Personality disorders最新文献_第2页

Narcissism's effect on regulatory processes in interpersonal situations. 人际情境中自恋对调节过程的影响。

Personality disorders Pub Date : 2025-05-01 DOI: 10.1037/per0000693

Elizabeth A Edershile, Aidan G C Wright

{"title":"Narcissism's effect on regulatory processes in interpersonal situations.","authors":"Elizabeth A Edershile, Aidan G C Wright","doi":"10.1037/per0000693","DOIUrl":"https://doi.org/10.1037/per0000693","url":null,"abstract":"The current study examines how narcissism is associated with (dys)regulation and the corresponding interpersonal situations likely to set the dynamic (dys)regulatory processes in motion. To replicate and extend findings from Wright et al., 2017, we examined, in four samples with preregistered analyses (total person: N = 1,022; total observation: n = 35,975), whether narcissism amplifies the link between perceptions of the interacting partner's behavior and one's own negative emotions. Results were somewhat variable across samples and measures of narcissism. The most consistent findings showed that narcissism amplified the link between perceiving the interacting partner as dominant and one's own negative affect (partial replication of Wright et al., 2017). We also found that narcissism amplified the link between perceiving the interacting partner as cold and one's own negative affect. Both narcissistic grandiosity and vulnerability played a role in these findings, but when controlling for the shared variance in each, it was narcissistic vulnerability that played a unique role in these effects. These results suggest that people who are perceived as interpersonally dominant and/or cold pose a threat to narcissistic goals and that such a threat is likely to lead to increases in negative affect for people high in narcissism (particularly people high in narcissistic vulnerability). Points of convergence and divergence with findings from Wright et al. (2017) are discussed as are similarities and differences across samples within the study. The current study elucidates important future directions for examining the social contexts likely to lead to dysregulation in individuals high in narcissism. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":"16 3","pages":"235-248"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022809","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

Exploring personality pathology and minority stress among Australian sexual and gender minorities. 探索澳大利亚性和性别少数群体的人格病理学和少数群体压力。

Personality disorders Pub Date : 2025-04-28 DOI: 10.1037/per0000735

Sierra Magann, Sophie C Dahlenburg, Dianna R Bartsch

{"title":"Exploring personality pathology and minority stress among Australian sexual and gender minorities.","authors":"Sierra Magann, Sophie C Dahlenburg, Dianna R Bartsch","doi":"10.1037/per0000735","DOIUrl":"https://doi.org/10.1037/per0000735","url":null,"abstract":"Increased prevalence of personality pathology, characterized by both personality disorder diagnoses and presentation of personality disorder traits, has been identified among sexual and gender minorities (SGMs) compared to their cisgender and heterosexual counterparts. Additionally, certain subgroups within the SGM community, namely bisexual and transgender populations, are found to have a prevalence of personality pathology elevated above that of other SGM subgroups. However, research on personality pathology prevalence across sexuality and gender identity is in its infancy, remaining scarce and inconclusive. Further, while literature has speculated that the increased levels of personality pathology observed within the SGM community may arise from manifestations of minority stress, this is yet to be explored empirically. This study examined self-reported personality pathology from SGM community members as well as their cisgender and heterosexual counterparts and explored potential relationships between personality pathology and minority stress. Using a cross-sectional survey design, 368 participants recruited within Australia completed measures of personality functioning, maladaptive personality traits, and, for SGM participants, minority stress. Greater presentation of personality pathology was identified among SGM participants, with higher mean scores across personality measures. Personality pathology scores were found to be highest among noncisgender individuals and sexuality groups other than heterosexual and gay/lesbian. As theorized, minority stress was positively correlated with increased personality pathology. Implications regarding the potential for overpathologizing of SGM populations are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060374","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

Relationships between positive schizotypy and facets of openness to experience. 积极精神分裂与经验开放性之间的关系。

Personality disorders Pub Date : 2025-04-10 DOI: 10.1037/per0000733

Kelsey T Straub, John G Kerns

{"title":"Relationships between positive schizotypy and facets of openness to experience.","authors":"Kelsey T Straub, John G Kerns","doi":"10.1037/per0000733","DOIUrl":"https://doi.org/10.1037/per0000733","url":null,"abstract":"Positive schizotypy is thought to have important relationships with openness to experience (OE), but the nature of this relationship is still uncertain, as OE is a broad and multifaceted trait. There is also evidence that positive schizotypy forms a joint factor with some OE items, but the nature of this joint factor and its relationships with and distinctiveness from other OE facets such as absorption is unclear. This research (n = 1,016) assessed both positive schizotypy as well as a relatively broad range of OE facets. In item-level factor analyses, we again found a factor (labeled schizotypal thinking) that included items from both positive schizotypy and OE scales reflecting relatively common odd beliefs. The schizotypal thinking factor was distinct both from a factor that appeared closer to symptoms of psychosis as well as from absorption. The schizotypal thinking factor was also moderately to strongly associated with multiple OE factors (e.g., absorption, aesthetic appreciation, fantasy, and innovation); relative to other commonly identified OE facets such as intellect, schizotypal thinking also tended to be at least as strongly associated with the same number of other OE facets. Further, schizotypal thinking and its most related OE facets, but not intellect, tended to be associated with psychotic symptoms, dissociation, and both negative and positive urgency. Overall, our results further support and clarify differential associations between positive schizotypy and OE facets. Our results also suggest that the schizotypal thinking factor might be considered a distinct aspect of OE. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055332","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

Elemental psychopathy assessment's nomological net: A meta-analytic review. 元素精神病评估的法理学网：一项元分析综述。

Personality disorders Pub Date : 2025-03-27 DOI: 10.1037/per0000728

Nathaniel L Phillips, Leigha Rose, Donald R Lynam, Joshua D Miller

{"title":"Elemental psychopathy assessment's nomological net: A meta-analytic review.","authors":"Nathaniel L Phillips, Leigha Rose, Donald R Lynam, Joshua D Miller","doi":"10.1037/per0000728","DOIUrl":"https://doi.org/10.1037/per0000728","url":null,"abstract":"Psychopathy is a longstanding construct of great clinical interest, marked by traits such as Callousness, manipulativeness, and impulsivity. The Elemental Psychopathy Assessment (EPA; Lynam et al., 2011) was developed to anchor the measurement of psychopathy within the five-factor model of personality. This preregistered study presents a meta-analytic review of the EPA's construct validity, examining its relations at the domain and total levels with other psychopathy measures, personality traits, and psychopathological outcomes. Drawing from 50 studies across 38 articles, over 3,500 effect sizes were analyzed. EPA Antagonism showed strong convergent validity with constructs like Triarchic Model of Psychopathy Meanness and Self-Report Psychopathy Scale-III Callous Affect, while EPA Disinhibition was closely linked to impulsivity-related traits such as Triarchic Model of Psychopathy Disinhibition and Self-Report Psychopathy Scale-III Erratic Lifestyle. EPA Narcissism was associated with interpersonal dominance and Manipulation, whereas EPA Emotional Stability generally showed positive relations with adaptive traits and outcomes. Antagonism and Disinhibition emerged as the core psychopathy traits, while the role of Emotional Stability remained uncertain due to its varied associations with maladaptive outcomes. Moderator analyses revealed differences across sample types and EPA versions. These findings offer meta-analytic support for the EPA's validity, highlighting the centrality of Antagonism and Disinhibition, and the complexity of Emotional Stability in the psychopathy construct. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733525","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

Comparing personality dysfunction, maladaptive personality traits, and borderline personality disorder as models of emotion dysregulation in three adult samples. 比较三个成人样本中人格功能障碍、适应不良人格特征和边缘型人格障碍作为情绪失调模型的影响。

Personality disorders Pub Date : 2025-03-27 DOI: 10.1037/per0000730

Isabella A Manuel, Gabrielle S Ilagan, Ashley L Greene, Christopher C Conway

{"title":"Comparing personality dysfunction, maladaptive personality traits, and borderline personality disorder as models of emotion dysregulation in three adult samples.","authors":"Isabella A Manuel, Gabrielle S Ilagan, Ashley L Greene, Christopher C Conway","doi":"10.1037/per0000730","DOIUrl":"https://doi.org/10.1037/per0000730","url":null,"abstract":"The categorical borderline personality disorder (BPD) diagnosis identifies people who struggle to manage negative emotions. As the field transitions to dimensional personality disorder (PD) models, it is important to know whether alternative diagnostic constructs capture emotion regulation difficulties to the same degree. If not, it may make sense to modify the dimensional models or else retain the BPD syndrome to preserve its incremental utility for clinical description, treatment planning, and prognosis. In three adult samples (total N = 1,197), we modeled self-rated emotion dysregulation as a function of Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) Alternative Model of Personality Disorder dimensions and traditional BPD features. We found that personality dysfunction had bivariate correlations with emotion dysregulation of .70-.80 across samples, almost identical to those observed for BPD. Combined, personality dysfunction and maladaptive personality traits explained 52%-73% of individual differences in emotion dysregulation. Controlling for Alternative Model of Personality Disorder constructs, a standalone measure of BPD features accounted for an additional 7%, 0.6%, and 1% of emotion-dysregulation variation across samples. We conclude that emotion dysregulation is better conceptualized as a general feature of the PD space, rather than a specific deficit in borderline or any other PD. We encourage additional investigation into ways that dimensional models of personality pathology relate to emotion dysregulation. The study's raw data and analysis code are available at https://osf.io/x9jbs/. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733524","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

Investigating empathy in schizotypy. 研究精神分裂患者的同理心。

Personality disorders Pub Date : 2025-03-20 DOI: 10.1037/per0000727

Katherine M Elacqua, Mark F Lenzenweger

{"title":"Investigating empathy in schizotypy.","authors":"Katherine M Elacqua, Mark F Lenzenweger","doi":"10.1037/per0000727","DOIUrl":"https://doi.org/10.1037/per0000727","url":null,"abstract":"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 (n = 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).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","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}

引用次数: 0

Daily loneliness and suicidal ideation in borderline personality disorder. 边缘型人格障碍患者的日常孤独和自杀意念。

Personality disorders Pub Date : 2025-03-20 DOI: 10.1037/per0000725

Cara L Wicher, Alexandre Y Dombrovski, Michael N Hallquist, Susanne Buecker, Aidan G C Wright, Aleksandra Kaurin

{"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":"https://doi.org/10.1037/per0000725","url":null,"abstract":"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 (N = 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).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","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}

引用次数: 0

Associations between pathological personality traits, functional impairment, and personality disorder: Controlling for basic personality traits and identity disturbance. 病理性人格特征、功能障碍和人格障碍之间的联系：基本人格特征和身份障碍的控制。

Personality disorders Pub Date : 2025-03-20 DOI: 10.1037/per0000731

Lennart Kiel, Majse Lind, Sune Bo, Carsten Réne Jørgensen, Rikke Bøye, Christina Kjær Frederiksen, Helle Spindler

{"title":"Associations between pathological personality traits, functional impairment, and personality disorder: Controlling for basic personality traits and identity disturbance.","authors":"Lennart Kiel, Majse Lind, Sune Bo, Carsten Réne Jørgensen, Rikke Bøye, Christina Kjær Frederiksen, Helle Spindler","doi":"10.1037/per0000731","DOIUrl":"https://doi.org/10.1037/per0000731","url":null,"abstract":"Contemporary models conceptualize personality disorder (PD) as a combination of personality dysfunction and pathological personality traits. However, some perspectives suggest that pathological traits, along with functional impairment, may be sufficient indicators of PD. This study builds on previous research by investigating whether identity disturbance, defined as impaired coherence, inconsistency, and discontinuity in the sense of self, contributes to pathological personality trait scores beyond basic five-factor personality traits. Additionally, it examines whether the associations between pathological personality trait domains, PD diagnosis, and functional impairment remain when controlling for identity disturbance and basic personality traits. The study included two samples: 776 community individuals (344 with a psychiatric history) and 77 psychiatric patients diagnosed with PD. Structural equation models with latent factors indicated that pathological personality trait domains can be described as a combination of variance from basic personality traits and to a lesser extent identity disturbance. When identity disturbance was controlled for, however, pathological trait domains no longer differentiated individuals with PD from community participants with psychiatric histories. Furthermore, individual pathological trait domains did not demonstrate incremental validity in predicting functional impairment beyond the contributions of basic personality traits and identity disturbance. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671993","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

The urge to fill the void: Emptiness, impulsivity, and mentalizing in the daily life of individuals with borderline personality disorder. 填补空虚的冲动：边缘型人格障碍患者日常生活中的空虚、冲动和精神化。

Personality disorders Pub Date : 2025-03-20 DOI: 10.1037/per0000721

Leeav Sheena-Peer, Eshkol Rafaeli, Kathy R Berenson, Geraldine Downey, Yogev Kivity

{"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":"https://doi.org/10.1037/per0000721","url":null,"abstract":"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).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143672046","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

Psychosocial and pharmacological interventions for cluster a personality disorders: A systematic review and two exploratory meta-analyses. a类人格障碍的社会心理和药理干预：系统综述和两个探索性荟萃分析。

Personality disorders Pub Date : 2025-03-20 DOI: 10.1037/per0000732

Simone Cheli, Courtney N Wisepape, Chelsea D Y Witten, Marta Floridi, Veronica Cavalletti, Ilanit Hasson-Ohayon, Martin Brüne, Cristina Ottaviani

{"title":"Psychosocial and pharmacological interventions for cluster a personality disorders: A systematic review and two exploratory meta-analyses.","authors":"Simone Cheli, Courtney N Wisepape, Chelsea D Y Witten, Marta Floridi, Veronica Cavalletti, Ilanit Hasson-Ohayon, Martin Brüne, Cristina Ottaviani","doi":"10.1037/per0000732","DOIUrl":"https://doi.org/10.1037/per0000732","url":null,"abstract":"Despite an overall prevalence of about 4% and a possible association with well-studied conditions such as schizotypy, little is known about effective treatments for Cluster A personality disorders (PDs), that is, paranoid, schizoid, and schizotypal PD. The aim of this systematic review and meta-analysis was to conduct a narrative synthesis of existing randomized controlled trials and explore the effectiveness of psychosocial and pharmacological treatments for these disorders. Nineteen studies including 468 participants diagnosed with any one of the three Cluster A PDs were included in the systematic review. Data from 291 (k = 5) and 213 (k = 5) participants were included in two different meta-analyses evaluating the reduction of distinctive clinical features and the increase of general functioning following treatment, respectively. All the treatments in meta-analyses reported a low overall attrition rate (0.23). The two meta-analyses showed medium-to-large effect sizes (g = .60-.91), but were limited by small sample sizes and large heterogeneity. Collected findings suggest that treatments for paranoid, schizoid, and schizotypal PD may be feasible and effective. We discuss implications for further research. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143672043","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