ASSOCIATIONS BETWEEN DSM-5 PERSONALITY PATHOLOGY AND HORNEY’S INTERPERSONAL TRENDS AMONG OLDER ADULTS

Abstract Introduction: The Personality Inventory for DSM-5 (PID-5) is a measure of the alternative model of personality disorders with limited evidence of validity among older adults. This study examined validity of the model through associations with the Horney-Coolidge Tridimensional Inventory (HCTI). Method: Older adults (N=125) completed the PID-5 and the HCTI. Results: Zero-order correlations were computed between the PID-5’s five domains (Negative Affect, Detachment, Antagonism, Disinhibition, and Psychoticism) and the HCTI’s three domains (Compliance, Aggression, and Detachment). Compliance was moderately negatively correlated with Detachment (r = -.27), as expected. Aggression was significantly positively related to all five PID-5 domains and was most strongly correlated with Antagonism (r = .56), Psychoticism (r = .48), and Disinhibition (r = .32). As predicted, Horney’s Detachment was most strongly related to the PID-5’s Detachment (r = .48). Regression analyses were also conducted with PID-5 domains predicting each HCTI type. The Compliance model was significant, with PID-5 domains predicting 13% of variability in Compliance. Negative Affect (positive) and Detachment (negative) were significant predictors. The Aggression model was also significant, with the PID-5 domains accounting for 40% of variability. Antagonism was the only significant positive predictor. Lastly, the Detachment model was significant, with the PID-5 domains predicting 29% of variance in Detachment scores. Negative Affect (negative) and Detachment (positive) were significant predictors. Discussion: Results indicate that the two measures of personality pathology generally converge regarding theoretically similar constructs and diverge around dissimilar domains, providing evidence of validity of the PID-5 for its ability to capture personality traits.

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COVID-19 as a Stressor: Pandemic Expectations, Perceived Stress, and Negative Affect in Older Adults

The Journals of Gerontology Series B ◽

10.1093/geronb/gbaa153 ◽

2020 ◽

Author(s):

Brenda R Whitehead

Keyword(s):

Mental Health ◽

Older Adults ◽

Negative Affect ◽

Perceived Stress ◽

Online Survey ◽

Well Being ◽

The United States ◽

Stress And Coping ◽

Regression Analyses ◽

And Coping

Abstract Objectives The extent to which the COVID-19 pandemic is appraised as a stressor influences perceived stress (PS) and psychological well-being during the event. Here, the association of older adults’ expectations concerning the pandemic’s duration and impact with PS and negative affect (NA) is investigated. Based on the stress and coping framework, PS is expected to mediate the association between COVID-19 expectations and NA. Methods Seven hundred fourteen residents of the United States and aged 60 and older completed an anonymous online survey in late March 2020 reporting PS, NA, and expectations regarding the pandemic. Results Regression analyses controlling for demographic factors revealed that more dire pandemic expectations significantly predicted PS and NA directly, and the effects on NA were significantly mediated by PS. Discussion Findings provide evidence that expectations about a pandemic influence the extent to which older adults experience stress and NA in the midst of a pandemic event. Implications for mental health are discussed.

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Positive, but Not Negative, Self-Perceptions of Aging Predict Cognitive Function Among Older Adults

The International Journal of Aging and Human Development ◽

10.1177/0091415020917681 ◽

2020 ◽

pp. 009141502091768 ◽

Cited By ~ 1

Author(s):

Kellie E. Brown ◽

Jeehoon Kim ◽

Tara Stewart ◽

Erika Fulton ◽

Anna C. McCarrey

Keyword(s):

Older Adults ◽

Cognitive Function ◽

Processing Speed ◽

Regression Analyses ◽

Neuropsychological Battery ◽

Short Delay ◽

Older Adulthood ◽

Self Perceptions ◽

Two Measures ◽

Perceptions Of Aging

Self-perceptions of aging (SPA) refer to attitudes about one’s aging process and are linked to physical health and longevity. How SPA correlates with cognitive function in older adulthood is less well known. 136 older adults were administered a multifaceted SPA measure, The Brief Ageing Perceptions Questionnaire (B-APQ), in addition to a demographic form and a comprehensive neuropsychological battery. Positive and negative subscales of the B-APQ were correlated with aspects of cognitive function. Regression analyses revealed that only the positive B-APQ subscales predicted mental status ( β = .19, p < .05), short-delay memory ( β = .16, p < .05), processing speed ( β = −.21, p < .05), and two measures of executive function ( β = −.21, p < .01; β = .18, p < .05). This is the first study to demonstrate that positive dimensions of SPA relate to cognitive function in older adulthood.

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Convergence Between DSM-5 Section II and III Models of Personality Disorders Among Older Adults

Innovation in Aging ◽

10.1093/geroni/igaa057.1258 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 391-391

Author(s):

Lisa Stone ◽

Daniel Segal

Keyword(s):

Older Adults ◽

Personality Disorders ◽

Effect Sizes ◽

Limited Evidence ◽

Obsessive Compulsive ◽

Axis Ii ◽

Dsm 5 ◽

Model Method ◽

Significant Relationships ◽

Alternate Model

Abstract Introduction: The Personality Inventory for DSM-5 (PID-5) is a measure of the alternative model of personality disorders (PDs), proposed in Section III of the DSM-5, but the PID-5 has limited evidence of validity for use among older adults. This study examined the validity of the alternate model through associations with the 10 traditional PDs in DSM-5. It was hypothesized that the PID-5 would relate to the traditional PDs in patterns predicted by the alternate model. Method: Older adults (N = 202) completed the PID-5 and the Coolidge Axis II Inventory (CATI), a measurement of the 10 PDs. Results: Correlations were computed between the PID-5’s 25 facets and the CATI’s 10 PD scales. All facets were found to significantly (p < .001) and positively correlate with all 10 PD scales, with large effect sizes (> .30). Next, regressions were conducted, with the PID-5 facets predicting each PD scale. Overall, across the 10 regression analyses, the PID-5 facets accounted for significant variance in the CATI PD scales, ranging from 64% (Avoidant) to 71% (Obsessive-Compulsive). Discussion: Although some DSM-5 hypothesized facets were significant predictors, many unexpected significant relationships were also detected. Of the 10 PD models, seven models included more unpredicted significant traits than predicted ones; two models included more significant predicted traits than unpredicted ones; one model included an equal number of predicted and unpredicted significant traits. We found substantially more overlap between the PID-5 and CATI than anticipated in unpredicted directions, suggesting that the PID-5 has good specificity but lacks sensitivity.

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Patient-Reported ICD-11 Personality Disorder Severity and DSM-5 Level of Personality Functioning

Journal of Personality Disorders ◽

10.1521/pedi_2018_32_393 ◽

2020 ◽

Vol 34 (2) ◽

pp. 231-249 ◽

Cited By ~ 8

Author(s):

Bo Bach ◽

Jaime L. Anderson

Keyword(s):

Personality Disorder ◽

Clinical Sample ◽

Standardized Assessment ◽

Regression Analyses ◽

Potential Harm ◽

Personality Functioning ◽

Dsm 5 ◽

Patient Reported ◽

Harm To Others ◽

Two Measures

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 and the LPFS-BF. We conducted correlation and regression analyses in order to determine the relative associations of these two measures with relevant external criteria. SASPD predominantly captured externalizing and other-related problems (e.g., potential harm to others), whereas LPFS-BF predominantly captured internalizing and self-related problems (e.g., identity and distress). Generally, LPFS-BF explained more variance of the external criteria relative to SASPD. The findings seem to reflect that the ICD-11 oriented SASPD emphasizes interpersonal and aggressive features, whereas the DSM-5–oriented LPFS-BF emphasizes self-pathology and distress. More conclusive findings warrant interview-rated personality functioning.

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DSM-5 alcohol use disorder features among treatment-seeking older adults

SUCHT - Zeitschrift für Wissenschaft und Praxis / Journal of Addiction Research and Practice ◽

10.1024/0939-5911/a000550 ◽

2018 ◽

Vol 64 (4) ◽

pp. 185-196 ◽

Cited By ~ 2

Author(s):

Silke Behrendt ◽

Barbara Braun ◽

Randi Bilberg ◽

Gerhard Bühringer ◽

Michael Bogenschutz ◽

...

Keyword(s):

Older Adults ◽

Alcohol Use ◽

Alcohol Use Disorder ◽

The Elderly ◽

Treatment Seeking ◽

Controlled Clinical Trial ◽

Dsm 5 ◽

Wide Range ◽

And Gender ◽

International Multicenter

Abstract. Background: The number of older adults with alcohol use disorder (AUD) is expected to rise. Adapted treatments for this group are lacking and information on AUD features in treatment seeking older adults is scarce. The international multicenter randomized-controlled clinical trial “ELDERLY-Study” with few exclusion criteria was conducted to investigate two outpatient AUD-treatments for adults aged 60+ with DSM-5 AUD. Aims: To add to 1) basic methodological information on the ELDERLY-Study by providing information on AUD features in ELDERLY-participants taking into account country and gender, and 2) knowledge on AUD features in older adults seeking outpatient treatment. Methods: baseline data from the German and Danish ELDERLY-sites (n=544) were used. AUD diagnoses were obtained with the Mini International Neuropsychiatric Interview, alcohol use information with Form 90. Results: Lost control, desired control, mental/physical problem, and craving were the most prevalent (> 70 %) AUD-symptoms. 54.9 % reported severe DSM-5 AUD (moderate: 28.2 %, mild: 16.9 %). Mean daily alcohol use was 6.3 drinks at 12 grams ethanol each. 93.9 % reported binging. More intense alcohol use was associated with greater AUD-severity and male gender. Country effects showed for alcohol use and AUD-severity. Conclusion: European ELDERLY-participants presented typical dependence symptoms, a wide range of severity, and intense alcohol use. This may underline the clinical significance of AUD in treatment-seeking seniors.

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