and that skepticism about personality pathology in adolescents may not be warranted. The most pressing advocacy need was the increased availability of PD-related services, but many other needs were identified. Results provide a blueprint for advocacy and suggest ways that professional societies can collaborate with public health bodies to expand the reach of PD expertise and services.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 1","pages":"1-15"},"PeriodicalIF":2.3,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10315220/pdf/nihms-1909807.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9740775","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: 1