Implementing a whole ‐of‐service stepped care approach to personality disorder treatment: Impact of training and service redesign on clinician attitudes and skills
This study evaluated clinician attitudes and confidence in working with people with personality disorder following the combination of training and implementation of a stepped care whole-of-service approach. A total of 102 multidisciplinary mental health clinicians were trained to implement the stepped care approach, and completed surveys prior to implementation and at 12  months follow up. Clinicians delivered manualised structured psychological therapy as part of the model. Measures assessed changes in attitudes and confidence, and impact of the service changes and therapy approach. Qualitative responses elucidated core...
Source: Personality and Mental Health - March 20, 2024 Category: Psychiatry Authors: Brin F. S. Grenyer, Rachel C. Bailey Tags: RESEARCH ARTICLE Source Type: research

Borderline personality disorder and stigma: Lived experience perspectives on helpful and hurtful language
AbstractBorderline personality disorder (BPD) is a severe mental health disorder that is subject to significant stigmatisation. With language being a key reinforcer of stigma, this co-produced study aims to explore the language use regarding BPD and its effect on those with BPD and carers. Recommendations to reduce stigmatisation are provided for both clinicians and researchers. Participants with BPD (consumern = 33) and those supporting someone with BPD (carern = 30) discussed their experience of hurtful and helpful language. Reflexive thematic analysis was used to analyse written and verbal responses into core co...
Source: Personality and Mental Health - March 14, 2024 Category: Psychiatry Authors: Charlotte C. van Schie, Kate Lewis, Karlen R. Barr, Mahlie Jewell, Natalie Malcolmson, Michelle L. Townsend, Brin F. S. Grenyer Tags: RESEARCH ARTICLE Source Type: research

The roles of extraversion and neuroticism in the relationship between childhood adversity and adolescent substance misuse
This study sought to investigate the relationship between childhood adversity and adolescent substance misuse, alongside the influences of extraversion and neuroticism, using data from a longitudinal birth cohort study. Statistical analyses were performed on a longitudinal dataset provided by the Christchurch Health and Development Study (CHDS). After controlling for confounds, childhood adversity was a significant predictor of substance use disorder symptoms in adolescence. Moderation analyses showed that experiences of childhood adversity were most strongly associated with adolescent substance use disorder symptoms at hi...
Source: Personality and Mental Health - March 13, 2024 Category: Psychiatry Authors: Jodie N. Davies, Seth C. Harty, Joseph M. Boden Tags: RESEARCH ARTICLE Source Type: research

Temperamental underpinnings of borderline personality disorder and its facets
AbstractTemperament is claimed to be the basis for personality; therefore, discovering the temperamental underpinnings of borderline personality disorder and its facets is crucial for understanding this personality disorder. In this article, we explore these underpinnings by using a new model of temperament, based on the Regulative Theory of Temperament, the Big Two of temperament, and the Circumplex of Personality Metatraits. Two studies were conducted on adults —the first was in a general population sample (N = 315) and the second was in a clinical sample (N = 113) in people with a diagnosis of borderline perso...
Source: Personality and Mental Health - March 13, 2024 Category: Psychiatry Authors: Piotr P. Brud, Jan Cieciuch Tags: RESEARCH ARTICLE Source Type: research

Mediators of change in psychological interventions for adult offenders with personality disorders: A scoping review of the literature
AbstractOffenders with personality disorder cause disproportionate harm to society and pose significant challenges for those responsible for their care and rehabilitation. Personality disorders are heterogeneous in terms of symptoms, as well as their pathways to offending behaviour. Thus, there is limited evidence regarding effective interventions. One solution might be to focus on how interventions are delivered as well as what is delivered. Within the non-offender personality disorder literature, the identification of potential mediators of change has enabled interventions to focus on ‘how’ they are delivered (e.g., ...
Source: Personality and Mental Health - March 1, 2024 Category: Psychiatry Authors: Roxanna Short, Darrick Jolliffe, Ben Carter, Colin Campbell Tags: RESEARCH ARTICLE Source Type: research

Response to “Antisocial personality traits relationship with behaviours and beliefs on COVID‐19 containment measures: Investigation in a large Brazilian sample”
(Source: Personality and Mental Health)
Source: Personality and Mental Health - February 28, 2024 Category: Psychiatry Authors: Lien ‐Chung Wei Tags: RESPONSE Source Type: research

Longitudinal examination of borderline personality disorder symptoms and drug use: The influence of negative and positive emotion dysregulation
We examined the independent and interactive associations of BPD symptoms and emotion dysregulation in reported drug use over 1 year. Participants (N = 143) were over-recruited for BPD, assessed via interview, and completed measures of negative and positive emotion dysregulation. Drug use frequency was assessed with monthly surveys over a 1-year period. Results demonstrated interrelations among BPD symptoms and both negative and positive emo tion dysregulation. However, when modeling BPD and emotion dysregulation together, only higher BPD symptoms were associated with more frequent drug use. Findings support the relati...
Source: Personality and Mental Health - February 21, 2024 Category: Psychiatry Authors: Elinor E. Waite, Alexa M. Raudales, Noam G. Newberger, Jewelia J. Ferguson, Dominic M. Denning, Sarah Huffman, Nicole H. Weiss, Katherine L. Dixon ‐Gordon Tags: RESEARCH ARTICLE Source Type: research

Issue Information
No abstract is available for this article. (Source: Personality and Mental Health)
Source: Personality and Mental Health - February 12, 2024 Category: Psychiatry Tags: ISSUE INFORMATION Source Type: research

Changes in the journal
(Source: Personality and Mental Health)
Source: Personality and Mental Health - February 12, 2024 Category: Psychiatry Authors: Peter Tyrer, Roger Mulder, Carla Sharp Tags: EDITORIAL Source Type: research

Experiences of a peer group for people diagnosed with borderline personality disorder: A qualitative interview study
AbstractThere is a notable lack of literature evaluating peer support for people with a diagnosis of borderline personality disorder (BPD). Peer-led groups have been shown to positively impact outcomes related to empowerment, hope, and self-efficacy beliefs for consumers diagnosed with serious mental illness and may also be a helpful option for those experiencing personality disorder symptoms. We outline the coproduction of a peer group for people with a lived experience of BPD and a qualitative analysis of feedback post-group participation. Twenty-two consumers participated in post-group interviews and described their exp...
Source: Personality and Mental Health - February 5, 2024 Category: Psychiatry Authors: Sophie C. Dahlenburg, Dianna R. Bartsch, Jessica A. Giles, Kristy A. Koehne, Judy O'Sullivan Tags: RESEARCH ARTICLE Source Type: research

Impact of clinical severity on treatment response in a randomized controlled trial comparing day hospital and intensive outpatient mentalization ‐based treatment for borderline personality disorder
This study examined the impact of clinical severity on treatment outcome in two programs that differ markedly in treatment intensity: day hospital mentalization-based treatment (MBT-DH) and intensive outpatient mentalization-based treatment (MBT-IOP) for borderline personality disorder (BPD). A multicenter randomized controlled trial was conducted. Participants include the full intention-to-treat sample of the original trial ofN = 114 randomized BPD patients (MBT-DHn = 70, MBT-IOPn = 44), who were assessed at baseline and subsequently every 6 up to 36 months after start of treatment. Outcomes were general sympto...
Source: Personality and Mental Health - February 1, 2024 Category: Psychiatry Authors: Maaike L. Smits, Dine J. Feenstra, Matthijs Blankers, Jan H. Kamphuis, Dawn L. Bales, Jack J. M. Dekker, Roel Verheul, Jan J. V. Busschbach, Patrick Luyten Tags: RESEARCH ARTICLE Source Type: research

Antisocial personality traits relationship with behaviours and beliefs on COVID ‐19 containment measures: Investigation in a large Brazilian sample
This study investigated associations of pathological traits of antisocial personality disorder (ASPD) with behaviours and beliefs linked to COVID-19 containment measures. The sample consisted of 2230 Brazilian adults who answered ASPD-related facets of the Personality Inventory for DSM-5 and a questionnaire regarding adherence to COVID-19 containment measures. We applied the DSM-5 ASPD criteria to divide the sample into antisocial and non-antisocial groups. Our findings suggest that individuals meeting the criteria for ASPD tend to exhibit reduced compliance with pandemic control measures and lower adherence to hygiene pra...
Source: Personality and Mental Health - December 27, 2023 Category: Psychiatry Authors: Lucas de Francisco Carvalho, Fabiano Koich Miguel, Gisele Magarotto Machado, Cibelle de Oliveira, Giselle Pianowski Tags: RESEARCH ARTICLE Source Type: research

Replicability of the five ‐factor structure of DSM‐5 and ICD‐11 trait systems and their associations with binge eating and bipolar spectrum psychopathology
AbstractSince the research on contemporary personality models —and psychopathology—mainly originate from the Western world, we aimed to test the factorial structure of two trait systems assessed with the Personality Inventory for DSM-5 (PID-5) in a non-Western sample and to compare the extracted models' relative associations with binge eating disorder (BED ) and bipolar spectrum disorder (BSD) symptoms. A community sample (N = 516; 72% female) was administered the PID-5, which can operationalize both the DSM-5 and ICD-11 systems. The factor structures of both systems were tested using exploratory structural equatio...
Source: Personality and Mental Health - November 30, 2023 Category: Psychiatry Authors: Anis Vaysi, Parisa Nazarpour, Zhaleh Kiani, Mahtab Maleki, Maryam Hamzehei, Federico Amianto, Martin Sellbom, Saeid Komasi Tags: RESEARCH ARTICLE Source Type: research

Diagnosing borderline personality disorder: Reports and recommendations from people with lived experience
AbstractBorderline personality disorder (BPD) is a severe mental health condition marked by impairments in self and interpersonal functioning. Stigma from health staff may often result in a reluctance to diagnose, impacting recovery trajectories. Qualitative interviews were conducted with participants (N = 15;M Age = 36.4 years,SD = 7.5; 93.3% female) with lived experience of BPD exploring topics of illness onset, insight, experience of diagnosis and treatment. Qualitative responses were analysed within a co-design framework with a member of the research team who identifies as having a lived experience of BPD...
Source: Personality and Mental Health - November 24, 2023 Category: Psychiatry Authors: Vanessa Tedesco, Nicholas John Stephen Day, Sophie Lucas, Brin F. S. Grenyer Tags: RESEARCH ARTICLE Source Type: research

To be a freshman during the COVID ‐19 pandemic: A cross‐lagged model of depression, mentalizing, and epistemic trust
This study investigated severity of depression and negative affect linked to the pandemic among freshmen during their first semester at a large university in Flanders, Belgium. We also investigated whether epistemic trust predicted severity of depression and pandemic-related negative affect and whether problems with reflective functioning (or mentalizing) mediated these relations. Participants in this two-wave prospective study were 289 first-year students of the Faculty of Psychology and Educational Sciences of a large Belgian university. We conducted paired samplest-tests and cross-panel analysis to answer the research q...
Source: Personality and Mental Health - November 14, 2023 Category: Psychiatry Authors: David De Coninck, Koen Matthijs, Jan Van Bavel, Patrick Luyten Tags: RESEARCH ARTICLE Source Type: research