Personality disorders最新文献_第10页

Narrative identity characteristics and personality pathology: An exploration of associations from a dimensional and categorical perspective in a clinical sample of youth. 叙事身份特征和人格病理学：从维度和范畴的角度探索青年临床样本中的关联。

Personality disorders Pub Date : 2024-01-01 Epub Date: 2023-10-05 DOI: 10.1037/per0000638

Ben Baaijens, Nagila Koster, Marcel van Aken, Paul van der Heijden, Odilia Laceulle

{"title":"Narrative identity characteristics and personality pathology: An exploration of associations from a dimensional and categorical perspective in a clinical sample of youth.","authors":"Ben Baaijens, Nagila Koster, Marcel van Aken, Paul van der Heijden, Odilia Laceulle","doi":"10.1037/per0000638","DOIUrl":"10.1037/per0000638","url":null,"abstract":"Narrative identity, as an integral element of personality, has gained increased attention for understanding personality pathology. In this study, associations between narrative identity characteristics (i.e., event valence, theme, contextual coherence, thematic coherence, self-event connection valence, agency, and communion) and personality pathology were examined. Personality pathology was conceptualized as (a) levels of personality (dys)functioning and maladaptive personality traits, (b) six trait facet profiles, and (c) categorical DSM-5 (fifth edition of the Diagnostic Statistical Manual of Mental Disorders) diagnoses. Data of 242 youth (Mage = 18.79; SDage = 2.65) were collected as part of a longitudinal study on personality development. Narratives were assessed with turning point interviews, and trait and functioning levels with self-report questionnaires. The narrative identity characteristics of a negative valence, a negative self-event connection valence, low agency, and low communion were associated with higher levels of personality dysfunctioning, negative affectivity, detachment, and psychoticism. These characteristics were also associated with the borderline, avoidant, obsessive-compulsive, and schizotypal trait facet profiles. No associations were found when considering personality pathology from a categorical perspective. Findings may inspire researchers and clinicians to give personal stories a more central role in their work. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"11-21"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41174285","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

Differences in diagnostic rules used to determine borderline personality disorder impact prevalence and associations with clinically relevant variables: Findings from the National Epidemiologic Survey on Alcohol and Related Conditions-III. 用于确定边缘型人格障碍的诊断规则的差异会影响患病率以及与临床相关变量的关联：全国酒精及相关疾病流行病学调查-III》的研究结果。

Personality disorders Pub Date : 2024-01-01 DOI: 10.1037/per0000643

Jennifer M Loya, Ashley Wagner, Brian Pittman, Margaret T Davis

{"title":"Differences in diagnostic rules used to determine borderline personality disorder impact prevalence and associations with clinically relevant variables: Findings from the National Epidemiologic Survey on Alcohol and Related Conditions-III.","authors":"Jennifer M Loya, Ashley Wagner, Brian Pittman, Margaret T Davis","doi":"10.1037/per0000643","DOIUrl":"10.1037/per0000643","url":null,"abstract":"Borderline personality disorder (BPD) is a serious and understudied mental health condition associated with profound personal and public health consequences. Methodological differences in characterizing BPD may limit understanding the scope of the disorder's prevalence and effect. For example, using different diagnostic rules for BPD can affect apparent prevalence, comorbidity, and clinical presentation. This study examined how differences in diagnostic rules used to assign BPD diagnosis impacted its prevalence and associations with clinically relevant variables (e.g., demographics, comorbidity, treatment-seeking). Participants were a nationally representative sample of 36,309 noninstitutionalized U.S. adults. All variables were assessed via clinical interview (Alcohol Use Disorder and Associated Disabilities Interview Schedule-5). Six diagnostic rules determined BPD status. We used frequencies to examine prevalence rates of and associations between BPD and other clinical variables, and logistic regressions to examine the associations between each BPD variable and the other outcomes. The prevalence of BPD ranged widely-from 0.5% to 11.4%-per the diagnostic rule used. Associations between BPD diagnosis and various outcomes and clinical variables generally remained stable across all diagnostic rules, though effects became more extreme as diagnostic rules became more restrictive. Additionally, meaningful differences emerged as a function of the number of items used (30 vs. 18 items) even with no other changes to diagnostic rules. The field examining BPD and associated problem behaviors should critically consider how to most effectively characterize BPD to understand these problems more accurately and optimize the generalizability of findings. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":"15 1","pages":"60-73"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10786338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139426209","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}

引用次数: 0

Empathic accuracy of romantic partner negative affect is influenced by borderline personality symptoms. 浪漫伴侣消极情感的移情准确性受边缘性人格症状的影响。

Personality disorders Pub Date : 2024-01-01 Epub Date: 2023-10-05 DOI: 10.1037/per0000642

Nathaniel R Herr, Yogev Kivity, Ramya Ramadurai, Alanna M Covington, Kathleen C Gunthert

{"title":"Empathic accuracy of romantic partner negative affect is influenced by borderline personality symptoms.","authors":"Nathaniel R Herr, Yogev Kivity, Ramya Ramadurai, Alanna M Covington, Kathleen C Gunthert","doi":"10.1037/per0000642","DOIUrl":"10.1037/per0000642","url":null,"abstract":"The present study sought to examine the relation between borderline personality disorder (BPD) symptoms and empathic accuracy while improving on prior methodologies by using daily affect assessment in romantic partners. BPD symptoms were assessed in both members of 81 community couples who also reported on their own and their partner's negative and positive affect daily for 3 weeks. Data were analyzed using the Truth and Bias Model of Judgment, which allows the source of empathic accuracy to be parsed into partner affect (truth) and own affect (bias). Results provided evidence that individuals with higher BPD symptoms exhibited increased empathic accuracy for a partner's negative affect, particularly when partners also had higher BPD symptoms. The source of this accuracy stemmed more from bias forces than truth forces, indicating that participants' own affective states lead to more accurate judgments of partner affective state. The results suggest that this bias reduced the general tendency among participants to underestimate partner negative affect, thus leading to higher empathic accuracy. Overall, our results extend and provide support for previous research indicating that BPD symptoms are associated with heightened, not diminished, empathic accuracy. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"74-83"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41172054","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

Supplemental Material for Measurement Invariance of the Personality Inventory for the DSM-5 Across U.S. East Asian, Southeast Asian, and White Participants 美国DSM-5中东亚、东南亚和白人参与者人格量表测量不变性的补充材料

Personality disorders Pub Date : 2023-11-02 DOI: 10.1037/per0000647.supp

引用次数: 0

Validating latent profiles of the Psychopathy Checklist-Revised with a large sample of incarcerated men. 用大量被监禁男性样本验证修订的精神病检查表的潜在特征。

Personality disorders Pub Date : 2023-11-01 Epub Date: 2023-06-15 DOI: 10.1037/per0000633

Sandeep Roy, Craig S Neumann, Robert D Hare

{"title":"Validating latent profiles of the Psychopathy Checklist-Revised with a large sample of incarcerated men.","authors":"Sandeep Roy, Craig S Neumann, Robert D Hare","doi":"10.1037/per0000633","DOIUrl":"10.1037/per0000633","url":null,"abstract":"There is a long tradition of theory and research on putative variants of psychopathic and other antisocial clinical presentations. However, using different samples, psychopathy measures, terminologies, and analytic methods makes interpretation of the findings difficult. Emerging research suggests that the validated four-factor model of the Psychopathy Checklist-Revised (PCL-R) provides a consistent and empirically robust framework for identifying psychopathic variants and antisocial subtypes (Hare et al., 2018; Neumann et al., 2016). The current study employed latent profile analysis (LPA) of the full range of PCL-R scores in a large sample of incarcerated men (N = 2,570) to replicate and extend recent LPA research on PCL-R-based latent classes. Consistent with previous research, a four-class solution emerged as optimal, with the following antisocial subtypes: Prototypic Psychopathic (C1), Callous-Conning (C2), Externalizing (C3), and General Offender (C4). We validated the subtypes by examining their differential associations with theoretically meaningful external correlates: Child conduct disorder symptoms; adult nonviolent and violent offenses; Self-Report Psychopathy; Psychopathic Personality Inventory; Symptom Checklist-90 Revised; and behavioral activation system and behavioral inhibition system scores. The discussion focused on conceptions of the PCL-R-based subgroups and their potential application to risk assessment and treatment/management programs. (PsycInfo Database Record (c) 2023 APA, all rights reserved).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"649-659"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9637170","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

Interrater reliability of criterion A of the alternative model for personality disorder (Diagnostic and Statistical Manual for Mental Disorders, Fifth Edition-Section III): A meta-analysis. 人格障碍替代模型标准A的询问者信度（《精神障碍诊断与统计手册》第五版第三节）：荟萃分析。

Personality disorders Pub Date : 2023-11-01 Epub Date: 2023-05-25 DOI: 10.1037/per0000631

Samantha E Young, Peter Beazley

引用次数: 1

Construction of item-level scales from the Personality Assessment Inventory to assess levels of personality functioning. 从人格评估量表中构建项目水平量表，以评估人格功能水平。

Personality disorders Pub Date : 2023-11-01 Epub Date: 2023-05-25 DOI: 10.1037/per0000628

John E Kurtz, Allison K Warner, Melanie A Glatz

{"title":"Construction of item-level scales from the Personality Assessment Inventory to assess levels of personality functioning.","authors":"John E Kurtz, Allison K Warner, Melanie A Glatz","doi":"10.1037/per0000628","DOIUrl":"10.1037/per0000628","url":null,"abstract":"The fifth edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM-5; American Psychiatric Association, 2013) introduced the clinician-rated Levels of Personality Functioning Scale (LPFS) as an indicator of general personality functioning based on four elements: Identity, Self-Direction, Empathy, and Intimacy. Construct validation strategies were employed to select and evaluate items from the Personality Assessment Inventory (PAI; Morey, 2007) to measure the four elements of the LPFS. In Study 1, conceptual ratings of PAI items produced lists of candidate items for the four elements. In Study 2, a sample of student respondents (n = 312) was used to select the final items for the PAI-Levels of Personality Functioning (PAI-LPF). In Study 3, a large sample of adults (n = 505) gathered using Amazon's Mechanical Turk was used to cross-validate the psychometric properties of the PAI-LPF element scales. Means, standard deviations, and coefficient alpha values are reported for the PAI-LPF total score and element scales using the PAI community adult and clinical patient normative samples. The PAI-LPF offers clinicians and researchers the ability to include the LPFS as part of a comprehensive assessment of personality and psychopathology offered by the PAI. (PsycInfo Database Record (c) 2023 APA, all rights reserved).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"603-612"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9514619","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

Associations between different measures of personality pathology and resting-state autonomic function among adolescents. 青少年不同人格病理指标与静息状态自主神经功能的相关性。

Personality disorders Pub Date : 2023-11-01 Epub Date: 2023-05-25 DOI: 10.1037/per0000630

Nicole Hedinger, Maya Cosentino, Ines M Mürner-Lavanchy, Christine Sigrist, Selina Schär, Michael Kaess, Julian Koenig

{"title":"Associations between different measures of personality pathology and resting-state autonomic function among adolescents.","authors":"Nicole Hedinger, Maya Cosentino, Ines M Mürner-Lavanchy, Christine Sigrist, Selina Schär, Michael Kaess, Julian Koenig","doi":"10.1037/per0000630","DOIUrl":"10.1037/per0000630","url":null,"abstract":"Borderline personality disorder (BPD) has been associated with a reduced functional flexibility of the autonomic nervous system (ANS), indexed by decreased vagally mediated heart rate variability (vmHRV). Employing a comprehensive Section II-based assessment approach and a partial Section III-based assessment approach (including Criterion A of the alternative model of personality disorders [AMPD]), the present study investigates how different conceptualizations of personality disorders (PDs) according to the Diagnostic and Statistical Manual for Mental Disorders, 5th edition relate to ANS function. Using the BPD section of the Structured Clinical Interview for DSM-IV Axis II Disorders (SCID-II, a Section II-based assessment approach) and the Semistructured Interview for Personality Functioning DSM-5 (STiP-5.1, a Section III-based assessment approach), we conducted linear regression analyses to examine how categorical (BPD diagnosis) and dimensional (severity and domain) measures of PD are associated with ANS activity among adolescent psychiatric patients (N = 147, Mage = 15.25 years). Replicating earlier findings, analyses revealed a statistically significant positive association between the SCID-II measures of BPD and heart rate (HR), b = 0.43, t(59) = 3.57, p = .001, f = .57, as well as a statistically significant negative association between the SCID-II measures of BPD and vmHRV, b = -0.34, t(59) = -2.74, p = .008, f = .47. Neither the STiP-5.1 total score nor the subscales of the Level of Personality Functioning Scale (LPFS) were associated with HR or vmHRV. The present findings indicate that the SCID-II may capture features of PD that are more informative of variance in physiological function than the STiP-5.1. (PsycInfo Database Record (c) 2023 APA, all rights reserved).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"625-635"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9514621","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

Psychopathy and antisocial personality disorder in the fifth edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders: An attempted replication of Wygant et al. (2016). 《美国精神病学会精神障碍诊断和统计手册》第五版中的精神病和反社会人格障碍：试图复制Wygant等人（2016）。

Personality disorders Pub Date : 2023-11-01 Epub Date: 2023-05-25 DOI: 10.1037/per0000626

Gillian A McCabe, Michelle M Smith, Thomas A Widiger

{"title":"Psychopathy and antisocial personality disorder in the fifth edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders: An attempted replication of Wygant et al. (2016).","authors":"Gillian A McCabe, Michelle M Smith, Thomas A Widiger","doi":"10.1037/per0000626","DOIUrl":"10.1037/per0000626","url":null,"abstract":"The fifth edition of the American Psychiatric Association's (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM-5) Section III Alternative Model of Personality Disorder (AMPD) was developed to ameliorate some of the concerns of the DSM-5 Section II categorical model by moving away from the discrete boundaries of behaviorally specific criteria to a hybridized dimensional trait-based approach. Wygant et al. (2016) examined the extent to which the AMPD improved the operationalization of antisocial personality disorder to more closely align with psychopathy, a notable weakness of DSM-5 Section II (Crego & Widiger, 2015; Lynam & Vachon, 2012; Strickland et al., 2013). Wygant et al. found that the DSM-5 Section III AMPD outperformed Section II in predicting various operationalizations of psychopathy in a sample of 200 male inmates. In the spirit of the importance in exploring replication (Tackett et al., 2017), the current study sought to replicate and extend these findings by comparing the ability of the AMPD and alternative trait models to account for psychopathy. Analyses showed a partial replication of Wygant et al.'s findings, indicating that additional traits to account for psychopathy should be included in DSM-5 Section III. The current study was not preregistered. (PsycInfo Database Record (c) 2023 APA, all rights reserved).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"636-648"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9514617","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

Prevalence of the alternative model of personality disorders diagnoses in populational and at-risk samples, gender and age groups comparisons, and normative data for the LPFS-SR and PID-5. 人群和高危样本中人格障碍诊断替代模型的患病率、性别和年龄组比较以及LPFS-SR和PID-5的标准数据。

Personality disorders Pub Date : 2023-11-01 Epub Date: 2023-07-06 DOI: 10.1037/per0000632

Yann Le Corff, Mélanie Lapalme, Geneviève Rivard, Geneviève L'Ecuyer, Rosalie Morin, Karine Forget, Jean-Pierre Rolland

{"title":"Prevalence of the alternative model of personality disorders diagnoses in populational and at-risk samples, gender and age groups comparisons, and normative data for the LPFS-SR and PID-5.","authors":"Yann Le Corff, Mélanie Lapalme, Geneviève Rivard, Geneviève L'Ecuyer, Rosalie Morin, Karine Forget, Jean-Pierre Rolland","doi":"10.1037/per0000632","DOIUrl":"10.1037/per0000632","url":null,"abstract":"The Alternative Model of Personality Disorders (AMPD), introduced in Section III of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013), was proposed as a new operationalization of personality disorders (PDs) aiming to overcome the several limitations of the traditional symptom-based model (Waugh et al., 2017; Zimmerman et al., 2019). In the AMPD, PDs are defined by two-dimensional criteria (the level of personality functioning and maladaptive personality traits), but as a hybrid model, it also allows for categorical assessment of PDs (i.e., \"hybrid types\") to facilitate continuity with clinical practice. The present study aimed to provide normative data for two widely used instruments assessing Criterion A (Level of Personality Functioning Scale-Self-Report; Morey, 2017) and B (Personality Inventory for DSM-5; Krueger et al., 2012) in a large populational French-Canadian sample. Regarding the categorical assessment, Gamache et al. (2022) recently tested scoring approaches for extracting the PD hybrid types from dimensional measures of the AMPD. In the present study, these approaches were used to estimate prevalence rates for these PD hybrid types in two samples. In the populational sample, results showed that prevalence rates varied from 0.2% (antisocial PDs) to 3.0% (trait-specified PDs), with an overall prevalence of 5.9% to 6.1% for any PD hybrid type. Prevalence was higher in men than in women in the populational sample, but the contrary was observed in the at-risk sample. Prevalence was higher in younger adults than in middle-aged and older adults. (PsycInfo Database Record (c) 2023 APA, all rights reserved).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"591-602"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9755679","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: 1