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Personality Disorders

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Full-Text Articles in Social and Behavioral Sciences

Are Narcissism And Entitlement Associated With Higher Rates Of Violence And Unsuccessful Treatment Completion?, Melissa Chipollini Jan 2022

Are Narcissism And Entitlement Associated With Higher Rates Of Violence And Unsuccessful Treatment Completion?, Melissa Chipollini

PCOM Psychology Dissertations

Following the dimensional-categorical model of personality functioning, this study used archival data to examine the degree to which narcissism and entitlement determined engagement in violent acts and treatment completion. The study reviewed MCMI-III/IV scores, discharge summaries, and violence histories for a sample of 105 individuals who were referred for forensic outpatient services by the court. One-way ANOVAs were used to assess all four of the hypotheses (a) individuals with more than one violent act (vs. one violent act) would have significantly higher mean scores on the MCMI-III/IV entitlement subscale, (b) individuals with more than one violent act would have significantly …


Personality Pathology In Winter Depression: Prevalence And Treatment Trajectories In Cognitive-Behavioral Therapy And Light Therapy, Julia Marie Terman Jan 2021

Personality Pathology In Winter Depression: Prevalence And Treatment Trajectories In Cognitive-Behavioral Therapy And Light Therapy, Julia Marie Terman

Graduate College Dissertations and Theses

Personality disorders are highly comorbid with major depression; however, findings are mixed regarding their impact on depression treatment outcomes and trajectories. Limited research has studied personality pathology in winter depression, specifically. This study (1) explored the prevalence of personality pathology in winter depression and (2) examined its effects on winter depression treatment trajectories. Participants were 174 adults with Major Depression, Recurrent with Seasonal Pattern from a randomized clinical trial comparing group cognitive-behavioral therapy for seasonal affective disorder (CBT-SAD) and light therapy. Participants completed the Millon Clinical Multiaxial Inventory-III (MCMI-III; Millon et al., 1994) at baseline. The prevalence of MCMI-III-defined pathological …


Identifying Mcmi-Iv Personality Disorder Subgroups Using Exploratory Factor Analysis And Latent Class Analysis, Amanda Fisher Jan 2020

Identifying Mcmi-Iv Personality Disorder Subgroups Using Exploratory Factor Analysis And Latent Class Analysis, Amanda Fisher

Theses and Dissertations

Patients diagnosed with personality disorders (PDs) have higher morbidity and mortality rates than those without PDs. The DSM-5 PD diagnoses and the cluster system lack a theoretical and empirical basis, which hinders the development of knowledge about PDs and interventions for PDs. This present study attempts to add to this literature by forming PD groups using a combination of exploratory factor analysis (EFA) and latent class analysis (LCA) based on PD scores from the Millon Clinical Multiaxial Inventory-IV (MCMI-IV), a method recommended by Gorman and Primavera (1983). Participants were 251 English speaking males and females ages 18 to 75 seeking …


Academic Incivility: Can The Dark Triad Personality Traits Predict Academic Entitlement?, Melissa M. Foley Jan 2020

Academic Incivility: Can The Dark Triad Personality Traits Predict Academic Entitlement?, Melissa M. Foley

Walden Dissertations and Doctoral Studies

Academic entitlement is a view held by students that can cause dissent and student incivility. Academic entitlement can be driven by various factors, including the personality traits of the Dark Triad (personality traits of Machiavellianism, psychopathy, and narcissism). Other researchers have examined the relationship between these traits and academic entitlement, but further research on this subject is needed. Adams’ equity theory, which proposes that people experience distress when they identify as either under- or over rewarded individuals, provided the theoretical foundation for this study. Using a quantitative approach, 160 participants were recruited using online methods and asked to complete a …


Child And Adolescent Psychiatric Emergencies: Mobile Crisis Response, Jonathan B. Singer Oct 2018

Child And Adolescent Psychiatric Emergencies: Mobile Crisis Response, Jonathan B. Singer

Jonathan B Singer

No abstract provided.


Child And Adolescent Psychiatric Emergencies: Mobile Crisis Response, Jonathan B. Singer Oct 2018

Child And Adolescent Psychiatric Emergencies: Mobile Crisis Response, Jonathan B. Singer

Jonathan B Singer

This chapter describes the application of Roberts's (2005) seven-stage crisis intervention model (R-SSCIM) and Myer's (2001) triage assessment model to youth experiencing a psychiatric crisis, defined as a suicidal, homicidal, or actively psychotic episode. Although most children have their first contact with mental health services during a crisis (Burns, Hoagwood, & Mrazek, 1999), there is relatively little research on crisis intervention, and almost nothing written on mobile crisis response for children and adolescents (Singer, 2006). This chapter is an effort to bridge that gap by presenting three case studies of youth experiencing suicidal, homicidal, or psychosis-driven crises. This chapter provides …


The Time Has Come For Dimensional Personality Disorder Diagnosis, Christopher J Hopwood, Roman Kotov, Robert F. Krueger, David Watson, Thomas A. Widiger, Robert R. Althoff, Emily B. Ansell, Bo Bach, R. Michael Bagby, Mark A. Blais, Marina A. Bornovalova, Michael Chmielewski, David C. Cicero, Christopher Conway, Barbara De Clercq, Filip De Fruyt, Anna R. Docherty, Nicholas R. Eaton, John R. Edens, Miriam K. Forbes, Kelsie T. Forbush, Michael P. Hengartner, Masha Y. Ivanova, Daniel Leising, W. John Livesley, Mark R. Lukowitsky, Donald R. Lynam, Kristian E. Markon, Joshua D. Miller, Leslie C. Morey Feb 2018

The Time Has Come For Dimensional Personality Disorder Diagnosis, Christopher J Hopwood, Roman Kotov, Robert F. Krueger, David Watson, Thomas A. Widiger, Robert R. Althoff, Emily B. Ansell, Bo Bach, R. Michael Bagby, Mark A. Blais, Marina A. Bornovalova, Michael Chmielewski, David C. Cicero, Christopher Conway, Barbara De Clercq, Filip De Fruyt, Anna R. Docherty, Nicholas R. Eaton, John R. Edens, Miriam K. Forbes, Kelsie T. Forbush, Michael P. Hengartner, Masha Y. Ivanova, Daniel Leising, W. John Livesley, Mark R. Lukowitsky, Donald R. Lynam, Kristian E. Markon, Joshua D. Miller, Leslie C. Morey

Psychology Faculty Publications

No abstract provided.


The Use Of The Elaboration Likelihood Model And Attitude Change In Personality Disorder Patients, Jillian Kaplan Jan 2018

The Use Of The Elaboration Likelihood Model And Attitude Change In Personality Disorder Patients, Jillian Kaplan

Scripps Senior Theses

Previous research has studied the relationship between the use of the Elaboration Likelihood Model (ELM) and various personality traits when individuals are presented with persuasive information. This study aims to examine attitude change toward treatment in personality disorder (PD) patients using the ELM. It is predicted that patients of BPD, SPD, and OCPD will be more likely to use the central route of processing, while patients of NPD will be more likely to use the peripheral route of processing when evaluating persuasive information due the personality traits characteristic of the respective disorders. Selected patients of the four PDs of interest …


The Relationship Between Cognitive Distortions And Adhd After Accounting For Depression, Anxiety, And Personality Pathology, Amelia Serine Jan 2016

The Relationship Between Cognitive Distortions And Adhd After Accounting For Depression, Anxiety, And Personality Pathology, Amelia Serine

PCOM Psychology Dissertations

Adults with attention-deficit/hyperactivity disorder (ADHD) suffer from numerous difficulties in daily functioning and, unfortunately, the medications that are typically the first-line of treatment do not ameliorate many of these issues. Psychosocial treatments, such as cognitive behavioral therapy, are increasingly demonstrating effectiveness both in conjunction with medication and as stand-alone treatments for ADHD. It is theorized that some of the problems associated with adult ADHD result from cognitive distortions. Previous studies have identified a preliminary relationship between cognitive distortions and ADHD, but these studies did not measure personality pathology, which might explain part of the findings, given that personality disorders are …


Explicit And Inferred Motives For Nonsuicidal Self-Injurious Acts And Urges In Borderline And Avoidant Personality Disorders, Avigal Snir, Eshkol Rafaeli, Reuma Gadassi, Kathy R. Berenson, Geraldine Downey Jul 2015

Explicit And Inferred Motives For Nonsuicidal Self-Injurious Acts And Urges In Borderline And Avoidant Personality Disorders, Avigal Snir, Eshkol Rafaeli, Reuma Gadassi, Kathy R. Berenson, Geraldine Downey

Psychology Faculty Publications

Nonsuicidal self-injury (NSSI) is a perplexing phenomenon that may have differing motives. The present study used experience sampling methods (ESM) which inquired explicitly about the motives for NSSI, but also enabled a temporal examination of the antecedents/consequences of NSSI; these allow us to infer other motives which were not explicitly endorsed. Adults (n = 152, aged 18–65) with borderline personality disorder (BPD), avoidant personality disorder (APD), or no psychopathology participated in a 3-week computerized diary study. We examined 5 classes of explicit motives for engaging in NSSI, finding support primarily for internally directed rather than interpersonally directed ones. We then …


Making The Connection Between Disordered Personalities And Interpersonal Dysfunction: A Relational Study, Meggie P. Rowland Jul 2015

Making The Connection Between Disordered Personalities And Interpersonal Dysfunction: A Relational Study, Meggie P. Rowland

Doctoral Dissertations

The Diagnostic and Statistical Manual of Mental Disorders (DSM) is a constantly evolving record of the conceptualization of mental problems. With each new edition, researchers seek to come ever closer to defining complex dysfunctional human behaviors as they occur in nature. Significant evidence suggests that the current conceptualization of personality disorders (PDs) as defined in the DSM-5 is not adequately capturing these disorders, leading to inaccurate diagnosis and ineffective treatment outcomes. This evidence has led to the formation of a new diagnostic model of PDs which is outlined in Section III of the DSM-5 under conditions requiring further study. Several …


Personality Disorder Risk Factors For Suicide Attempts Over 10 Years Of Follow-Up, Emily B. Ansell, Aidan G. C. Wright, John C. Markowitz, Charles A. Sanislow, Christopher J. Hopwood, Mary C. Zanarini, Shirley Yen, Anthony Pinto, Thomas H. Mcglashan, Carlos M. Grilo Mar 2015

Personality Disorder Risk Factors For Suicide Attempts Over 10 Years Of Follow-Up, Emily B. Ansell, Aidan G. C. Wright, John C. Markowitz, Charles A. Sanislow, Christopher J. Hopwood, Mary C. Zanarini, Shirley Yen, Anthony Pinto, Thomas H. Mcglashan, Carlos M. Grilo

Charles A. Sanislow, Ph.D.

Identifying personality disorder (PD) risk factors for suicide attempts is an important consideration for research and clinical care alike. However, most prior research has focused on single PDs or categorical PD diagnoses without considering unique influences of different PDs or of severity (sum) of PD criteria on the risk for suicide-related outcomes. This has usually been done with cross-sectional or retrospective assessment methods. Rarely are dimensional models of PDs examined in longitudinal, naturalistic prospective designs. In addition, it is important to consider divergent risk factors in predicting the risk of ever making a suicide attempt versus the risk of making …


Interactions Of Borderline Personality Disorder And Anxiety Disorders Over Ten Years, Alex S. Keuroghlian,, John G. Gunderson, Maria E. Pagano, John C. Markowitz, Emily B. Ansell, M. Tracie Shea, Leslie C. Morey, Charles A. Sanislow, Carlos M. Grilo, Robert L. Stout, Mary C. Zanarini, Thomas H. Mcglashan, Andrew E. Skodol Jan 2015

Interactions Of Borderline Personality Disorder And Anxiety Disorders Over Ten Years, Alex S. Keuroghlian,, John G. Gunderson, Maria E. Pagano, John C. Markowitz, Emily B. Ansell, M. Tracie Shea, Leslie C. Morey, Charles A. Sanislow, Carlos M. Grilo, Robert L. Stout, Mary C. Zanarini, Thomas H. Mcglashan, Andrew E. Skodol

Charles A. Sanislow, Ph.D.

Objective: This report examines the relationship of borderline personality disorder (BPD) to DSM-IV anxiety disorders using data on the reciprocal effects of improvement or worsening of BPD and anxiety disorders over the course of 10 years.
Method: We reliably and prospectively assessed borderline patients (N= 164) with DSM-IV-defined co-occurring generalized anxiety disorder (GAD; N= 42), panic with agoraphobia (PWA; N= 39), panic without agoraphobia (PWOA; N= 36), social phobia (N= 48), obsessive-compulsive disorder (OCD; N= 36), and posttraumatic stress disorder (PTSD; N= 88) annually over a period of 10 years between 1997 and 2009. We used proportional hazards regression analyses …


Child And Adolescent Psychiatric Emergencies: Mobile Crisis Response, Jonathan B. Singer Jan 2015

Child And Adolescent Psychiatric Emergencies: Mobile Crisis Response, Jonathan B. Singer

Social Work: School of Social Work Faculty Publications and Other Works

This chapter describes the application of Roberts's (2005) seven-stage crisis intervention model (R-SSCIM) and Myer's (2001) triage assessment model to youth experiencing a psychiatric crisis, defined as a suicidal, homicidal, or actively psychotic episode. Although most children have their first contact with mental health services during a crisis (Burns, Hoagwood, & Mrazek, 1999), there is relatively little research on crisis intervention, and almost nothing written on mobile crisis response for children and adolescents (Singer, 2006). This chapter is an effort to bridge that gap by presenting three case studies of youth experiencing suicidal, homicidal, or psychosis-driven crises. This chapter provides …


Interactions Of Borderline Personality Disorder And Mood Disorders Over Ten Years, John G. Gunderson, Robert L. Stout, M. Tracie Shea, Carlos M. Grilo, John C. Markowitz, Leslie C. Morey, Charles A. Sanislow, Shirley Yen, Mary C. Zanarini, Alex S. Keuroghlian, Thomas H. Mcglashan, Andrew E. Skodol Jul 2014

Interactions Of Borderline Personality Disorder And Mood Disorders Over Ten Years, John G. Gunderson, Robert L. Stout, M. Tracie Shea, Carlos M. Grilo, John C. Markowitz, Leslie C. Morey, Charles A. Sanislow, Shirley Yen, Mary C. Zanarini, Alex S. Keuroghlian, Thomas H. Mcglashan, Andrew E. Skodol

Charles A. Sanislow, Ph.D.

Objective: To examine the relationship of borderline personality disorder (BPD) to mood disorders by using data from the Collaborative Longitudinal Personality Disorders Study on the reciprocal interactions of BPD with both depressive and bipolar disorders over the course of 10 years.

Method: The study included 223 BPD patients with DSM-IV–defined co-occurring major depressive disorder (MDD) (n = 161), bipolar I disorder (n = 34), and bipolar II disorder (n = 28) who were reliably and prospectively assessed over a period of 10 years between 1997 and 2009. Proportional hazards regression analyses were used to assess the effects of improvement or …


Personality Heterogeneity In Ptsd: Distinct Temperamental And Interpersonal Typologies, Katherine M. Thomas, Christopher J. Hopwood, M. Brent Donnellan, Aidan G. C. Wright, Charles A. Sanislow, Meghan E. Mcdevitt-Murphy, Emily B. Ansell, Carlos M. Grilo, Thomas H. Mcglashan, M. Tracie Shea, John C. Markowitz, Andrew E. Skodol, Mary C. Zanarini, Leslie C. Morey Jan 2014

Personality Heterogeneity In Ptsd: Distinct Temperamental And Interpersonal Typologies, Katherine M. Thomas, Christopher J. Hopwood, M. Brent Donnellan, Aidan G. C. Wright, Charles A. Sanislow, Meghan E. Mcdevitt-Murphy, Emily B. Ansell, Carlos M. Grilo, Thomas H. Mcglashan, M. Tracie Shea, John C. Markowitz, Andrew E. Skodol, Mary C. Zanarini, Leslie C. Morey

Charles A. Sanislow, Ph.D.

Researchers examining personality typologies of posttraumatic stress disorder (PTSD) have consistently identified 3 groups: low pathology, internalizing, and externalizing. These groups have been found to predict functional severity and psychiatric comorbidity. In this study, we employed Latent Profile Analysis to compare this previously established typology, grounded in temperament traits (negative emotionality; positive emotionality; constraint), to a novel typology rooted in interpersonal traits (dominance; warmth) in a sample of individuals with PTSD (n = 155). Using Schedule for Nonadaptive and Adaptive Personality (SNAP) traits to create latent profiles, the 3-group temperament model was replicated. Using Interpersonal Circumplex (IPC) traits to create …


Socioeconomic-Status And Mental Health In A Personality Disorder Sample: The Importance Of Neighborhood Factors, Zach Walsh, M. Tracie Shea, Shirley Yen, Emily B. Ansell, Carlos M. Grilo, Thomas H. Mcglashan, Robert L. Stout, Donna S. Bender, Andrew E. Skodol, Charles A. Sanislow, Leslie C. Morey, John G. Gunderson Dec 2013

Socioeconomic-Status And Mental Health In A Personality Disorder Sample: The Importance Of Neighborhood Factors, Zach Walsh, M. Tracie Shea, Shirley Yen, Emily B. Ansell, Carlos M. Grilo, Thomas H. Mcglashan, Robert L. Stout, Donna S. Bender, Andrew E. Skodol, Charles A. Sanislow, Leslie C. Morey, John G. Gunderson

Charles A. Sanislow, Ph.D.

This cross-sectional study examined the associations between neighborhood-level socioeconomic-status (NSES), and psychosocial functioning and personality pathology among 335 adults drawn from the Collaborative Longitudinal Personality Disorders Study. Participants belonged to four personality disorder (PD) diagnostic groups: Avoidant, Borderline, Schizotypal, and Obsessive Compulsive. Global functioning, social adjustment, and PD symptoms were assessed following a minimum two-year period of residential stability. Residence in higher-risk neighborhoods was associated with more PD symptoms and lower levels of functioning and social adjustment. These relationships were consistent after controlling for individual-level socioeconomic-status and ethnicity; however, the positive association between neighborhood-level socio-economic risk and PD symptoms was …


Individuals With Single Versus Multiple Suicide Attempts Over 10 Years Of Prospective Follow-Up, Christina L. Boisseaua, Shirley Yen, John C. Markowitz, Carlos M. Grilo, Charles A. Sanislow, M. Tracie Shea, Mary C. Zanarini, Andrew E. Skodol, John G. Gunderson, Leslie C. Morey, Thomas H. Mcglashan Mar 2013

Individuals With Single Versus Multiple Suicide Attempts Over 10 Years Of Prospective Follow-Up, Christina L. Boisseaua, Shirley Yen, John C. Markowitz, Carlos M. Grilo, Charles A. Sanislow, M. Tracie Shea, Mary C. Zanarini, Andrew E. Skodol, John G. Gunderson, Leslie C. Morey, Thomas H. Mcglashan

Charles A. Sanislow, Ph.D.

Background: The study attempted to identify characteristics that differentiate multiple suicide attempters from single attempters in individuals with personality disorders (PDs) and/or major depression.

Method: Participants were 431 participants enrolled in the Collaborative Longitudinal Study of Personality Disorders from July 1996 to June 2008. Suicide attempts were assessed with the Longitudinal Interval Follow-up Evaluation at 6 and 12months, then yearly through 10years. Logistic regression was used to compare single attempters to multiple attempters on Axis I and II psychiatric disorders and personality trait variables.

Results: Twenty-one percent of participants attempted suicide during the 10years of observation, with 39 (9.0%) reporting …


The Dsm-5 Dimensional Trait Model And The Five Factor Model, Whitney L. Gore Jan 2013

The Dsm-5 Dimensional Trait Model And The Five Factor Model, Whitney L. Gore

Theses and Dissertations--Psychology

The current thesis tests empirically the relationship of the dimensional trait model proposed for the fifth edition of the American Psychiatric Association’s (APA) Diagnostic and Statistical Manual of Mental Disorders with five-factor models (FFM) of personality disorder (PD). The DSM-5 Personality and Personality Disorders Work Group proposes to diagnose the disorders largely in terms of a 25 trait dimensional model organized within five broad domains (i.e., negative affectivity, detachment, antagonism, disinhibition, and psychoticism). Consistent with the authors of DSM-5, it was predicted that negative affectivity would align with FFM neuroticism, detachment with FFM introversion, antagonism with FFM antagonism, disinhibition with …


Prospective Investigation Of A Ptsd Personality Typology Among Individuals With Personality Disorders, Meghan E. Mcdevitt-Murphy, M. Tracie Shea, Shirley Yen, Carlos M. Grilo, Charles A. Sanislow, John C. Markowitz, Andrew E. Skodol Jun 2012

Prospective Investigation Of A Ptsd Personality Typology Among Individuals With Personality Disorders, Meghan E. Mcdevitt-Murphy, M. Tracie Shea, Shirley Yen, Carlos M. Grilo, Charles A. Sanislow, John C. Markowitz, Andrew E. Skodol

Charles A. Sanislow, Ph.D.

This study investigated the replicability of a previously proposed personality typology of posttraumatic stress disorder (PTSD, and explored stability of cluster membership over a 6-month period. Participants with current PTSD (n = 156) were drawn from the Collaborative Longitudinal Personality Disorders Study (CLPS). The CLPS project tracked a large sample of individuals who met criteria for 1 of 4 target diagnoses (borderline, schizotypal, avoidant, and obsessive-compulsive) and a contrast group of individuals who met criteria for depression but no personality disorder. A cluster analysis using scales from the Schedule of Nonadaptive and Adaptive Personality yielded 3 clusters: “internalizing,” “externalizing,” and …


Long Term Predictive Validity Of Diagnostic Models For Personality Disorder: Integrating Trait And Disorder Concepts, Leslie C. Morey, Christopher J. Hopwood, John C. Markowitz, John G. Gunderson, Carlos M. Grilo, Thomas H. Mcglashan, M. Tracie Shea, Shirley Yen, Charles A. Sanislow, Andrew E. Skodol Jan 2012

Long Term Predictive Validity Of Diagnostic Models For Personality Disorder: Integrating Trait And Disorder Concepts, Leslie C. Morey, Christopher J. Hopwood, John C. Markowitz, John G. Gunderson, Carlos M. Grilo, Thomas H. Mcglashan, M. Tracie Shea, Shirley Yen, Charles A. Sanislow, Andrew E. Skodol

Charles A. Sanislow, Ph.D.

Background. Several conceptual models have been considered for the assessment of personality pathology in DSM-5. This study sought to extend our previous findings to compare the long-term predictive validity of three such models: the Five-Factor Model (FFM), the Schedule for Nonadaptive and Adaptive Personality (SNAP), and DSM-IV personality disorders (PDs).

Method. An inception cohort from the Collaborative Longitudinal Personality Disorder Study (CLPS) was followed for 10 years. Baseline data were used to predict long-term outcomes, including functioning, Axis I psychopathology, and medication use.

Results. Each model was significantly valid, predicting a host of important clinical outcomes. Lower-order elements of the …


Psychotherapy As Cultivating Character, Mike W. Martin Jan 2012

Psychotherapy As Cultivating Character, Mike W. Martin

Philosophy Faculty Articles and Research

Duff R. Waring argues that, in some instances, psychotherapy should be viewed as healing (or alleviating) mental disorders and also as cultivating good character in patients (Waring 2012). In these instances, psychotherapists should understand their patients as having character faults that are manifested as mental disorders, as having nascent virtues they can build on during therapy, and as moving toward goals that can be specified in terms of both improved mental health and greater moral virtue. Waring’s discussion is deeply illuminating, but it suffers from a major difficulty: the failure to take adequate account of the differences between the perspectives …


Interpersonal Pathoplasticity In The Course Of Major Depression, Nicole M. Cain, Emily B. Ansell, Aidan G. C. Wright, Christopher J. Hopwood, Katherine M. Thomas, Anthony Pinto, John C. Markowitz, Charles A. Sanislow, Mary C. Zanarini, M. Tracie Shea, Leslie C. Morey, Thomas H. Mcglashan, Andrew E. Skodol, Carlos M. Grilo Dec 2011

Interpersonal Pathoplasticity In The Course Of Major Depression, Nicole M. Cain, Emily B. Ansell, Aidan G. C. Wright, Christopher J. Hopwood, Katherine M. Thomas, Anthony Pinto, John C. Markowitz, Charles A. Sanislow, Mary C. Zanarini, M. Tracie Shea, Leslie C. Morey, Thomas H. Mcglashan, Andrew E. Skodol, Carlos M. Grilo

Charles A. Sanislow, Ph.D.

Objective: The identification of reliable predictors of course in major depressive disorder (MDD) has been difficult. Evidence suggests that the co-occurrence of personality pathology is associated with longer time to MDD remission. Interpersonal pathoplasticity, the mutually influencing nonetiological relationship between psychopathology and interpersonal traits, offers an avenue for examining specific personality vulnerabilities that may be associated with depressive course. Method: This study examined 312 participants with and without a cooccurring personality disorder diagnosis who met criteria for a current MDD episode at baseline and who were followed for 10 years in the Collaborative Longitudinal Personality Disorders Study. Results: Latent profile …


Pathological Personality Traits Among Patients With Absent, Current, And Remitted Substance Use Disorders, Christopher J. Hopwood, Leslie C. Morey, Andrew E. Skodol, Charles A. Sanislow, Carlos M. Grilo, Emily B. Ansell, Thomas H. Mcglashan, John C. Markowitz, Anthony Pinto, Shirley Yen, M. Tracie Shea, John G. Gunderson, Mary C. Zanarini, Robert L. Stout Oct 2011

Pathological Personality Traits Among Patients With Absent, Current, And Remitted Substance Use Disorders, Christopher J. Hopwood, Leslie C. Morey, Andrew E. Skodol, Charles A. Sanislow, Carlos M. Grilo, Emily B. Ansell, Thomas H. Mcglashan, John C. Markowitz, Anthony Pinto, Shirley Yen, M. Tracie Shea, John G. Gunderson, Mary C. Zanarini, Robert L. Stout

Charles A. Sanislow, Ph.D.

Personality traits may provide underlying risk factors for and/or sequelae to substance use disorders (SUDs). In this study Schedule for Nonadaptive and Adaptive Personality (SNAP) traits were compared in a clinical sample (N=704, age 18–45) with current, past, or no historical alcohol or non-alcohol substance use disorders (AUD and NASUD) as assessed by DSM-IV semi-structured interview. Results corroborated previous research in showing associations of negative temperament and disinhibition to SUD, highlighting the importance of these traits for indicating substance use proclivity or the chronic effects of substance use. Certain traits (manipulativeness, self-harm, disinhibition, and impulsivity for AUD, and disinhibition and …


Comparing The Temporal Stability Of Self-Report And Interview Assessed Personality Disorder, Douglas B. Samuel, Christopher J. Hopwood, Emily B. Ansell, Leslie C. Morey, Charles A. Sanislow, John C. Markowitz, Shirley Yen, M. Tracie Shea, Andrew E. Skodol, Carlos M. Grilo Jul 2011

Comparing The Temporal Stability Of Self-Report And Interview Assessed Personality Disorder, Douglas B. Samuel, Christopher J. Hopwood, Emily B. Ansell, Leslie C. Morey, Charles A. Sanislow, John C. Markowitz, Shirley Yen, M. Tracie Shea, Andrew E. Skodol, Carlos M. Grilo

Charles A. Sanislow, Ph.D.

Findings from several large-scale, longitudinal studies over the last decade have challenged the long-held assumption that personality disorders (PDs) are stable and enduring. However, the findings, including those from the Collaborative Longitudinal Personality Disorders Study (CLPS; Gunderson et al., 2000), rely primarily on results from semistructured interviews. As a result, less is known about the stability of PD scores from self-report questionnaires, which differ from interviews in important ways (e.g., source of the ratings, item development, and instrument length) that might increase temporal stability. The current study directly compared the stability of the Diagnostic and Statistical Manual of Mental Disorders …


Can Personality Disorder Experts Recognize Dsm-Iv Personality Disorders From Five-Factor Model Descriptions Of Patient Cases?, Benjamin M. Rottman, Nancy S. Kim, Woo-Kyoung Ahn, Charles A. Sanislow Apr 2011

Can Personality Disorder Experts Recognize Dsm-Iv Personality Disorders From Five-Factor Model Descriptions Of Patient Cases?, Benjamin M. Rottman, Nancy S. Kim, Woo-Kyoung Ahn, Charles A. Sanislow

Charles A. Sanislow, Ph.D.

Background: Dimensional models of personality are under consideration for integration into the next Diagnostic and Statistical Manual of Mental Disorders (DSM-5), but the clinical utility of such models is unclear.

Objective: To test the ability of clinical researchers who specialize in personality disorders to diagnose personality disorders using dimensional assessments and to compare those researchers’ ratings of clinical utility for a dimensional system versus for the DSM-IV.

Method: A sample of 73 researchers who had each published at least 3 (median = 15) articles on personal- ity disorders participated between December 2008 and January 2009. The Five-Factor Model (FFM), one …


The Association Of Personality Disorders With The Prospective 7-Year Course Of Anxiety Disorders, Emily B. Ansell, Anthony Pinto, Maria O. Edelen, John C. Markowitz, Charles A. Sanislow, Shirley Yen, Mary C. Zanarini, Andrew E. Skodol, M. Tracie Shea, Leslie C. Morey, John G. Gunderson, Thomas H. Mcglashan, Carlos M. Grilo Apr 2011

The Association Of Personality Disorders With The Prospective 7-Year Course Of Anxiety Disorders, Emily B. Ansell, Anthony Pinto, Maria O. Edelen, John C. Markowitz, Charles A. Sanislow, Shirley Yen, Mary C. Zanarini, Andrew E. Skodol, M. Tracie Shea, Leslie C. Morey, John G. Gunderson, Thomas H. Mcglashan, Carlos M. Grilo

Charles A. Sanislow, Ph.D.

Background. This study prospectively examined the natural clinical course of six anxiety disorders over 7 years of follow-up in individuals with personality disorders (PDs) and/or major depressive disorder. Rates of remission, relapse, new episode onset and chronicity of anxiety disorders were examined for specific associations with PDs.

Method. Participants were 499 patients with anxiety disorders in the Collaborative Longitudinal Personality Disorders Study, who were assessed with structured interviews for psychiatric disorders at yearly intervals throughout 7 years of follow-up. These data were used to determine probabilities of changes in disorder status for social phobia (SP), generalized anxiety disorder (GAD), obsessive-compulsive …


Personality Assessment In Dsm--5: Empirical Support For Rating Severity, Style, And Traits, Christopher J. Hopwood, Johanna C. Malone, Emily B. Ansell, Charles A. Sanislow, Carlos M. Grilo, Thomas H. Mcglashan, Anthony Pinto, John C. Markowitz, M. Tracie Shea, Andrew E. Skodol, John G. Gunderson, Mary C. Zanarini, Leslie C. Morey Dec 2010

Personality Assessment In Dsm--5: Empirical Support For Rating Severity, Style, And Traits, Christopher J. Hopwood, Johanna C. Malone, Emily B. Ansell, Charles A. Sanislow, Carlos M. Grilo, Thomas H. Mcglashan, Anthony Pinto, John C. Markowitz, M. Tracie Shea, Andrew E. Skodol, John G. Gunderson, Mary C. Zanarini, Leslie C. Morey

Charles A. Sanislow, Ph.D.

Despite a general consensus that dimensional models are superior to the categorical representations of personality disorders in DSM-IV, proposals for how to depict personality pathology dimensions vary substantially. One important question involves how to separate clinical severity from the style of expression through which personality pathology manifests. This study empirically distinguished stylistic elements of personality pathology symptoms from the overall severity of personality disorder in a large, longitudinally assessed clinical sample (N = 605). Data suggest that generalized severity is the most important single predictor of current and prospective dysfunction, but that stylistic elements also indicate specific areas of difficulty. …


Personality Disorders Predict Relapse After Remission From An Episode Of Major Depressive Disorder: A 6-Year Prospective Study, Carlos M. Grilo, Robert L. Stout, John C. Markowitz, Charles A. Sanislow, Emily B. Ansell, Andrew E. Skodol, Donna S. Bender, Anthony Pinto, M. Tracie Shea, Shirley Yen, John G. Gunderson, Leslie C. Morey, Christropher J. Hopwood, Thomas H. Mcglashan Nov 2010

Personality Disorders Predict Relapse After Remission From An Episode Of Major Depressive Disorder: A 6-Year Prospective Study, Carlos M. Grilo, Robert L. Stout, John C. Markowitz, Charles A. Sanislow, Emily B. Ansell, Andrew E. Skodol, Donna S. Bender, Anthony Pinto, M. Tracie Shea, Shirley Yen, John G. Gunderson, Leslie C. Morey, Christropher J. Hopwood, Thomas H. Mcglashan

Charles A. Sanislow, Ph.D.

Objective: To examine prospectively the course of major depressive disorder (MDD) and to test for the moderating effects of personality disorder (PD) comorbidity on relapse after remission from an episode of MDD.

Method: Participants were 303 patients (196 women and 107 men) with current DSM-IV diagnosed MDD at baseline enrollment in the Col­laborative Longitudinal Personality Disorders Study. Major depressive disorder and Axis I psychiatric disorders were assessed with the Structured Clinical Interview for DSM-IV, and Axis II PDs were assessed with the Diagnostic Interview for DSM-IV Personality Disorders. The course of MDD was assessed with the Longitudinal Interval Follow­up Evaluation …


Psychometric Characteristics And Clinical Correlates Of Neo-Pi-R Fearless Dominance And Impulsive Antisociality In The Collaborative Longitudinal Personality Disorders Study, Edward A. Witt, Christopher J. Hopwood, Leslie C. Morey, John C. Markowitz, Thomas H. Mcglashan, Carlos M. Grilo, Charles A. Sanislow, M. Tracie Shea, Andrew E. Skodol, John G. Gunderson, M. Brent Donnellan Aug 2010

Psychometric Characteristics And Clinical Correlates Of Neo-Pi-R Fearless Dominance And Impulsive Antisociality In The Collaborative Longitudinal Personality Disorders Study, Edward A. Witt, Christopher J. Hopwood, Leslie C. Morey, John C. Markowitz, Thomas H. Mcglashan, Carlos M. Grilo, Charles A. Sanislow, M. Tracie Shea, Andrew E. Skodol, John G. Gunderson, M. Brent Donnellan

Charles A. Sanislow, Ph.D.

This study evaluates the validity of derived measures of the psychopathic personality traits of Fearless Dominance and Impulsive Antisociality from the NEO Personality Inventory-Revised (NEO-PI-R; Costa & McCrae, 1992) using data from the Collaborative Longitudinal Personality Disorders Study (baseline N = 733). These 3 issues were examined: (a) the stability of the measures over a 10-year interval, (b) their criterion-related validity, and (c) their incremental validity relative to an alternative NEO-PI-R profile-rating approach for assessing psychopathy. NEO-PI-R Fearless Dominance and Impulsive Antisociality scales were relatively stable across 10 years and demonstrated differential associations with measures of personality pathology and psychopathology …