Dominick Gamache, Philippe Leclerc, Maude Payant, Kristel Mayrand, Marie-Chloé Nolin, Louis-Alexandre Marcoux, Stéphane Sabourin, Marc Tremblay, Claudia Savard
{"title":"Preliminary Steps Toward Extracting the Specific Alternative Model for Personality Disorders Diagnoses From Criteria A and B Self-Reports.","authors":"Dominick Gamache, Philippe Leclerc, Maude Payant, Kristel Mayrand, Marie-Chloé Nolin, Louis-Alexandre Marcoux, Stéphane Sabourin, Marc Tremblay, Claudia Savard","doi":"10.1521/pedi_2012_35_541","DOIUrl":"https://doi.org/10.1521/pedi_2012_35_541","url":null,"abstract":"<p><p>The Alternative <i>DSM-5</i> Model for Personality Disorders (AMPD) retains six specific personality disorders (PDs) that can be diagnosed based on Criterion A level of impairment and Criterion B maladaptive facets. Those specific diagnoses are still underresearched, despite the preference expressed by most PD scholars for a mixed/hybrid classification. This study explores the possibility of using Criterion A and B self-report questionnaires to extract the specific AMPD diagnoses. Plausible prevalence estimates were found in three samples (outpatient PD, private practice, community; <i>N</i> = 766) using the facet score ≥ 2 and <i>t</i> score > 65 methods for determining the presence of a Criterion B facet; diagnoses had meaningful correlations with external variables. This study provides evidence-albeit preliminary-that the extraction of the specific AMPD PDs from self-report questionnaires might be a viable avenue. Ultimately, it could promote the use and dissemination of those diagnoses for screening purposes in clinical and research settings.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"36 4","pages":"476-488"},"PeriodicalIF":2.3,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39786259","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":"<i>Why</i>, <i>How</i>, and <i>When</i> to Integrate Narrative Identity Within Dimensional Approaches to Personality Disorders.","authors":"Majse Lind, Carla Sharp, William L Dunlop","doi":"10.1521/pedi_2012_35_540","DOIUrl":"https://doi.org/10.1521/pedi_2012_35_540","url":null,"abstract":"<p><p>Researchers and clinicians are beginning to adopt dimensional approaches in the study and treatment of personality disorders (PD). Although dimensional approaches in the <i>DSM-5</i> and ICD-11 hold considerable benefit, they need to better incorporate an appreciation of individuals' life stories, or narrative identities. Doing so will be necessary to flesh out the emphasis that both frameworks place on the role of identity in personality pathology. In this article, the authors review <i>why, how</i>, and <i>when</i> narrative identity theory and research can be integrated within dimensional approaches to PD. The authors describe established ways to assess narrative identity, review extant research on this construct in relation to PD, and signal areas crucial for future research. Stories lie at the heart of what it means to be human. The authors conclude that a greater consideration of the ways in which the self is storied can help further understanding and treatment of PD.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"36 4","pages":"377-398"},"PeriodicalIF":2.3,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39875413","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}
Emily R. Edwards, Hannah Tran, Joseph Wrobleski, Yocheved Rabhan, Justin Yin, Catarina Chiodi, M. Goodman, Joseph C. Geraci
{"title":"Prevalence of Personality Disorders Across Veteran Samples: A Meta-Analysis.","authors":"Emily R. Edwards, Hannah Tran, Joseph Wrobleski, Yocheved Rabhan, Justin Yin, Catarina Chiodi, M. Goodman, Joseph C. Geraci","doi":"10.1521/pedi.2022.36.3.339","DOIUrl":"https://doi.org/10.1521/pedi.2022.36.3.339","url":null,"abstract":"Despite priorities around mental health, Veteran health care organizations have historically considered personality disorders to be preexisting conditions ineligible for disability benefits. However, growing evidence suggests potentially elevated prevalence of these disorders among military and Veteran samples and attests to implications of risk. The current study provides a meta-analytic review of literature on the prevalence of personality disorders in Veteran samples. Analysis of 27 unique samples, comprising 7,161 Veterans, suggests alarmingly high rates of Veteran personality disorders. Prevalence was highest for paranoid (23%) and borderline (21%) personality disorders and lowest for histrionic (0.8%) personality disorder. Rates were generally highest among Veterans experiencing substance use or elevated suicide risk and among studies establishing diagnoses through clinical interview (versus official medical record review). Results attest to the need for Veteran health care organizations to acknowledge personality disorders in this population, through both research and treatment, and to consider reclassifying personality disorders as potential \"service-connected conditions.\"","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"36 3 1","pages":"339-358"},"PeriodicalIF":2.3,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42977448","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}
A. Aluja, M. Sorrel, L. F. García, Ó. García, F. Gutiérrez
{"title":"Factor Convergence and Predictive Analysis of the Five Factor and Alternative Five Factor Personality Models with the Five-Factor Personality Inventory for ICD-11 (FFICD).","authors":"A. Aluja, M. Sorrel, L. F. García, Ó. García, F. Gutiérrez","doi":"10.1521/pedi_2021_35_542","DOIUrl":"https://doi.org/10.1521/pedi_2021_35_542","url":null,"abstract":"The authors analyze and compare the factor convergence and predictive power of the Revised NEO Personality Inventory (NEO-PI-R) and the Zuckerman-Kuhlman-Aluja Personality Questionnaire (ZKA-PQ/SF) with respect to the Five-Factor Personality Inventory for ICD-11 (FFiCD). A total of 803 White Spanish subjects were analyzed. All the personality domains had significant predictive power with regard to the FFiCD except NEO Openness. The explained variance of the personality domains with respect to FFiCD Negative Affectivity (71% and 77%) and Detachment (56% and 56%) were similar for NEO-PI-R and ZKA-PQ/SF, respectively, but the NEO-PI-R accounted for greater variance for FFiCD Anankastia, Dissociality, and Disinhibition. The FFiCD facets of Rashness, Thrill- Seeking (Disinhibition), and Unassertiveness (Detachment) were located in factors other than those theoretically expected. The authors conclude that normal personality measured by the NEO-PI-R and the ZKA-PQ/SF contribute, in a differential but complementary way, to knowledge of the maladaptive personality measured by the FFiCD.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"36 3 1","pages":"296-319"},"PeriodicalIF":2.3,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42631526","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}
Nina Bertele, A. Talmon, J. Gross, C. Schmahl, Marius Schmitz, I. Niedtfeld
{"title":"Childhood Maltreatment and Borderline Personality Disorder: The Mediating Role of Difficulties with Emotion Regulation.","authors":"Nina Bertele, A. Talmon, J. Gross, C. Schmahl, Marius Schmitz, I. Niedtfeld","doi":"10.1521/pedi.2022.36.3.264","DOIUrl":"https://doi.org/10.1521/pedi.2022.36.3.264","url":null,"abstract":"Exposure to childhood maltreatment (CM) increases the risk of developing borderline personality disorder (BPD). However, it remains unclear what mechanisms might mediate this link. One candidate of interest is difficulties with emotion regulation. This study aims to examine the pattern of relations among CM, difficulties with emotion regulation, and the risk of developing BPD. A total of 162 individuals diagnosed with current BPD and 162 matched healthy controls completed self-reported questionnaires assessing CM and difficulties with emotion regulation. The authors found high correlations between CM and BPD diagnosis (r = .73, p < .001). Difficulties with emotion regulation were found to mediate the link between CM and BPD diagnosis (p < .001). Results suggest that CM may play a key role in the etiology of BPD and that difficulties with emotion regulation might be a mediating component between CM and BPD.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"36 3 1","pages":"264-276"},"PeriodicalIF":2.3,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44617722","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}
J. Dvoskin, S. Golding, K. Heilbrun, E. Cauffman, D. DeMatteo, J. Edens, S. Hart, E. Mulvey, Jennifer L Skeem, Jodi L. Viljoen, G. Vincent
{"title":"Psychopathic Personality in Early Childhood: A Critical Comment on Lopez-Romero et al. (2021).","authors":"J. Dvoskin, S. Golding, K. Heilbrun, E. Cauffman, D. DeMatteo, J. Edens, S. Hart, E. Mulvey, Jennifer L Skeem, Jodi L. Viljoen, G. Vincent","doi":"10.1521/pedi.2022.36.3.249","DOIUrl":"https://doi.org/10.1521/pedi.2022.36.3.249","url":null,"abstract":"A recent article published in the Journal of Personality Disorders (López-Romero et al., 2021) described the identification of \"putative psychopathic personality\" in a school cohort of 3-6-year-old children from Spain. This comment offers cautionary considerations of the original article on scientific grounds and critical comments on policy grounds. We caution researchers, policymakers, attorneys, judges, and the general public about the dangers of using this label given present knowledge about the antecedents, early indicators, and stability of the adult disorder of psychopathic personality when assessed in childhood.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"36 3 1","pages":"249-253"},"PeriodicalIF":2.3,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42866791","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}
Whitney R Ringwald, Michael N Hallquist, Alexandre Y Dombrovski, Aidan G C Wright
{"title":"Transdiagnostic Associations With Interpersonal and Affective Variability in Borderline Personality Pathology.","authors":"Whitney R Ringwald, Michael N Hallquist, Alexandre Y Dombrovski, Aidan G C Wright","doi":"10.1521/pedi.2022.36.3.320","DOIUrl":"https://doi.org/10.1521/pedi.2022.36.3.320","url":null,"abstract":"<p><p>Emotional and behavioral variability are unifying characteristics of borderline personality disorder (BPD). Ambulatory assessment (AA) has been used to quantify this variability in terms of the categorical BPD diagnosis, but evidence suggests that BPD instead reflects general personality pathology. This study aimed to clarify the conceptualization of BPD by mapping indices of variability in affect, interpersonal behavior, and perceptions of others onto general and specific dimensions of personality pathology. A sample of participants who met diagnostic criteria for BPD (n = 129) and healthy controls (n = 47) reported on their daily interactions during a 21-day AA protocol. Multilevel SEM was used to examine associations between shared and specific variance in maladaptive traits with dynamic patterns of functioning. The authors found that variability is an indicator of shared trait variance and Negative Affectivity, not any other specific traits, reinforcing the idea that BPD is best understood as general personality pathology.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"36 3","pages":"320-338"},"PeriodicalIF":2.3,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9830454/pdf/nihms-1859739.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10502087","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}
Marike H. F. Deutz, Marjolein J S Lambooy, H. Vossen, O. Laceulle, M. V. van Aken, C. Hessels
{"title":"Associations Between Borderline Personality Disorder Symptoms and Online Self-Disclosure in Clinically Referred Youth.","authors":"Marike H. F. Deutz, Marjolein J S Lambooy, H. Vossen, O. Laceulle, M. V. van Aken, C. Hessels","doi":"10.1521/pedi.2022.36.3.359","DOIUrl":"https://doi.org/10.1521/pedi.2022.36.3.359","url":null,"abstract":"Communicating online via social media has proven to facilitate disclosure of intimate topics and can therefore be helpful in the development of intimate relationships. However, for youth with borderline personality disorder (BPD) symptoms, it may be more difficult to know when, what, and to whom to disclose (i.e., effective disclosure) in online contacts. The authors examine associations between BPD symptoms, online self-disclosure, and ineffective online self-disclosure (e.g., regretting sharing something online). The sample consisted of 235 clinically referred youth (66.4% female), aged 12-25 years (M = 17.82, SD = 2.96). Structural equation modeling revealed that BPD symptoms were related to higher levels of same- and cross-sex online self-disclosure as well as to more ineffective online self-disclosure. There was no moderation by sex or age. This study suggests that youth with BPD symptoms are at risk for oversharing personal information, which could affect forming and maintaining intimate relationships and increases online risks.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"36 3 1","pages":"359-376"},"PeriodicalIF":2.3,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41984544","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}
L. López-Romero, R. Salekin, E. Romero, H. Andershed, O. Colins
{"title":"Psychopathic Personality Configurations in Early Childhood: A Response to Dvoskin et al. (2022).","authors":"L. López-Romero, R. Salekin, E. Romero, H. Andershed, O. Colins","doi":"10.1521/pedi.2022.36.3.254","DOIUrl":"https://doi.org/10.1521/pedi.2022.36.3.254","url":null,"abstract":"Dvoskin et al. (2022) offered a cautionary comment on an article published in the Journal of Personality Disorders (López-Romero et al., 2021). This comment was focused on the scientific and policy grounds of our study, and cautioned against the use of the \"putative psychopathic personality\" label for applied purposes. While we agree with most of their concerns and cautions, we aim to provide additional clarification on the raised concerns, noting that the purpose of our study is purely exploratory, and that its findings are not intended for applied purposes. We do expect that our study and this commentary will further clarify the importance of examining psychopathic personality from a developmental perspective, opening new ways of discussion regarding how to best conceptualize and study a construct that, while waiting for additional longitudinal research, has been shown as relevant in identifying a group of children and adolescents at increased risk for maladjustment.","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"36 3 1","pages":"254-263"},"PeriodicalIF":2.3,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44227028","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}
Chloe F Bliton, Michael J Roche, Aaron L Pincus, David Dueber
{"title":"Examining the Structure and Validity of Self-Report Measures of <i>DSM-5</i> Alternative Model for Personality Disorders Criterion A.","authors":"Chloe F Bliton, Michael J Roche, Aaron L Pincus, David Dueber","doi":"10.1521/pedi_2021_35_531","DOIUrl":"https://doi.org/10.1521/pedi_2021_35_531","url":null,"abstract":"<p><p>The Level of Personality Functioning Scale (LPFS) operationalizes Criterion A of the <i>DSM-5</i> Alternative Model for Personality Disorders. Despite progress in LPFS measurement development and validation, there is a lack of research, and some disagreement, concerning structural, convergent, and incremental validity of LPFS self-report measures. The present study aimed to compare the LPFS Self-Report, LPFS Self-Report of Criterion A, and LPFS Brief Form. Internal structure was assessed through principal component analyses, factor analyses, and bifactor analyses of unidimensionality. Associations with both pathological and basic personality characteristics among the LPFS measures were explored. Incremental validity of LPFS severity in predicting pathological personality outcomes controlling for basic personality traits, and the reverse, were examined. Results suggest a unidimensional structure robustly associated with other pathological personality assessments. LPFS severity and basic personality traits mutually offered unique explanatory power. We discuss the implications of assessing personality pathology using LPFS self-report measures.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"36 2","pages":"157-182"},"PeriodicalIF":2.3,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39204167","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}