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https://www.readbyqxmd.com/read/28922004/behavioral-activation-in-the-treatment-of-metacognitive-dysfunctions-in-inhibited-type-personality-disorders
#1
Keely Gordon-King, Robert D Schweitzer, Giancarlo Dimaggio
Behavioral interventions are proposed as a critical treatment component in psychotherapy for personality disorders. The current study explores behavioral interventions as a mechanism of change in Metacognitive Interpersonal Therapy, an integrative psychotherapy for personality disorders. The goals and implementation of behavioral principles are illustrated through the single case study of Roger, a 57-year-old man diagnosed with avoidant personality disorder and depressive personality disorder. Transcripts of interviews and therapy sessions illustrate the role of behavioral interventions, including behavioral activation, in Roger's treatment...
September 2017: Psychotherapy
https://www.readbyqxmd.com/read/28738097/impact-of-obsessive-compulsive-personality-disorder-symptoms-in-internet-users
#2
Samuel R Chamberlain, Sarah A Redden, Dan J Stein, Christine Lochner, Jon E Grant
BACKGROUND: Internet use is pervasive in many cultures. Little is known about the impact of obsessive-compulsive personality disorder (OCPD) symptoms on impulsive and compulsive psychopathologies in people who use the Internet. METHODS: Adult Internet users (N = 1,323) completed an online questionnaire quantifying OCPD symptoms, likely occurrence of select mental disorders (obsessive-compulsive disorder, attention-deficit/hyperactivity disorder [ADHD], problematic Internet use, generalized anxiety disorder), and personality questionnaires of impulsivity and compulsivity...
August 2017: Annals of Clinical Psychiatry: Official Journal of the American Academy of Clinical Psychiatrists
https://www.readbyqxmd.com/read/28710917/for-whom-does-interpersonal-psychotherapy-work-a-systematic-review
#3
REVIEW
Samantha L Bernecker, Alice E Coyne, Michael J Constantino, Paula Ravitz
The efficacy of interpersonal psychotherapy (IPT) to treat depression and other disorders is well established, yet it remains unknown which patients will benefit more from IPT than another treatment. This review summarizes 46years of clinical trial research on patient characteristics that moderate the relative efficacy of IPT vs. different treatments. Across 57 studies from 33 trials comparing IPT to pharmacotherapy, another psychotherapy, or control, there were few consistent indicators of when IPT would be more or less effective than another treatment...
August 2017: Clinical Psychology Review
https://www.readbyqxmd.com/read/28647668/a-combined-marker-of-early-non-improvement-and-the-occurrence-of-melancholic-features-improve-the-treatment-prediction-in-patients-with-major-depressive-disorders
#4
Stefanie Wagner, André Tadić, Sibylle C Roll, Alice Engel, Nadine Dreimüller, Jan Engelmann, Klaus Lieb
BACKGROUND: Early Improvement of depressive symptoms within two weeks of antidepressant treatment is a highly sensitive but less specific predictor of later treatment outcome. The aim of this study was to identify clinical features at treatment initiation which are associated with early improvement and non-improvement as well as to identify variables predicting non-remission in patients showing an early improvement. METHODS: 889 patients with a major depressive episode according to DSM-IV who had participated in an antidepressant treatment trial served as study sample...
October 15, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28527713/stability-or-instability-in-avoidant-personality-disorder-mode-fluctuations-within-schema-therapy-sessions
#5
Ofer Peled, Eran Bar-Kalifa, Eshkol Rafaeli
BACKGROUND AND OBJECTIVES: Avoidant personality disorder (APD) is among the most prevalent personality disorders, but has received relatively little empirical attention. This study aims to characterize the frequency, intensity, and fluctuation patterns seen in the modes (self-states) of APD clients over the course of schema therapy (ST), a psychotherapy approach developed especially for personality disorders. METHOD: The newly-developed client mode rating scale (CMRS) was used to code every 5-min segment (n = 645) of 60 ST sessions...
May 6, 2017: Journal of Behavior Therapy and Experimental Psychiatry
https://www.readbyqxmd.com/read/28288440/schizophrenia-spectrum-personality-disorders-in-psychometrically-identified-schizotypes-at-two-year-follow-up
#6
P Kevin Bolinskey, Elizabeth A Smith, Kelly M Schuder, Dianna Cooper-Bolinskey, Kevin R Myers, Daniel V Hudak, Alison V James, Helen K Hunter, Jonathan H Novi, Janice P Guidi, Yelena Gonzalez, Erin F McTiernan, Kaitlin M Arnold, Carina A Iati, Irving I Gottesman
Earlier (Bolinskey et al., 2015), we reported that psychometrically identified schizotypes displayed greater symptom levels and higher incidences of schizophrenia spectrum (schizotypal, schizoid, paranoid, and avoidant) personality disorders (PDs). In this study, 49 schizotypes and 39 matched controls participated in follow-up assessments after two years. Participants were previously identified as schizotypes or controls based on scores on the Chapman Psychosis Proneness Scales (CPPS), and were interviewed at baseline and follow-up with the Personality Disorder Interview for DSM-IV (PDI-IV)...
June 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28196993/personality-disorders-and-its-association-with-anxiety-and-depression-among-patients-of-severe-acne-a-cross-sectional-study-from-eastern-india
#7
Sharmila Sarkar, Paramita Patra, Kakali Mridha, Sudip Kumar Ghosh, Asish Mukhopadhyay, Rajarshi Guha Thakurta
BACKGROUND: In many patients, emotional stress may exacerbate acne. Psychological problems such as social phobias, low self-esteem, or depression may also occur as a result of acne. The presence of acne may have some negative effect on the quality of life, self-esteem, and mood of the affected patients. While some studies have been undertaken about anxiety, depression, and personality patterns in patients with acne, only a few studies have been done to identify specific personality disorders in patients with acne...
October 2016: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/27906412/multiple-cluster-axis-ii-comorbidity-and-functional-outcome-in-severe-patients-with-borderline-personality-disorder
#8
Nerea Palomares, Antonia McMaster, Marina Díaz-Marsá, Irene de la Vega, Ana Montes, José Luis Carrasco
BACKGROUND: Current literature suggests that personality disorder comorbidity negatively contributes to both the severity and prognosis of other disorders; however, little literature has been devoted to its influence on borderline personality disorder (BPD). The objective of the present work is to study comorbidity with other personality disorders in a severe clinical sample of patients with BPD, and its relationship with global functionality. METHODS: A sample of 65 patients with severe borderline personality disorder was included in the study...
November 2016: Actas Españolas de Psiquiatría
https://www.readbyqxmd.com/read/27831693/identification-of-mental-states-and-interpersonal-functioning-in-borderline-personality-disorder
#9
Kathy R Berenson, Cara Dochat, Christiana G Martin, Xiao Yang, Eshkol Rafaeli, Geraldine Downey
Atypical identification of mental states in the self and others has been proposed to underlie interpersonal difficulties in borderline personality disorder (BPD), yet no previous empirical research has directly examined associations between these constructs. We examine 3 mental state identification measures and their associations with experience-sampling measures of interpersonal functioning in participants with BPD relative to a healthy comparison (HC) group. We also included a clinical comparison group diagnosed with avoidant personality disorder (APD) to test the specificity of this constellation of difficulties to BPD...
November 10, 2016: Personality Disorders
https://www.readbyqxmd.com/read/27744447/paroxetine-cognitive-therapy-or-their-combination-in-the-treatment-of-social-anxiety-disorder-with-and-without-avoidant-personality-disorder-a-randomized-clinical-trial
#10
RANDOMIZED CONTROLLED TRIAL
Hans M Nordahl, Patrick A Vogel, Gunnar Morken, Tore C Stiles, Pål Sandvik, Adrian Wells
BACKGROUND: The most efficacious treatments for social anxiety disorder (SAD) are the SSRIs and cognitive therapy (CT). Combined treatment is advocated for SAD but has not been evaluated in randomized trials using CT and SSRI. Our aim was to evaluate whether one treatment is more effective than the other and whether combined treatment is more effective than the single treatments. METHODS: A total of 102 patients were randomly assigned to paroxetine, CT, the combination of CT and paroxetine, or pill placebo...
2016: Psychotherapy and Psychosomatics
https://www.readbyqxmd.com/read/27717405/group-schema-therapy-versus-group-cognitive-behavioral-therapy-for-social-anxiety-disorder-with-comorbid-avoidant-personality-disorder-study-protocol-for-a-randomized-controlled-trial
#11
Astrid Baljé, Anja Greeven, Anne van Giezen, Kees Korrelboom, Arnoud Arntz, Philip Spinhoven
BACKGROUND: Social anxiety disorder (SAD) with comorbid avoidant personality disorder (APD) has a high prevalence and is associated with serious psychosocial problems and high societal costs. When patients suffer from both SAD and APD, the Dutch multidisciplinary guidelines for personality disorders advise offering prolonged cognitive behavioral therapy (CBT). Recently there is increasing evidence for the effectiveness of schema therapy (ST) for personality disorders such as borderline personality disorder and cluster C personality disorders...
October 8, 2016: Trials
https://www.readbyqxmd.com/read/27662043/the-talking-cure-of-avoidant-personality-disorder-remission-through-earned-secure-attachment
#12
Jeffrey Guina
The concept of earned security is important and has significant implications for psychotherapy. Understanding how individuals with insecure attachment styles can develop secure attachment styles through reparative relationships, such as the therapeutic relationship, can assist psychotherapists in helping patients to overcome the effects of early negative life experiences. Personality disorders are commonly associated with negative experiences, such as abuse, neglect, and other empathic failures. These disorders are particularly difficult to treat because of their pervasive nature and the resultant defense mechanisms that often thwart psychotherapy...
2016: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/27616800/impulsivity-rejection-sensitivity-and-reactions-to-stressors-in-borderline-personality-disorder
#13
Kathy R Berenson, Wesley Ellen Gregory, Erin Glaser, Aliza Romirowsky, Eshkol Rafaeli, Xiao Yang, Geraldine Downey
This research investigated baseline impulsivity, rejection sensitivity, and reactions to stressors in individuals with borderline personality disorder compared to healthy individuals and those with avoidant personality disorder. The borderline group showed greater impulsivity than the avoidant and healthy groups both in a delay-discounting task with real monetary rewards and in self-reported reactions to stressors; moreover, these findings could not be explained by co-occurring substance use disorders. Distress reactions to stressors were equally elevated in both personality disorder groups (relative to the healthy group)...
August 2016: Cognitive Therapy and Research
https://www.readbyqxmd.com/read/27598693/the-role-of-avoidant-and-obsessive-compulsive-personality-disorder-traits-in-matching-patients-with-major-depression-to-cognitive-behavioral-and-psychodynamic-therapy-a-replication-study
#14
Martijn J Kikkert, Ellen Driessen, Jaap Peen, Jacques P Barber, Claudi Bockting, Frans Schalkwijk, Jeff Dekker, Jack J M Dekker
BACKGROUND: Barber and Muenz (1996) reported that cognitive behavior therapy (CBT) was more effective than interpersonal therapy (IPT) for depressed patients with elevated levels of avoidant personality disorder, while IPT was more effective than CBT in patients with elevated levels of obsessive-compulsive personality disorder. These findings may have important clinical implications, but have not yet been replicated. METHODS: We conducted a study using data from a randomized clinical trial comparing the efficacy of CBT and short-term psychodynamic supportive psychotherapy in the outpatient treatment of depression...
November 15, 2016: Journal of Affective Disorders
https://www.readbyqxmd.com/read/27547506/sex-determines-cortisol-and-alpha-amylase-responses-to-acute-physical-and-psychosocial-stress-in-patients-with-avoidant-personality-disorder
#15
Yoshihiro Tanaka, Yoshinobu Ishitobi, Ayako Inoue, Harumi Oshita, Kana Okamoto, Chiwa Kawashima, Mari Nakanishi, Saeko Aizawa, Koji Masuda, Yoshihiro Maruyama, Haruka Higuma, Masayuki Kanehisa, Taiga Ninomiya, Jotaro Akiyoshi
INTRODUCTIONS: Avoidant personality disorder (AVPD) has excessive and pervasive anxiety and discomfort in social situations. The aims of this study were to explore the relationship between AVPD and physical and psychological stress and psychological tests. METHODS: We evaluated 93 AVPD patients and 355 nonpatient controls by salivary amylase and cortisol responses during exposure to the Trier Social Stress Test (TSST) and electrical stimulation stress. Spielberger state-trait anxiety inventory (STAI), Profile of Mood State (POMS), Beck Depression Inventory (BDI), Depression and Anxiety Cognition Scale (DACS), and Childhood Trauma Questionnaire (CTQ) were administered...
August 2016: Brain and Behavior
https://www.readbyqxmd.com/read/27505187/affective-instability-as-a-clinical-feature-of-avoidant-personality-disorder
#16
Avigal Snir, Eran Bar-Kalifa, Kathy R Berenson, Geraldine Downey, Eshkol Rafaeli
The current study's main goal was to examine whether affective instability is elevated among individuals suffering from avoidant personality disorder (APD) by comparing it to the affective instability found among individuals suffering from borderline personality disorder (BPD) as well that found among healthy controls. Adults (N = 152, aged 18-65 years) with BPD, APD, or no psychopathology participated in a 3-week computerized diary study. We examined temporal instability in negative affect using experience-sampling methods...
August 8, 2016: Personality Disorders
https://www.readbyqxmd.com/read/27292417/validation-of-self-report-impairment-measures-for-section-iii-obsessive-compulsive-and-avoidant-personality-disorders
#17
Jacqueline Liggett, Kieran L C Carmichael, Alexander Smith, Martin Sellbom
This study examined the validity of newly developed disorder-specific impairment scales (IS), modeled on the Level of Personality Functioning Scale, for obsessive-compulsive (OCPD) and avoidant (AvPD) personality disorders. The IS focused on content validity (items directly reflected the disorder-specific impairments listed in DSM-5 Section III) and severity of impairment. A community sample of 313 adults completed personality inventories indexing the DSM-5 Sections II and III diagnostic criteria for OCPD and AvPD, as well as measures of impairment in the domains of self- and interpersonal functioning...
January 2017: Journal of Personality Assessment
https://www.readbyqxmd.com/read/27227557/mindreading-dysfunction-in-avoidant-personality-disorder-compared-with-other-personality-disorders
#18
COMPARATIVE STUDY
Fabio Moroni, Michele Procacci, Giovanni Pellecchia, Antonio Semerari, Giuseppe Nicolò, Antonino Carcione, Roberto Pedone, Livia Colle
The ability to reflect on one's own states of mind and those of others (metacognition or mindreading) is strongly implicated in personality disorders (PDs). Metacognition involves different abilities, and there is evidence that specific abilities can be selectively impaired in different PDs. The purposes of this study were to compare metacognitive competence in avoidant PD (AvPD) with that in other PDs and to investigate whether there is a specific profile for AvPD. Sixty-three patients with AvPD and 224 patients with other PDs were assessed using the Metacognitive Assessment Interview...
October 2016: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/27208878/a-study-of-chemokines-chemokine-receptors-and-interleukin-6-in-patients-with-panic-disorder-personality-disorders-and-their-co-morbidity
#19
Ewa A Ogłodek, Anna M Szota, Marek J Just, Adam R Szromek, Aleksander Araszkiewicz
BACKGROUND: Stress may induce inflammatory changes in the immune system and activate pro-inflammatory cytokines and their receptors by activating the hypothalamic-pituitary-adrenal axis. METHODS: 460 hospitalized patients with panic disorders (PD) and/or personality disorders (P) were studied. The study group comprised subjects with PD, avoidant personality disorder (APD), borderline personality disorder (BPD), obsessive-compulsive personality disorder (OCPD), and concomitant (PD+APD; PD+BPD; PD+OCPD)...
August 2016: Pharmacological Reports: PR
https://www.readbyqxmd.com/read/27155069/brain-structural-anomalies-in-borderline-and-avoidant-personality-disorder-patients-and-their-associations-with-disorder-specific-symptoms
#20
Bryan T Denny, Jin Fan, Xun Liu, Stephanie Guerreri, Sarah Jo Mayson, Liza Rimsky, Antonia McMaster, Heather Alexander, Antonia S New, Marianne Goodman, Mercedes Perez-Rodriguez, Larry J Siever, Harold W Koenigsberg
BACKGROUND: Borderline personality disorder (BPD) and avoidant personality disorder (AvPD) are characterized by hyper-reactivity to negatively-perceived interpersonal cues, yet they differ in degree of affective instability. Recent work has begun to elucidate the neural (structural and functional) and cognitive-behavioral underpinnings of BPD, although some initial studies of brain structure have reached divergent conclusions. AvPD, however, has been almost unexamined in the cognitive neuroscience literature...
August 2016: Journal of Affective Disorders
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