Personality disorders最新文献

{"title":"Examining the economic costs of crime associated with psychopathic personality disorder: A reply to Verona and Joyner (2022).","authors":"Dylan T Gatner,&nbsp;Kevin S Douglas,&nbsp;Madison F E Almond,&nbsp;Stephen D Hart,&nbsp;P Randall Kropp","doi":"10.1037/per0000623","DOIUrl":"https://doi.org/10.1037/per0000623","url":null,"abstract":"<p><p>In our article, \"How much does that cost? Examining the economic costs of crime in North America attributable to people with psychopathic personality disorder\" (Gatner et al., 2023, pp. 391-400), we estimated that psychopathic personality disorder (PPD) was associated with substantial crime costs, using a top-down approach of national costs in the United States and Canada. Verona and Joyner (2023) raised several concerns about our findings. Although we think some of their points help to map directions for future research, we disagree with others they raised related to the conceptualization of PPD, the problem of undetected crimes, and their concerns with putative national comparisons. We strongly welcome debate about the societal impacts of PPD in the hope that it spurs increased attention and innovation regarding the treatment and management of PPD. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":"14 4","pages":"405-407"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9695427","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":"Metacognitive interpersonal therapy in borderline personality disorder: Clinical and neuroimaging outcomes from the CLIMAMITHE study-A randomized clinical trial.","authors":"Roberta Rossi,&nbsp;Daniele Corbo,&nbsp;Laura R Magni,&nbsp;Michela Pievani,&nbsp;Giuseppe Nicolò,&nbsp;Antonio Semerari,&nbsp;Giulia Quattrini,&nbsp;Ilaria Riccardi,&nbsp;Livia Colle,&nbsp;Laura Conti,&nbsp;Roberto Gasparotti,&nbsp;Ambra Macis,&nbsp;Clarissa Ferrari,&nbsp;Antonino Carcione","doi":"10.1037/per0000621","DOIUrl":"https://doi.org/10.1037/per0000621","url":null,"abstract":"<p><p>Different psychotherapeutic approaches demonstrated their efficacy but the possible neurobiological mechanism underlying the effect of psychotherapy in borderline personality disorder (BPD) patients is poorly investigated. We assessed the effects of metacognitive interpersonal therapy (MIT) on BPD features and other dimensions compared to structured clinical management (SCM). We also assessed changes in amygdala activation by viewing emotional pictures after psychotherapy. One hundred forty-one patients were referred and 78 BPD outpatients were included and randomized to MIT or SCM. Primary outcome was emotional dysregulation assessed with the Difficulties in Emotion Regulation Scale (DERS). We also assessed BPD symptomatology, number of PD criteria, metacognitive abilities, state-psychopathology, depression, impulsiveness, interpersonal functioning, and alexithymia. A subset of 60 patients underwent functional magnetic resonance imaging before and after 1 year of psychotherapy to assess amygdala activation by viewing standardized emotional pictures (secondary outcome). DERS scores decreased in both groups (time effect <i>p</i> < .001). The Cohen's <i>d</i> effect size for change (baseline posttreatment) on DERS was very large (<i>d</i> = 0.84) in MIT, and large (<i>d</i> = 0.76) in SCM. Both groups significantly improved in depressive symptoms, state-psychopathology, alexithymia, and interpersonal functioning. MIT showed larger effect on metacognitive functions than SCM (Time × Group <i>p</i> < .001). Both interventions showed a significant effect on BPD symptomatology although SCM group showed a larger decrease. On the contrary, MIT group showed larger decrease in impulsivity and number of PD criteria. Interestingly, both MIT and SCM modulated amygdala activation in BPD patients. MIT is a valid and effective psychotherapy for BPD with an impact on amygdala activation. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":"14 4","pages":"452-466"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9694456","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":"What is this measuring? Comment on Gatner et al. (2022).","authors":"Edelyn Verona,&nbsp;Keanan Joyner","doi":"10.1037/per0000614","DOIUrl":"https://doi.org/10.1037/per0000614","url":null,"abstract":"<p><p>In their crime cost estimation, Gatner et al. (2022) conclude that psychopathic personality disorder (PPD) is associated with billions of dollars of crime costs in the United States (US) and Canada. Gatner et al.'s analysis goes far in putting a cost estimate to PPD, when the burden of psychopathy for the criminal justice system has been unspecified for years. Nonetheless, in the present commentary, we identify two broad problems with their analyses that motivate caution in the interpretation of the findings and their potential applicability: (a) the conceptualization of psychopathy that formed the bases for estimates of PPD, and (b) the assumptions underlying crime cost estimates made by Gatner et al. The questionable assumptions and diminished focus on the criminal justice context in the US versus Canada limit the extent to which these estimates can produce useful policy implications and may instead perpetuate misconceptions of crime and PPD. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":"14 4","pages":"401-404"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9695426","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":"Supplemental Material for Clarifying the Relation Between Mother and Adolescent Borderline Personality Disorder Symptoms: The Roles of Maternal and Adolescent Emotion Regulation and Maladaptive Maternal Emotion Socialization","authors":"","doi":"10.1037/per0000629.supp","DOIUrl":"https://doi.org/10.1037/per0000629.supp","url":null,"abstract":"","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135712660","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":"Supplemental Material for Validating Latent Profiles of the Psychopathy Checklist-Revised With a Large Sample of Incarcerated Men","authors":"","doi":"10.1037/per0000633.supp","DOIUrl":"https://doi.org/10.1037/per0000633.supp","url":null,"abstract":"","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135712661","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":"Supplemental Material for 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":"","doi":"10.1037/per0000626.supp","DOIUrl":"https://doi.org/10.1037/per0000626.supp","url":null,"abstract":"","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42431822","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":"Supplemental Material for Associations Between Different Measures of Personality Pathology and Resting-State Autonomic Function Among Adolescents","authors":"","doi":"10.1037/per0000630.supp","DOIUrl":"https://doi.org/10.1037/per0000630.supp","url":null,"abstract":"","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45358152","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":"Supplemental Material for Metacognitive Interpersonal Therapy in Borderline Personality Disorder: Clinical and Neuroimaging Outcomes From the CLIMAMITHE Study—A Randomized Clinical Trial","authors":"","doi":"10.1037/per0000621.supp","DOIUrl":"https://doi.org/10.1037/per0000621.supp","url":null,"abstract":"","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44390514","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":"Supplemental Material for Higher Baseline Emotion Dysregulation Predicts Treatment Dropout in Outpatients With Borderline Personality Disorder","authors":"","doi":"10.1037/per0000627.supp","DOIUrl":"https://doi.org/10.1037/per0000627.supp","url":null,"abstract":"","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49039262","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":"Reliability, structure, and validity of module I (personality functioning) of the Structured Clinical Interview for the alternative DSM-5 model for personality disorders (SCID-5-AMPD-I).","authors":"Ludwig Ohse,&nbsp;Johannes Zimmermann,&nbsp;André Kerber,&nbsp;Leonie Kampe,&nbsp;Jil Mohr,&nbsp;Julia Kendlbacher,&nbsp;Oliver Busch,&nbsp;Michael Rentrop,&nbsp;Susanne Hörz-Sagstetter","doi":"10.1037/per0000576","DOIUrl":"https://doi.org/10.1037/per0000576","url":null,"abstract":"<p><p>According to the alternative model for personality disorders (AMPD) of the <i>Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5),</i> a moderate or greater impairment in personality functioning is the essential criterion for a personality disorder diagnosis. Personality functioning is operationalized in the Level of Personality Functioning Scale via 4 domains (identity, self-direction, empathy, and intimacy) and 2 higher order dimensions (self and interpersonal functioning). The current study examined the reliability (interrater, test-retest), structure, and validity (convergent, discriminant, and incremental) of the Structured Clinical Interview for the AMPD-Module I (SCID-5-AMPD-I). A clinical sample (<i>n</i> = 121) completed the SCID-5-AMPD-I, along with an interview for <i>DSM</i>-<i>5</i> Section II personality disorders and self-reports for personality pathology (personality functioning, personality organization, personality structure, and pathological personality traits) and other forms of psychopathology (depression, anxiety, somatization, and general disability). Interrater and test-retest reliability was excellent for overall personality functioning, the higher order dimensions, and the domains, except for the empathy domain in the test-retest condition. Factor analyses suggest that personality functioning is an essentially unidimensional construct. Personality functioning demonstrated high convergence with other forms of personality pathology and showed good discriminant validity in relation to depression, anxiety, and somatization but not in relation to the broader construct of general disability. Personality functioning (Criterion A) showed incremental validity over pathological personality traits (Criterion B) in predicting interview-assessed DSM-5 Section II personality disorders but not in predicting self-reported personality and general psychopathology. The present study suggests that the SCID-5-AMPD-I is a viable measure for personality functioning. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":"14 3","pages":"287-299"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9471176","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}