Personality Disorders and Suicide Attempts

2016 ◽  
Vol 33 (S1) ◽  
pp. S506-S506
Author(s):  
O.W. Muquebil Ali Al Shaban Rodriguez ◽  
J.R. López Fernández ◽  
C. Huergo Lora ◽  
S. Ocio León ◽  
M.J. Hernández González ◽  
...  
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Suicide Attempts ◽  
Obsessive Compulsive ◽  
Dsm 5 ◽  
Patterns Of Behavior ◽  
Cluster A ◽  
Competing Interest ◽  
Clear Relation ◽  
Clinical Cases

IntroductionThe personality disorders are defined according to the DSM-5 like “an enduring maladaptive patterns of behavior, cognition and inner experience, exhibited across many contexts and deviating markedly from those accepted by the individual's cultures. These patterns develop in adolescence and the beginning of adulthood, and are associated with significant distress or disability”. The personality disorders can be a risk factor for different processes of the psychiatric pathology like suicide. The personality disorders are classified in 3 groups according to the DSM-5:– cluster A (strange subjects): paranoid, schizoid and schizotypal;– cluster B (immature subjects): antisocial, bordeline, histrionic and narcissistic;– cluster C (frightened subjects): avoidant, dependent and obsessive-compulsive.AimsTo describe the influence of personality disorders in suicide attempts.MethodologyExhibition of clinical cases.ResultsIn this case report, we exhibit three clinical cases of suicide attempts which correspond to a type of personality disorder belonging to each of the three big groups of the DSM-5 classification, specifically the paranoid disorder of the cluster A, the disorder borderline of cluster B and the obsessive compulsive of cluster C.ConclusionsThe personality disorders have a clear relation with the suicide attempts, increasing this influence in some of them, especially the borderline personality disorder.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Assessing Suicide Risk in Cluster C Personality Disorders

Crisis ◽  
2004 ◽  
Vol 25 (3) ◽  
pp. 128-133 ◽  
Author(s):  
Andrea P. Chioqueta ◽  
Tore C. Stiles
Keyword(s):  
Personality Disorder ◽  
Depressive Disorder ◽  
Personality Disorders ◽  
Suicide Risk ◽  
Suicide Attempts ◽  
Psychiatric Outpatients ◽  
Obsessive Compulsive ◽  
Cluster B Personality Disorders ◽  
Axis I ◽  
Cluster A

Abstract: The aim of the study was to assess suicide risk in psychiatric outpatients with specific cluster C personality disorders (avoidant, dependent, and obsessive-compulsive). A sample of 142 psychiatric outpatients was used for the study. The sample was composed of 87 outpatients meeting diagnostic criteria for a personality disorder and 53 psychiatric outpatients meeting criteria for an axis I disorder only. The results showed that dependent, but not avoidant or obsessive-compulsive, personality disorders, as well as the clusters A and B personality disorders, were significantly associated with suicide attempts. This association remained significant after controlling for both a lifetime depressive disorder and severity of depression for the cluster A and the cluster B personality disorders, but not for dependent personality disorder. The results underline the importance of assessing suicide risk in patients with cluster A and cluster B personality disorders, while the assessment of suicide risk in patients with cluster C personality disorders seems to be irrelevant as long as assessment of a comorbid depressive disorder is appropriately conducted.

Pattern of Comorbidity Among Anxious and Odd Personality Disorders: The Case of Obsessive-Compulsive Personality Disorder

CNS Spectrums ◽  
2000 ◽  
Vol 5 (9) ◽  
pp. 23-26 ◽  
Author(s):  
Alessandro Rossi ◽  
Maria Grazia Marinangeli ◽  
Giancarlo Butti ◽  
Artemis Kalyvoka ◽  
Concetta Petruzzi
Keyword(s):  
Personality Disorder ◽  
Mental Disorders ◽  
Personality Disorders ◽  
Odds Ratios ◽  
Obsessive Compulsive ◽  
Statistical Manual ◽  
Axis Ii ◽  
Diagnostic And Statistical Manual ◽  
Cluster A ◽  
Obsessive Compulsive Personality Disorder

AbstractThe aim of this study was to examine the pattern of comorbidity among obsessive-compulsive personality disorder (OCPD) and other personality disorders (PDs) in a sample of 400 psychiatric inpatients. PDs were assessed using the Semistructured Clinical Interview for DSM-III-R Personality Disorders (SCID-II). Odds ratios (ORs) were calculated to determine significant comorbidity among OCPD and other axis II disorders. The most elevated odds ratios were found for the cooccurrence of OCPD with cluster A PDs (the “odd” PDs, or paranoid and schizoid PDs). These results are consistent with those of previous studies showing a higher cooccurrence of OCPD with cluster A than with cluster C (“anxious”) PDs. In light of these observations, issues associated with the nosologic status of OCPD within the Diagnostic and Statistical Manual of Mental Disorders clustering system remain unsettled.

The Purpose of this Research was Standardizing the Questionnaire of Personality Disorder Cluster A

2017 ◽  
Vol 41 (S1) ◽  
pp. S256-S256
Author(s):  
N. Farrokhi ◽  
S. Ghahari
Keyword(s):  
Personality Disorder ◽  
Personality Traits ◽  
Psychometric Properties ◽  
Sampling Method ◽  
Randomized Sampling ◽  
Dsm 5 ◽  
Cluster A ◽  
Competing Interest

IntroductionAs more or less stable personality traits of the person, temperament, intellect and body is what makes an individual unique compatibility with the environment.ObjectiveThe purpose of this research was standardizing the questionnaire of personality disorder cluster A. On the basis of realizing criterion standard, DSM- 5.Method1303 people from universities of Tehran and Alborz provinces (753 females and 550 males) were examined by using the randomized sampling method. The questions of the questionnaire were conformed Dr. ShahramVaziri on the basis of Iran s population and culture. Then the reliability was tested and accomplished simultaneously Millon(MCMI-III) questionnaire.ResultAfter computing the correlation scales of Millon test with each of the questions, 20 questions that showed the highest correlation and diagnosis coefficient were chosen and scored again in next stage.ConclusionsInvestigating the psychometric component of three scales (Paranoid 60%, Schizoid 66%, Schizotypal 59%) shows that they are reliable and defensibly valid. It can be said that questions related to all three measures paranoid, schizoid and schizotypal of acceptable psychometric properties and reliability are desirable.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Personality Traits and Disorders Among Adult ADHD Patients: Is Borderline Personality Disorder as Common as we Expect?

2017 ◽  
Vol 41 (S1) ◽  
pp. S258-S258 ◽  
Author(s):  
F. Oliva ◽  
S. Bramante ◽  
A. Portigliatti Pomeri ◽  
C. Carezana ◽  
G. Nibbio ◽  
...  
Keyword(s):  
Personality Disorder ◽  
Personality Traits ◽  
Personality Disorders ◽  
Adult Adhd ◽  
Borderline Personality ◽  
Personality Profiles ◽  
High Prevalence ◽  
Cluster A ◽  
Competing Interest ◽  
Low Prevalence

IntroductionPatients with Attention Deficit/Hyperactivity Disorder (ADHD) have shown a high risk to develop a DSM cluster B (i.e., Borderline, OR = 13.16; Antisocial, OR = 3.03; Narcissistic, OR = 8.69) and DSM Avoidant personality disorder (OR = 9.77). Similarly, higher rates of DSM cluster B personality disorder were found among adult ADHD patients (6-25%) than general population. Although some authors investigated the prevalence of personality traits and disorders among adult ADHD patients, no studies have been yet reported about the assessment of Millon's Evolution-Based Personality profiles in adult ADHD patients.AimsTo explore the prevalence of personality traits and disorders among adult ADHD patients.MethodsMillon's personality traits and disorders were assessed in a consecutive sample of 35 adult ADHD outpatients accessing the Service for Adult ADHD of the AOU San Luigi Gonzaga (Orbassano, TO) using the Millon Clinical Multiaxial Inventory–III (MCMI-III).ResultsAccording to the MCMI-III manual, ADHD patients in our sample showed more frequently both Cluster C and Cluster A traits and disorders, with a high prevalence of avoidant/depressive (8.6%/14.3%) and negativistic/self-defeating (20%/5.7%) personality disorders. Conversely, we found a low prevalence of Narcissistic (5.7%) and Histrionic (5.7%) traits, and no patient showed Borderline personality traits or disorder.ConclusionsUnexpectedly, the dimensional assessment of adult ADHD personality reveals a high prevalence of cluster C and cluster A personality traits and disorders, and a low prevalence of cluster B personality disorders.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Examining the Contribution of Perfectionistic Traits to the Construct Validity of the DSM-5 Alternative Model of Personality Disorder

2020 ◽  
pp. 1-18
Author(s):  
Azad Hemmati ◽  
Brandon Weiss ◽  
Atefeh Mirani ◽  
Farzin Rezaei ◽  
Joshua D. Miller
Keyword(s):  
Personality Disorder ◽  
Construct Validity ◽  
Personality Disorders ◽  
Alternative Model ◽  
Clinical Utility ◽  
Personality Pathology ◽  
Obsessive Compulsive ◽  
Large Sample ◽  
Dsm 5 ◽  
Do So

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 by examining the degree to which (a) perfectionistic traits are already instantiated in Section II and Section III models of personality pathology; and (b) perfectionistic traits meaningfully augment the construct validity of AMPD PDs. We conducted these approaches in a large sample (N =3D 435) from an Iranian undergraduate population that is atypically found in the literature. Results showed that perfectionistic traits are already fairly well instantiated in Section III Criterion B. Perfectionistic traits minimally improved the construct validity of OCPD, but did not meaningfully do so for other PDs. Future investigation into the clinical utility of perfectionistic traits is needed.

scholarly journals Personality Disorders

Psychology ◽  
2011 ◽  
Author(s):  
Edelyn Verona ◽  
Sean McKinley ◽  
M. Sima Finy
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Childhood Abuse ◽  
General Scheme ◽  
Early Adulthood ◽  
Obsessive Compulsive ◽  
Early 21St Century ◽  
Dsm 5 ◽  
Problems In Living ◽  
Axis I

Personality disorders (PDs) are defined in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; published by the American Psychiatric Association in 2013) as “an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual’s culture, is pervasive and inflexible, has an onset in adolescence or early adulthood, and leads to distress or impairment” (p. 645). Although broad in scope, this definition is meant to distinguish PDs from other psychological disorders that are less clearly related to enduring personality. Indeed, as of 1980, in DSM-III, PDs were introduced in a different “axis” from other disorders, such as mood or anxiety disorders, ensuring that clinicians pay attention to acute disorders as well as personality-based problems in living. The former were classified under Axis I, or “Clinical Disorders,” representing acute manifestations of illness (e.g., schizophrenia, panic disorder), whereas PDs were classified under Axis II (along with mental retardation) in order to capture inflexible personality traits that have become problematic and that require psychological attention. However, with the publication of DSM-5, the multi-axial system has been eliminated in favor of a general scheme that places all disorders (clinical and personality) on the same diagnostic plane. In DSM-5, ten distinct PDs are listed, organized into three clusters: odd or eccentric (paranoid, schizoid, schizotypal); dramatic, emotional, or erratic (antisocial, borderline, narcissistic, histrionic); and anxious or fearful (avoidant, obsessive-compulsive, dependent) disorders. Individuals who show broad dysfunctions in personality that warrant treatment but who do not meet criteria for any specific PD are often classified as “Unspecified Disorder,” which is not in itself a personality disorder, but instead used to enhance specificity of an existing disorder or as a means of attaching a diagnosis to an individual for treatment purposes. Furthermore, a dimensional model of personality disorder, in which symptoms would be identified on a gradient scale of severity rather than a diagnostic checklist, was proposed during the DSM-5 revision process; however, this model was not approved to replace the categorical schema and was instead placed in section III of the manual (entitled “Emerging measures and models”). As of the early 21st century the etiology for PDs is unclear and multidetermined, but specific temperamental (e.g., neuroticism, disinhibition), environmental (e.g., childhood abuse), and biological (e.g., prefrontal cognitive control systems) factors have been most implicated. Specific etiological factors studied in regard to the three PD clusters as well as treatment approaches are reviewed in subsequent sections, with a focus on empirical and scientifically grounded publications.

scholarly journals Psychometric Properties of the Persian Structured Clinical Interview for Personality Disorders of DSM-5-Personality Version (SCID-5-PD)

2021 ◽  
Author(s):  
Banafsheh Gharraee ◽  
Amir Shabani ◽  
Samira Masoumian ◽  
Somayeh Zamirinejad ◽  
Hooman Yaghmaeezadeh ◽  
...  
Keyword(s):  
Personality Disorder ◽  
Psychometric Properties ◽  
Personality Disorders ◽  
Obsessive Compulsive ◽  
Dependent Personality Disorder ◽  
Dependent Personality ◽  
Persian Version ◽  
Dsm 5 ◽  
Schizoid Personality ◽  
Schizoid Personality Disorder

Abstract Background: The aim of this study was to investigate the psychometric properties of the Persian version of a structured clinical interview for personality disorders based on DSM-5 (R) (SCID-5-PD) in the population of patients with psychiatric disorders in Tehran.Method: The study population includes all outpatients and inpatients referred to three psychiatric centers in Tehran, including Iran Psychiatric Hospital, Rasoul Akram Hospital and Clinic of Behavioral Sciences and Mental Health (Tehran Psychiatric Institute). Inclusion criteria were age between 16 and 70 years, written Informed consent and the ability to understand and speak in Persian and no special physical problems that interfere with the interview process. Sampling in this study was done by Convenience sampling. In this study, in addition to the demographic questionnaire, the Persian version of SCID-5-PD was used. Finally, in order to evaluate the information, the methods of face and content validity and diagnostic validity, test-retest reliability and inter-rater reliability were used.Results: the diagnoses related to obsessive-compulsive personality disorder, paranoid, schizotypal, schizoid, histrionic, narcissistic, borderline and antisocial kappa were higher than 0.4 and the diagnoses related to avoidant personality disorder were dependent and in other certain disorders are below 0.4. Regarding borderline personality disorder with kappa 0.839, the highest agreement was reported between the two reports of the psychiatrist and the SCID interviewer. Also, the specificity results were mostly better than the sensitivity results, and in all diagnoses except obsessive-compulsive and paranoid personality disorder, the specificity was higher than 0.9 and in these two diagnoses, the specificity was higher than 0.85, which indicates the desired characteristic. SCID-5-PD. The sensitivity of all diagnoses except avoidant and dependent personality disorder was also reported to be higher than 0.8; But the susceptibility of avoidant and dependent personality disorder was 0.66. Also, the study of LR + / LR- ratio showed that this tool has the best diagnosis for histrionic, antisocial and schizotypal personality disorder. It is also suitable for other personality disorders except schizoid personality disorder and certain other disorders.Conclusion: According to the findings of the present study, SCID-5-PD can be used in psychiatric clinics and hospitals as a diagnostic tool. In general, this version is suitable for most diagnoses; but with regard to diagnoses of schizoid personality disorder and certain other disorders, this should be done with more caution.

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.

A New Look at Personality Disorders Treatments

2016 ◽  
Vol 33 (S1) ◽  
pp. S506-S506
Author(s):  
S. Neves ◽  
J. Tudela
Keyword(s):  
Personality Disorder ◽  
Personality Traits ◽  
Personality Disorders ◽  
Evidence Base ◽  
Primary Treatment ◽  
Adjunctive Treatment ◽  
Original Research ◽  
Sociocultural Change ◽  
Effective Interventions ◽  
Competing Interest

IntroductionMental illness develops and is inseparable from the sociocultural context. The Disturbances may exhibit different symptoms in different cultures. In personality disorders, there is a pathological expansion of normal traits that often demonstrate a sociocultural change. The quality of life of these patients can improve with certain treatments, which appears to be relevant to be achieved.MethodSearch on Pubmed and Medline for original research or review articles published in English or Portuguese in the last 10 years. It used a combination of terms: “personality”, “treatment”, “personality disorder”, “borderline”, “antissocial”, “pharmacotherapy”, and other named personality disorders.Objectives/AimSearch the evidence base and the new perspectives for the effective treatment of personality disorders.ResultsThe same personality traits may be adaptive or non-adaptive in different contexts. So, without changing these characteristics, patients can learn to use them more effectively. In other words, although the therapy did not change the personality traits, it can be modified in the way they affect the behavioral expression.ConclusionsPsychological or psychosocial intervention is recommended as the primary treatment for borderline personality disorder and pharmacotherapy is only advised as an adjunctive treatment. The amount of research about the underlying, abnormal, psychological or biological processes leading to the manifestation of a disordered personality is increasing, which could lead to more effective interventions.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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