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https://www.readbyqxmd.com/read/29221477/trajectories-and-characteristics-of-functional-impairment-before-and-after-suicide-attempt-in-young-adults-a-nationwide-register-based-cohort-study
#1
Mo Wang, Magnus Helgesson, Syed Rahman, Thomas Niederkrotenthaler, Ellenor Mittendorfer-Rutz
BACKGROUND: Despite high rates of youth suicide attempt, little is known about patterns of functional impairment in terms of sickness absence and disability pension (SA/DP) before and after an attempt. The aim was to identify SA/DP trajectories among young adults with or without suicide attempt and to describe associations of socio-demographic and clinical factors with such trajectories. METHODS: This is a population-based cohort study of 5385 individuals aged 25-40 years with a first suicide attempt during 2007-2009...
December 8, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/29218840/behaviour-vs-perception-an-investigation-into-the-components-of-emotional-invalidation
#2
Meredith Elzy, Marc Karver
BACKGROUND: The negative effects of emotionally invalidating environments are theorized by the biosocial theory of borderline personality disorder to be vast and severe. However, findings from studies on the impact of emotional invalidation (EI) vary, perhaps due to different operational definitions of EI. The current investigation seeks to explore the relationship between the objective behavioural observations of EI and recipient's subjective perceptions of experiencing these behaviours...
December 8, 2017: Personality and Mental Health
https://www.readbyqxmd.com/read/29217452/specific-agreement-on-ordinal-and-multiple-nominal-outcomes-can-be-calculated-for-more-than-two-raters
#3
Henrica C W de Vet, Margriet G Mullender, Iris Eekhout
OBJECTIVE: The concept of specific agreement has been proposed for dichotomous outcomes for two and more raters. We aim to extend this concept for variables with more than two ordinal or nominal categories and more than two raters. STUDY DESIGN AND SETTING: We used two data sets: 4 plastic surgeons classifying photographs after breast reconstruction on a 5 point ordinal scale; and 6 raters classifying psychiatric patients into 5 diagnostic categories. For m raters, all (i...
December 4, 2017: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/29215903/clinician-ratings-of-vulnerable-and-grandiose-narcissistic-features-implications-for-an-expanded-narcissistic-personality-disorder-diagnosis
#4
Kasey Stanton, Mark Zimmerman
Conceptualizations of narcissistic personality disorder (NPD) in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (American Psychiatric Association, 2013) have been criticized for focusing too exclusively on grandiose narcissistic traits (e.g., exploitativeness and entitlement) and failing to capture vulnerable narcissistic features (e.g., feelings of inadequacy). We extended prior grandiose and vulnerable narcissism research by examining the degree to which clinician ratings of traits related to grandiosity overlapped with traits related to vulnerability in a large sample of adult outpatients (N = 2,149)...
December 7, 2017: Personality Disorders
https://www.readbyqxmd.com/read/29215902/words-matter-implementing-the-electronically-activated-recorder-in-schizotypy
#5
Kyle S Minor, Beshaun J Davis, Matthew P Marggraf, Lauren Luther, Megan L Robbins
In schizophrenia-spectrum populations, analyzing the words people use has offered promise for unlocking information about affective states and social behaviors. The electronically activated recorder (EAR) is an application-based program that is combined with widely used smartphone technology to capture a person's real-world interactions via audio recordings. It improves on the ecological validity of current methodologies by providing objective and naturalistic samples of behavior. This study is the first to implement the EAR in people endorsing elevated traits of schizophrenia-spectrum personality disorders (i...
December 7, 2017: Personality Disorders
https://www.readbyqxmd.com/read/29215901/introduction-of-the-dsm-5-levels-of-personality-functioning-questionnaire
#6
Steven K Huprich, Sharon M Nelson, Kevin B Meehan, Caleb J Siefert, Gregory Haggerty, James Sexton, V Barry Dauphin, Matthew Macaluso, Jennifer Jackson, Rosey Zackula, Lyle Baade
With the introduction in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) of a hybrid system of personality disorder assessment, the ability to assess patients' traits, as well as their level of personality functioning, has become increasingly important. To assess this criterion, the DSM-5 Levels of Personality Functioning Questionnaire (DLOPFQ) was developed. The DLOPFQ assesses individuals' self-impairments and other impairments in several domains (self-direction, identity, empathy, and intimacy) and across 2 contexts (work/school and relationships)...
December 7, 2017: Personality Disorders
https://www.readbyqxmd.com/read/29214869/the-relationship-between-the-personality-inventory-for-the-dsm-5-pid-5-and-the-psychotic-disorder-in-a-clinical-sample
#7
Tim Bastiaens, Dirk Smits, Marc De Hert, Erik Thys, Hendrik Bryon, Kim Sweers, Teresa Teugels, Joeri Van Looy, Tim Verwerft, Dominique Vanwalleghem, Ludi Van Bouwel, Laurence Claes
Recent studies have successfully investigated the validity of the DSM-5 Alternative Model for Personality Disorders. In a final sample of 174 psychiatric patients, the present study examined the relationship between the Personality Inventory for the DSM-5 (PID-5) and syndromal psychosis. Results showed that patients diagnosed with versus without a psychotic disorder significantly differed on all PID-5 domains except Antagonism. Discriminant function analysis indicated that lower Detachment, lower Negative Affect, lower Disinhibition, and higher Psychoticism best discriminated patients with a psychotic disorder from patients with other psychiatric conditions...
February 1, 2017: Assessment
https://www.readbyqxmd.com/read/29213046/-medical-social-expertise-in-epilepsy
#8
V G Pomnikov, L A Kritskaya, N G Magomedova
AIM: Clinical and expert analysis of the data, determining the severity of permanent disabilities in patients with epilepsy, based on the new classifications and criteria used for the implementation of medical and social examination from 2016. MATERIAL AND METHODS: Two hundred acts of examination of patients with epilepsy in medical and social examination bureaus were analyzed using statistical, clinical expertise and graphic methods. RESULTS AND CONCLUSION: A clinical expert analysis showed that the assessment of the limitations of life in epilepsy patients and people with disabilities requires an integrated approach...
2017: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://www.readbyqxmd.com/read/29212135/what-is-the-effect-on-comorbid-personality-disorder-of-brief-panic-focused-psychotherapy-in-patients-with-panic-disorder
#9
John R Keefe, Barbara L Milrod, Robert Gallop, Jacques P Barber, Dianne L Chambless
BACKGROUND: No studies of psychotherapies for panic disorder (PD) have examined effects on comorbid personality disorders (PersD), yet half such patients have a PersD. METHODS: In a randomized trial for PD with and without agoraphobia comparing Cognitive-Behavioral Therapy (CBT) and Panic-Focused Psychodynamic Psychotherapy (PFPP), PersD was assessed pre-to-post treatment with the Structured Clinical Interview for the Diagnosis of Axis-II Disorders (SCID-II). For patients completing therapy (n = 118, 54 with PersD), covariance between panic and SCID-II criteria improvements was analyzed...
December 6, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/29209746/decisional-conflict-in-mental-health-care-a-cross-sectional-study
#10
Margot J Metz, Marjolein A Veerbeek, Christina M van der Feltz-Cornelis, Edwin de Beurs, Aartjan T F Beekman
PURPOSE: Decisional conflict refers to the degree to which patients are engaged in and feel comfortable about important clinical decisions. Until now, the concept has received little attention in mental health care. We investigate the level of decisional conflict in mental health care and whether this is influenced by socio-demographics, treatment setting, diagnoses, and locus of control. METHODS: Cross-sectional study among 186 patients in Dutch specialist mental health care using the Decisional Conflict Scale, which measures five dimensions of decisional conflict: information, support, clarification of values, certainty, and decisional quality...
December 6, 2017: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/29209501/association-among-self-compassion-childhood-invalidation-and-borderline-personality-disorder-symptomatology-in-a-singaporean-sample
#11
Shian-Ling Keng, Yun Yi Wong
Background: Linehan's biosocial theory posits that parental invalidation during childhood plays a role in the development of borderline personality disorder symptoms later in life. However, little research has examined components of the biosocial model in an Asian context, and variables that may influence the relationship between childhood invalidation and borderline symptoms. Self-compassion is increasingly regarded as an adaptive way to regulate one's emotions and to relate to oneself, and may serve to moderate the association between invalidation and borderline symptoms...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/29209413/examining-changes-in-personality-disorder-and-symptomology-in-an-adolescent-sample-receiving-intensive-mentalization-based-treatment-a-pilot-study
#12
Kirsten Hauber, Albert Eduard Boon, Robert Vermeiren
Objective: To examine changes in personality disorders and symptomology and the relation between personality disorder variables and treatment outcomes in an adolescent sample during partial residential mentalization based treatment. Methods: In a sample of 62 (out of 115) adolescents treated for personality disorders, assessment was done pre- and post-treatment using the Structured Clinical Interview for DSM personality disorders and the Symptom Check List 90. Results: Significant reductions in personality disorder traits (t = 8...
2017: Child and Adolescent Psychiatry and Mental Health
https://www.readbyqxmd.com/read/29209374/mental-health-assessment-of-south-korean-adults-on-probation
#13
Soungwan Kim, Bongseog Kim
Objective: The association of offender mental illness (including those on probation) with crime has long been the subject of social interest; however, systematic management has been insufficient. The study purpose was to analyze mental illness prevalence, proportion of first offenses and recidivism with the mental illness of those on probation. Methods: A total of 206 adults on probation were divided into groups (first offenders and repeat offenders) and they completed self-report instruments and clinical interviews designed to diagnose mental illness...
November 2017: Psychiatry Investigation
https://www.readbyqxmd.com/read/29204276/the-mediating-role-of-mentalizing-capacity-between-parents-and-peer-attachment-and-adolescent-borderline-personality-disorder
#14
Emma Beck, Carla Sharp, Stig Poulsen, Sune Bo, Jesper Pedersen, Erik Simonsen
Background: Insecure attachment is a precursor and correlate of borderline personality disorder. According to the mentalization-based theory of borderline personality disorder, the presence of insecure attachment derails the development of the capacity to mentalize, potentially resulting in borderline pathology. While one prior study found support for this notion in adolescents, it neglected a focus on peer attachment. Separation from primary caregivers and formation of stronger bonds to peers are key developmental achievements during adolescence and peer attachment warrants attention as a separate concept...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/29200428/low-empathy-like-behaviour-in-male-mice-associates-with-impaired-sociability-emotional-memory-physiological-stress-reactivity-and-variations-in-neurobiological-regulations
#15
Giovanni Laviola, Francesca Zoratto, Danilo Ingiosi, Valentina Carito, Damien Huzard, Marco Fiore, Simone Macrì
Deficits in empathy have been proposed to constitute a hallmark of several psychiatric disturbances like conduct disorder, antisocial and narcissistic personality disorders. Limited sensitivity to punishment, shallow or deficient affect and reduced physiological reactivity to environmental stressors have been often reported to co-occur with limited empathy and contribute to the onset of antisocial phenotypes. Empathy in its simplest form (i.e. emotional contagion) is addressed in preclinical models through the evaluation of the social transmission of emotional states: mice exposed to a painful stimulus display a higher response if in the presence of a familiar individual experiencing a higher degree of discomfort, than in isolation...
2017: PloS One
https://www.readbyqxmd.com/read/29197752/cognitive-distortions-in-anorexia-nervosa-and-borderline-personality-disorder
#16
Melina Andrea Del Pozo, Susanne Harbeck, Sabine Zahn, Sören Kliem, Christoph Kröger
Thought-shape fusion (TSF) is a cognitive distortion associated with eating disorders (ED). A similar distortion, thought-abandonment fusion (TAbF), is assumed to occur in borderline personality disorder (BPD). In this study the specificity of TSF in participants with anorexia nervosa (AN) and TAbF in participants with BPD was examined. 63 patients completed questionnaires assessing the manifestation of trait-TAbF and trait-TSF, as well as relevant psychopathology. Nonparametric conditional inference trees were used to test for cognitive disorder-specificity...
November 21, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/29197214/nonsuicidal-self-injury-in-a-naturalistic-sample-of-adolescents-undergoing-inpatient-psychiatric-treatment-prevalence-gender-distribution-and-comorbidities
#17
Kathrin Sevecke, Astrid Bock, Lucas Fenzel, Manuela Gander, Martin Fuchs
BACKGROUND: A growing body of research points toward nonsuicidal self-injury (NSSI) in adolescents as an important and frequent health-related risk factor. In 2013, NSSI was proposed in section 3 of the DSM-5 as a new diagnostic entity warranting further study. In line with that goal, the present study was conducted in order to evaluate prevalence, gender distribution and comorbidities of NSSI in a sample of adolescent psychiatric inpatients. SUBJECTS AND METHODS: The study included 130 adolescents (mean age 15...
December 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/29197206/characteristics-and-development-of-nonsuicidal-super-self-injury-among-borderline-inpatients
#18
Katalin Merza, Gábor Papp, Judit Molnár, Ildikó Kuritárné Szabó
BACKGROUND: Nonsuicidal self-injury (NSSI) is a key feature of borderline personality disorder (BPD), which is strongly associated with childhood traumatization. To the best of our knowledge, there has been a lack of studies investigating extensively the characteristics of borderline patients who engage in extremely high numbers of NSSI, and their features of NSSI, trauma history and psychopathology. The aim of this study is to identify groups of borderline inpatients on the basis of the lifetime number of NSSI, and to explore the characteristics of these groups regarding the onset, reasons and methods of NSSI, history of childhood traumatization, and severity of psychopathology...
December 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/29197109/prospective-test-of-the-developmental-propensity-model-of-antisocial-behavior-from-childhood-and-adolescence-into-early-adulthood
#19
Benjamin B Lahey, Quetzal A Class, David H Zald, Paul J Rathouz, Brooks Applegate, Irwin D Waldman
BACKGROUND: The developmental propensity model of antisocial behavior posits that several dispositional characteristics of children transact with the environment to influence the likelihood of learning antisocial behavior across development. Specifically, greater dispositional negative emotionality, greater daring, and lower prosociality-operationally, the inverse of callousness- and lower cognitive abilities are each predicted to increase risk for developing antisocial behavior. METHODS: Prospective tests of key predictions derived from the model were conducted in a high-risk sample of 499 twins who were assessed on dispositions at 10-17 years of age and assessed for antisocial personality disorder (APD) symptoms at 22-31 years of age...
December 2, 2017: Journal of Child Psychology and Psychiatry, and Allied Disciplines
https://www.readbyqxmd.com/read/29193438/routine-practice-in-staffed-community-accommodation-approved-premises-in-england-and-wales-quantitative-benchmarking-from-the-first-year-of-a-longitudinal-study
#20
Jason Davies, Aisling O'Meara
BACKGROUND: In England and Wales, 'approved premises' offer 24-hour staffed accommodation for high-risk offenders, most of whom are returning to the community from prison. With a move towards a standardised operating model, it is essential to be able to measure outcomes. AIMS: Our aim is to collate and evaluate 'benchmarks' for approved premises. METHODS: A cross-sectional, descriptive design was used to establish the impact of existing practice in all four approved premises in Wales...
November 29, 2017: Criminal Behaviour and Mental Health: CBMH
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