Personality, affect and coping style in severe personality disorder

2021 ◽  
Vol 29 (3) ◽  
pp. 699-719
Author(s):  
Juan Ramos ◽  
Aintzane Sánchez ◽  
Aurora Doll
Keyword(s):  
Personality Disorder ◽  
Negative Affect ◽  
Indirect Effect ◽  
Coping Style ◽  
Personality Type ◽  
Adaptive Strategies ◽  
Personality Structure ◽  
Mediation Analyses ◽  
And Coping ◽  
Severe Personality Disorder

The concepts of internalization and externalization have been proposed as personality tendencies or traits related to the constructs of neuroticism and extraversion. They have been associated to the bifactorial structure of affect and also to the coping style. This paper examines the interaction of personality, affect and coping in a sample of people diagnosed with personality disorder (n= 358). Negative affect (NA) in internalizers is higher than in externalizers (g= 0.62), and so is the severity of symptoms (GSI: g= 0.60). Mediation analyses show that personality type produces an indirect effect on GSI, with NA and coping style as partial mediators. 88.1 % of the sample has an unfavourable coping style (U-CS). The frequency of U-CS among internalizers is bigger than among externalizers (93% vs 83%; 2= 7.23, p= .007). However, the subgroup of internalizers with a favourable coping style (F-CS) shows no difference with externalizers with the same F-CS, either in NA (p= .428) or in GSI (p= .082). Regardless of personality structure, promoting adaptive strategies of coping can alleviate the psycopathology of severe patients.

scholarly journals A postal survey of the assessment procedure for personality disorder in forensic settings

2000 ◽  
Vol 24 (7) ◽  
pp. 254-257 ◽  
Author(s):  
John Milton
Keyword(s):  
Health Care ◽  
Personality Disorder ◽  
Postal Survey ◽  
Assessment Tools ◽  
Clinical Implications ◽  
Personality Structure ◽  
Assessment Procedure ◽  
Diagnostic Instruments ◽  
Severe Personality Disorder ◽  
Psychopathic Disorder

Aims and MethodA survey of 50 in-patient forensic health care and prison services in England, Wales and Scotland was employed to evaluate: (a) how severe personality disorder is assessed; and (b) how assessments compare with recommendations concerning standardised assessment by the Working Group on Psychopathic Disorder (Reed, 1994).ResultsSeventy per cent of services responded, of whom 40% formally assessed personality disorder. Fifty-four instruments were routinely employed. Assessments of personality structure and cognitive/emotional styles were more common than structured diagnostic instruments or ratings of interpersonal functioning. Of the assessment tools, 25.7% of services provided at least one suggested by Reed (1994).Clinical ImplicationsA nationally agreed, focused repertoire of instruments should be encouraged within secure forensic settings offering assessments to individuals with severe personality disorder.

Progression from interpersonal problems to suicidal ideation and suicidal behavior in borderline personality disorder

2020 ◽  
Author(s):  
Timothy Allen ◽  
Michael Hallquist ◽  
Aidan G.C. Wright ◽  
Alexandre Dombrovski
Keyword(s):  
Borderline Personality Disorder ◽  
Suicidal Ideation ◽  
Personality Disorder ◽  
Negative Affect ◽  
Structural Equation ◽  
Suicide Attempts ◽  
Borderline Personality ◽  
Equation Modeling ◽  
Interpersonal Dysfunction ◽  
Suicidal Crisis

Importance: Clinicians treating borderline personality disorder (BPD) are often faced with the difficult challenge of assessing when, and for whom, risk for suicide is greatest. Addressing this dilemma requires longitudinal, prospective data from high-risk samples with an elevated base rate of suicide attempts.Objective: To test whether dispositional characteristics modulate the pathway from interpersonal dysfunction to suicide in BPD. Design: This longitudinal, observational study was conducted between 1990 and 2020. Data were analyzed between April and July 2020. Participants were assessed annually for up to 30 years (mean number of follow-ups = 7.82). Setting: Participants were recruited from inpatient, outpatient, and community referral sources.Participants: 458 individuals (Mean age = 28.59, 77% female) diagnosed with BPD.Main Outcomes and Measures: Presence or absence of a suicide attempt within one year of each follow-up assessment. Multilevel structural equation modeling was used to 1) examine longitudinal, within-person transitions from interpersonal dysfunction to suicidal ideation to suicide attempts (i.e., the [I]nterpersonal-[I]deation-[A]ttempt pathway); and 2) evaluate whether two maladaptive personality dimensions, negative affect and disinhibition, moderated these transitions.Results: At the within-person level, there was support for the I-I-A pathway: suicidal ideation accounted for the association between interpersonal dysfunction and suicide attempts. Personality further moderated each component of the I-I-A pathway: negative affect was associated with a stronger coupling between interpersonal dysfunction and ideation; and disinhibition was associated with a stronger coupling between ideation and attempts. Conclusions and Relevance: The escalation from interpersonal difficulties to a suicidal crisis in BPD involves two psychologically distinct process. An internalizing process links interpersonal dysfunction to suicidal ideation and is facilitated by trait negative. An additional externalizing process links suicidal ideation to suicide attempts, and is facilitated by trait disinhibition. Assessment of these intra- and interindividual risk factors may inform clinical decisions about when, and for whom, crisis intervention is necessary.

Risk communication: The roles of message appeal and coping style

2017 ◽  
Vol 45 (5) ◽  
pp. 773-784 ◽  
Author(s):  
Mikyoung Kim ◽  
Yoonhyeung Choi
Keyword(s):  
Risk Perception ◽  
Risk Communication ◽  
Coping Style ◽  
Coping Styles ◽  
Message Processing ◽  
News Stories ◽  
Emotional Appeals ◽  
Main Effect ◽  
Message Appeals ◽  
And Coping

We examined the main effect of message appeal (emotional and logical) and coping style (monitors and blunters) and the interaction effect between the two on risk message processing outcomes. Participants were 74 U.S. undergraduate and graduate students who read news stories about tornadoes, then rated their risk message processing outcomes. Results showed that emotional appeals led to a higher risk perception, probability of risk occurrence, and more accurate recognition memory than did logical appeals. Further, we found significant interaction effects between message appeal and coping style on risk perception. When message appeals were emotional, monitors perceived a higher risk and probability of risk occurrence than did blunters; however, when message appeals were logical, this difference between monitors and blunters disappeared. The findings suggest that (a) emotional appeals should be included in risk communication and (b) coping styles should be considered in effective risk communication.

scholarly journals Childhood maltreatment, personality vulnerability profiles, and borderline personality disorder symptoms in adolescents

2021 ◽  
pp. 1-14
Author(s):  
Daniela Marchetti ◽  
Pasquale Musso ◽  
Maria Cristina Verrocchio ◽  
Giovanna Manna ◽  
Daniel C. Kopala-Sibley ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Childhood Maltreatment ◽  
Significant Risk ◽  
Borderline Personality ◽  
Personality Profiles ◽  
Childhood Experiences ◽  
Mediation Analyses ◽  
Personality Vulnerability ◽  
Personality Vulnerabilities

Abstract Adverse childhood experiences are significant risk factors in the development of adolescent borderline personality disorder symptoms (BPDs). Theorists have posited that two personality vulnerabilities factors, self-criticism and dependency, may inform our understanding of this relationship. However, no research has examined the associations between early negative experiences, personality vulnerabilities, and adolescent BPDs. The current study aimed to identify profiles of dependency and self-criticism to examine the associations of these profiles with cumulative forms of childhood maltreatment (CM) and BPDs as well as to explore the mediating and moderating role of vulnerable personality profiles in the relationship between cumulative CM and BPDs. Two hundred and forty-one nonclinical and clinical adolescents participated in the study (Mage = 16.37, SD = 1.84). The findings indicated three different profiles: average dependent profile, dependent and self-critical profile, and self-critical profile. Individuals in the average dependent profile presented lower levels of CM and BPDs. Mediation analyses showed that relative to the average dependent profile, a higher cumulative CM history predicted a higher probability of belonging in the dependent and self-critical profile or the self-critical profile and, in turn, this was associated with higher levels of BPDs. No moderating effects of profiles of dependency and self-criticism were found.

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