scholarly journals Maladaptive Personality and Neuropsychological Features of Highly Relationally Aggressive Adolescent Girls

2017 ◽  
Vol 26 (1) ◽  
Author(s):  
Michael Savage ◽  
Ann-Marie DiBiase
Keyword(s):  
Relational Aggression ◽  
Psychological Functioning ◽  
Sampling Procedure ◽  
Cluster Sampling ◽  
Axis Ii ◽  
Relationally Aggressive ◽  
Oppositional Defiant ◽  
Axis I ◽  
Dsm Iv ◽  
Standardized Measure

The maladaptive personality and neuropsychological features of highly relationally aggressive females were examined in a group of 30 grade 6, 7, and 8 girls and group-matched controls. Employing a multistage cluster sampling procedure a group of highly, yet almost exclusively, relationally aggressive females were identified and matched on a number of variables to a group of nonaggressive females. Parents of the students in both groups completed the Coolidge Personality and Neuropsychological Inventory, a 200-item DSM-IV-TR aligned, parent-as-respondent, standardized measure of children’s psychological functioning. It was found that high levels of relational aggression, in the absence of physical and verbal aggression, were associated with symptoms of DSM-IV-TR Axis I oppositional defiant disorder and conduct disorder. The highly relationally aggressive group also exhibited a wide variety of personality traits associated with DSM-IV-TR Axis II paranoid, borderline, narcissistic, histrionic, schizotypal, and passive aggressive personality disorders that were not exhibited by the matched controls. Implications of these findings are discussed.

scholarly journals The genetic epidemiology of personality disorders

2010 ◽  
Vol 12 (1) ◽  
pp. 103-114 ◽  
Keyword(s):  
Personality Disorders ◽  
Genetic Factors ◽  
Association Studies ◽  
Molecular Genetic ◽  
Cluster Structure ◽  
Epidemiologic Studies ◽  
Axis Ii ◽  
Candidate Gene Association ◽  
Axis I ◽  
Dsm Iv

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.

scholarly journals DSM-IV Axis II personality disorders and suicide and attempted suicide in China

2016 ◽  
Vol 209 (4) ◽  
pp. 319-326 ◽  
Author(s):  
Yongsheng Tong ◽  
Michael R. Phillips ◽  
Kenneth R. Conner
Keyword(s):  
Personality Disorders ◽  
Suicidal Behaviour ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Control Group ◽  
Axis Ii ◽  
Clinical Interviews ◽  
Increased Risk ◽  
Axis I ◽  
Dsm Iv

BackgroundThere are meagre data on Axis II personality disorders and suicidal behaviour in China.AimsTo describe the prevalence of Axis II personality disorders in suicides and suicide attempts in China and to estimate risk for these outcomes associated with personality disorders.MethodPeople who died by suicide (n = 151), people who attempted suicide (n = 118) and living community controls (n = 140) were randomly sampled from four Chinese counties and studied using the Structured Clinical Interviews for DSM-IV-TR Axis I Disorders (SCID-I) and Axis II Personality Disorders (SCID-II). We also determined the prevalence of subthreshold versions of ten DSM-IV personality disorders.ResultsAxis II personality disorders were present in 7% of the suicide group, 6% of the suicide attempt group and 1% of the control group. Threshold and subthreshold personality disorders had adjusted odds ratios (point estimates) in the range of 2.7–8.0 for suicide and for suicide attempts.ConclusionsAxis II personality disorders may confer increased risk for suicidal behaviour in China, but their low prevalence in the community and among people with suicidal behaviour suggests that other personality constructs such as select dimensional traits may be a more fruitful avenue for understanding and preventing suicide in China.

Psychologists' and Social Workers' Self-Descriptions Using DSM—IV Psychopathology

2008 ◽  
Vol 103 (1) ◽  
pp. 173-188
Author(s):  
Tali Nachshoni ◽  
Yehuda Abramovitch ◽  
Vladimir Lerner ◽  
Miriam Assael-Amir ◽  
Moshe Kotler ◽  
...  
Keyword(s):  
Mental Health ◽  
Personality Traits ◽  
Social Workers ◽  
Subjective Perception ◽  
Eating Problems ◽  
Obsessive Compulsive ◽  
Axis Ii ◽  
Compulsive Disorder ◽  
Axis I ◽  
Dsm Iv

There is limited information on mental health of psychologists and social workers despite their rendering mental health services, so their subjective perception of mental disorder was explored via a self-evaluation survey in which they self-diagnosed the presence of DSM-IV disorders within themselves. The sample of 128 professionals included 63 psychologists and 65 social workers. The presence of Axis I traits was reported by 81.2%, the three most frequent traits being mood, obsessive-compulsive disorder, and eating disorder. Axis II traits were reported by 73.4% of subjects, the three most frequent conditions being narcissistic, avoidant, and obsessive-compulsive personality traits. While a high percentage of subjects reported the presence of either an Axis I or Axis II disorder, the average severity reported was low. More psychologists reported on mood, social phobia, and eating problems than social workers, while the latter reported more on psychotic problems. Psychologists reported more Axis II traits, especially paranoid, narcissistic, and avoidant subtypes. More women than men reported eating problems, while more men reported schizoid and avoidant personality traits. In conclusion, manifestations of subthreshold psychiatric conditions were prominently reported. These findings suggest encouraging mental health care professionals to explore treatment for problems if present.

scholarly journals The joint structure of DSM-IV Axis I and Axis II disorders.

2011 ◽  
Vol 120 (1) ◽  
pp. 198-209 ◽  
Author(s):  
Espen Røysamb ◽  
Kenneth S. Kendler ◽  
Kristian Tambs ◽  
Ragnhild E. Ørstavik ◽  
Michael C. Neale ◽  
...  
Keyword(s):  
Axis Ii ◽  
Joint Structure ◽  
Axis I ◽  
Dsm Iv

Aetiological risk factors for personality disorders

1999 ◽  
Vol 174 (6) ◽  
pp. 530-538 ◽  
Author(s):  
Jeremy Coid
Keyword(s):  
Risk Factors ◽  
Personality Disorders ◽  
Treatment Interventions ◽  
Early Environment ◽  
Axis Ii ◽  
Maximum Security ◽  
Case Files ◽  
Axis I ◽  
Dsm Iv ◽  
New Treatments

BackgroundElucidation of aetiological processes leading to development of Axis II disorders is important in category validation and could lead to new treatments.AimsTo establish aetiological associations between Axis II disorders and specific risk factors.MethodMale and female subjects (n=260) in maximum security hospitals and prisons were interviewed to determine DSM-III Axis II and lifetime Axis I diagnoses. Aetiological risk factors were obtained at interview and from case files. Independent statistical associations were established by logistic regression.ResultsAxis II categories were divided into four groups: (a) disorders of character development, secondary to an adverse early environment: antisocial, self-defeating and paranoid; (b) disorders of temperament, secondary to constitutional aetiology: avoidant, dependent, schizoid and schizotypal; (c) a ‘mixed’ disorder of constitutional and environmental aetiology: borderline; and (d) aetiological associations not established: narcissistic, histrionic, compulsive and passive-aggressive.ConclusionsThe study validates several Axis II categories but challenges the inclusion of others within Axis II of DSM-IV, in particular schizoid, schizotypal, avoidant and borderline personality disorders. The findings have implications for future treatment interventions.

scholarly journals Psychiatric characteristics in transsexual individuals: multicentre study in four European countries

2014 ◽  
Vol 204 (2) ◽  
pp. 151-156 ◽  
Author(s):  
Gunter Heylens ◽  
Els Elaut ◽  
Baudewijntje P. C. Kreukels ◽  
Muirne C. S. Paap ◽  
Susanne Cerwenka ◽  
...  
Keyword(s):  
General Population ◽  
Gender Identity ◽  
Anxiety Disorders ◽  
Gender Identity Disorder ◽  
Late Onset ◽  
Axis Ii ◽  
Axis I ◽  
Dsm Iv ◽  
Psychiatric Problems ◽  
A Current

BackgroundResearch into the relationship between gender identity disorder and psychiatric problems has shown contradictory results.AimsTo investigate psychiatric problems in adults fulfilling DSM-IVTR criteria for a diagnosis of gender identity disorder.MethodData were collected within the European Network for the Investigation of Gender Incongruence using the Mini International Neuropsychiatric Interview – Plus and the Structured Clinical Interview for DSM-IV Axis II Disorders (n = 305).ResultsIn 38% of the individuals with gender identity disorder a current DSM-IV-TR Axis I diagnosis was found, mainly affective disorders and anxiety disorders. Furthermore, almost 70% had a current and lifetime diagnosis. All four countries showed a similar prevalence, except for affective and anxiety disorders, and no difference was found between individuals with early-onset and late-onset disorder. An Axis II diagnosis was found in 15% of all individuals with gender identity disorder, which is comparable to the general population.ConclusionsPeople with gender identity disorder show more psychiatric problems than the general population; mostly affective and anxiety problems are found.

The WHO Quality of Life Assessment Instrument (WHOQOL-100)

2006 ◽  
Vol 22 (3) ◽  
pp. 207-215 ◽  
Author(s):  
Fons J. Trompenaars ◽  
Erik D. Masthoff ◽  
Guus L. Van Heck ◽  
Paul P. Hodiamont ◽  
Jolanda De Vries
Keyword(s):  
Quality Of Life ◽  
General Population ◽  
Assessment Instrument ◽  
Life Assessment ◽  
Psychiatric Outpatients ◽  
Quality Of Life Assessment ◽  
Axis Ii ◽  
Axis I ◽  
Dsm Iv

This study scrutinizes the ability of the WHO quality of life assessment instrument (WHOQOL-100) to discriminate (1) between psychiatric outpatients and the general population, and (2) between subgroups of psychiatric outpatients. A sample of Dutch adult psychiatric outpatients (N = 410) completed the WHOQOL-100. In addition, DSM-IV Axis-I and Axis-II diagnoses were obtained. Compared with the general population, psychiatric outpatients scored significantly lower on all aspects of self-reported quality of life (QOL). Within the group of outpatients, participants with DSM-IV diagnoses had lower scores than those without. Participants with diagnoses on both Axis-I and Axis-II of DSM-IV (comorbidity) had the lowest self-reported QOL. It is concluded that in psychiatric outpatients, outcome scores of self-reported QOL were negatively related to presence and degree of psychopathology. The WHOQOL-100 has good discriminant ability for psychiatric outpatients.

scholarly journals Exploration of Associations Between Deliberate Self-Poisoning and Psychiatric Disorders in Rural Sri Lanka: A Case Control Study

2020 ◽  
Author(s):  
P. H. G. J. Pushpakumara ◽  
A. M. P. Adikari ◽  
T. N. Rajapakse ◽  
S. U. B. Thennakoon ◽  
Ranil Abeysinghe ◽  
...  
Keyword(s):  
Sri Lanka ◽  
Psychiatric Disorders ◽  
Research Priorities ◽  
Excess Risk ◽  
Sri Lankan ◽  
Axis Ii ◽  
Self Harm ◽  
Axis I ◽  
Dsm Iv ◽  
Control Study

Abstract Background Psychiatric disorders are important predictors of self-harm behaviour. The present study was carried out to determine associations between DSM-IV TR Axis- I & II disorders and deliberate self poisoning (DSP) in a Sri Lankan rural agricultural district.Methods Patients who had attempted DSP, who resided within the district were selected randomly for the study. Both the cases and age, sex and residential area matched controls were assessed for DSM-IV TR Axis- I & II disorders based on the Structured Clinical Interview for DSM-IV-TR Axis I and II Disorders (SCID I & II) conducted by a specialist psychiatrist.Results Cases consisted of 207 (47.3%) males and 231 (52.7%) females. TR axis-I and/or TR axis-II psychiatric diagnoses was found in 89 (25.6%) of cases and 14 (3.2%) controls. Cases with a TR axis-I diagnosis were older (32 and 19 years), p < 0.0001. Having a depressive episode was associated with a 13 time higher risk for DSP. Being a male aged > = 30 years and having an alcohol use disorder carried a 21 time excess risk for DSP. A fivefold excess risk for DSP was found among 10–19 years old females with borderline personality traits.Conclusions Depressive disorder and alcohol related disorders were significantly associated with older participants who had attempted DSP. The prevalence of psychiatric disorders among DSP in rural Sri Lanka is significantly lower than reported rates in western countries. Health and research priorities to reduce self-harm in Sri Lanka will also need to address non-psychiatric issues

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