Personality Disorders and Psychiatric Symptoms in Psoriasis

1995 ◽  
Vol 77 (2) ◽  
pp. 547-553 ◽  
Author(s):  
I. Alex Rubino ◽  
Alberto Sonnino ◽  
Bianca Pezzarossa ◽  
Nicola Ciani ◽  
Roberto Bassi

Two groups of psoriatic outpatients ( ns = 192 and 119) were given, respectively, the Millon Clinical Multiaxial Inventory-II and Foulds' Delusions-Symptoms-States Inventory. They were compared with dental ( n = 192) and with general surgical ( n = 190) patients. The psoriatic group presented clearly higher mean scores and frequencies on most of the personality disorder scales. On Foulds' inventory, psoriatic patients showed higher frequencies of neurotic and psychotic class allocations. A cluster analysis of personality scores provided evidence for 4 different personality clusters of patients with psoriasis: (a) Avoidant, Dependent, Schizoid, and Self-defeating (32.2%), (b) Compulsive, Narcissistic, and Aggressive (30.7%), (c) no personality disorder (18.2%), (d) Borderline, Paranoid, and Schizotypal, etc. (18.8%).

Author(s):  
Shaunak Ajit Ajinkya ◽  
Pranita Shantanu Sharma ◽  
Aparna Ramakrishnan

Introduction: Personality disorders are a group of behavioural patterns associated with significant personal and socio-occupational disturbances. Numerous studies have demonstrated borderline personality to be one of the most common personality disorders. It’s less often diagnosed with just a clinical assessment. Aim: To examine the proportion of patients with Borderline Personality Disorder (BPD), and its associated personality types and clinical syndromes, using the Millon Clinical Multiaxial Inventory version-III (MCMI-III). Materials and Methods: A retrospective observational study was carried out on 450 adult patients who attended the psychiatry outpatient department of an urban tertiary care hospital. They had been administered the MCMI-III, a self-rating questionnaire commonly used to provide information on personality types and associated clinical syndromes. Statistical Package for the Social Sciences (IBM SPSS, Windows) version 20.0 was used for statistical analyses. Data was expressed in terms of actual number, mean and percentages. Chi-Square or Fisher’s-exact test, as appropriate, was used for categorical data to test for associations. Odds ratio was estimated to measure strength of the association. Results: Borderline was the most common personality type comprising nearly half (46.63%) of the study population. 25.5% had borderline traits while 21.1% had Borderline Personality Disorder (BPD). BPD was significantly higher in females (p<0.001), younger age group below the age of 40 years (p<0.001) and unmarried persons (p<0.001). It was comorbid most with Anxiety (90.91%; OR=4.05; p<0.001), Major Depression (85.23%; OR=18.39; p<0.001), Post Traumatic Stress Disorder (PTSD) (46.59%; OR=6.30; p<0.001) and Thought disorders (56.82%; OR=18.15; p<0.001). Alcohol (22.73%; OR=3.54; p<0.001) and Drug dependence (13.64%; OR=11.52; p<0.001) were also seen significantly higher in patients with BPD. Personality types significantly comorbid with BPD were Sadistic, Depressive, Masochistic, Negativistic, Schizotypal, Avoidant, Dependent, Antisocial and Paranoid types, with odds being most for Sadistic personality (OR=9.44). Conclusion: It is recommended that mental health professionals and clinicians should start to look for underlying symptoms of BPD in patients of anxiety and mood syndromes. If found these patients should be directed for psychotherapy as early as possible. The MCMI psychological test would be an important contribution to this area, given the need for systematic, quick, and objective testing methods that facilitate the diagnosis.


Assessment ◽  
1995 ◽  
Vol 2 (2) ◽  
pp. 131-136
Author(s):  
Mark A. Blais

There has been limited research into the behavioral correlates associated with the Masculinity-Femininity ( Mf) scale of the MMPI (and the MMPI-2). In this study, both the Millon Clinical Multiaxial Inventory—II (MCMI-II), a frequently used self-report measure of personality functioning, and the Minnesota Multiphasic Personality Inventory–2 (MMPI-2) were administered to a group of 76 female psychiatric inpatients. The sample was divided based upon MMPI-2 Mf scale T scores. Subjects with a T score >50 were assigned to the high- Mf group ( n = 28), whereas subjects with a T score >50 were assigned to the low- Mf group ( n = 48). The two groups were compared across the 13 personality disorder scales of the MCMI-II. The results showed that subjects in the high- Mf group had significantly higher scores on the MCMI-II Narcissistic, Antisocial, Aggressive/Sadistic, and Paranoid personality disorder scales. A correlational analysis revealed that the MMPI-2 Mf scale was significantly correlated with these four MCMI-II personality disorder scales. These results are discussed in light of their clinical implications and the limitations of the study.


2003 ◽  
Vol 92 (2) ◽  
pp. 627-642 ◽  
Author(s):  
Gina Rossi ◽  
Claudia Hauben ◽  
Iris van den Brande ◽  
Hedwig Sloore

The MCMI–III personality disorder scales were empirically validated with a sample of 870 clinical patients and inmates. Prevalence rates of personality disorders were in general lower on the MCMI–III than clinical ratings, but trait prevalence was generally higher; thus a base rate of 75 on the MCMI–III could be a guideline in the screening of trait prevalence. However, the sensitivity of some MCMI–III scales was very low. Moreover, the correlations of most personality disorder scales of the MCMI–III were significant and positive with corresponding measures on clinical ratings and MMPI-2 personality disorder scales, but these were, in general, not significantly higher than some other correlations. As a consequence the discriminant validity seems to be questionable. The MCMI–III alone cannot be used as a diagnostic inventory, but the test could be useful as a screening device as a part of a multimethod approach that allows aggregation over measures in making diagnostic decisions.


1979 ◽  
Vol 135 (2) ◽  
pp. 163-167 ◽  
Author(s):  
Peter Tyrer ◽  
John Alexander

SummaryAn interview schedule was used to record the personality traits of 130 psychiatric patients, 65 with a primary clinical diagnosis of personality disorder and 65 with other diagnoses. The results were analysed by factor analysis and three types of cluster analysis. Factor analysis showed a similar structure of personality variables in both groups of patients, supporting the notion that personality disorders differ only in degree from the personalities of other psychiatric patients. Cluster analysis revealed five discrete categories; sociopathic, passive-dependent, anankastic, schizoid and a non-personality-disordered group. Of all the personality-disordered patients 63 per cent fell into the passive-dependent or sociopathic category. The results suggest that the current classification of personality disorder could be simplified.


1994 ◽  
Vol 74 (1) ◽  
pp. 331-336 ◽  
Author(s):  
David Chick ◽  
Stephen K. Martin ◽  
Robert Nevels ◽  
C. Randy Cotton

The Millon Clinical Multiaxial Inventory is a 175-item psychodiagnostic instrument which is based on Millon's theory of psychopathology, in which Millon suggests clinical symptoms result from an exacerbation of an individual's personality style when under stress. The purpose of the present study was to examine the relations of personality disorders to clinical symptoms as measured by the inventory. The sample of 245 inpatients from a state psychiatric hospital completed the Millon inventory between January, 1987 and April. 1989 Stepwise multiple-regression analyses were conducted to ascertain the relationship between personality disorders and symptoms. The 9 clinical symptom scales served as criterion variables while the personality-disorder scales served as predictor variables. The results were generally consistent with expectation and are discussed in terms of Millon's theory.


2002 ◽  
Vol 90 (3) ◽  
pp. 760-766 ◽  
Author(s):  
Edward A. Wise

MMPI–2 validity scales were correlated with MCMI–II personality disorder scales to examine relationships between response styles and personality disorders in a sample of 84 criminal defendants. 14 MMPI–2 validity scales were significantly correlated with 13 personality disorders. All of the personality disorder scales were significantly correlated with at least one validity measure and 11 of 13 personality disorder scales were significantly correlated with two or more MMPI–2 validity scales. While a personality disorder diagnosis may have a general effect on validity scales, relationships theoretically consistent with a given personality disorder were also found. This means that response set appears to be a manifestation of personality, and as such, examiners should expect symptom amplification or minimization or inconsistent responses, based on an individual's personality. Subsequently, forensic examiners are encouraged to evaluate the relationships between MCMI–II personality disorders and MMPI–2 validity scales to avoid misjudging MMPI–2 profiles as invalid when they accurately reflect manifestations of personality.


2005 ◽  
Vol 25 (1) ◽  
pp. 45-57 ◽  
Author(s):  
Birendra K. Sinha ◽  
David C. Watson

The role of hostility in personality disorder (Pd) traits was explored using the Buss-Durkee Hostility Inventory. Stepwise multiple regression analyses were conducted to ascertain the relative contributions of the eight hostility scales. The criterion variables were the personality disorder scales of the Millon Clinical Multiaxial Inventory. The participants were 158 first year male and female university students. The results show that Resentment (covert hostility) explains large proportions of variances in borderline, avoidant, schizotypal, passive-aggressive, obsessive-compulsive, and schizoid disorder traits. Verbal hostility (overt hostility) is associated with antisocial, histrionic, and narcissistic Pd traits. Suspiciousness contributes relatively large variances in paranoid disorder traits, whereas guilt is the dominant aspect of dependent Pd traits. The results are explained with reference to the agreeableness versus antagonism facets of the Five-Factor model of personality and Beck's schema construct.


Criminologie ◽  
2005 ◽  
Vol 27 (2) ◽  
pp. 33-53 ◽  
Author(s):  
Jean Proulx ◽  
Jocelyn Aubut ◽  
Lise Perron ◽  
André McKibben

During the past 30 years, behavioral and cognitive-behavioral theories of rape have evolved considerably. The influence of etio-logic factors related to personality, however, is limited to antisocial traits. The aim of the current study was, therefore, to investigate the presence of personality disorders in rapists. Forty-nine incarcerated rapists answered a French translation of the Millon Clinical Multiaxial Inventory questionnaire. On the basis of the Avery-Clark and Laws criteria (1983), 31 rapists were classified as less physically violent and 18 as more physically violent. Among the less physically violent rapists, we encountered most frequently avoidant, dependant, passive-aggressive and schizoid personality disorders. Among the more physically violent rapists, an antisocial personality disorder was predominant. The implications of these results concerning rape theories are being discussed.


2018 ◽  
Vol 24 (6) ◽  
pp. 830-839
Author(s):  
Francesco Oliva ◽  
Chiara Mangiapane ◽  
Gabriele Nibbio ◽  
Alberto Portigliatti Pomeri ◽  
Giuseppe Maina

Objective: To assess prevalence of personality traits and disorders according to Millon’s evolution-based model and to identify the most representative personality profiles among adult ADHD outpatients. Method: Personality traits and disorders were evaluated using the Millon Clinical Multiaxial Inventory–III (MCMI-III) and an exploratory factor analysis (EFA) in a consecutive sample of adult ADHD outpatients ( N = 70) diagnosed by the Adult ADHD Self-Report Scale–version 1.1 (ASRS-v1.1) and the Diagnostic Interview for ADHD in Adults (DIVA 2.0). Results: More than half of our sample (57.1%) showed at least one personality disorder (PD). The most prevalent PDs were paranoid, schizotypal and negativistic (18.6% for all three PDs), depressive (17.1%), and sadistic (11.4%). No patient had a borderline PD. The EFA identified three personality profiles (“sadistic-antisocial-negativistic,” “masochistic-depressive-dependent-avoidant,” and “antihistrionic-schizoid”). Conclusion: High prevalence of PDs among adult ADHD patients was confirmed. The personality profiles seemed to reflect the persistence of ADHD and related childhood comorbidities in adulthood.


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