Personality disorders最新文献

Psychoeducational interventions for borderline personality disorder: A scoping review. 边缘型人格障碍的心理教育干预：范围综述。

Personality disorders Pub Date : 2025-06-02 DOI: 10.1037/per0000729

Nicolás Labbé, Stephanie Vaccarezza, Catalina Nuñez, Ronan Zimmermann, Alex Behn

{"title":"Psychoeducational interventions for borderline personality disorder: A scoping review.","authors":"Nicolás Labbé, Stephanie Vaccarezza, Catalina Nuñez, Ronan Zimmermann, Alex Behn","doi":"10.1037/per0000729","DOIUrl":"https://doi.org/10.1037/per0000729","url":null,"abstract":"Psychoeducation, delivering up-to-date information about mental illness is crucial for supporting patients' recovery. While recognized for various disorders, its role in borderline personality disorder (BPD) lacks review. This study synthesizes the current evidence about psychoeducational interventions for BPD. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, this scoping review consulted databases (PubMed, PsychINFO, Web of Science, Cumulative Index to Nursing and Allied Health Literature, and Información Científica y Técnica en Salud de América Latina y el Caribe), and grey literature (ProQuest Dissertations and Theses Global and Google Scholar). A Complementary search (contacting relevant researchers and including relevant references from included articles) was included. Two reviewers screened and extracted the data using the Template for Intervention Description and Replication checklist. Seven studies were analyzed, and positive effects were found on diverse outcomes: BPD symptoms, coping strategies, well-being, communication, quality of life, social functioning, perceived stress, mental health symptoms, and stigma. Psychoeducational interventions for BPD can help people who experience BPD to optimize their recovery process. However, replication and improvements are to yield sustained effects and reach more to this population. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144201027","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}

引用次数: 0

Laboratory-assessed mistrust in borderline personality disorder: A meta-analytic review. 实验室评估的不信任在边缘型人格障碍：荟萃分析回顾。

Personality disorders Pub Date : 2025-05-22 DOI: 10.1037/per0000739

Yağızcan Kurt, Megan Walker, Patrick Luyten, Peter Fonagy

{"title":"Laboratory-assessed mistrust in borderline personality disorder: A meta-analytic review.","authors":"Yağızcan Kurt, Megan Walker, Patrick Luyten, Peter Fonagy","doi":"10.1037/per0000739","DOIUrl":"https://doi.org/10.1037/per0000739","url":null,"abstract":"Although a recent systematic review examined the relationship between mistrust and borderline personality disorder (BPD; Preti et al., 2023), it did not statistically quantify the strength of this association. This highlights the need for a meta-analytic review of mistrust in BPD. To address this gap, we conducted a meta-analysis comparing laboratory-based assessments of mistrust between individuals with BPD and control groups. This meta-analysis was preregistered with International Prospective Register of Systematic Reviews (CRD42023479031). The final database search was conducted on October 17, 2024, across Embase, MEDLINE, PsycINFO, Scopus, and Web of Science to identify relevant studies. We included studies published in English or translated into English that employed valid, reliable laboratory-based measures of mistrust and psychometrically sound tools for assessing BPD symptoms or features. A three-level meta-analytic model was used to assess mistrust differences between BPD and control groups. The risk of bias in the included records was evaluated using the Joanna Briggs Institute Critical Appraisal Checklists. Our search yielded 1,717 reports, of which 26 met the inclusion criteria (N = 3,716). Based on 70 effect sizes from these reports, the meta-analysis indicated a small-to-moderate effect size (g = 0.44, 95% confidence interval = [0.27, 0.61], p < .001), demonstrating that individuals with BPD exhibited significantly higher levels of mistrust compared to controls. Subgroup analyses identified the mistrust paradigm as a statistically significant moderator. These results underscore the significant role of mistrust in BPD. We suggest that assessing mistrust and fostering interpersonal trust during treatment could lead to more effective interventions for BPD. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129753","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}

引用次数: 0

Emptiness, personality dysfunction, and emotion dysregulation: An experience sampling study. 空虚、人格功能障碍和情绪失调：一项经验抽样研究。

Personality disorders Pub Date : 2025-05-19 DOI: 10.1037/per0000737

Amanda A Uliaszek, Amanda Magurno, Saleena Zedan, Marc A Fournier

{"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":"https://doi.org/10.1037/per0000737","url":null,"abstract":"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).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-19","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}

引用次数: 0

Interpersonal emotion regulation in personality disorders: Introduction to a special section. 人格障碍中的人际情绪调节：专题导论。

Personality disorders Pub Date : 2025-05-01 DOI: 10.1037/per0000726

Katherine L Dixon-Gordon, Skye Fitzpatrick

引用次数: 0

Mentalizing in adolescence: Developmental trends and associations with borderline personality disorder features. 青少年心智化：发展趋势及其与边缘型人格障碍特征的关联。

Personality disorders Pub Date : 2025-05-01 Epub Date: 2025-01-30 DOI: 10.1037/per0000712

Saskia Malcorps, Nicole Vliegen, Patrick Luyten

{"title":"Mentalizing in adolescence: Developmental trends and associations with borderline personality disorder features.","authors":"Saskia Malcorps, Nicole Vliegen, Patrick Luyten","doi":"10.1037/per0000712","DOIUrl":"10.1037/per0000712","url":null,"abstract":"Impairments in mentalizing, the capacity to understand the self and others in terms of intentional mental states, are proposed to play an important role in the emergence of borderline personality disorder (BPD) in adolescence. Although mentalizing problems in adults with BPD have been amply demonstrated, research in adolescence lags behind in terms of both the normative development of mentalizing in adolescence and the relation between different dimensions of mentalizing and adolescent BPD. Therefore, the current study investigated developmental trends and sex-related differences related to different mentalizing dimensions and the associations between mentalizing dimensions and BPD features in a large group of adolescents (N = 456, Mage = 15.4 years, range = 12-19) oversampled for risk status for psychopathology. The results demonstrated that age was not associated with increases in the capacity for mentalizing, with one exception: externally based mentalizing improved with age. Girls reported greater difficulties in self-focused, internal, and affective mentalizing, but at the same time also higher levels of other-focused, internal, affective, and cognitive mentalizing than boys. Adolescent BPD features were mainly associated with difficulties in understanding, differentiating, and expressing emotions and elevated sensitivity and concern for the feelings of others. Specifically, problems with self-focused, internally based, affective mentalizing best predicted BPD features both categorically and dimensionally. The implications of these findings for our understanding of the relation between mentalizing and BPD in adolescents will be discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"272-285"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070121","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}

引用次数: 0

Examining the relative centrality of intrapersonal versus interpersonal emotion regulation to borderline personality disorder symptoms. 检验人际情绪调节对边缘型人格障碍症状的相对中心性。

Personality disorders Pub Date : 2025-05-01 DOI: 10.1037/per0000661

Kim L Gratz, Clarissa W Ong, Matthew T Tull

{"title":"Examining the relative centrality of intrapersonal versus interpersonal emotion regulation to borderline personality disorder symptoms.","authors":"Kim L Gratz, Clarissa W Ong, Matthew T Tull","doi":"10.1037/per0000661","DOIUrl":"https://doi.org/10.1037/per0000661","url":null,"abstract":"There is growing interest in expanding research on emotion regulation (ER) in borderline personality disorder (BPD) to examine interpersonal ER in addition to intrapersonal ER. Thus, this study used network analysis to examine the relations among BPD symptoms and both intrapersonal and interpersonal ER dimensions and identify the most central dimensions of ER to BPD pathology. Specifically, we estimated the structural relations among five dimensions of intrapersonal ER difficulties, four dimensions of interpersonal ER (i.e., interpersonal ER tendency and efficacy for both positive and negative emotions), and BPD emotional, behavioral, interpersonal, and cognitive symptom domains. Participants included a nationwide community sample of 916 adults who completed an online study. Results highlight the particular centrality of the intrapersonal ER dimension of difficulties controlling impulsive behaviors when distressed to both BPD symptoms and their relations to other ER dimensions, finding that this ER dimension was the most central bridge node in the network. Results also support the relative centrality of interpersonal ER efficacy for negative emotions, the intrapersonal ER dimension of difficulties accessing effective ER strategies, and BPD emotional symptoms. Finally, findings that the strongest bridge nodes in the network were difficulties controlling impulsive behaviors when distressed, interpersonal ER efficacy for negative emotions, and BPD emotional symptoms suggest that these two specific ER dimensions may connect the other dimensions of ER to BPD symptoms. These results suggest the potential utility of specifically targeting both interpersonal ER efficacy and difficulties controlling impulsive behaviors when distressed in treatments for ER among individuals with BPD. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":"16 3","pages":"223-234"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045250","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}

引用次数: 0

Seekers' and regulators' perspectives of interpersonal emotion regulation: Associations with personality pathology. 人际情绪调节的寻求者与调节者视角：与人格病理的关联。

Personality disorders Pub Date : 2025-05-01 DOI: 10.1037/per0000667

Kristen P Howard, Jennifer S Cheavens

{"title":"Seekers' and regulators' perspectives of interpersonal emotion regulation: Associations with personality pathology.","authors":"Kristen P Howard, Jennifer S Cheavens","doi":"10.1037/per0000667","DOIUrl":"https://doi.org/10.1037/per0000667","url":null,"abstract":"Personality disorders (PDs) are well characterized by deficits in interpersonal and emotional functioning, highlighting the importance of examining their intersection, such as interpersonal emotion regulation (IER). Given the dyadic nature of IER, characterizing the individuals who help regulate emotions, and their perceptions of these interactions, may further elucidate the process of IER in individuals with personality pathology. We aimed to directly characterize network partners that aid in IER and compare perceptions between both IER seekers and regulators. Primary participants, who were recruited for elevated levels of personality pathology, including some evidence of elevated borderline personality features, nominated members of their social network (i.e., secondary participants) to participate. The final sample included 165 secondary participants (115 of whom were identified as IER partners by primary participants) associated with 73 primary participants. We examined the association between dimensions of primary and secondary personality pathology and measures of the primary participant's IER. Primary and secondary participants tended to agree on measures of IER frequency; however, there was less agreement on more subjective measures, such as the efficacy of IER and the willingness of the secondary participant. Additionally, disinhibition of the primary participant was associated with IER outcomes from both partner's perspectives, including reduced willingness and perceived efficacy from the secondary's perspective and increased efficacy and underestimation of the secondary's IER use from the primary's perspective. These results highlight the value of examining both individuals involved in IER. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":"16 3","pages":"260-271"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999623","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}

引用次数: 0

Characterizing interpersonal emotion regulation across dimensions of personality pathology. 人格病理学维度上人际情绪调节的特征。

Personality disorders Pub Date : 2025-05-01 DOI: 10.1037/per0000668

Kristen P Howard, Ally M Heiland, Jennifer S Cheavens

{"title":"Characterizing interpersonal emotion regulation across dimensions of personality pathology.","authors":"Kristen P Howard, Ally M Heiland, Jennifer S Cheavens","doi":"10.1037/per0000668","DOIUrl":"https://doi.org/10.1037/per0000668","url":null,"abstract":"There is growing recognition of the value of better understanding interpersonal emotion regulation (IER) in individuals with personality pathology, with some initial investigations providing preliminary information about IER in borderline personality disorder (BPD). We aimed to examine characteristics of IER across dimensional measures of personality pathology. In a sample recruited for elevated levels of personality pathology, specifically BPD features, (N = 95; 63% met criteria for at least one personality disorder), we examined the relations among interpersonal and emotional personality pathology domains (i.e., negative affect, detachment, and antagonism) and characteristics of IER (i.e., frequency, efficacy, and perceived willingness of partners to assist in IER) with social network partners. Overall, detachment was associated with a smaller network of IER partners, while negative affect was associated with greater frequency of IER. In multilevel models, participants reported higher IER frequency with partners with both greater relative positive relationship quality and greater relative negative relationship quality. However, partners with greater positive relationship quality and lower negative relationship quality were perceived as more efficacious and willing to help in the process of IER. We also examined the moderating role of personality pathology in the associations of partner quality and IER. All domains were associated with differences in the qualities of partners they perceive as most efficacious or willing. These results help broaden our understanding of IER across a range of personality pathology. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":"16 3","pages":"249-259"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022869","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}

引用次数: 0

Criteria A and B of the alternative model for personality disorders as prospective predictors of psychosocial functioning in community-based adolescents: A 1-year follow-up study. 人格障碍替代模型的标准A和B作为社区青少年心理社会功能的前瞻性预测因素：一项为期一年的随访研究。

Personality disorders Pub Date : 2025-05-01 Epub Date: 2025-02-13 DOI: 10.1037/per0000717

Rasa Barkauskienė, Elena Gaudiešiūtė, Agnė Grigaitė, Gabrielė Skabeikytė-Norkienė

{"title":"Criteria A and B of the alternative model for personality disorders as prospective predictors of psychosocial functioning in community-based adolescents: A 1-year follow-up study.","authors":"Rasa Barkauskienė, Elena Gaudiešiūtė, Agnė Grigaitė, Gabrielė Skabeikytė-Norkienė","doi":"10.1037/per0000717","DOIUrl":"10.1037/per0000717","url":null,"abstract":"Research on the dimensional approach to personality disorders in relation to psychosocial functioning is limited, particularly among adolescents. Since adolescence is a critical developmental period from the emergence of personality disorders, it is crucial to understand how both Criterion A (the level of personality functioning) and Criterion B (maladaptive personality traits) contribute to various domains of psychosocial functioning in this age group. To address this research gap, the current study evaluated the extent to which Criterion A and Criterion B of the alternative model for personality disorders predict psychosocial functioning in community-based sample adolescents over a 1-year period, beyond the overall psychopathology and baseline levels of psychosocial functioning. The study involved 855 adolescents aged 11-18 (M = 14.44, SD = 1.60; 62.5% female) at baseline and followed up 1 year later, achieving a 94% retention rate. Measurements included the assessments of the level of personality functioning, maladaptive personality traits, overall psychopathology, academic functioning, social functioning, and well-being. The findings indicated that while both Criterion A and Criterion B are associated with lower levels of psychosocial functioning 1 year later, their contributions varied across domains. Criterion A significantly predicted functioning in social and well-being domains, while Criterion B predicted social difficulties only. Neither Criterion A nor Criterion B was significant in predicting academic functioning. Psychoticism contributed to the experience of social rebuff, while detachment was uniquely linked to a lower quality of life. The results contribute to the understanding of how dimensionally defined personality pathology affects psychosocial functioning, adding a prospective perspective during adolescence. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"286-296"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416508","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}

引用次数: 0

Interpersonal emotion regulation, borderline personality disorder symptoms, and working memory during social-affective distraction. 人际情绪调节、边缘型人格障碍症状与社交情感分心时的工作记忆。

Personality disorders Pub Date : 2025-05-01 DOI: 10.1037/per0000722

Annegret Krause-Utz, Melisa Saygin, Maria Podbylska, Elianne Chatzaki, Benedetta la Rosa, Stefanie Lis

{"title":"Interpersonal emotion regulation, borderline personality disorder symptoms, and working memory during social-affective distraction.","authors":"Annegret Krause-Utz, Melisa Saygin, Maria Podbylska, Elianne Chatzaki, Benedetta la Rosa, Stefanie Lis","doi":"10.1037/per0000722","DOIUrl":"https://doi.org/10.1037/per0000722","url":null,"abstract":"Difficulties in emotion regulation (ER) are a core feature of borderline personality disorder (BPD). To date, studies in BPD have mainly focused on intrapersonal rather than interpersonal emotion regulation (ipER) strategies. Attention to social-affective distractors was found to interfere with working memory (WM) in BPD, which may contribute to impairments in ER. However, whether these difficulties might affect the use of ipER is an open question. This study aimed to investigate the associations between BPD symptoms, ipER strategies, basic WM, and social-affective interference on WM. One hundred twenty-four women with a wide range of BPD symptoms rated the frequency of using the ipER strategies, including enhancing positive affect, perspective-taking, soothing, and social modeling (Interpersonal Emotion Regulation Questionnaire). In a subsample of N = 70 women, we measured attentional impairments (omission errors) induced by social-affective distractors (neutral, happy, fearful, and angry faces) and performance during distractor-free trials within a modified Sternberg WM task. Women with more severe BPD symptoms reported less frequent use of enhancing positive affect and showed more omission errors, especially for distracting happy faces. Better performance during distractor-free trials was related to more frequent use of enhancing positive affect. Task performance largely accounted for the association between BPD symptoms and the use of enhancing positive affect. Findings suggest that BPD symptoms are associated with changes in specific domains of ipER, especially a reduced tendency to increase feelings of happiness and joy through others. Attentional deficits may be an important mechanism here. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":"16 3","pages":"210-222"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054858","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}

引用次数: 0