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Journal of Personality Disorders

Nélio Brazão, Daniel Rijo, Diana Ribeiro da Silva, Maria do Céu Salvador, José Pinto-Gouveia
This study consisted of secondary data analysis of information collected from inmates who had participated in an earlier independent randomized controlled trial testing the effects of the Growing Pro-Social (GPS) program. The current study assessed personality disorders as moderators of the GPS effects in cognitive malfunctioning, emotion regulation strategies, and prison misconduct in male prison inmates. Participants were 254 inmates randomly assigned to either the GPS (n = 121) or the control group (n = 133)...
April 15, 2019: Journal of Personality Disorders
Yiyun Shou, Shi En Lay, Heshani Samantha De Silva, Nakiya Xyrakis, Martin Sellbom
It is important to consider cultural implications in the development and manifestation of psychopathy because this construct is often understood in reference to behavioral deviance from social norms. This study examined the construct of psychopathy as it relates to three psychological constructs that are shaped by sociocultural contexts: collectivism-individualism, Zhongyong thinking, and dialectical self-concept. The authors recruited 636 participants from four nations and examined differences between Western English-speaking populations and East Asian Chinese-speaking populations...
March 28, 2019: Journal of Personality Disorders
Michael Kidorf, Stephanie Salazzo, Robert K Brooner, Jessica Peirce, Jim Gandotra, Jeannie-Marie Leoutsakos
This study evaluates personality disorder as a moderator of psychiatric treatment response in people receiving methadone-assisted treatment. Participants (N = 125) were enrolled in a 12-week parent study that evaluated the impact of incentives on attendance to psychiatric care. All participants had a current DSM IV-R Axis I disorder and were classified based on presence of an Axis II disorder: Axis I-only (n = 46) versus Axis I + II (n = 79). All participants received an identical protocol of psychiatric and substance use disorder care...
March 28, 2019: Journal of Personality Disorders
Malek Mneimne, R Michael Furr, David Mendrygal, Mary Kate Law, Elizabeth Mayfield Arnold, William Fleeson
This study investigated the degree of correspondence of retrospective reports of personality disorder symptoms, triggers, and emotions with reports closer in time to the actual experiences. Retrospective reports of symptoms, triggers, and emotions are heavily used in both clinical and research settings, yet no study has investigated the correspondence for symptoms or triggers of personality disorders. A total of 257 participants, including 75 with BPD, completed overlapping daily, weekly, monthly, and semi-annual questionnaires...
March 28, 2019: Journal of Personality Disorders
Bruno Verschuere, Franziska M Yasrebi-de Kom, Iza van Zelm, Scott O Lilienfeld
In response to a crisis of confidence, several methodological initiatives have been launched to improve the robustness of psychological science. Given its real-world implications, personality disorders research is all too important to not follow suit. The authors offer a plea for preregistration in personality disorders research, using psychopathic personality (psychopathy) as a prominent case example. To suit action to word, the authors report on a preregistered study and use it to help refute common misconceptions about preregistration as well as to illustrate that the key strength of preregistration: transparency outweighs its (perceived) disadvantages...
March 28, 2019: Journal of Personality Disorders
Sebastian Euler, Tobias Nolte, Matthew Constantinou, Julia Griem, P Read Montague, Peter Fonagy
Interpersonal problems are a core symptom of borderline personality disorder (BPD). This study investigated the relationship between emotion dysregulation, impulsiveness, and impaired mentalizing in the context of predicting interpersonal problems in BPD. A total of 210 patients with BPD completed the Difficulties in Emotion Regulation Scale (DERS), Barratt Impulsiveness Scale (BIS-11), Reflective Functioning Questionnaire (RFQ), and Inventory of Interpersonal Problems (IIP-32). The authors conducted three path models, with either mentalizing, emotion regulation, or impulsiveness as the exogenous variable...
March 28, 2019: Journal of Personality Disorders
Mary C Zanarini, Christina M Temes, Laura R Magni, Blaise A Aguirre, Katherine E Hein, Marianne Goodman
The objective of this study was to assess the association between variables reflecting childhood adversity, protective childhood experiences, and the five-factor model of personality and BPD in adolescents. Two groups of adolescents were studied: 104 met criteria for BPD and 60 were psychiatrically healthy. Adverse and protective childhood experiences were assessed using a semistructured interview. The five-factor model of personality was assessed using the NEO-FFI. Eight of nine variables indicating severity of abuse and neglect, positive childhood relationships, childhood competence, and the personality factors studied were found to be significant bivariate risk factors for adolescent BPD...
March 28, 2019: Journal of Personality Disorders
Christopher J Hopwood, Robert F Krueger, David Watson, Thomas A Widiger, Robert R Althoff, Emily B Ansell, Bo Bach, R Michael Bagby, Mark A Blais, Marina A Bornovalova, Michael Chmielewski, David C Cicero, Christopher Conway, Barbara De Clerq, Filip De Fruyt, Anna R Docherty, Nicholas R Eaton, John F Edens, Miriam K Forbes, Kelsie T Forbush, Michael P Hengartner, Masha Y Ivanova, Daniel Leising, Mark R Lukowitsky, Donald R Lynam, Kristian E Markon, Joshua D Miller, Leslie C Morey, Stephanie N Mullins-Sweatt, Johan Ormel, Christopher J Patrick, Aaron L Pincus, Camilo Ruggero, Douglas B Samuel, Martin Sellbom, Jennifer L Tackett, Katherine M Thomas, Timothy J Trull, David D Vachon, Irwin D Waldman, Monika A Waszczuk, Mark H Waugh, Aidan G C Wright, Mathew M Yalch, David H Zald, Johannes Zimmermann
No abstract text is available yet for this article.
February 25, 2019: Journal of Personality Disorders
Eivind Normann-Eide, Bj Rnar Torske Antonsen, Elfrida Hartveit Kvarstein, Geir Pedersen, Anja Vaskinn, Theresa Wilberg
Impaired theory of mind (ToM) is an assumed feature of borderline personality disorder (BPD). Yet, no studies have compared ToM abilities in patients with BPD, other personality disorders, and healthy controls, or investigated the relationship between ToM and severity of psychopathology and interpersonal problems. In this study, ToM was investigated by the Movie for the Assessment of Social Cognition. No differences were found between the three groups in overall ToM abilities. The BPD group was, however, characterized by more excessive ToM (interpreted as hypermentalization)...
February 20, 2019: Journal of Personality Disorders
Ulrike Dinger, Magdalena Fuchs, Johanna Köhling, Henning Schauenburg, Johannes C Ehrenthal
This study examines emotional experience in major depressive disorder (MDD) with and without comorbid borderline personality disorder (BPD). It investigates if depression severity or personality functioning mediates group differences and which aspects of emotional experience change during psychotherapy. The emotional experience of MDD-BPD patients (n = 44) was compared to MDD-only patients (n = 35) before and after multimodal short-term psychotherapy. Emotions were classified based on valence and an active/passive polarity...
February 20, 2019: Journal of Personality Disorders
Paul H Soloff
The 10-year outcome for patients with borderline personality disorder (BPD) is diagnostic remission in 85% to 93%; however, less than half achieve good social and vocational functioning, and few attain full psychosocial recovery. To assess the gap between diagnostic remission and psychosocial recovery, quantitative measures of outcome were compared with narrative reports of psychosocial functioning in 150 BPD subjects followed prospectively from 2 to 31 years (mean 9.94 years). Subjects with the best and the worst outcomes were compared on symptom changes over time, and on efforts to improve psychosocial functioning...
February 20, 2019: Journal of Personality Disorders
Chelsea E Sleep, Donald R Lynam, W Keith Campbell, Joshua D Miller
Clinical theory is skeptical of individuals' ability to recognize the presence, severity, and impact of clinical symptoms and pathological traits (Oltmanns & Powers, 2012); however, empirical work has found moderate self-other convergence for reports of pathological traits and for Antagonism-related personality disorder (PD) constructs (i.e., psychopathy, narcissism, and Machiavellianism), which are characterized by low insight. Nevertheless, empirical examinations of insight into perceptions of impairment are scant...
February 20, 2019: Journal of Personality Disorders
Mariangela Lanfredi, Maria Elena Ridolfi, Giorgia Occhialini, Laura Pedrini, Clarissa Ferrari, Antonio Lasalvia, John G Gunderson, Donald W Black, Roberta Rossi
Negative attitudes toward borderline personality disorder (BPD) can present a barrier to those seeking care. We explored caring attitudes toward BPD among 860 mental health professionals, including psychiatrists, psychologists, social health educators, nurses, and social workers. The results showed that social workers and nurses scored significantly lower on caring attitudes than psychiatrists, social health educators, and psychologists. Our analysis showed that the more BPD patients treated in the past year, more years of experience in mental health, and having prior BPD training were positively associated with caring attitudes scores...
February 20, 2019: Journal of Personality Disorders
Antonio Andreoli, Yvonne Burnand, Laura Frambati, Donna Manning, Allen Frances
The authors present the results from a 3-year follow-up among 170 patients who had participated in the original randomized study, which consisted of three treatment conditions: (a) 3-month abandonment psychotherapy (AP) delivered by certified psychotherapists, (b) AP delivered by nurses, and (c) treatment as usual in a psychiatric crisis center. All subjects were recruited at the emergency room after a suicide attempt and met diagnostic criteria for borderline personality disorder and major depression. Psychotic symptoms, bipolar disorder, and mental retardation were exclusion criteria...
February 20, 2019: Journal of Personality Disorders
Katharina Schultebraucks, Moritz Duesenberg, Martina Di Simplicio, Emily A Holmes, Stefan Roepke
A better understanding of suicidal behavior is important to detect suicidality in at-risk populations such as patients with borderline personality disorder (BPD), posttraumatic stress disorder (PTSD), and major depressive disorder (MDD). Suicidal tendencies are clinically assessed by verbal thoughts rather than by specifically asking about mental images. This study examines whether imagery and verbal thoughts about suicide occur and differ between patients with BPD with and without comorbid PTSD compared to patients with MDD (clinical controls)...
February 20, 2019: Journal of Personality Disorders
Carla Sharp, Francesca Penner, Karin Ensink
Despite the developmental roots of the relation between attachment-based reflective function (RF) and borderline pathology, there is a lack of empirical studies examining this link in youth. We examined this link taking into account potential relations between RF and internalizing and externalizing pathology. A total of 421 clinical adolescents between the ages of 12 and 17 completed the Child Attachment Interview (CAI; Shmueli-Goetz, Target, Fonagy, & Datta, 2008), which was coded using the Child and Adolescent Reflective Functioning Scale (CARFS; Ensink, Target, & Oandasan, 2013), alongside a self-report measure of borderline pathology and parent-reported measures of internalizing and externalizing pathology...
February 20, 2019: Journal of Personality Disorders
Jennifer E Khoury, Kate Zona, Eszter Bertha, Lois Choi-Kain, Kate Hennighausen, Karlen Lyons-Ruth
Theorists have suggested that attachment disorganization contributes to the development of borderline personality disorder (BPD). However, few studies have directly observed attachment-related interactions with parents. This study used a newly developed attachment-based coding system to examine whether individuals with BPD were more likely to exhibit disorganized interactions with their mothers than those with (a) other diagnoses (anxiety, depressive, or substance use diagnoses) or (b) no diagnosis. Results indicated that participants with BPD had a greater likelihood of disorganized attachment interactions than did both comparison groups...
February 20, 2019: Journal of Personality Disorders
Jenny Macfie, Gretchen Kurdziel
Child maltreatment is an etiological factor in borderline personality disorder (BPD), which may be transmitted to the children of mothers with BPD. We assessed maltreatment in 36 children aged 4-7 whose mothers have BPD and in 34 normative comparisons. Children whose mothers have BPD were more likely to have experienced sexual abuse, physical abuse, and neglect than were normative comparisons. Mothers' self-reported borderline features were significantly correlated with children's maltreatment. Neglect was associated with mothers' affective instability, identity disturbance, negative relationships, and self-harm; sexual abuse was associated with mothers' identity disturbance, and negative relationships; and physical abuse was associated with mothers' self-harm...
February 11, 2019: Journal of Personality Disorders
Magdalena Romanowicz, Kathryn M Schak, Jennifer L Vande Voort, Jonathan G Leung, Beth R Larrabee, Brian A Palmer
This study aimed to understand prescribing practices during acute psychiatric hospitalization in a large cohort of patients (N = 569) with borderline personality disorder (BPD) at a tertiary care psychiatry unit from January 1, 2013, through January 1, 2015. The mean number of hospitalizations per patient was 1.5 (range, 1-7). The odds of being prescribed antidepressants, antipsychotics, mood stabilizers, hypnotics, or anxiolytics were higher at discharge than at admission. The rate of psychotropic prescriptions was also higher at discharge than at admission (incidence rate ratio, 1...
February 11, 2019: Journal of Personality Disorders
Sara R Masland, Jill M Hooley
Individuals with borderline personality disorder and subclinical borderline features perceive others as untrustworthy (e.g., Fertuck, Grinband, & Stanley, 2013). Trust difficulties may be influenced by emotional state and are formally articulated in the diagnostic criteria for the disorder as temporary state-dependent paranoia. The current study examines the influence of emotional information on trustworthiness appraisals. Seventy-seven community adults, ranging in age from 18 to 70 (M = 31.53, SD = 14...
February 11, 2019: Journal of Personality Disorders
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