Cocaine users with comorbid Cluster B personality disorders show dysfunctional brain activation and connectivity in the emotional regulation networks during negative emotion maintenance and reappraisal

2013 ◽  
Vol 23 (12) ◽  
pp. 1698-1707 ◽  
Author(s):  
Natalia Albein-Urios ◽  
Juan Verdejo-Román ◽  
Carles Soriano-Mas ◽  
Samuel Asensio ◽  
José Miguel Martínez-González ◽  
...  
Keyword(s):  
Personality Disorders ◽  
Emotional Regulation ◽  
Negative Emotion ◽  
Brain Activation ◽  
Cluster B Personality Disorders ◽  
Cocaine Users

A-85 Differences in Cerebral Blood Perfusion with Individuals Diagnosed with Cluster B Personality Disorders

2021 ◽  
Vol 36 (6) ◽  
pp. 1132-1132
Author(s):  
D'anna Sydow ◽  
Daniel Amen ◽  
Kristen Willeumier ◽  
Brittny Arias ◽  
Charles J Golden ◽  
...  
Keyword(s):  
Blood Flow ◽  
Basal Ganglia ◽  
Personality Disorders ◽  
Limbic System ◽  
Negative Emotion ◽  
Blood Perfusion ◽  
Healthy Controls ◽  
Self Recognition ◽  
Cluster B Personality Disorders ◽  
And Gender

Abstract Objective To identify regional cerebral blood flow (rCBF) differences between individuals with DSM-IV diagnosis of Cluster B Personality Disorders (PDB) and healthy controls. Method Healthy controls (n = 81, Mage = 41.9, 53.0% female, 42.0% Caucasian) and persons diagnosed by psychiatric examination with PDB (n=, Mage = 34.12, 71.5% female, 69.8% Caucasian) were selected from a deidentified adult clinical outpatient database. Those with comorbid diagnoses were included. Significant differences (alpha = 0.005) were found for age [t(195) = −3.62], gender [χ2(2) = 7.1], and race [χ2(12) = 23.82] between groups. Mean age [t(523) = 2.09, p = 0.037) and gender [t(532) = −2.653, p = 0.008] different significantly between groups. No significant mean difference was found for education [t(523) = 0.832, p = 0.406]. Results Significant rCBF differences were noted in the cerebellum [left:F(1,192) = 10.5; right:F(1,192) = 4.6], limbic system [left:F(1,192) = 7.8; right:F(1,192) = 5.0], and basal ganglia [left:F(1,192) = 12.3; right:F(1,192) = 6.7]. Group means comparisons indicated higher perfusion in the cerebellum for the PDB group. Lower perfusion was found in the limbic system and basal ganglia in the PDB group. Conclusion Results observed in this study are concurrent with previous literature. PDB demonstrates higher activity in the cerebellum which contains inhibitory neurotransmitters, like Purkinje cells. The increased blood flow to cerebellar circuits may be related to the explicit self-recognition of negative emotion reported in PDB. Hypoperfusion found in the limbic system could be linked to impaired emotional responses. Apathy experienced in PDB may be accounted for by the low perfusion in the highly dopaminergic pathway in the basal ganglia. Further research should assess how different comorbidities with PDB affect perfusion.

Tools & Resources: Impairment and Disability Web Sites

1999 ◽  
Vol 4 (6) ◽  
pp. 5-6
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Interpersonal Relationships ◽  
Web Sites ◽  
Outpatient Psychotherapy ◽  
Obsessive Compulsive ◽  
Not Otherwise Specified ◽  
Cluster B Personality Disorders ◽  
Clinically Significant ◽  
And Behavior

Abstract Personality disorders are enduring patterns of inner experience and behavior that deviate markedly from those expected by the individual's culture; these inflexible and pervasive patterns reflect issues with cognition, affectivity, interpersonal functioning and impulse control, and lead to clinically significant distress or impairment in social, occupational, or other important areas of functioning. The AMA Guides to the Evaluation of Permanent Impairment, Fourth Edition, defines two specific personality disorders, in addition to an eleventh condition, Personality Disorder Not Otherwise Specified. Cluster A personality disorders include paranoid, schizoid, and schizotypal personalities; of these, Paranoid Personality Disorder probably is most common in the legal arena. Cluster B personality disorders include antisocial, borderline, histrionic, and narcissistic personality. Such people may suffer from frantic efforts to avoid perceived abandonment, patterns of unstable and intense interpersonal relationships, an identity disturbance, and impulsivity. Legal issues that involve individuals with cluster B personality disorders often involve determination of causation of the person's problems, assessment of claims of harassment, and assessment of the person's fitness for employment. Cluster C personality disorders include avoidant, dependent, and obsessive-compulsive personality. Two case histories illustrate some of the complexities of assessing impairment in workers with personality disorders, including drug abuse, hospitalizations, and inpatient and outpatient psychotherapy.

Factors of Impulsivity and Cluster B Personality Dimensions

2017 ◽  
Vol 38 (4) ◽  
pp. 203-210 ◽  
Author(s):  
Christopher M. Lootens ◽  
Christopher D. Robertson ◽  
John T. Mitchell ◽  
Nathan A. Kimbrel ◽  
Natalie E. Hundt ◽  
...  
Keyword(s):  
Personality Disorders ◽  
The Other ◽  
Diagnostic Classification ◽  
Personality Dimensions ◽  
Cluster B Personality Disorders ◽  
Classification And Treatment

Abstract. The goal of the present investigation was to expand the literature on impulsivity and Cluster B personality disorders (PDs) by conceptualizing impulsivity in a multidimensional manner. Two separate undergraduate samples (n = 223; n = 204) completed measures of impulsivity and Cluster B dimensions. Impulsivity was indeed predictive of Cluster B dimensions and, importantly, each PD scale exhibited a unique impulsivity profile. Findings for borderline PD scores were highly consistent across samples and strongly and positively associated with urgency and lack of perseverance, as expected. Findings for the other PD dimensions also exhibited a fair amount of consistency. Implications of these findings for diagnostic classification and treatment are discussed.

scholarly journals Cost-effectiveness of psychotherapy for cluster B personality disorders

2010 ◽  
Vol 196 (5) ◽  
pp. 396-403 ◽  
Author(s):  
Djøra I. Soeteman ◽  
Roel Verheul ◽  
Jos Delimon ◽  
Anke M. M. A. Meerman ◽  
Ellen van den Eijnden ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Personality Disorders ◽  
Cost Effective ◽  
Quality Adjusted Life Year ◽  
Decision Analytic Model ◽  
Day Hospital ◽  
Payer Perspective ◽  
Cluster B Personality Disorders ◽  
Effective Choice ◽  
The Cost

BackgroundRecommendations on current clinical guidelines are informed by limited economic evidence.AimsA formal economic evaluation of three modalities of psychotherapy for patients with cluster B personality disorders.MethodA probabilistic decision-analytic model to assess the cost-effectiveness of out-patient, day hospital and in-patient psychotherapy over 5 years in terms of cost per recovered patient-year and cost per quality-adjusted life-year (QALY). Analyses were conducted from both societal and payer perspectives.ResultsFrom the societal perspective, the most cost-effective choice switched from out-patient to day hospital psychotherapy at a threshold of €12 274 per recovered patient-year; and from day hospital to in-patient psychotherapy at €113 298. In terms of cost per QALY, the optimal strategy changed at €56 325 and €286 493 per QALY respectively. From the payer perspective, the switch points were at €9895 and €155 797 per recovered patient-year, and €43 427 and €561 188 per QALY.ConclusionsOut-patient psychotherapy and day hospital psychotherapy are the optimal treatments for patients with cluster B personality disorders in terms of cost per recovered patient-year and cost per QALY.

scholarly journals Exploring the Association between Life Perceptions and Emotional Profiles in Taiwan: Empirical Evidence from the National Well-Being Indicators Survey

2020 ◽  
Vol 17 (12) ◽  
pp. 4209
Author(s):  
Mei-Yin Kuan ◽  
Jiun-Hao Wang ◽  
Yu-Chang Liou ◽  
Li-Pei Peng
Keyword(s):  
Mental Health ◽  
Emotional Regulation ◽  
Positive Emotions ◽  
Negative Emotion ◽  
Pearson Correlation ◽  
Well Being ◽  
Ordinary Least Squares ◽  
Subjective Well Being ◽  
Life Domains ◽  
Least Squares Regression

Most of the studies on subjective well-being have focused on positive emotions. The adverse effect of negative emotions on mental health has been overlooked. This study investigates the extent to which specific life perceptions are associated with emotional profiles, and explores relevant factors that effectively enhance subjective well-being. The data were drawn from 4656 respondents in the 2015 National Well-being Indicators Survey in Taiwan. T-test, ANOVA, Pearson correlation, and ordinary least squares regression were conducted. The results reveal that perceptions of all life domains are positively associated with life satisfaction and happiness. Depression and worry are negatively associated with most of the life perceptions, except for environmental quality. These results demonstrate that the emotional profile approach sheds light on current literature on subjective well-being, and suggests that strategies to increase well-being should take positive and negative emotion into account simultaneously. The findings contribute by confirming which life domains can produce the best or worst outcomes in emotional regulation and positively influence mental health. Given that personal safety and the future security of external types is the most crucial factor within the emotional profiles, social welfare and protection programs would be an important strategy to increase subjective well-being.

scholarly journals Positive and Negative Emotion Regulation in Adolescence: Links to Anxiety and Depression

2019 ◽  
Vol 9 (4) ◽  
pp. 76 ◽  
Author(s):  
Katherine Young ◽  
Christina Sandman ◽  
Michelle Craske
Keyword(s):  
Emotion Regulation ◽  
Emotional Regulation ◽  
Emotion Dysregulation ◽  
Emotional Reactivity ◽  
Depressive Disorders ◽  
Negative Emotion ◽  
Self Report ◽  
Anxiety And Depression ◽  
Adolescent Anxiety

Emotion regulation skills develop substantially across adolescence, a period characterized by emotional challenges and developing regulatory neural circuitry. Adolescence is also a risk period for the new onset of anxiety and depressive disorders, psychopathologies which have long been associated with disruptions in regulation of positive and negative emotions. This paper reviews the current understanding of the role of disrupted emotion regulation in adolescent anxiety and depression, describing findings from self-report, behavioral, peripheral psychophysiological, and neural measures. Self-report studies robustly identified associations between emotion dysregulation and adolescent anxiety and depression. Findings from behavioral and psychophysiological studies are mixed, with some suggestion of specific impairments in reappraisal in anxiety. Results from neuroimaging studies broadly implicate altered functioning of amygdala-prefrontal cortical circuitries, although again, findings are mixed regarding specific patterns of altered neural functioning. Future work may benefit from focusing on designs that contrast effects of specific regulatory strategies, and isolate changes in emotional regulation from emotional reactivity. Approaches to improve treatments based on empirical evidence of disrupted emotion regulation in adolescents are also discussed. Future intervention studies might consider training and measurement of specific strategies in adolescents to better understand the role of emotion regulation as a treatment mechanism.

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