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Maladaptive Fearlessness: An Examination of the Association Between Subjective Fear Experience and Antisocial Behaviors Linked With Callous Unemotional Traits. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-09-28 Elise M Cardinale,Rebecca M Ryan,Abigail A Marsh
The centrality of a fearless temperament as it relates to the construct of psychopathy remains an area of controversy, with some researchers arguing that the relationship between fearless temperament and psychopathy (and associated antisocial behavior) can be explained by shared associations with other core affective and interpersonal traits of psychopathy such as callous-unemotional (CU) traits. The
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At the Junction of Clinical and Developmental Science: Associations of Borderline Identity Disturbance Symptoms With Identity Formation Processes in Adolescence. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-09-28 Shawna Mastro Campbell,Melanie Zimmer-Gembeck,Amanda Duffy
Developmental scientists describe the role confusion that can occur for adolescents as they are forming a personal identity. Clinical psychologists describe low self-worth, lack of self-clarity, feelings of emptiness, and dissociation as the key elements of identity disturbance, and they link these to borderline personality disorder. In this study, the authors aimed to work at the juncture of these
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An Examination of Stress Generation and Stress Exposure Models in Relation to Symptoms of Borderline Personality Disorder. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-09-28 Amanda A Uliaszek
Research examining life stress as a precipitant, co-occurrence, and consequence of psychopathology often has implications for two explanatory models: stress exposure, where stress causes symptoms, and stress generation, where symptoms cause stress. Preliminary evidence suggests that both processes are evident in borderline personality disorder (BPD). The present study examined 101 adults who self-reported
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Using Multiple Methods to Evaluate Associations Among Externalizing Psychopathology, Personality, and Relationship Quality: A Replication and Extension. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-08-01 Mikhila N Wildey,M Brent Donnellan,Kelly L Klump,S Alexandra Burt
The current study evaluated associations among externalizing psychopathology, personality, and relationship quality in a sample of 794 couples. Personality and psychopathology were assessed using dimensional measures, and relationship attributes were assessed with both self-report and observer reports of videotaped interactions. Results were consistent with prior work (i.e., Humbad, Donnellan, Iacono
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Antisocial Traits, Negative Emotionality, and Trajectories of Relationship Quality in Mexican-Origin Couples. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-08-01 D Angus Clark,M Brent Donnellan,Richard W Robins
The symptoms of antisocial personality disorder (ASPD) and broader personality trait domains such as negative emotionality (NEM) may prove detrimental for marital quality. Previous research with European Americans has found that ASPD negatively predicts couple functioning, even when controlling for NEM. The current study extends previous work by testing whether ASPD (as well as a history of early conduct
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Personality Pathology and Spouses' Moment-to-Moment Interpersonal Behaviors. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-08-01 Lily Assaad,Sean Lane,Christopher J Hopwood,C Emily Durbin,Katherine M Thomas
We assessed the association of personality pathology with romantic couples' observed interpersonal behaviors. Couples engaged in four discussion tasks, after which observers used the Continuous Assessment of Interpersonal Dynamics method to continuously rate each participant's dominance and warmth over the course of each discussion. Using these ratings, we derived indices of average behaviors and changes
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The Impact of Personality Disorders on Longitudinal Change in Relationship Satisfaction in Long-Term Married Couples. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-08-01 Susan C South,Michael J Boudreaux,Thomas F Oltmanns
Personality disorders (PDs) are significantly, negatively related to marital satisfaction. We examine how maladaptive personality is related to change in marital satisfaction over time utilizing data from the St. Louis Personality and Aging Network (SPAN), a longitudinal, community-based study of personality and health in older adults. Participants were assessed at baseline for PD (self-report, informant-report
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Mom-and-Pop Narcissism: The Impact of Attention Seeking and Grandiosity on Couples' Experience of the Transition to Parenthood. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-08-01 Haran Sened,Eran Bar-Kalifa,Rony Pshedetzky-Shochat,Marci Gleason,Eshkol Rafaeli
Various studies have demonstrated associations between personality disorders and relationship satisfaction. The authors examine the associations between attention seeking and grandiosity, both features of narcissistic personality disorder, and relationship satisfaction before and after the transition to parenthood. The authors then expand their analysis to parental satisfaction and postpartum depression
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Suicidal Imagery in Borderline Personality Disorder and Major Depressive Disorder. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-08-01 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
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Relations of Maternal Borderline Personality Disorder Features With Preschooler Executive Functioning and Theory of Mind. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-08-01 Maureen Zalewski,Nicole Musser,Grace Binion,Jennifer K Lewis,Jacqueline R O'Brien
Although children of mothers who have elevated borderline personality disorder (BPD) features are a high-risk group, there remains little research examining developmental mechanisms that place these offspring at risk for emerging psychopathology. The current study included 68 mother-pre-schooler dyads, in which mothers with elevated BPD features were oversampled. Preschoolers (aged 3 and 4 years) completed
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Reciprocal Influences of Parent and Adolescent Borderline Personality Symptoms Over 3 Years. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-06-15 Erin A Kaufman,Sarah E Victor,Alison E Hipwell,Stephanie D Stepp
Leading etiological theories implicate the family environment in shaping borderline personality disorder (BPD). Although a substantive literature explores familial aggregation of this condition, most studies focus on parent influence(s) on offspring symptoms without examining youth symptom influence on the parent. The current study investigated reciprocal relations between parent and adolescent BPD
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Mental Health Support in the Perinatal Period for Women With a Personality Disorder Diagnosis: A Qualitative Study of Women's Experiences. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-06-15 Alice Zacharia,Billie Lever Taylor,Angela Sweeney,Nicola Morant,Louise M Howard,Sonia Johnson
Women who receive a diagnosis of personality disorder may face particular challenges in the context of having a baby. However, this area has received little attention. This study aimed to qualitatively explore experiences of mental health support during the perinatal period in a group of mothers who self-reported having a personality disorder diagnosis. Semistructured interviews were conducted with
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Developmental Pathways to BPD-Related Features in Adolescence: Infancy to Age 15. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-06-15 Laura E Brumariu,Margaret Tresch Owen,Nazly Dyer,Karlen Lyons-Ruth
The self-damaging behaviors central to borderline personality disorder (BPD) become prominent in adolescence. Current developmental theories cite both early family processes and childhood dysregulation as contributors to BPD, but longitudinal data from infancy are rare. Using the National Institute of Child Health and Human Development (NICHD) Study of Early Child Care and Youth Development database
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When Trust Does Not Come Easily: Negative Emotional Information Unduly Influences Trustworthiness Appraisals for Individuals With Borderline Personality Features. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-06-01 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
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What Are the Core Features of Psychopathy? A Prototypicality Analysis Using the Psychopathy Checklist-Revised (PCL-R). Journal of Personality Disorders (IF 2.44) Pub Date : 2020-06-01 Bruno Verschuere,Laura Te Kaat
What are the core features of psychopathy? Previous prototypicality analyses showed that many features were considered as highly prototypical. The authors extend this work by using forced ranking to grasp which features are most important. Forensic mental health professionals ranked the 20 Psychopathy Checklist-Revised (PCL-R) items on their importance to psychopathy. Affective-interpersonal features
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Affective and Sensation-Seeking Pathways Linking Borderline Personality Disorder Symptoms and Alcohol-Related Problems in Young Women. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-06-01 Carla D Chugani,Amy L Byrd,Sarah L Pedersen,Tammy Chung,Alison E Hipwell,Stephanie D Stepp
Borderline personality disorder (BPD) and alcohol use disorder often co-occur, yet we know little about risk processes underlying this association. We tested two mechanistic pathways linking BPD symptoms and alcohol-related problems. In the "affective pathway," we hypothesized that BPD symptoms would be associated with alcohol-related problems through affective instability and drinking to cope. In
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A Systematic Review and Meta-Analysis of Personality Disorder Prevalence and Patient Outcomes in Emergency Departments. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-06-01 Alexander Collins,Kirsten Barnicot,Piyal Sen
The objectives of this study were to perform a systematic review and meta-analysis of studies reporting prevalence of personality disorders (PDs) in emergency departments (EDs) and evaluate the effect of comorbid PDs on clinical outcomes. A systematic search of five databases along with manual searching and expert consultation was performed. A quality appraisal was conducted. A total of 29 articles
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The Higher-Order Structure of Schema Modes. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-06-01 Ingo Jacobs,Lisa Lenz,Anna Wollny,Antje Horsch
In schema therapy, modes are proposed as a key concept and main target for treatment of personality disorders. The present study aimed to assess a comprehensive set of 20 modes, to explore their higher-order structure, and to link the mode factors to the generic schema factor and basic personality traits. The sample consisted of N = 533 inpatients. Earlier versions of the Schema Mode Inventory (SMI
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A Comparison of the Youth Psychopathic Traits Inventory (YPI)-Triarchic Scales and the YPI in a Sample of Justice-Involved Youth. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-06-01 Jared R Ruchensky,John F Edens,M Brent Donnellan,Samuel W Hawes,Edward P Mulvey
The Triarchic model (Patrick, Fowles, & Krueger, 2009) posits that psychopathy consists of three elements: Boldness, Meanness, and Disinhibition. Drislane et al. (2015) recently derived scales from the Youth Psychopathic Traits Inventory (YPI; Andershed, Kerr, Stattin, & Levander, 2002) to assess these traits. The initial validation efforts appeared promising, but researchers have yet to evaluate these
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Multisite Implementation and Evaluation of 12-Month Standard Dialectical Behavior Therapy in a Public Community Setting. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-06-01 Daniel Flynn,Mary Kells,Mary Joyce,Paul Corcoran,Justina Hurley,Conall Gillespie,Catalina Suarez,Michaela Swales,Ella Arensman
Dialectical behavior therapy (DBT) is an effective intervention for treating adults with emotional and behavioral dysregulation. The National DBT Project, Ireland was established in 2013 to coordinate the implementation of DBT across public community mental health settings at a national level. This study describes the implementation and evaluation of DBT across multiple independent sites in adult mental
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How to Assess Recovery in Borderline Personality Disorder: Psychosocial Functioning and Satisfaction With Life in a Sample of Former DBT Study Patients. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-06-01 Marie-Luise Zeitler,Martin Bohus,Nikolaus Kleindienst,Rebekka Knies,Miriam Ostermann,Christian Schmahl,Lisa Lyssenko
Longitudinal studies provide substantial evidence for a high rate of symptomatic remission in borderline personality disorder (BPD), while social and vocational functioning seems to remain consistently impaired. Less data is available on recovery and the associated objective and personal indicators. We examined 58 patients 12-18 years after their diagnosis of BPD and compared two different recovery
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Exploring the Effectiveness of Dialectical Behavior Therapy Versus Systems Training for Emotional Predictability and Problem Solving in a Sample of Patients With Borderline Personality Disorder Journal of Personality Disorders (IF 2.44) Pub Date : 2020-04-06 Verónica Guillén Botella, Azucena García-Palacios, Sara Bolo Miñana, Rosa Baños, Cristina Botella, José Heliodoro Marco
Dialectical behavior therapy (DBT) and systems training for emotional predictability and problem solving (STEPPS) are two treatment protocols for people with borderline personality disorder (BPD) that have received important empirical support. However, their possible differential effectiveness has not yet been studied. The objective of this study is to explore the effectiveness of these two treatment
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Examining the Contribution of Perfectionistic Traits to the Construct Validity of the DSM-5 Alternative Model of Personality Disorder Journal of Personality Disorders (IF 2.44) Pub Date : 2020-04-06 Azad Hemmati, Brandon Weiss, Atefeh Mirani, Farzin Rezaei, Joshua D. Miller
Scholars of perfectionism have proposed significant modifications to DSM-5's alternative model of personality disorders (AMPD), such that (1) perfectionism be expanded beyond the inclusion of a singular trait-rigid perfectionism-and (2) perfectionistic traits be specified as trait descriptors of personality disorders (PDs) other than obsessive-compulsive PD. In this study, we evaluate these proposals
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An Emotional Neglect-Personality Disorder Approach: Quantifying a Dimensional Transdiagnostic Model of Trauma-Related and Personality Disorders. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-04-01 Marleen Wildschut,Sanne Swart,Willemien Langeland,Jan H Smit,Nel Draijer
Are personality disorders (PDs) associated with emotional neglect? Draijer (2003) developed a dimensional model of trauma-related disorders and PD. The first dimension consists of the severity of the trauma endured. The second dimension consists of emotional neglect, which is assumed to be related primarily to personality pathology. In this article, we investigate whether an association between retrospective
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Time, Age, and Predictors of Psychosocial Outcome in Borderline Personality Disorder. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-04-01 Paul H Soloff,Laurel Chiappetta
In longitudinal studies, BPD symptoms diminish over time, though psychosocial functioning lags far behind. The effects of time and advancing age on BPD are poorly understood. We sought prospective predictors of psychosocial outcome and recovery in 150 BPD subjects followed 2 to 31 years (mean 9.94 years) using a multidimensional assessment method and biannual follow-ups. Time-in-study had no significant
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Patient-Reported ICD-11 Personality Disorder Severity and DSM-5 Level of Personality Functioning. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-04-01 Bo Bach,Jaime L Anderson
This study evaluated the Standardized Assessment of Severity of Personality Disorder (SASPD) proposed for ICD-11 and the Level of Personality Functioning Scale-Brief Form 2.0 (LPFS-BF) developed for DSM-5 Section III and their relationships with external correlates. We used a clinical sample (N = 150; 33% women) of 65 psychiatric outpatients and 85 incarcerated addicts, who self-reported the SASPD
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The Level of Personality Functioning Scale Applied to Clinical Material From the Structured Interview of Personality Organization (STIPO): Utility in Detecting Personality Pathology Journal of Personality Disorders (IF 2.44) Pub Date : 2020-03-12 Rossella Di Pierro, Ivan Gargiulo, Anita Poggi, Fabio Madeddu, Emanuele Preti
The Alternative Model for Personality Disorders states that personality pathology involves significant impairment in personality functioning that can be assessed using the Level of Personality Functioning Scale (LPFS). However, the ability of the LPFS to capture impairments typical of personality pathology, rather than of general psychopathology, is still unclear. The authors applied a 12-item version
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The Association Between Childhood Trauma and Attachment Functioning in Patients With Personality Disorders Journal of Personality Disorders (IF 2.44) Pub Date : 2020-03-12 Danielle Voestermans, Merijn Eikelenboom, Jitske Rullmann, Maryke Wolters-Geerdink, Nel Draijer, Jan H. Smit, Kathleen Thomaes, Hein J. F. van Marle
Attachment (mal)functioning and a history of childhood trauma (CT) are both considered psychological determinants of personality disorders (PDs). Their interaction, however, remains largely uninvestigated. In this study, the authors assessed adult and childhood attachment style in a sample of patients with diverse PDs (N = 75) and determined the relation with both occurrence and severity of CT. The
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Cognitive and Affective Theory of Mind in Positive Schizotypy: Relationship to Schizotypal Traits and Psychosocial Functioning Journal of Personality Disorders (IF 2.44) Pub Date : 2020-03-12 Heather M. Wastler, Mark F. Lenzenweger
Theory of mind (ToM) impairments are well documented in schizophrenia, although it remains unclear whether these deficits exist among individuals with schizotypy. The current study sought to shed light on mixed findings in schizotypy by differentiating between various aspects of ToM, (cognitive/affective ToM and overmentalization/undermentalization). A three-group design (positive schizotypy, negative
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Reward and Punishment Sensitivity in Borderline and Avoidant Personality Disorders Journal of Personality Disorders (IF 2.44) Pub Date : 2020-03-12 Kathy R. Berenson, Sarah M. Van De Weert, Stella Nicolaou, Cindy Campoverde, Eshkol Rafaeli, Geraldine Downey
The authors compared self-reported and behavioral responses to reward and punishment in individuals diagnosed with borderline personality disorder (BPD) or avoidant personality disorder (APD) relative to a healthy comparison (HC) group. As predicted, self-reported sensitivity to reward was significantly higher in the BPD group than in the APD and HC groups. Also as predicted, self-reported sensitivity
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Perfectionism, Shame, and Aggression in Depressive Patients With Narcissistic Personality Disorder Journal of Personality Disorders (IF 2.44) Pub Date : 2020-03-01 Jane Fjermestad-Noll, Elsa Ronningstam, Bo S. Bach, Bent Rosenbaum, Erik Simonsen
Depressive symptoms are known to co-occur in patients with narcissistic personality disorder (NPD). From a psychodynamic perspective, perfectionism, shame, and aggression are regarded as prominent in depressed patients. The authors investigated the occurrence of perfectionism, shame, and aggression in patients with NPD, and whether shame is a mediating or a moderating factor for aggression. Two groups
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Internal Processing in Patients With Pathological Narcissism or Narcissistic Personality Disorder: Implications for Alliance Building and Therapeutic Strategies Journal of Personality Disorders (IF 2.44) Pub Date : 2020-03-01 Elsa Ronningstam
Pathological narcissism (PN) and narcissistic personality disorder (NPD) have primarily been identified by striking external features, such as superiority, attention seeking and a critical or condescending attitude, and less attention has been paid to the internal processing contributing to this particular personality functioning. High dropout from treatment and challenges in building a therapeutic
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Clinician Emotional Responses and Therapeutic Alliance When Treating Adolescent Patients With Narcissistic Personality Disorder Subtypes: A Clinically Meaningful Empirical Investigation Journal of Personality Disorders (IF 2.44) Pub Date : 2020-03-01 Annalisa Tanzilli, Ivan Gualco
This study examined clinician emotional responses and therapeutic alliance in psychotherapy with adolescent patients with specific subtypes of narcissistic personality disorder (NPD). A national sample of therapists (N = 58) completed the Therapist Response Questionnaire for Adolescents to identify patterns of clinician response, the Working Alliance Inventory to evaluate the quality of alliance, and
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Transference-Focused Psychotherapy for Narcissistic Personality Disorder: An Object Relations Approach Journal of Personality Disorders (IF 2.44) Pub Date : 2020-03-01 Diana Diamond, Richard G. Hersh
Transference-focused psychotherapy (TFP) is an empirically validated psychodynamic psychotherapy for borderline personality disorder (BPD), based on object relations theory, that has clinical utility for individuals with narcissistic personality disorder (NPD). Given the effectiveness of TFP for patients with BPD, including a number of patients with comorbid NPD, we have adapted the tactics and techniques
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Diagnosis, Classification, and Assessment of Narcissistic Personality Disorder Within the Framework of Object Relations Theory Journal of Personality Disorders (IF 2.44) Pub Date : 2020-03-01 Eve Caligor, Barry L. Stern
Narcissistic personality disorder (NPD) remains a controversial diagnosis, with lack of consensus on essential features of the disorder and its boundaries. Within the framework of object relations theory (ORT), core organizing, structural features define NPD and provide a coherent conceptual framework for understanding clinical features of the disorder. In the ORT model, both grandiose and vulnerable
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Narcissistic and Borderline Personality Disorders: Relationship With Oxidative Stress Journal of Personality Disorders (IF 2.44) Pub Date : 2020-03-01 Royce J. Lee, David Gozal, Emil F. Coccaro, Jennifer Fanning
The authors hypothesized that personality disorders characterized by interpersonal hypersensitivity would be associated with an elevated concentration of 8-hydroxy-2'-deoxyguanosine (8-OH-DG), the oxidized form of guanine, and a biomarker of oxidative stress burden. One hundred ninety-five male and female adults underwent semistructured diagnostic interviews, completed questionnaire measures of social
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Mentalization-Based Treatment for Pathological Narcissism Journal of Personality Disorders (IF 2.44) Pub Date : 2020-03-01 Robert P. Drozek, Brandon T. Unruh
Despite the growing cultural and empirical interest in pathological narcissism (PN), effective treatment guidelines for PN have not yet been established. This article develops mentalization-based treatment (MBT), a leading evidence-based therapy for borderline personality disorder, as a primary intervention for PN. Synthesizing research on parenting styles, attachment patterns, and empathy in PN, the
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Principles of Psychodynamic Treatment for Patients With Narcissistic Personality Disorder Journal of Personality Disorders (IF 2.44) Pub Date : 2020-03-01 Holly Crisp, Glen O. Gabbard
Narcissistic personality disorder is a pleomorphic entity that requires the psychodynamically oriented therapist to tailor the approach to the characteristics of the individual patient. Psychodynamic principles encompass a broad range of interventions depending on the patient's specific characteristics. The therapist's interventions range from interpretation of the transference to supportive approaches
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Dos and Don'ts in Treatments of Patients With Narcissistic Personality Disorder Journal of Personality Disorders (IF 2.44) Pub Date : 2020-03-01 Igor Weinberg, Elsa Ronningstam
This article identifies guiding principles in effective psychotherapies of patients with narcissistic personality disorder (NPD) and cautions against some common pitfalls. Individual psychotherapies of NPD patients were examined by both authors, who tested whether or not some principles, recommended in the literature, effectively promote these therapies and help these patients in moving forward with
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Processes of Change in Psychotherapy for Narcissistic Personality Disorder Journal of Personality Disorders (IF 2.44) Pub Date : 2020-03-01 Pauline Maillard, Laurent Berthoud, Stéphane Kolly, Rainer Sachse, Ueli Kramer
The present study aims at determining the role for outcome of potential processes of change in psychotherapy for narcissistic personality disorder (NPD). They were examined on three levels: the content, the process, and the relationship. A total of 161 patients suffering with NPD were recruited in a naturalistic setting as part of the present study. They underwent a long- term clarification-oriented
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Further Evaluation of the Associations Between Psychopathic Traits and Symptoms of PTSD and Depression in a Nonclinical Sample. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-02-10 Nicholas Kavish,Danielle Boisvert,Eric M Cooke,Richard H Lewis,Matthias Woeckener,Jessica Wells,Todd A Armstrong
Examining psychopathic traits at the factor or facet level has revealed that various aspects of psychopathy may be differentially related, even in opposing directions, to important outcomes (e.g., intelligence, emotion regulation). Empirical work on relations between psychopathy and internalizing disorders, such as posttraumatic stress disorder (PTSD) and depression, has provided evidence for a positive
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Impulsivity, Affect, and Stress in Daily Life: Examining a Cascade Model of Urgency. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-02-10 Brinkley M Sharpe,Leonard J Simms,Aidan G C Wright
Using multilevel structural equation modeling, the authors examined within- and between-person predictors of daily impulsivity, with a particular focus on testing a cascade model of affect and daily stress in a 100-day daily diary study of 101 psychiatric patients with personality disorder diagnoses. On average (i.e., fixed effect), within-person increases in daily stress were associated with increased
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Bifactor Structure of the Schizotypal Personality Questionnaire Across the Schizotypy Spectrum. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-02-10 Alexandra B Moussa-Tooks,Allen J Bailey,Amanda R Bolbecker,Richard J Viken,Brian F O'Donnell,William P Hetrick
Despite widespread use in schizophrenia-spectrum research, uncertainty remains around an empirically supported and theoretically meaningful factor structure of the Schizotypal Personality Questionnaire (SPQ). Current identified structures are limited by reliance on exclusively nonclinical samples. The current study compared factor structures of the SPQ in a sample of 335 nonpsychiatric individuals
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The Therapeutic Alliance Over 10 Sessions of Therapy for Borderline Personality Disorder: Agreement and Congruence Analysis and Relation to Outcome. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-02-01 Yogev Kivity,Kenneth N Levy,Stéphane Kolly,Ueli Kramer
The authors examined whether alliance dynamics are affected by tailoring the therapeutic relationship to the individual patient in brief psychotherapy of borderline personality disorder. Sixty patients were randomized to 10-session Good Psychiatric Management (GPM-BV) or GPM combined with Motive-Oriented Therapeutic Relationship techniques (MOTR+GPM-BV). Patient- and therapist-rated alliance was assessed
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A Meta-Structural Model of Common Clinical Disorder and Personality Disorder Symptoms. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-02-01 Christopher C Conway,Robert D Latzman,Robert F Krueger
A large and consistent research literature demonstrates the superiority of dimensional models of mental disorder. Factor analytic research has mapped the latent dimensions underlying separate sets of mental disorders (e.g., emotional disorders), but a common framework-unencumbered by arbitrary historical boundaries between disorder groups-requires additional research. Using empirically derived measures
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Dialectical Behavior Therapy for Men With Borderline Personality Disorder and Antisocial Behavior: A Clinical Trial. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-02-01 Dan Wetterborg,Peter Dehlbom,Niklas Långström,Gerhard Andersson,Alan E Fruzzetti,Pia Enebrink
In addition to suicidal behaviors, men with borderline personality disorder (BPD) often display antisocial behavior that could impair contacts with mental health services. While research has established effective treatments for women with BPD, this is not yet the case for men. The authors evaluated 12 months of dialectical behavior therapy (DBT) for 30 men with BPD and antisocial behavior, using a
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Emotional Reactivity in Borderline Personality Disorder: Theoretical Considerations Based on a Meta-Analytic Review of Laboratory Studies. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-02-01 Roberta Bortolla,Marco Cavicchioli,Andrea Fossati,Cesare Maffei
Emotional hyperreactivity (Linehan, 1993) is the most investigated construct in borderline personality disorder (BPD). However, experimental studies revealed mixed results on the topic. Our main objective is to comprehensively summarize the results on emotional reactivity in BPD compared to healthy controls (HCs), using a meta-analytic approach, considering different emotional response systems (physiology
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Item Response Theory Analysis of the Big Five Questionnaire for Children-Short Form (BFC-SF): A Self-Report Measure of Personality in Children Aged 11-12 Years. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-02-01 Miles Bore,Kristin R Laurens,Megan J Hobbs,Melissa J Green,Stacy Tzoumakis,Felicity Harris,Vaughan J Carr
Prior investigations indicate that the five core personality dimensions (the "Big Five") are measurable by middle childhood. The aim of this research was to examine the psychometric properties of a short-form self-report measure of the Big Five personality dimensions in children that would be suitable for administration online in large population-based studies. Twenty-five questionnaire items in English
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Nonsuicidal Self-Injury and Suicide: Differences Between Those With and Without Borderline Personality Disorder. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-02-01 Alina Z Levine,Rawya Aljabari,Kristy Dalrymple,Mark Zimmerman
Nonsuicidal self-injury (NSSI) is associated with borderline personality disorder (BPD), but it also occurs in nonclinical samples (Briere & Gil, 1998), inflicting serious harm and serving as a precursor to suicide attempts (Klonsky, May, & Glenn, 2013). Therefore, the DSM-5 proposed a nonsuicidal self-injury disorder (NSSID) and suicidal behavior disorder. Because this addition requires reconciliation
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Clinical Correlates of Vulnerable and Grandiose Narcissism: A Personality Perspective. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-02-01 Scott Barry Kaufman,Brandon Weiss,Joshua D Miller,W Keith Campbell
There is broad consensus that there are at least two different dimensions of narcissism: vulnerable and grandiose. In this study, the authors use a new trifurcated, three-factor model of narcissism to examine relations between aspects of narcissism and an array of clinically relevant criteria related to psychopathology, the self, authenticity, and well-being. Neurotic and antagonistic aspects of narcissism
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Sexual Orientation and Gender of Intimate Relationship Partners Among Adolescents With BPD and Psychiatrically Healthy Adolescents. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-01-28 Mary C Zanarini,Laura R Magni,Christina M Temes,Katherine E Hein,Blaise A Aguirre,Marianne Goodman
The first aim of this study was to describe reported sexual orientation in a group of adolescents diagnosed with borderline personality disorder compared to a group of psychiatrically healthy adolescents. The second purpose was to compare data on dating and gender of dating partners in the same two groups. Two semistructured interviews, which assessed sexual orientation, dating history, and gender
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Treatment for Borderline Personality Disorder and Secondary Effects on Somatization. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-01-28 Karen B Schmaling,Jessica L Fales,Marsha M Linehan
Borderline personality disorder (BPD) is often accompanied by other diagnoses. Some comorbidities have received a good deal of attention, but others, including somatization, have not. As effective treatments for BPD are identified, the secondary effects of these treatments on BPD comorbidities are of clinical relevance. Secondary data were used from a randomized clinical trial of dialectical behavior
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Unresolved Attachment Mediates the Relationship Between Childhood Trauma and Impaired Personality Functioning in Adolescence. Journal of Personality Disorders (IF 2.44) Pub Date : 2020-01-28 Manuela Gander,Anna Buchheim,Astrid Bock,Martin Steppan,Kathrin Sevecke,Kirstin Goth
The present study investigates the mediating effect of attachment trauma on the relationship between childhood maltreatment and personality functioning in 199 adolescents (12-18 years) using a novel approach of an in-depth analysis of attachment-related traumatic contents during an attachment interview (AAP). Our findings demonstrate that adolescents with a high amount of traumatic attachment-related
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Impact of Childhood Maltreatment in Borderline Personality Disorder on Treatment Response to Intensive Dialectical Behavior Therapy Journal of Personality Disorders (IF 2.44) Pub Date : 2019-12-30 Sebastian Euler, Esther Stalujanis, Hannah J. Lindenmeyer, Rosetta Nicastro, Ueli Kramer, Nader Perroud, Sébastien Weibel
Childhood maltreatment (CM), including emotional, physical, and sexual abuse and emotional and physical neglect, is associated with severity of borderline personality disorder (BPD). However, knowledge on the impact of CM on treatment response is scarce. The authors investigated whether self-reported CM or one of its subtypes affected treatment retention, depressive symptoms, and impulsivity throughout
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Screening for Borderline Personality Disorder With the McLean Screening Instrument: A Review and Critique of the Literature Journal of Personality Disorders (IF 2.44) Pub Date : 2019-12-30 Mark Zimmerman, Caroline Balling
Borderline personality disorder (BPD) is underdiagnosed in clinical practice. One approach towards improving diagnostic detection is the use of screening questionnaires. It is important for a screening test to have high sensitivity because the more time-intensive/expensive follow-up diagnostic inquiry will presumably only occur in patients who are positive on the initial screen. The most commonly studied
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Implicit and Explicit Mentalizing Deficits in Adolescent Inpatients: Specificity and Incremental Value of Borderline Pathology Journal of Personality Disorders (IF 2.44) Pub Date : 2019-12-30 Francesca Penner, Veronica McLaren, Jacob Leavitt, Omer Faruk Akca, Carla Sharp
Research has demonstrated mentalizing impairment associated with borderline personality disorder (BPD) in adolescents. However, mentalizing performance in adolescents with BPD has never been compared to that of psychiatric control and healthy control adolescents simultaneously. The present study aimed to (a) compare implicit and explicit mentalizing, and hypermentalizing errors in implicit mentalizing
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Interpersonal Trust: Development and Validation of a Self-Report Inventory and Clinical Application in Patients With Borderline Personality Disorder Journal of Personality Disorders (IF 2.44) Pub Date : 2019-12-30 Janina Botsford, Lars Schulze, Julian Bohländer, Babette Renneberg
Based on typical everyday trust situations, a short and ecologically valid self-report instrument for the assessment of interpersonal trust was developed (Interpersonal Trust Scenario Questionnaire [ITSQ]). Data from 1,359 clinical and nonclinical participants were analyzed to examine psychometric properties and group differences. The authors assessed interpersonal trust in patients with borderline
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Mentalizing Based on External Features in Borderline Personality Disorder Compared With Healthy Controls: The Role of Attachment Dimensions and Childhood Trauma. Journal of Personality Disorders (IF 2.44) Pub Date : 2019-12-01 Martijn Van Heel,Patrick Luyten,Celine De Meulemeester,Dominique Vanwalleghem,Rudi Vermote,Benedicte Lowyck
Extant research suggests that borderline personality disorder (BPD) is associated with impairments in mentalizing, that is, comprehending behavior in terms of underlying mental states. However, the precise nature of these impairments remains unclear. The literature is mixed concerning mentalizing based on external features of others, and specifically facial emotion recognition (FER) in BPD patients
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