The Relationship of Personality Disorders and Axis I Clinical Disorders

Author(s):  
Paul S. Links ◽  
Jamal Y. Ansari ◽  
Fatima Fazalullasha ◽  
Ravi Shah

The purpose of this review is (a) to study and systematically review the recent literature examining the co-occurrence and relationships between Axis I psychiatric disorders and Axis II personality disorders (PDs), specifically the five originally proposed for DSM- 5, and (b) to consider the clinical utility of the current Axis I and II approach in DSM-IV-TR. Community surveys or prospective cohort studies were reviewed as a priority. Our review indicates that the associations between clinical disorders and PDs clearly varied within each disorder and across the five PDs. Our understanding has advanced, particularly related to the clinical utility of comorbidity; however, it seems premature to conclude that comorbidity is best conceptualized by having all disorders in a single category or by deleting disorders so that comorbidity no longer occurs. Our review suggests some priorities for future research into comorbidity such as including PDs in future multivariate comorbidity models.

1994 ◽  
Vol 75 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Frederick L. Coolidge ◽  
Lee A. Becker ◽  
David C. DiRito ◽  
Robert L. Durham ◽  
Melanie M. Kinlaw ◽  
...  

McCrae and Costa since 1986 have proferred a five-factor personality model as a lingua franca among different psychometric test users, and they suggest that their operationalization of the five-factor model, the NEO Personality Inventory, may also be useful in the clinical assessment of the abnormal personality. The present study examined the inventory and its relationship to the 11 personality disorders of Axis II of DSM-III—R in a sample of 180 adults. Correlational multivariate analyses appear to indicate a limited usefulness of the five-factor model in the understanding of personality disorders, and four major objections are offered. Further research with clinical samples, other models of personality, and other measures of personality disorders are encouraged.


2003 ◽  
Vol 18 (7) ◽  
pp. 350-355 ◽  
Author(s):  
Åsa Westrin ◽  
Karin Frii ◽  
Lil Träskman-Bendz

AbstractPrevious research on hypothalamic-pituitary adrenal (HPA) axis-activity in suicide attempter research has shown conflicting outcomes. The design of the present study was to test the influence of personality disorders and concominant axis I diagnoses on the dexamethasone suppression diagnostic test by use of multiple regression analyses. The sample consisted of 184 patients with a recent suicide attempt and 42 healthy controls. As expected, the lowest pre- and postdexamethasone cortisol levels were found in patients with personality disorders axis II, cluster B as compared to the other patients. The results remained significant when analysed for covariance with DSM-III-R axis I diagnoses, age or sex. Whether these low cortisol levels are due to previous experience of extreme stressful events or long-lasting burden, or whether they may be a consequence of biogenetic or psychological predisposal of interest, remains to be elucidated. Axis I comorbidity needs to be further examined.


2016 ◽  
Vol 64 (8) ◽  
pp. 643 ◽  
Author(s):  
Christopher N. Johnson

Since the 1960s, Australian scientists have speculated on the impact of human arrival on fire regimes in Australia, and on the relationship of landscape fire to extinction of the Pleistocene megafauna of Australia. These speculations have produced a series of contrasting hypotheses that can now be tested using evidence collected over the past two decades. In the present paper, I summarise those hypotheses and review that evidence. The main conclusions of this are that (1) the effects of people on fire regimes in the Pleistocene were modest at the continental scale, and difficult to distinguish from climatic controls on fire, (2) the arrival of people triggered extinction of Australia’s megafauna, but fire had little or no role in the extinction of those animals, which was probably due primarily to hunting and (3) megafaunal extinction is likely to have caused a cascade of changes that included increased fire, but only in some environments. We do not yet understand what environmental factors controlled the strength and nature of cascading effects of megafaunal extinction. This is an important topic for future research.


2010 ◽  
Vol 12 (1) ◽  
pp. 103-114 ◽  

Genetic epidemiologic studies indicate that all ten personality disorders (PDs) classified on the DSM-IV axis II are modestly to moderately heritable. Shared environmental and nonadditive genetic factors are of minor or no importance. No sex differences have been identified, Multivariate studies suggest that the extensive comorbidity between the PDs can be explained by three common genetic and environmental risk factors. The genetic factors do not reflect the DSM-IV cluster structure, but rather: i) broad vulnerability to PD pathology or negative emotionality; ii) high impulsivity/low agreeableness; and iii) introversion. Common genetic and environmental liability factors contribute to comorbidity between pairs or clusters of axis I and axis II disorders. Molecular genetic studies of PDs, mostly candidate gene association studies, indicate that genes linked to neurotransmitter pathways, especially in the serotonergic and dopaminergic systems, are involved. Future studies, using newer methods like genome-wide association, might take advantage of the use of endophenotypes.


2019 ◽  
Vol 2 (4) ◽  
pp. 79-87
Author(s):  
Muhammad Nawaz ◽  
Alias Mat Nor ◽  
Habibah Tolos

Purpose-The Objective of this study is to investigate the moderating role of Intellectual Capital between the relationship of Bank internal factor and Credit Risk in Islamic banks of Pakistan. Design/Methodology-Panel data are obtained from annual reports of 4 Islamic banks of Pakistan from the period 2006 to 2017. These are analyzed using hierarchical regression techniques, via Eviews 9 software. Findings-The results showed that intellectual capital significantly moderates the relationship of bank internal variable and credit risk in Islamic banks in Pakistan. Practical Implications-The study found that Intellectual Capital is a very important driver for credit risk. The investment in Intellectual Capital may lower the credit risk which will further help in the growth and sustainability of the bank and hence the growth in the economy. The results of the study will be useful for bank management, policy maker, and regulator and academia for future research.


2011 ◽  
Vol 10 (1) ◽  
pp. 14 ◽  
Author(s):  
Carl S. Bozman ◽  
Darrel Mueling ◽  
Kathy L. Pettit-O'Malley

<span>Advertisers frequently incorporate music backgrounds in television commercials as a means of improving ad effectiveness. This paper examines the relationship of alternative music backgrounds on brand attitude formation. Brand attitudes were more favorable when emotive cues deviated from neutral presentations in circumstances of high involvement and when emotive cues were positive in situations of low involvement. Implications for advertising practice as well as suggestions for future research are discussed.</span>


2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Shikha Mann ◽  
Surya Rashmi Rawat

Purpose-Mindfulness training is an emerging area in the field of research. There has been increased interest in this area on account of its usefulness to manage stress and prevent burnout. Yet there is limited research in the said area. Most research has either empirically examined the relationship of mindfulness training and burnout with other variables or it is a systematic review of literature in a sub-domain in that area. In this study, bibliometric analysis of Scopus listed publications is used to visualize the relationships between mindfulness training and burnout. Bibliographic coupling using VoSViewer was performed on the 87 Scopus publications obtained by using the keywords "mindfulness training" and "burnout". The application of bibliographic coupling resulted in 6 clusters. The themes of these 6 clusters as well as details of the top publications are examined in detail to understand the state of research in the area. Purpose: Mindfulness as a concept emerges from Buddhist principles. Mindfulness training is an emerging area of research, particularly in the context of its usefulness in managingstress and also in preventing burnout. In this research paper, the authors aim to systematically present the research in the field of mindfulness training and burnout with reference to most cited publications, countries, journals that are contributing the most to said area of research. Design/Methodology: This study analyses bibliometrically the links between mindfulness training and burnout for the listed publications in Scopus. For this research paper, the open software VOSviewer (van Eck and Waltman, 2010) was used to analyse the coupling of research papers in the area of mindfulness training and burnout to visualize the publications in this area in terms of the authorship. In this case, bibliographic coupling was carried out using VoSViewer with the sample of 87 Scopus publications obtained by using the keywords "mindfulness training" and "burnout". Findings/Conclusion: The bibliographic coupling analysis revealed six clusters. The overall structure of the cluster are: Cluster 2 ( 760), Cluster 1(462), Cluster 3 (300), Cluster 4 (296), Cluster 5 (159) and Cluster 6 (25). The critical papers that link the clusters are Roeser et al., (2013), Mackenzie , Poulin, Seidman-Carlson (2006a), Fortney et al., (2013, p.412), Dobkin, Hutchinson (2013), Moody et al., (2013) and O'Mahony et al., (2017). The application of bibliographic coupling resulted in 6 clusters. The themes of these 6 clusters are - Mindfulness Training Formats, Stress management & well-being, Mindfulness Training and work outcomes, Mindfulness training for Medical professionals and students and Facilitators of Mindfulness Training and end user benefits. Originality/Contribution/Value: This technique can be useful in understanding the evolution of research in the area. Given that this is an emerging area of research this paper can be useful to future researchers to visualize current research in the area and to identify areas of future research.


2020 ◽  
pp. 281-286
Author(s):  
Rebecca Maloy

This chapter provides a summary and conclusion for the book and explores some potential areas for future research. Through the education of clergy and laity, the bishops strove to create a Visigothic kingdom unified in the Nicene faith. The chant texts and melodies were carefully constructed to serve these ends. Liturgy and chant were a practical way of instilling doctrine and modeling biblical exegesis, as part of a cultural program that was at once theological and ideological. By the time of the surviving manuscripts with notation, the Iberian cantors had developed a distinctive culture of musical literacy, in which particular neumes and neume patterns signaled specific melodic functions. Through analysis of these neume shapes, I have posited a sophisticated melodic grammar that is closely tied to textual syntax and aural aspects of the text such as word accent and assonance. Strategic placement of melismas, cadences, and melodic repetition underlined words and images that were central to the text’s typological meaning or liturgical use. Finally, I have considered the relationship of the sacrificia to offertories in other liturgical traditions. Further reportorial, textual, and melodies parallels between Western chant repertories remain to be discovered and explored through similar methodologies.


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