Personality disorders最新文献

{"title":"Bipolarity of maladaptive personality traits in the alternative model of personality disorders.","authors":"Alexandra Hines, Matthew W Southward, Shannon Sauer-Zavala, Thomas A Widiger","doi":"10.1037/per0000746","DOIUrl":"https://doi.org/10.1037/per0000746","url":null,"abstract":"<p><p>It has been posited that extremely high or extremely low levels of any personality trait in the five-factor model can be maladaptive. However, the Alternative Model of Personality Disorders in Section III of the <i>Diagnostic and Statistical Manual of Mental Disorders</i>-fifth edition (<i>DSM-5</i>) is composed almost exclusively of unipolar maladaptive traits. The lack of maladaptively low neuroticism and high extraversion fails to fully cover psychopathy; the lack of maladaptively high extraversion fails to cover histrionic personality disorder; the lack of maladaptively high agreeableness fails to cover dependent personality disorder; and the lack of maladaptively high conscientiousness fails to cover obsessive-compulsive personality disorder. The goal of this study was to discern whether Five-Factor Model Personality Disorder (FFMPD) scales demonstrate incremental validity over the Personality Inventory for <i>DSM-5</i> (PID-5) in capturing variance in symptom measures of each of these personality disorders. A combined sample of <i>N</i> = 733 completed an online questionnaire battery that included the PID-5 and FFMPD scales for psychopathy, histrionic personality disorder, dependent personality disorder, and obsessive-compulsive personality disorder, along with symptom measures for each of these conditions. A series of hierarchical regression models was conducted in which each symptom measure was regressed on the PID-5 (entered in Step 1) and the corresponding FFMPD measure (entered in Step 2). Results suggest that adding the FFMPD measure to the models accounted for significantly more variance in its corresponding symptom measure than the PID-5 alone. Taken together, these results suggest that maladaptive variants of personality traits that are often considered healthy (e.g., low neuroticism, high extraversion) confer important information about personality disorder symptoms and functioning and should be included in the Alternative Model of Personality Disorders. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An exploratory structural equation modeling representation of the Level of Personality Functioning Scale-Brief Form 2.0 in Iranian samples: Association with attachment, mentalizing, and personality pathology.","authors":"Ahmad Asgarizadeh, Pantea Mahdavian, Carla Sharp","doi":"10.1037/per0000748","DOIUrl":"https://doi.org/10.1037/per0000748","url":null,"abstract":"<p><p>The Level of Personality Functioning Scale-Brief Form 2.0 (LPFS-BF 2.0) is a brief measure for personality functioning based on the Alternative Model for Personality Disorders. Despite a strong emerging research base in support of the measure, most studies have been conducted in North America or Europe, and few studies have explored its association with theoretically relevant correlates such as mentalizing and attachment. The current study examined its factor structure, reliability, measurement invariance, and validity in Iranian samples using Exploratory Structural Equation Modeling. Two Iranian samples participated, composed of community-dwelling adults (<i>N</i> = 579, 58.9% female, <i>M</i>_age = 33.47) and university students (<i>N</i> = 390, 70.8% female, <i>M</i>_age = 27.09). Participants completed the LPFS-BF 2.0 alongside measures of categorical personality pathology, mentalizing, and attachment. Competing measurement models were contrasted, and invariance was tested across samples, sexes, age groups, and diagnostic status. A two-factor Exploratory Structural Equation Modeling model representing self and interpersonal functioning demonstrated optimal fit with good reliability and measurement invariance across all groups. Both domains showed strong associations with attachment insecurities, mentalizing deficits, and personality pathology. The mean score of self dysfunction was significantly higher in students, females, emerging adults, and diagnosed participants, while the interpersonal domain showed no significant group differences. The LPFS-BF 2.0 showed robust psychometric properties in Iranian samples, supporting its cross-cultural utility. Given that self dysfunction varied significantly by sample type, sex, age, and diagnostic status while interpersonal dysfunction did not, the self domain appears to better distinguish between demographic and clinical groups. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping personality traits: A network approach to uncovering Personality Inventory for Diagnostic and Statistical Manual of Mental Disorders, fifth edition, Brief Form's factorial structure.","authors":"Ludovica Oppici, Alessia Antelmi, Cristina Mazza, Merylin Monaro, Francesca Bosco, Paolo Roma","doi":"10.1037/per0000745","DOIUrl":"https://doi.org/10.1037/per0000745","url":null,"abstract":"<p><p>This study explores the structural properties of the Personality Inventory for the <i>Diagnostic and Statistical Manual of Mental Disorders</i>, fifth edition, Brief Form (PID-5-BF) by applying network analysis and community detection as a data-driven alternative to traditional factor models. Traditionally, the PID-5-BF assesses personality traits across five domains-Negative Affectivity, Detachment, Antagonism, Disinhibition, and Psychoticism-but has shown notable inconsistencies in item alignment and factorial coherence. To examine these issues, data were collected from 2,766 Italian participants (71.7% female, 28.3% male, <i>M</i>_age = 32.94 years, <i>SD</i> = 13.2). The estimated network revealed a stable structure, supported by robust centrality measures (closeness = 0.59, expected influence = 0.75, strength = 0.75). Community detection identified five empirically coherent clusters-Disinhibition, Demoralization, Detachment and Irritability, Psychosocial Alienation, and Pathological Egocentrism-suggesting an alternative organization of maladaptive traits in this population. To assess generalizability, a second analysis was conducted on a Hungarian sample (<i>N</i> = 355), yielding a five-structure solution with different item compositions. While the network approach emphasizes item-level associations, the specific configurations varied across samples in ways that reflect contextual influences. Nonetheless, this method offers complementary insights to traditional factorial models, highlighting how personality traits may organize differently across populations and supporting the use of network-based approaches in refining dimensional models of personality pathology. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An exploratory study on disinhibition and interpersonal outcomes in daily life.","authors":"Janan Mostajabi, Aidan G C Wright","doi":"10.1037/per0000707","DOIUrl":"10.1037/per0000707","url":null,"abstract":"<p><p>Disinhibition is a personality trait with broad health implications and has been included in several prominent models of maladaptive personality traits and psychopathology, such as the <i>Diagnostic and Statistical Manual of Mental Disorders,</i> fifth edition, Alternative Model of Personality Disorders and the Hierarchical Taxonomy of Psychopathology. Cross-sectional global self-report and clinical interview research suggests that disinhibition is tightly linked with interpersonal problems, particularly antagonistic problems. However, very little work has examined how individual differences in disinhibition manifest in interpersonal functioning in social situations in daily life. We examined how trait disinhibition and its lower level facets (e.g., irresponsibility, impulsivity, distractibility) relate to ecological momentary assessments of interpersonal interactions in daily life across three samples (total person <i>N</i> = 1,068, total observation <i>N</i> = 38,212). Results showed a consistent and positive association between trait disinhibition and negative affect in daily life (both in general and specifically during social interactions), above and beyond the effect of trait antagonism. We also found a negative association between trait disinhibition and warmth during social interactions, though this effect was fully accounted for by trait antagonism. We did not find consistent associations between trait disinhibition and positive affect or dominance in daily life. These findings have implications for the manifestation of disinhibition in daily life and the relation between externalizing and internalizing psychopathology. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"466-475"},"PeriodicalIF":4.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating empathy in schizotypy.","authors":"Katherine M Elacqua, Mark F Lenzenweger","doi":"10.1037/per0000727","DOIUrl":"10.1037/per0000727","url":null,"abstract":"<p><p>Though empathy is a critical component of adaptive psychosocial functioning, the relationship between schizotypy, conceived of as the latent liability for schizophrenia, and empathy is unclear. Given the centrality of psychosocial functioning impairments in schizophrenia-related psychopathology, along with the critical role of empathy in the social processes aspect of the Research Domain Criteria Matrix, the relation between empathy and schizotypy should be illuminated. The lack of clarity regarding empathy is in part due to both differences in defining empathy and the relations empathy measures have with different subcomponents of schizotypy. Furthermore, both empathy and schizotypy likely impact psychosocial functioning. The current study aims to better understand the relations between empathy, schizotypy, and psychosocial functioning. This report examines the self-report data drawn from emerging adults who completed a battery of empathy, schizotypy, and social functioning measures (<i>n</i> = 834). Findings demonstrate a complex relation between empathy and schizotypy but coalesce primarily around a negative (inverse) relation between negative features of schizotypy and empathy. Factor analytic results suggest a two-component latent structure for empathy consisting of cognitive and affective domains. Each factor of empathy appears to be negatively associated with negative schizotypal traits. Moderation analyses reveal that both cognitive and affective empathy moderate the relation between negative schizotypy and social functioning. Altogether, the present study demonstrates the interconnectedness of negative schizotypy, empathy, and social functioning. Findings are broadly consistent with previous research considering the relation between schizophrenia and empathy, highlighting the utility of studying schizophrenia liability (i.e., schizotypy). (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"455-465"},"PeriodicalIF":4.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143672026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Daily loneliness and suicidal ideation in borderline personality disorder.","authors":"Cara L Wicher, Alexandre Y Dombrovski, Michael N Hallquist, Susanne Buecker, Aidan G C Wright, Aleksandra Kaurin","doi":"10.1037/per0000725","DOIUrl":"10.1037/per0000725","url":null,"abstract":"<p><p>Loneliness has been linked with suicidal ideation (SI) in people with a borderline personality disorder (BPD) diagnosis. However, the temporal dynamics of this association remain unclear: we do not know whether loneliness amplifies SI within clinically relevant short-term timeframes (e.g., day to day). To fill this gap, we used data from a 21-day ambulatory assessment study of individuals diagnosed with BPD (<i>N</i> = 152, 103 with a history of attempted suicide) and preregistered the hypotheses and code of our analyses. We tested the hypotheses that daily loneliness would be associated with same- and next-day SI, and that, among individuals with a BPD diagnosis, more severe self-reported BPD features would strengthen these associations. In line with our hypotheses, we found a significant contemporaneous and lagged association between loneliness and SI. Contrary to our hypotheses, these links were not significantly amplified by the level of BPD features. Exploratory analyses further suggested that loneliness did not account for the within-person link between daily social interactions and SI, nor did more general personality disorder features alter loneliness-SI links. The links between loneliness and SI highlight a significant vulnerability to suicide risk and our findings suggest that self-reported BPD symptom severity among individuals with a BPD diagnosis may impact the early stages of the suicidal process by predisposing to loneliness. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"415-426"},"PeriodicalIF":4.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143672021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-cultural validity of the Five-Factor Personality Inventory for ICD-11 across nine countries and validation of a French translation.","authors":"Yann Le Corff, Anton Aluja, Kokou A Atitsogbe, Robert Courtois, Donatien Dahourou, Karine Forget, Michel Hansenne, Durairaj Kavitha, Kossi B Kounou, Mélanie Lapalme, Joshua R Oltmanns, Jérôme Rossier, Arun Tipandjan, Thomas A Widiger, Jean-Pierre Rolland","doi":"10.1037/per0000711","DOIUrl":"10.1037/per0000711","url":null,"abstract":"<p><p>This study aimed to assess measurement invariance for the Five-Factor Inventory for <i>ICD-11</i> (Oltmanns & Widiger, 2020) across nine national samples from four continents (<i>n</i> = 6,342), and to validate a French translation in seven French-speaking national samples. All were convenience samples of adults. Exploratory factor analyses supported a four-factor structure in the French-speaking Western samples (Belgium, Canada, France, and Switzerland) while a three-factor structure was preferred in the French-speaking African samples (Burkina Faso and Togo), and no adequate structure was found in the Indian sample. Factor congruence with the original American sample was excellent for the Western samples but not for the non-Western samples. Exploratory bifactor analyses led to similar results, with the g-factor essentially reflecting one of the first-order factors observed in the exploratory factor analyses. Support for configural, metric, scalar (partial), and strict invariance was obtained across the six Western samples, as well as across the two African samples. Support for criterion validity of the Five-Factor Inventory for <i>ICD-11</i> scales was also obtained, with relevant associations between scale scores and the presence of a mental health diagnosis and consulting a mental health professional, but validity was lower in the non-Western samples. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"476-490"},"PeriodicalIF":4.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The urge to fill the void: Emptiness, impulsivity, and mentalizing in the daily life of individuals with borderline personality disorder.","authors":"Leeav Sheena-Peer, Eshkol Rafaeli, Kathy R Berenson, Geraldine Downey, Yogev Kivity","doi":"10.1037/per0000721","DOIUrl":"10.1037/per0000721","url":null,"abstract":"<p><p>Emptiness is central to borderline personality disorder (BPD), significantly impacts quality of life, and is associated with increased impulsivity. Nevertheless, studies of emptiness in daily life are scarce and little is known about factors that may mitigate the emptiness-impulsivity association in BPD, such as mentalizing (Mz), the capacity to understand mental states. The current study examined whether emptiness predicts impulsive behaviors in daily life and whether this association is moderated by disorder or by Mz. The study utilized data from an existing data set (Berenson et al., 2011) of 153 participants (57 with a BPD diagnosis, 43 with avoidant personality disorder [APD], and 53 serving as healthy controls [HC]). Following a baseline lab assessment of Mz (Baron-Cohen et al., 2001), participants completed 3 weeks of ecological momentary assessment (EMA) with five daily prompts, including self-reported measures of emptiness and impulsivity. EMA data were analyzed using multilevel modeling. Both the BPD and APD groups reported higher levels of momentary emptiness compared to the HC group. The BPD group exhibited higher levels of impulsivity in daily life compared to the HC and APD groups. There were no group differences in Mz. Interestingly, emptiness significantly predicted impulsivity and was positively associated with impulsivity in both the BPD and HC groups but not in the APD group. Finally, Mz did not moderate the emptiness-impulsivity association. Emptiness seems central to impulsivity in daily life. More ecological and emptiness-specific measures of Mz may have better potential to mitigate the negative consequences of emptiness. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"403-414"},"PeriodicalIF":4.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143672046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of overgeneral autobiographical memory with personality impairment, pathological trait domains, and the borderline pattern specifier in a female psychiatric sample.","authors":"Akram Ahangi, Anthony C Ruocco, Michael Carnovale, Hossein Eskandari","doi":"10.1037/per0000709","DOIUrl":"10.1037/per0000709","url":null,"abstract":"<p><p>The proposed model of personality disorder in the <i>International Classification of Diseases</i>, 11th revision <i>(ICD-11</i>) comprises ratings of the severity of self and interpersonal impairment, pathological trait domains, and a borderline pattern specifier. The incremental validity of the different components of the model has primarily been studied in relation to symptoms, traits, and psychosocial functioning, whereas associations with cognitive- and identity-related factors have not yet been characterized. The present study investigated the unique associations of each component of the <i>ICD-11</i> model with overgeneral autobiographical memory, which reflects aspects of identity integration and episodic memory retrieval. Female general psychiatric patients (<i>n</i> = 196) completed self-report measures of the <i>ICD-11</i> model (Level of Personality Functioning Scale-Brief Form 2.0, Personality Inventory for <i>ICD-11</i>, and Borderline Pattern Scale) and the Autobiographical Memory Test. In bivariate analyses, overgeneral autobiographical memories were associated with more severe self and interpersonal impairment, higher pathological personality traits (except for lower Anankastia), and more severe borderline pattern scores. Hierarchical regressions indicated that both self and interpersonal impairments, pathological traits (especially negative affectivity), and maladaptive regulatory strategies (a component of the borderline pattern) were uniquely and incrementally associated with overgeneral memories. Overall, these findings reveal the personality disorder components that underlie overgeneral autobiographical memories within a transdiagnostic female psychiatric sample. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"427-432"},"PeriodicalIF":4.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emptiness, personality dysfunction, and emotion dysregulation: An experience sampling study.","authors":"Amanda A Uliaszek, Amanda Magurno, Saleena Zedan, Marc A Fournier","doi":"10.1037/per0000737","DOIUrl":"10.1037/per0000737","url":null,"abstract":"<p><p>Investigations of the construct of emptiness often include vague, overlapping, and contradictory operationalizations that have impacted further theoretical and empirical understanding. This includes referring to emptiness as a static, trait-like phenomenon, without measurement of the individual instability that may exist in this experiential state. Furthermore, studies often restrict the examination of emptiness to those with borderline personality disorder, despite research supporting its relationship to other disorders and to personality functioning in general. The present study sought to explore emptiness at both its trait- and state-level determinants utilizing an experience sampling design in 120 community members. Specifically, this study investigated personality dysfunction in both interpersonal and self-domains, identity disturbance, and emotion dysregulation in predicting between-person mean and instability in emptiness, as well as within-person emptiness across a 14-day study period. Results supported strong relationships between within-person sadness and emptiness. Furthermore, mean-level emptiness was associated with both personality dysfunction and identity disturbance, while emptiness instability was additionally associated with emotion dysregulation. Implications for construct clarity are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"395-402"},"PeriodicalIF":4.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}