Personality disorders最新文献

{"title":"Borderline personality disorder does not predict treatment outcome in a partial hospital program independent of internalizing and harmful substance use dimensions.","authors":"Kimberly J Gilbert, Christopher C Conway, Ivar Snorrason, Courtney Beard, Emma Moscardini, Thröstur Björgvinsson","doi":"10.1037/per0000758","DOIUrl":"10.1037/per0000758","url":null,"abstract":"<p><p>Borderline personality disorder (BPD) diagnoses reliably predict worse mental health treatment outcomes. It is unknown whether multidimensional models of psychopathology, increasingly viewed as viable alternatives to traditional diagnostic systems, can match BPD's predictive power in clinical settings. In a sample of 2,625 partial hospital patients, we compared BPD with internalizing and harmful substance use dimensions as predictors of treatment success, defined by improvement in symptom severity, functional impairment, and quality of life. On a bivariate level, BPD features were moderately related to posttreatment functional impairment (<i>r</i> = .28) and quality of life (<i>r</i> = -.24), but not self-rated symptom improvement (<i>r</i> = .04). When adjusting for internalizing and harmful substance use, however, BPD features had very little unique predictive power. Instead, the internalizing spectrum was the strongest, most consistent predictor of symptom and functional improvement. This pattern of effects suggests that broad dimensions of psychopathology, particularly internalizing, capture much of BPD's prognostic utility in a partial hospital setting. We advise more attention to how the traditional BPD diagnosis compares to broad psychopathology dimensions in terms of clinical utility. This study's data, analysis code, and materials are posted at https://osf.io/wpy7e. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"210-219"},"PeriodicalIF":4.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145746033","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":"Change in personality functioning during treatment with BPD compass.","authors":"Shannon Sauer-Zavala, Madeline Kushner, Hannah Croom, Doug Terrill, Sarah Cecil, Caden Maynard, Alexandra Hines, Nicole Stumpp, Martina Fruhbauerova, Vincent Buchenberger, Matthew W Southward","doi":"10.1037/per0000762","DOIUrl":"10.1037/per0000762","url":null,"abstract":"<p><p>The Alternative Model of Personality Disorders suggests that borderline personality disorder (BPD) is characterized by disturbed personality functioning (self- and other), along with elevated levels of negative affectivity, antagonism, and disinhibition. This study explored the extent to which BPD Compass, a cognitive-behavioral intervention targeting maladaptive personality variants most associated with BPD, addresses the components of Alternative Model of Personality Disorders-defined BPD. In addition, we explored whether improvements in personality functioning were associated with improvements in BPD symptoms. Our intent-to-treat sample included 100 adults (<i>N</i> = 93 who started treatment and had data available for analyses) who met criteria for BPD and were, on average, 28.13 (<i>SD</i> = 8.80) years old, White (<i>n</i> = 88; 88.9%), identified as female (<i>n</i> = 73; 73.7%), and identified as sexual minorities (<i>n</i> = 64; 64.6%). We employed a series of hierarchical linear models to evaluate changes across personality domains and facets during 18 sessions of BPD Compass delivered via telehealth. We also tested whether changes in personality functioning were associated with changes in BPD symptoms using multilevel structural equation modeling. Results suggest significant improvements in negative affectivity, antagonism, disinhibition, and personality functioning during treatment, with medium-to-large effect sizes observed for multiple facets. BPD Compass also was associated with significant improvements in BPD symptoms, and changes in symptoms were significantly correlated with changes in each higher order personality trait. This pattern of results provides support for the feasibility of targeting dimensional traits and indicates that targeting higher order personality traits may streamline care and improve outcomes for BPD patients. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"189-199"},"PeriodicalIF":4.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147328545","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":"Heterogeneity in the structure of aggressive personality.","authors":"David S Chester","doi":"10.1037/per0000770","DOIUrl":"10.1037/per0000770","url":null,"abstract":"<p><p>Aggressiveness is a core feature of many personality disorders. Dozens of dispositional aggressiveness scales exist with their own idiosyncratic factor structures, but they can be distilled down into six factors: relational, angry, violent, retaliatory, intimate, and alcohol. Yet it remains unknown how this comprehensive factor structure might change or remain stable at relatively high levels of aggressiveness-knowledge with considerable relevance to the study of personality pathology. To examine this, I used factor mixture modeling on self-report data from 1,447 diverse undergraduates from a Minority Serving Institution, which combined the person-centered and variable-centered approaches of profile and factor analyses. Analyses revealed three latent profiles that were initially characterized by high (∼14% of sample), medium (∼41%), or low (∼45%) levels of all six aggressiveness factors. Looking at the profile-specific factor solutions, five of the six original factors reemerged with considerable similarity across profiles. These factors' profile-specific configurations and correlations portrayed a shift, in which more aggressive profiles were characterized less by angry tendencies toward retaliation and more by their antagonistic traits. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"220-229"},"PeriodicalIF":4.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The dynamics of fantasy in daily life: Differentiating schizoid and narcissistic phenomena.","authors":"Marco Di Sarno, Fabio Madeddu, Erika Fanti, Caterina Felici, Rossella Di Pierro, Emanuele Preti","doi":"10.1037/per0000775","DOIUrl":"https://doi.org/10.1037/per0000775","url":null,"abstract":"<p><p>This work investigates fantasy in daily life, in relation to momentary mood and personality pathology. First, a pilot study gathers and pretests a set of items to assess and differentiate grandiose fantasy (GF) and schizoid fantasy: A two-factor structure emerges, despite the strong correlation between the factors. Then, the main preregistered study uses ecological momentary assessment in a community sample (<i>N</i> = 150; 3,396 observations) to investigate the correlates of momentary fantasy. Narcissistic traits are uniquely associated with GF but not with schizoid fantasy. The opposite is true for schizoid traits, in line with our hypotheses. Also, momentary negative mood is associated with both fantasies. Exploratory analyses suggest that (a) this pattern of associations holds when controlling for personality dysfunction; (b) narcissistic traits of agentic extraversion and antagonism are responsible for the association of narcissism with GF; (c) there is no evidence that associations between momentary mood and fantasies are moderated by personality traits; and (d) there is no cross-lagged association between mood and fantasy. The study indicates that fantasy may not be a unitary construct, and that both stable individual differences and momentary mood are associated with its deployment. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700957","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":"Latent factors of the alternative DSM-5 model for personality disorders: Associations with psychopathology and psychosocial functioning using self- and interviewer-report methods.","authors":"Eunyoe Ro, Jeffrey R Vittengl, Robin B Jarrett, Lee Anna Clark","doi":"10.1037/per0000750","DOIUrl":"10.1037/per0000750","url":null,"abstract":"<p><p>The alternative model for personality disorders (AMPD) constitutes a major shift in conceptualizing personality pathology and has gained considerable attention among both clinicians and personality pathology researchers. The AMPD has two core components: personality dysfunction (Criterion A) and maladaptive traits (Criterion B). As measures of these components are strongly correlated in self-report, cross-sectional data, some researchers question Criterion A's necessity. We used both self- and interviewer-reported methods to enhance understanding of these AMPD components through principal factors analysis (PFA) and bifactor analysis. Further, we investigated these factors' associations with psychopathology (e.g., mood and anxiety disorder symptoms, criteria for substance use disorders) and psychosocial functioning dimensions (e.g., life satisfaction, interpersonal and occupational problems, daily functioning), again using both self-reported and interviewer-rated measures of these constructs. Six hundred community adults, half each either screened-in as at-risk for personality pathology or currently in outpatient therapy, participated in the study. In both the PFA and bifactor analyses, a distress-and-pathology factor emerged (e.g., negative affectivity, poor self-dysfunction) along with two primarily interpersonal factors: antagonism-disinhibition and detachment. A key difference between the PFA and bifactor analyses was that the interpersonal factors emerged without distress in the bifactor analysis because of the extraction of a general factor and reflected distinct self versus interviewer perspectives. The distress-and-pathology factor consistently displayed meaningful associations with psychopathology symptoms, personality pathology, and psychosocial functioning, whereas the two interpersonal factors were more specifically associated with personality pathology. We discuss the findings' implications for conceptualizing personality pathology and its treatment. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"117-127"},"PeriodicalIF":4.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12614452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145380045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal association of distress tolerance with borderline and antisocial personality traits in a substance use treatment sample attempting sobriety.","authors":"Eun-Sun Lee, Marina A Bornovalova","doi":"10.1037/per0000755","DOIUrl":"10.1037/per0000755","url":null,"abstract":"<p><p>Distress tolerance (DT) is thought to be a transdiagnostic risk factor for psychopathology, especially borderline (BPD) and antisocial personality disorders (ASPD). However, most of the studies documenting the relationship of DT with BPD and ASPD have been cross-sectional, with few examining basic longitudinal patterns of change or interrelationships of these constructs. The present study examined longitudinal patterns of change and prospective reciprocal associations of DT with BPD and ASPD-related pathological personality traits (PPTs) in an adult clinical sample (<i>N</i> = 354) receiving inpatient treatment for substance use disorders and then reintegrating into the community across five time points (baseline, posttreatment, 1-, 3-, and 6-month follow-up). Results indicated high rank-order stability for DT and all PPTs, with significant mean level changes between baseline and follow-ups. Eleven bivariate random intercept cross-lagged panel models were fitted for the association of DT with PPTs. Within-person autoregressive effects were generally nonsignificant during treatment up until the posttreatment period but became significant during the community follow-up for both PPTs and DT. Within-person cross-lagged effects were generally nonsignificant, with only four brief and isolated reciprocal associations observed across disinhibition- and antagonism-related PPT models. Significant concurrent associations were replicated at both the within-person and between-person levels. These findings add to the limited literature on the longitudinal dynamics of DT and PPTs in clinical populations. They also underscore the potential value of targeting DT in interventions aimed at reducing emotional and behavioral dysregulation during the transition from treatment to community settings. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"152-166"},"PeriodicalIF":4.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460871","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":"Open science practices in personality disorder journals.","authors":"Colin E Vize, Donald R Lynam","doi":"10.1037/per0000752","DOIUrl":"10.1037/per0000752","url":null,"abstract":"<p><p>From 2010 to 2014, a series of events and publications revealed that much of the psychological literature was less robust than the field believed. Researchers have highlighted various issues underlying fragile findings in large swaths of psychological science. In response, the field has also proposed solutions to help build a more robust literature. Foremost among these solutions are a suite of Open Science practices, including preregistration, registered reports, and the posting of materials, data, and analytic scripts. While these solutions have primarily emerged outside of clinical science, there is some evidence that clinical science is beginning to adopt Open Science practices. The present study focuses on the use of Open Science practices in personality disorder research, specifically. We discuss the relevance of these practices to personality disorder research, and examine rates of Open Science practices in articles published between 2021 and 2023 in two personality disorder journals, <i>Journal of Personality Disorders</i> (article <i>N</i> = 150) and <i>Personality Disorders: Theory, Research, and Treatment</i> (article <i>N</i> = 158). The rate of Open Science practices in these articles was compared to empirical articles from a select number of general personality journals published during the same time period (article <i>N</i> range = 125-247). Overall, the personality disorder articles showed lower rates of Open Science practices compared to the general personality articles, while some practices (registered reports) were consistently low across all articles. In light of these findings, we discuss ways that personality disorder researchers can effectively implement Open Science practices to help facilitate a more transparent research literature. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"93-104"},"PeriodicalIF":4.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12683338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145373456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maladaptive personality traits predict affective responses to interpersonal stressors above and beyond level of personality functioning.","authors":"Carina Rose, Sara Engelskircher, Johanna Hepp","doi":"10.1037/per0000751","DOIUrl":"10.1037/per0000751","url":null,"abstract":"<p><p>Dimensional models of personality disorders (PDs) define them by impairments in self and interpersonal functioning, with optional or mandatory) specification of maladaptive traits. While interpersonal dysfunction is central to the manifestation and treatment of PDs, it remains unclear whether maladaptive traits provide incremental value in predicting affective responses to interpersonal situations beyond PD severity. Across two preregistered experimental online studies (<i>N</i>₁ = 548, <i>N</i>₂ = 192), we examined whether the maladaptive traits negative affectivity and detachment predict affective responses to interpersonal stimuli after adjusting for level of personality functioning. Stimuli were selected based on the results of a pilot study (<i>N</i>₀ = 445). Participants rated their affect following exposure to audiorecorded interpersonal statements of positive, negative, or neutral valence. Results from both studies showed that negative affectivity was consistently associated with higher levels of negative affect across the paradigm, while detachment predicted lower levels of positive affect, consistent with their theoretical definitions. Contrary to expectations, detachment also predicted higher negative affect in both studies. No trait significantly predicted affective reactivity to positive stimuli, and only one study supported a reduced negative affect increase in response to negative stimuli among individuals high in detachment. All observed effects were incremental to level of personality functioning. These findings suggest that maladaptive traits capture meaningful variance in interpersonal affective responses beyond global personality dysfunction and may aid in individualizing case conceptualizations. However, inconsistencies in affective reactivity point to a need for improved trait operationalizations and greater attention to context in future research. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"128-140"},"PeriodicalIF":4.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379694","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":"Obsessive-compulsive personality disorder in radically open dialectical behavior therapy for treatment-refractory depression.","authors":"Molly Fennig Steinhoff, Julian Baudinet, Roelie J Hempel, Rebecca Tillman, Thomas R Lynch, Kirsten E Gilbert","doi":"10.1037/per0000754","DOIUrl":"10.1037/per0000754","url":null,"abstract":"<p><p>Obsessive-compulsive personality disorder (OCPD) is commonly comorbid with major depressive disorder, and their comorbidity is associated with worsened outcomes and treatment refraction. Radically open dialectical behavior therapy (RO DBT) is a novel transdiagnostic psychosocial intervention. RO DBT targets OCPD-related traits (e.g., maladaptive perfectionism, inflexibility) and has been theorized as an OCPD treatment. This study examined RO DBT efficacy for treatment-refractory depression (TRD), with and without comorbid OCPD. RefraMED was a multisite randomized controlled trial of treatment as usual (TAU) versus RO DBT + TAU for TRD (<i>N</i> = 250). In this secondary data analysis, linear regression predicted 7-month (end of treatment) and 12-month (follow-up) symptoms, controlling for baseline symptoms. Three models examined: (a) outcomes for participants with OCPD (<i>n</i> = 117) comparing RO DBT + TAU and TAU, (b) outcomes among participants receiving RO DBT (<i>n</i> = 162) comparing OCPD and no OCPD, and (c) OCPD diagnosis moderating treatment effects for all participants (<i>N</i> = 250). At 12 months, participants with OCPD had significantly improved emotional approach coping (emotion recognition and communication) and psychological flexibility in RO DBT + TAU (vs. TAU alone; false discovery rate-adjusted <i>p</i>s = .008), with no significant differences observed for depression or interpersonal functioning. OCPD presence did not predict any outcomes within the RO DBT group, nor moderate the effect of treatment on outcomes, suggesting treatment effects were not significantly inhibited by OCPD presence. In conclusion, RO DBT shows promise as a potential evidence-based treatment for OCPD, particularly when comorbid with TRD. Treatment effects were equivalent for those with and without OCPD. Moreover, RO DBT may be particularly beneficial for improving emotional approach coping and flexibility. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"178-188"},"PeriodicalIF":4.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12646503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145598218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The perspectives of patients, significant others, and therapists on factors that impede treatment for personality disorders: A concept map study.","authors":"Johanna W van den Eshof, Kim de Bruijn, Anna Bartak, Udo W Nabitz, Henricus L Van, Rosa A van Grieken","doi":"10.1037/per0000749","DOIUrl":"10.1037/per0000749","url":null,"abstract":"<p><p>Despite the availability of effective treatments for personality disorders (PDs), recovery rates are modest. A better understanding is therefore needed of what patients, significant others and therapists consider to be impediments to PD treatment. We used concept mapping to create a conceptual framework of factors that impede PD treatment. The perspectives of patients, significant others, and therapists with respect to impediments were collected in brainstorm sessions and then formulated as statements by an expert team. The participants subsequently prioritized and sorted these statements prior to analysis with multidimensional scaling and grouping on a two-dimensional concept map using hierarchical cluster analyses. Fifty-four statements were defined and assigned to 11 clusters that were grouped in five metaclusters: (a) lack of trust in the therapeutic relationship, (b) perceived therapist incompetence (c) shortcomings in the mental health care system, (d) patient-related conflicting factors, and (e) insufficient involvement of significant others. This study provides a conceptual framework of factors that are perceived to impede PD treatment. Our findings potentially contribute to an awareness of impediments in clinical practice and suggest that therapists should actively inquire about the expectations, needs, and treatment difficulties of patients and their significant others. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":" ","pages":"105-116"},"PeriodicalIF":4.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460848","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}