Ansley M Bender, Ronan L H Wilson, Lisa Borntrager, Edmund W Orlowski, Kim Gryglewicz, Marc S Karver
{"title":"Evaluating Dialectical Behavior Therapy Training With Mental Health Clinicians.","authors":"Ansley M Bender, Ronan L H Wilson, Lisa Borntrager, Edmund W Orlowski, Kim Gryglewicz, Marc S Karver","doi":"10.1521/pedi.2023.37.1.95","DOIUrl":"https://doi.org/10.1521/pedi.2023.37.1.95","url":null,"abstract":"<p><p>A substantial body of research supports dialectical behavior therapy (DBT) as an evidence-based treatment for those with borderline personality disorder (BPD); however, there remains a lack of mental health clinicians trained in this modality, resulting in limited clinician competencies and skills. Furthermore, the effectiveness of DBT trainings with mental health clinicians remains understudied. The present study evaluated a comprehensive 5-day DBT-Linehan Board of Certification training program. Informed by the Theory of Planned Behavior, this study assessed changes in clinician knowledge, attitudes, perceived behavioral control (PBC), intentions, and behaviors relevant to DBT at baseline, posttraining, and 6-month follow-up. Results showed large, significant pre-to-post training improvements in clinicians' knowledge, attitudes, PBC, and intentions related to DBT implementation. Large improvements in knowledge, attitudes, and PBC were sustained at follow-up. A significant improvement in actual behaviors was also found at follow-up. Implications of the present study and directions for future research are discussed.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 1","pages":"95-111"},"PeriodicalIF":2.3,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10651062","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}
Emma Veltman, Richie Poulton, Christopher J Patrick, Martin Sellbom
{"title":"Construct Validity of Triarchic Model Traits in the Dunedin Multidisciplinary Health and Development Study Using the Multidimensional Personality Questionnaire.","authors":"Emma Veltman, Richie Poulton, Christopher J Patrick, Martin Sellbom","doi":"10.1521/pedi.2023.37.1.71","DOIUrl":"https://doi.org/10.1521/pedi.2023.37.1.71","url":null,"abstract":"<p><p>The triarchic model of psychopathy emphasizes the role of three phenotypic personality domains (boldness, meanness, and disinhibition) that have been operationalized using the well-established Multidimensional Personality Questionnaire. The present study sought to further validate the MPQ-Tri scales and examine their temporal stability and predictive validity across two time points (ages 18 and 26) from the Dunedin Multidisciplinary Health and Development Study, a population-representative and longitudinal sample (<i>N</i> = 1,037). This investigation necessitated modification of the MPQ-Tri scales to enable their use in a broader range of samples, including the Dunedin Study. The revised MPQ-Tri scales demonstrated good temporal stability, and correlation and multiple linear regression analyses predominantly revealed associations consistent with theoretical expectations. Overall, the findings provide support for the MPQ-Tri scales as reliable, stable, and valid measures of the triarchic constructs, which provide a unique opportunity to examine highly novel research questions concerning psychopathy in a wide variety of samples.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 1","pages":"71-94"},"PeriodicalIF":2.3,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10651063","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}
Chandler J McDaniel, Hilary L DeShong, Katrina Rufino, Michael R Nadorff
{"title":"The Synergistic Effects of Neuroticism and Extraversion on Suicidal Ideation, Single Attempts, and Multiple Attempts in an Inpatient Sample.","authors":"Chandler J McDaniel, Hilary L DeShong, Katrina Rufino, Michael R Nadorff","doi":"10.1521/pedi.2022.36.6.717","DOIUrl":"https://doi.org/10.1521/pedi.2022.36.6.717","url":null,"abstract":"<p><p>The current study sought to investigate the differential risk/protective factors of neuroticism and extraversion among individuals with only suicide ideation, those with a single suicide attempt, and those with multiple attempts. We hypothesized that extraversion would moderate the relation between neuroticism and suicide attempts (single and multiple) but not ideation. Patients in a private facility (N = 3343) completed measures assessing suicide history and general personality traits. Four moderation analyses were conducted with extraversion moderating the relationship between neuroticism and suicide ideation, single attempt (compared to zero attempts), and multiple attempts (compared to zero attempts and to single attempts). Extraversion moderated neuroticism only when comparing individuals with multiple suicide attempts to those with no attempts. Individuals who were low in both neuroticism and extraversion had higher levels of attempts than individuals with low neuroticism and high extraversion, highlighting the importance of considering biological predispositions as risk factors for suicide.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"36 6","pages":"717-730"},"PeriodicalIF":2.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10782163","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}
Allison M Letkiewicz, Justin D Spring, Vivian L Carrillo, Stewart A Shankman
{"title":"Examining the Construct Validity of Borderline Personality Traits Using Familial Aggregation and Other External Validators.","authors":"Allison M Letkiewicz, Justin D Spring, Vivian L Carrillo, Stewart A Shankman","doi":"10.1521/pedi.2022.36.6.641","DOIUrl":"https://doi.org/10.1521/pedi.2022.36.6.641","url":null,"abstract":"<p><p>Numerous studies have questioned the reliability and validity of borderline personality disorder's (BPD) categorical conceptualization. <i>DSM-5</i> Section III's alternative trait-based model of BPD may better capture borderline pathology, but aspects of its validity should be further established. Thus, the authors examined whether a latent BPD factor derived from Section III traits exhibits (1) familial aggregation among siblings and (2) association with constructs related to borderline pathology. The authors also tested whether gender moderated associations. A total of 498 community-recruited adults completed the Personality Inventory for <i>DSM-5</i>, a behavioral assessment of risk-taking, and reported their history of childhood maltreatment, substance use, nonsuicidal self-injury, and suicidal ideation. Familial aggregation was assessed among 232 sibling pairs. Siblings' BPD scores were significantly correlated and most external validators were significantly associated with BPD, with the exception of risk-taking. Results did not vary by gender. Findings further support the construct validity of Section III's BPD trait profile.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"36 6","pages":"641-661"},"PeriodicalIF":2.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10074705/pdf/nihms-1883274.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9266794","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}
Kathryn C Kemp, Jessica A Kaczorowski, Christopher J Burgin, Michael L Raulin, Donald R Lynam, Chelsea Sleep, Joshua D Miller, Neus Barrantes-Vidal, Thomas R Kwapil
{"title":"Association of Multidimensional Schizotypy with PID-5 Domains and Facets.","authors":"Kathryn C Kemp, Jessica A Kaczorowski, Christopher J Burgin, Michael L Raulin, Donald R Lynam, Chelsea Sleep, Joshua D Miller, Neus Barrantes-Vidal, Thomas R Kwapil","doi":"10.1521/pedi.2022.36.6.680","DOIUrl":"https://doi.org/10.1521/pedi.2022.36.6.680","url":null,"abstract":"<p><p>The underlying vulnerability for schizophrenia-spectrum disorders is expressed across a continuum of clinical and subclinical symptoms referred to as schizotypy. Schizotypy is a multidimensional construct with positive, negative, and disorganized dimensions. The present study examined associations of positive, negative, and disorganized schizotypy with pathological personality traits and facets assessed by the Personality Inventory for <i>DSM-5</i> (PID-5) in 1,342 young adults. As hypothesized, positive schizotypy was associated with the PID-5 psychoticism domain and facets, negative schizotypy was associated with the detachment domain and facets and the restricted affectivity facet, and disorganized schizotypy's strongest associations were with the distractibility and eccentricity facets and the negative affect domain. The PID-5 facets accounted for upwards of two thirds of the variance in each schizotypy dimension. The authors conclude by providing regression-based algorithms for computing positive, negative, and disorganized schizotypy scores based on the PID-5 facets.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"36 6","pages":"680-700"},"PeriodicalIF":2.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10851089","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}
Katie Aafjes-van Doorn, David Kealy, Johannes C Ehrenthal, John S Ogrodniczuk, Anthony S Joyce, Rainer Weber
{"title":"The Relationship Between Patients' Personality Traits, the Alliance, and Change in Interpersonal Distress in Intensive Group Treatment for Personality Dysfunction.","authors":"Katie Aafjes-van Doorn, David Kealy, Johannes C Ehrenthal, John S Ogrodniczuk, Anthony S Joyce, Rainer Weber","doi":"10.1521/pedi.2022.36.6.731","DOIUrl":"https://doi.org/10.1521/pedi.2022.36.6.731","url":null,"abstract":"<p><p>This study examined patients' personality traits as operationalized by the five-factor model in relation to early alliance and reduction of interpersonal distress through an intensive group treatment program for personality dysfunction. A sample of 79 consecutively admitted psychiatric outpatients with personality dysfunction who attended an 18-week intensive group treatment program completed the NEO Five-Factor Inventory at pretreatment, the Inventory of Interpersonal Problems at pre- and posttreatment, and the Edmonton Therapeutic Alliance Scale, a measure of the therapeutic alliance with the program therapist, at Session 5. Results indicated that patients who were relatively extraverted tended to rate the alliance with their program therapist higher and subsequently reported more improvement of interpersonal distress. The presence of a personality disorder did not moderate this mediation. Patients' extraversion likely promotes a bonding with the therapist and facilitates the interpersonal group work necessary for improvement. Assessing patients' level of extraversion before starting intensive group treatment might indicate which intervention strategies could be useful with that patient within the program frame.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"36 6","pages":"731-748"},"PeriodicalIF":2.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10800223","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}
Yann Le Corff, Anton Aluja, Gina Rossi, Mélanie Lapalme, Karine Forget, Luis F García, Jean-Pierre Rolland
{"title":"Construct Validity of the Dutch, English, French, and Spanish LPFS-BF 2.0: Measurement Invariance Across Language and Gender and Criterion Validity.","authors":"Yann Le Corff, Anton Aluja, Gina Rossi, Mélanie Lapalme, Karine Forget, Luis F García, Jean-Pierre Rolland","doi":"10.1521/pedi.2022.36.6.662","DOIUrl":"https://doi.org/10.1521/pedi.2022.36.6.662","url":null,"abstract":"<p><p>With the introduction of the Alternative Model of Personality Disorders in the <i>DSM-5</i>, the need for short measures of the level of personality functioning has emerged, both for screening purposes and for assessing change during treatment. The Level of Personality Functioning Scale-Brief Form 2.0 (LPFS-BF 2.0) was constructed for this and has received support for its two-factor structure and criterion validity. The authors aimed to provide additional construct validity evidence for the LPFS-BF 2.0 by examining its factor structure and measurement invariance across the Dutch, English, French, and Spanish versions and across gender, and its criterion validity. Results showed that the two-factor model had a good fit to the data in the four linguistic versions. Configural and metric invariance were supported across linguistic versions and gender, while scalar invariance was partially supported. Reporting a mental health disorder and having consulted with a mental health professional were associated with higher LPFS-BF 2.0 scores.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"36 6","pages":"662-679"},"PeriodicalIF":2.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10782164","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}
Dominic M Denning, Rory T Newlands, Arianna Gonzales, Lorraine T Benuto
{"title":"Borderline Personality Disorder Symptoms in a Community Sample of Sexually and Gender Diverse Adults.","authors":"Dominic M Denning, Rory T Newlands, Arianna Gonzales, Lorraine T Benuto","doi":"10.1521/pedi.2022.36.6.701","DOIUrl":"https://doi.org/10.1521/pedi.2022.36.6.701","url":null,"abstract":"<p><p>The current study aimed to identify borderline personality disorder (BPD) symptom disparities in sexually and/or gender diverse adults, determine if BPD symptoms vary across sexual orientation and gender identity, and identify factors related to BPD symptoms in this population. A sample of 218 sexually and gender diverse adults completed measures for BPD symptoms and trauma/stressors. Results suggest that sexually and/or gender diverse adults scored higher on six of the nine diagnostic criteria for BPD and were likely to have a probable BPD diagnosis, although these disparities were not observed across groups. Factors such as age, abuse and neglect and stigmatizing events were associated with more BPD symptoms, although the relationship between stigma and BPD symptoms did not remain when controlling for other factors. Results suggest that sexual orientation and gender identity are important factors when investigating BPD, and stigma may in part account for this disparity, although future research is needed.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"36 6","pages":"701-716"},"PeriodicalIF":2.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10782165","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}
{"title":"Identity and Personality Pathology: A Convergence Across the <i>DSM-5</i> Personality Disorder Model and the Alternative Model for Personality Disorders.","authors":"Alexandra L Vizgaitis, Mark F Lenzenweger","doi":"10.1521/pedi.2022.36.5.537","DOIUrl":"https://doi.org/10.1521/pedi.2022.36.5.537","url":null,"abstract":"<p><p>Long-standing theory regarding personality pathology as well as the recently proposed <i>DSM-5</i> Alternative Model for Personality Disorders (AMPD) posit that self/identity problems are a hallmark feature cutting across forms of personality pathology. With emergence of the AMPD, researchers have started to focus empirical investigations on identity pathology as a transdiagnostic factor across personality pathology. The current study investigated identity pathology across indicators of personality pathology from both the current categorical perspective (<i>DSM-5</i> PD) and the dimensional perspective in the AMPD. Identity diffusion and low self-concept clarity were correlated with all PD feature scales and all maladaptive personality dimension scales. Regression analyses revealed most indicators of personality pathology were significant correlates of identity diffusion and low self-concept clarity. Borderline and Avoidant PD feature scales and Negative Affectivity and Detachment maladaptive personality dimension scales emerged as the strongest correlates of identity pathology. The role that identity pathology plays in personality pathology is highlighted.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"36 5","pages":"537-558"},"PeriodicalIF":2.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40386595","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}
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}