81,860 results match your criteria Avoidant Personality Disorder


Female adopted Chinese-American youth's sense of exclusion and short-and long-term adjustment.

Am J Orthopsychiatry 2021 Jun 24. Epub 2021 Jun 24.

Department of Sociology.

In this article, we tested if female adopted Chinese youth's sense of exclusion predicted their behavioral adjustment and mental disorder diagnoses concurrently (Study 1) and longitudinally 5 years later (Study 2). In Study 1, 224 adoptees ( = 13.6 years, = 2. Read More

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"Examining the incremental and interactive effects of boldness with meanness and disinhibition within the triarchic model of psychopathy": Correction.

Personal Disord 2021 Jun 24. Epub 2021 Jun 24.

Department of Psychology, Simon Fraser University.

Reports an error in "Examining the incremental and interactive effects of boldness with meanness and disinhibition within the triarchic model of psychopathy" by Dylan T. Gatner, Kevin S. Douglas and Stephen D. Read More

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Mentalizing Bodies: Explicit Mentalizing Without Words in Psychotherapy.

Front Psychol 2021 7;12:577702. Epub 2021 Jun 7.

Outpatient Clinic of Anxiety Disorders and Personality Disorders, Psychiatrist Hospital, Aalborg University Hospital, Brønderslev, Denmark.

Mentalization concerns the human ability to understand the actions of others (and oneself) in terms of intentional mental states. Theoretically, the notion has been described the poles of automatic, non-verbal implicit mentalization as opposed to conscious and verbal explicit mentalization. In this article, we challenge this standard distinction by examining examples from psychotherapy. Read More

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Analysis of the interaction between personality dysfunction and traits in the statistical prediction of physical aggression: Results from outpatient and community samples.

Personal Ment Health 2021 Jun 21. Epub 2021 Jun 21.

Département de psychologie, Université du Québec à Trois-Rivières, Trois-Rivières, Québec, Canada.

The Alternative Model for Personality Disorders (AMPD), included in the Diagnostic and Statistical Manual of Mental Disorders (5th ed.) and the World Health Organization's International Classification of Diseases (11th ed.; ICD-11) are, respectively, hybrid categorical-dimensional and dimensional frameworks for personality disorders (PDs). Read More

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Individual participant data systematic reviews with meta-analyses of psychotherapies for borderline personality disorder.

BMJ Open 2021 Jun 21;11(6):e047416. Epub 2021 Jun 21.

Psychiatric Department, Region Zealand Psychiatry, Psychiatric Research Unit, Slagelse, Denmark.

Introduction: The heterogeneity in people with borderline personality disorder (BPD) and the range of specialised psychotherapies means that people with certain BPD characteristics might benefit more or less from different types of psychotherapy. Identifying moderating characteristics of individuals is a key to refine and tailor standard treatments so they match the specificities of the individual participant. The objective of this is to improve the quality of care and the individual outcomes. Read More

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Social cognition in type 1 myotonic dystrophy - A mini review.

Cortex 2021 May 27. Epub 2021 May 27.

Department of Neuroscience, Brighton and Sussex Medical School, Brighton, United Kingdom; 'Rita Levi Montalcini' Department of Neuroscience, University of Torino, Turin, Italy. Electronic address:

Our ability to interact with those around us plays an important role in our relationships, mental well being and ability to successfully navigate the complex social society in which we live. Research in social cognitive neuroscience aims to understand the underlying neurobiology of our social behaviours and interactions with others. Myotonic dystrophy type 1 (DM1) is a genetically inherited neuromuscular disorder characterized by mytonia with systemic manifestations such as cardiac disease, respiratory insufficiency, ophthalmic complications, diabetes and frontal balding among others. Read More

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Female Narcissism: Assessment, Aetiology, and Behavioural Manifestations.

Psychol Rep 2021 Jun 22:332941211027322. Epub 2021 Jun 22.

Nottingham Trent University, Centre for Academic Development and Quality, Nottingham, UK.

Despite putative gender differences in the expression of narcissism, prominent theories have virtually dismissed the role of females in the development and manifestation of narcissism. The contention that narcissism is a pathology of the self that may partly differ in males and females is further evident in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The DSM-5 reports that up to 75% of those diagnosed with Narcissistic Personality Disorder (NPD) are men. Read More

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The Mediating Role of Temperamental Traits on the Relationship between Age of Puberty and Eating Disorders: A Mediating Analysis through Structural Equation Modelling of Australian Eating Disorder Outpatients.

J Genet Psychol 2021 Jun 21:1-15. Epub 2021 Jun 21.

University of Sunshine Coast, Petrie, Australia.

The current study had the aim to assess whether temperamental traits mediate the relationship between time of puberty and eating disorder (ED) severity using a sample of 292 outpatients with EDs [68 with Anorexia Nervosa Restrictive Type (AN-R), 101 with Anorexia Nervosa Binge Purging Type (AN-BP), 72 with Bulimia Nervosa (BN) and 51 with Other Specified Feeding and Eating Disorder (OSFED)]. Age of puberty, the severity of EDs, and temperamental traits were assessed through Demographic and Medical History Form, Eating Disorder Examination 17.0d (EDE-17. Read More

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Exploring the comorbidity of musculoskeletal and personality disorders among adults: a scoping review protocol.

Syst Rev 2021 Jun 21;10(1):182. Epub 2021 Jun 21.

Deakin University, Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Geelong, Victoria, Australia.

Background: Separately, mental and musculoskeletal disorders (MSDs) are prevalent across the life course and are leading contributors to disability worldwide. While people with personality disorder (PD) have been shown to have an increased risk of certain physical health comorbidities-associations with MSDs have not been thoroughly explored. The proposed scoping review aims to explore the existing clinical- and population-based literature on the comorbidity of PD and MSDs among adults ≥ 18 years and the burden associated with their comorbidity, identify knowledge gaps on this topic, and propose recommendations for future research. Read More

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Manipulating the sensation of feeling fat: The role of alexithymia, interoceptive sensibility and perfectionism.

Physiol Behav 2021 Jun 17:113501. Epub 2021 Jun 17.

Department of Psychology, College of Human and Health Sciences, Swansea University, Swansea, SA2 8PP. Electronic address:

Objective: Feeling fat reflects difficulties in processing emotions and is an important aspect of body image and eating disorders. The current study aimed to develop a novel social comparison manipulation to induce feeling fat and to explore personality traits that may increase an individual's vulnerability.

Methods: At time 1, 254 healthy females (24. Read More

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Psychotherapeutic case formulation: Plan analysis for narcissistic personality disorder.

Personal Ment Health 2021 Jun 17. Epub 2021 Jun 17.

Institute of Psychotherapy, Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.

Background: One of the relevant case formulation methods for personality difficulties is plan analysis. The present study aimed at delivering a prototypical plan analysis for clients presenting with a diagnosis of narcissistic personality disorder (NPD). The sample consisted of 14 participants diagnosed with an NPD. Read More

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Comorbid mental disorders during long-term course in a nationwide cohort of patients with anorexia nervosa.

Int J Eat Disord 2021 Jun 18. Epub 2021 Jun 18.

Center for Eating Disorders, Odense University Hospital, Odense, Denmark.

Objective: Comorbid mental disorders in anorexia nervosa during long-term course require detailed studies.

Method: This matched cohort study was based on nationwide Danish register data of all patients born 1961-2008 with a first-time ICD-10 diagnosis of anorexia nervosa (AN) between 1994 and 2018 at age 8-32 and matched controls taken from all individuals without an eating disorder (ED). For nine categories of non-eating mental disorders, time from date of first AN-diagnosis (inclusion date) to time of first diagnosis, accounting for censoring, was studied by use of time-stratified Cox models. Read More

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The clinical utility of the ICD-11 classification of personality disorders and related traits: A preliminary scoping review.

Aust N Z J Psychiatry 2021 Jun 18:48674211025607. Epub 2021 Jun 18.

Centre of Excellence on Personality Disorder, Psykiatrien i Region Sjalland, Slagelse, Denmark.

Objectives: A diagnostic system that fails to deliver clinically useful information will not be utilized and consequently will be unable to provide valuable data for health policy and clinical decision making. Therefore, it is imperative to obtain an accurate depiction of the clinical utility of the eleventh revision of the International Classification of Diseases (ICD-11) Personality Disorder (PD) model. The current mixed-methods systematic review aimed to determine the clinical utility of the ICD-11 PD classification system. Read More

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"Pathological personality, relationship satisfaction, and intimate partner aggression: Analyses using the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, alternative model of personality disorder traits": Correction.

Personal Disord 2021 Jun 17. Epub 2021 Jun 17.

Department of Psychological Sciences, Purdue University.

Reports an error in "Pathological personality, relationship satisfaction, and intimate partner aggression: Analyses using the , alternative model of personality disorder traits" by Madison S. Smith, Amber M. Jarnecke and Susan C. Read More

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[Treatment of disorders of emotion regulation in the Adolescents Center at the Central Intitute of Mental Health].

Nervenarzt 2021 Jun 17. Epub 2021 Jun 17.

Klinik für Psychosomatik und Psychotherapeutische Medizin, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim, Universität Heidelberg, J5, 68159, Mannheim, Deutschland.

Severe disorders of emotion regulation, e.g. in the context of mental illnesses, such as borderline disorders, attention deficit hyperactivity disorder (ADHD) and complex posttraumatic stress disorder (PTSD), often begin in childhood and adolescence and influence the psychosocial development of those affected, often into adulthood. Read More

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Impact of Comorbid Personality Disorders on Depression Treatment in Routine Outpatient Care.

Am J Psychother 2021 Jun 17:appipsychotherapy20200046. Epub 2021 Jun 17.

Department of Clinical Psychological Science, Maastricht University, ​Maastrich, the Netherlands (van Bronswijk, van Dijk, Peeters); Department of Psychiatry and Psychology, Maastricht University Medical Center+, Maastricht, the Netherlands (van Bronswijk); Department of Mood Disorders, PsyQ Haaglanden, the Hague, the Netherlands (van Dijk, van den Boogaard); Parnassia Psychiatric Institute, the Hague (Deen); Institute of Psychology, Leiden University, Leiden, the Netherlands (Deen); Department of Psychiatry, Radboud University Medical Center, Nijmegen, the Netherlands (Ruhé); Donders Institute for Brain, Cognition and Behavior, Radboud University, Nijmegen (Ruhé); Pro Persona Mental Healthcare, and Behavourial Science Institute, Radboud University, Nijmegen (Spijker).

Objective: The impact of personality disorder on treatment effectiveness for depression has been debated, and study results have been inconsistent. However, studies that report a negative impact of personality disorders on depression treatment outcomes are often characterized by uncontrolled treatment designs. Within such contexts, individuals with depression and personality disorders are at risk to receive suboptimal treatment. Read More

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Response rate and subjective memory after electroconvulsive therapy in depressive disorders with psychiatric comorbidity.

J Affect Disord 2021 Jun 5;292:276-283. Epub 2021 Jun 5.

Department of Neuroscience, Psychiatry, Uppsala University, Uppsala, Sweden.

Background: Response rates after and tolerability of electroconvulsive therapy (ECT) in depressive disorders with psychiatric comorbidity are uncertain.

Methods: Data on patients with a depressive episode and a first course of ECT were collected from the Swedish National Quality Register for ECT. Logistic regression analyses, adjusted for gender, age, and depressive episode severity, were used to compare patients with and without comorbidity. Read More

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Personality disorders as predictors of intimate partner violence: A meta-analysis.

Clin Psychol Rev 2021 May 28;88:102047. Epub 2021 May 28.

Purdue University, United States of America.

Despite years of research demonstrating a relation between personality pathology and intimate partner violence (IPV), no meta-analysis has been published examining how well, or poorly, all ten personality disorders (PDs) predict IPV perpetration or victimization, nor has any meta-analysis examined these relations across types of IPV. Therefore, the present study was undertaken to synthesize existing research on the effects of all ten PDs, as well as psychopathy and global PD symptoms, on physical, psychological, and sexual IPV perpetration and victimization. An initial search in PsycINFO, PubMed, and Sociological Abstracts yielded 3988 results. Read More

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How do patients with borderline personality disorder experience Distress Tolerance Skills in the context of dialectical behavioral therapy?-A qualitative study.

PLoS One 2021 15;16(6):e0252403. Epub 2021 Jun 15.

Department of Psychiatry and Psychotherapy, University of Lübeck, Lübeck, Germany.

Distress Tolerance Skills (DTS) are an important component of Dialectical Behavioral Therapy (DBT), a therapy method frequently used for treating patients with Borderline Personality Disorder (BPD). However, little is known about how DTS-training is experienced by individuals with BPD. The aim of this study was to explore BPD patients' experiences with receiving DTS-training. Read More

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Schema therapy for violent PD offenders: a randomized clinical trial.

Psychol Med 2021 Jun 15:1-15. Epub 2021 Jun 15.

Department of Clinical Psychological Science, Maastricht University, Maastricht, the Netherlands.

Background: Violent criminal offenders with personality disorders (PD's) can cause immense harm, but are often deemed untreatable. This study aimed to conduct a randomized clinical trial to test the effectiveness of long-term psychotherapy for rehabilitating offenders with PDs.

Methods: We compared schema therapy (ST), an evidence-based psychotherapy for PDs, to treatment-as-usual (TAU) at eight high-security forensic hospitals in the Netherlands. Read More

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Disease Prevalence, Comorbid Conditions, and Medication Utilization Among Patients with Schizophrenia in the United States.

CNS Spectr 2021 Apr;26(2):157

Epidemiologic Research & Methods, LLC, Atlanta, GA, USA.

Objective: Disease prevalence, comorbid conditions, and pharmacological treatments were examined in a large population of US commercial- or Medicaid-insured individuals with schizophrenia.

Methods: This retrospective, cross-sectional claims analysis sourced data from the IBM MarketScan Commercial and Medicare Supplemental Databases and the Multi-state Medicaid Database (01Jan2009 to 30Jun2016). Cases were defined by =1 diagnostic claim (ICD-9-CM/ICD-10-CM) for schizophrenia during the study period. Read More

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Vulnerability of personality disorder during the Covid-19 crises - a multicenter survey of treatment experiences among patients referred to treatment.

Nord J Psychiatry 2021 Jun 14:1-12. Epub 2021 Jun 14.

Institute of Clinical Medicine, University of Oslo, Oslo, Norway.

Background: The societal shutdown due to the Covid-19 pandemic involved mental health services for personality disorder (PD) and was introduced from 12 March 2020 in Norway. Rapid implementation of treatment modifications was required for patients typically characterized by insecure attachment and vulnerability to separation.

Aim: To investigate immediate reactions to the shutdown of services; alternative treatment received; and differences related to age in a clinical sample of patients with PD. Read More

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Machine learning reveals the most important psychological and social variables predicting the differential diagnosis of rheumatic and musculoskeletal diseases.

Rheumatol Int 2021 Jun 14. Epub 2021 Jun 14.

QualiPsy, EE 1901, University of Tours, 37000, Tours, France.

There is an ongoing debate about the importance and the extent to which psychological and psychopathological factors, adverse childhood experiences, and socio-demographic characteristics are associated with the development of certain types of rheumatic disease. With the aim of contributing to knowledge on the subject, the present study uses machine learning modeling to determine the importance of 20 psychological and social variables in predicting two classes of rheumatic disease: inflammatory rheumatic and musculoskeletal diseases (RMD) (rheumatoid arthritis = RA, spondyloarthritis = SA, and Sjögren's syndrome = SS) versus non-inflammatory RMD, namely fibromyalgia = FM). A total of 165 French women with FM, RA, SA, and SS completed an inventory of personality traits, a psychopathology diagnosis questionnaire, and a fatigue/pain questionnaire. Read More

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How Does It Feel to Have a Disturbed Identity? The Phenomenology of Identity Diffusion in Patients With Borderline Personality Disorder: A Qualitative Study.

J Pers Disord 2021 Jun 14:1-30. Epub 2021 Jun 14.

Clinic for Personality Disorders and Suicide Prevention, Aarhus University Hospital, Skejby, Denmark.

Identity diffusion is one of the defining characteristics of borderline personality disorder (BPD). Given its central importance in the formal diagnostic criteria for personality disorders, identity diffusion is remarkably under-researched. In particular, our knowledge of the phenomenology of identity diffusion needs to be improved. Read More

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Would You Rather Be Safe or Free? Motivational and Behavioral Aspects in COVID-19 Mitigation.

Front Psychol 2021 28;12:635406. Epub 2021 May 28.

Department of Psychology, University of Milan-Bicocca, Milan, Italy.

This work investigates the relationship between goals and mitigation behaviors during the COVID-19 pandemic in Italy. Study 1 (pilot) identified goals ascribed to following and violating mitigation-related indications. Study 2 investigated the structure of and link between COVID-related goals and behaviors in a large community sample ( = 995, 301 men). Read More

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Case Report: Adolescent With Autism and Gender Dysphoria.

Front Psychiatry 2021 26;12:671448. Epub 2021 May 26.

Center for Mental Health, University Psychiatric Clinic Ljubljana, Ljubljana, Slovenia.

There is increasing clinical evidence of an association between gender variability, gender dysphoria (GD), and autism spectrum disorder (ASD). This seems to be a two-way relationship, a person with GD is more likely to be diagnosed with ASD and vice versa. In youth, it is important to distinguish whether the presented symptoms are a manifestation of ASD focus on special interests or symptoms of co-occurring GD. Read More

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Insomnia Disorder in Adult Attention-Deficit/Hyperactivity Disorder Patients: Clinical, Comorbidity, and Treatment Correlates.

Front Psychiatry 2021 26;12:663889. Epub 2021 May 26.

Department of Psychiatry, Hospital Universitari Vall d'Hebron, Barcelona, Spain.

Several investigations have been performed on insomnia symptoms in adult attention-deficit/hyperactivity disorder (ADHD). However, the relationship between insomnia disorder and adult ADHD has been neglected in research. The main objective of the current study is to analyze the differences between adult ADHD patients with and without insomnia disorder, in terms of ADHD clinical severity, medical and psychiatric comorbidity, psychopharmacological treatment, and quality of life. Read More

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Psychometric Properties of the Independent 36-Item PID5BF+M for ICD-11 in the Czech-Speaking Community Sample.

Front Psychiatry 2021 26;12:643270. Epub 2021 May 26.

Department of Addictology, General University Hospital in Prague and 1st Faculty of Medicine, Charles University, Prague, Czechia.

Empirical soundness and international robustness of the PID5BF+M, a shortened version of the PID-5 developed for simultaneous evaluation of maladaptive personality traits in the DSM-5 AMPD and ICD-11 models for personality disorders, was recently confirmed in 16 samples from different countries. Because the modified PID5BF+ scale (36 items) was extracted from the complete 220-item PID-5, an independent evaluation of psychometric properties of a stand-alone PID5BF+M is still missing. The present study evaluated the validity and reliability of the 36-item PID5BF+M in comparison with the extracted version from the original PID-5. Read More

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Impact of Parental Impulsivity on Attention Deficit Hyperactivity Disorder and Oppositional Defiant Disorder: Do Mothers' Attitudes Predict Symptom Severity in Children?

J Nerv Ment Dis 2021 Jun 11. Epub 2021 Jun 11.

Department of Child and Adolescent Psychiatry, Balıkesir Atatürk Research and Training Hospital, Balıkesir Department of Child and Adolescent Psychiatry, University of Health Sciences, Dr Sami Ulus Maternity and Children's Research and Training Hospital, Ankara Department of Psychiatry, Balıkesir Atatürk Research and Training Hospital, Balıkesir Department of Child and Adolescent Psychiatry, Aksaray University Research and Training Hospital, Aksaray Department of Child And Adolescent Psychiatry, University of Health Sciences, Ankara Research and Training Hospital Department of Child and Adolescent Psychiatry, University of Health Sciences, Gulhane Training and Research Hospital, Ankara, Turkey.

Abstract: Attention deficit hyperactivity disorder (ADHD) is a chronic neurodevelopmental disorder that occurs early in school-aged children, and it is highly comorbid with oppositional defiant disorder (ODD). Parents of children with ADHD frequently show mental problems related to impulsivity. The aim of this study was to examine the relationship between impulsivity of the mothers and the symptom patterns and severity of children. Read More

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