Maladaptive Personality Traits Research Articles

Personality assessment in nursing home residents with mental and physical multimorbidity: two informant perspectives.

In older patients with mental and physical multimorbidity (MPM), personality assessment is highly complex. Our aim was to examine personality traits in this population using the Hetero-Anamnestic Personality questionnaire (HAP),and to compare the premorbid perspective of patients' relatives (HAP) with the present-time perspective of nursing staff (HAP-t). Cross-sectional. Dutch gerontopsychiatric nursing home (GP-NH) units. Totally, 142 GP-NH residents with MPM (excluding dementia). NH norm data of the HAP were used to identify clinically relevant premorbid traits. Linear mixed models estimated the differences between HAP and HAP-t trait scores (0-10). Agreement was quantified by intraclass correlation coefficients (ICCs). All HAP-HAP-t analyses were corrected for response tendency (RT) scores (-10-10). 78.4% of the patients had at least one premorbid maladaptive trait, and 62.2% had two or more. Most prevalent were: "disorderly" (30.3%), "unpredictable/impulsive" (29.1%) and "vulnerable" (27.3%) behavior. The RT of relatives appeared significantly more positive than that of nursing staff (+1.8, 95% CI 0.6-2.9, p = 0.002). After RT correction, the traits "vulnerable", "perfectionist" and "unpredictable/impulsive" behavior scored higher on the HAP than HAP-t (respectively +1.2, 95% CI 0.6-1.7, p < 0.001; +2.1, 95% CI 1.3-2.8, p < 0.001; +0.6, 95% CI 0.1-1.1, p = 0.013), while "rigid" behavior scored lower (-0.7, 95% CI -1.3 to -0.03, p = 0.042). Adjusted ICCs ranged from 0.15 to 0.58. Our study shows high percentages of premorbid maladaptive personality traits, which calls for attention on personality assessment in MPM NH residents. Results also indicate that the HAP and HAP-t questionnaires should not be used interchangeably for this patient group in clinical practice.

Identity and Personality Pathology in Adult Forensic Psychiatric Patients and Healthy Controls.

Since the publication of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), identity impairment has become a diagnostic criterion for all personality disorders. The current study examined the occurrence of identity dimensions, clinically relevant identity impairments and personality pathology, and associations between these constructs in 92 forensic patients and 139 healthy controls. Patients showed higher levels of almost all identity dimensions, identity impairments, personality disorders, and almost all maladaptive personality traits than controls. Various identity dimensions were associated with consolidated identity as well as identity impairments in both groups. Both patients and controls with high ruminative exploration and identity malfunctioning showed more personality pathology. Different associations between identity functioning and particularly antisocial and borderline personality disorder showed to be stronger in patients than in controls. Our results highlight the importance of identity impairment as a crucial criterion to assess and treat personality pathology in forensic patients.

Childhood Emotional Abuse, Neuroticism, Perfectionism, and Workaholism in an Italian Sample of Young Workers.

The literature has linked childhood emotional abuse (CEA) to severe negative outcomes such as the development of several maladaptive personality traits and coping mechanisms. Nonetheless, its concurrent connection with neuroticism, perfectionism, and workaholism has not been explored. For the above reasons, the present study sought to investigate whether neuroticism and perfectionism mediate the relationship between CEA and workaholism, as well as evaluate the gender invariance of the model. The sample of the present research comprised 1176 young workers (50% women), aged 18-25, who completed validated self-report questionnaires. The findings highlighted significant positive direct and indirect paths, suggesting a complex interplay between CEA, neuroticism, perfectionism, and workaholism. Furthermore, the model exhibited no significant differences between genders, suggesting that the identified relationships are consistent across both women and men. The findings highlight the importance of identifying CEA and considering the adoption of trauma-informed approaches to manage its adverse effects, thereby potentially averting the onset of workaholism. Moreover, the results underline the necessity for customized preventive measures, aiming to mitigate traits associated with neuroticism and perfectionism as potential paths for successful therapeutic interventions.

Age-Neutral Measurement Of Personality Functioning and Maladaptive Personality Traits.

As previous studies have shown that personality disorder (PD) assessment in older adults is often hampered because assessment tools are tailored toward younger adults, establishing the age-neutrality of novel tools is crucial. This study primarily aimed to evaluate the age-neutrality of the Level of Personality Functioning Brief Form (LPFS-BF 2.0) and the Personality Inventory for DSM-5 Modified + (PID-5-BF+M), using a sample of 254 community-dwelling adults. The analysis of Differential Item Functioning (DIF) demonstrated the age-neutrality of both instruments, with only 8.3% of LPFS-BF 2.0 items and 5.6% of PID-5-BF+M items exhibiting DIF. Differential Test Functioning (DTF) analyses revealed large DTF for the LPFS-BF 2.0 total score, indicating that age-specific norms might be necessary for this score. In summary, this study supports the use of these instruments in both older and younger adults, enhancing the assessment of PDs across the life span.

Person-Centered Associations between High- and Low-Risk Personality Profiles and Psychological Adjustment in University Students

Personality traits are considered potential risk or protective factors for learning and psychological adjustment. This is a concern in higher education settings, which comprise mostly youth in emerging adulthood. The purpose of this study is to apply a person-centered approach to identify personality profiles of university students based on their character traits and then evaluate whether some clusters predict differences in emotional distress and coping strategies. We conducted a cross-sectional web-based survey with 467 southern Italian undergraduate university students (M=21.8, SD=3.69). Students completed an anonymous online survey and self-report questionnaires measuring sociodemographic characteristics, personality traits (Personality Inventory for DSM-5), emotional distress (General Anxiety Disorders-7, Patient Health Questionnaire-9), and coping strategies (Brief-COPE). Two distinct clusters were identified, differing in relation to maladaptive personality traits. One was characterized by high maladaptive personality traits, comprising 45.6% of the sample population. This high-risk profile evidenced higher levels of negative affect, detachment, psychoticism, antagonism, and disinhibition. A second cluster, with low maladaptive personality traits, represented the remainder of the sample. Participants featuring high maladaptive personality traits reported lower functioning in terms of avoidant coping strategies in comparison to the second low-risk cluster. Generating profiles of latent traits, such as in cluster analysis, can enhance a more profound theoretical understanding of underlying patterns within personality traits. This can enable higher education settings to meet variations in student needs by adapting their support services and interventions. Students can be trained to use coping strategies more effectively and efficiently.

Measuring maladaptive personality traits with the Structured Clinical Interview for DSM-IV Axis II Screening Questionnaire using a common metrics approach.

The classification of personality disorder (PD) is undergoing a paradigm shift in which categorically defined specific PDs are being replaced by dimensionally defined maladaptive trait domains. To bridge the classificatory approaches, this study attempts to use items from the categorical PD model in DSM-IV to measure the maladaptive trait domains described in DSM-5 Section III/ICD-11. A general population sample comprising 1228 participants completed the Screening Questionnaire of the Structured Clinical Interview for DSM-IV Axis II (SCID-II-SQ), the Personality Inventory for DSM-5 (PID-5), and the anankastia scale of the Personality Inventory for ICD-11 (PiCD). Using item response theory models and a psychometric linking technique, SCID-II-SQ items were evaluated for their contribution to measuring maladaptive trait domains. The best discriminating items were then selected to derive proxy scales. We found that convergent validity of these proxy scales was in a similar range to that of other self-report measures for PD, except for the proxy scale for PiCD anankastia. However, only the proxy scale for negative affectivity showed acceptable reliability that would allow its application in research settings. Future studies should seek to establish a common metric between specific PDs and maladaptive trait domains using self-report measures with higher specificity or semi-structured interviews.

Personality Attributions in the Context of Stalking of Ex-Intimates or Others: A Victim's Perspective.

Stalking perpetrators may suffer from maladaptive personality traits, particularly if they stalk in the context of an (ex-)intimate relationship. To date, no study has examined how different personality attributions may relate to stalker motivation, or the behaviors they engage in, and how this differs across victim-perpetrator relationships. Further, the perspective of the victim is often not taken into consideration, even though most stalking victims know their stalker intimately and a majority are stalked by a former or current partner. The present study employed a correlational design to assess the relationship between stalking behaviors, motivation to stalk, and personality attributions, as perceived by the victim across an ex-intimate or other victim-perpetrator relationship. The study sample consisted of 100 victims of stalking (63% ex-intimate; 85% female) who were recruited through a National Stalking Helpline. Results align with and extend the results of previous researchers, most notably the high proportion of reported Cluster B-aligned personality attributions among stalkers, as well as the proportion of more under-researched personality attributions, and their associated risks. Victims of an ex-intimate partner were more likely to report their stalker was motivated by intimacy, and personality attributions aligned with both borderline and paranoid PD were more often reported than in other relationship contexts. Results and clinical implications are discussed.

How childhood socioeconomic status (childhood SES) could influence scope of trust: The mediating role of neuroticism and uncertainty aversion

According to life history theory, trusting others is an investment where great benefits go with substantial risks. Then, choosing to trust a wide range of people or only a small circle of people could implicate different risk-and-benefit trade-offs, and have different influence on individuals' survival and development. Such trade-offs could be reflected by scope of trust, a well-studied concept in sociological research, being defined as “the width of one's circle of trusted people”. Integrating this concept into the life history framework, the current study explored the effects of childhood socioeconomic status (childhood SES) on scope of trust and the possible mediating mechanisms. Study1 found the associations between disadvantaged childhood SES and a narrower scope of trust with a large-scale nationally representative sample (N = 29,798) from China Family Panel Studies (CFPS). Study 2 (N = 437) further found that neuroticism traits and uncertainty aversion could mediate the proposed relationship between childhood SES and scope of trust. In conclusion, the current results showed that the relationship between childhood SES and one's scope of trust could be mediated by maladaptive personality traits. The current findings enriched our understandings of the effects of childhood resource availability on social trust from the perspective of life history theory.

A multi-method study of interpersonal complementarity and mentalization

Research finds cross-sectional relationships between mentalizing impairments and maladaptive personality traits. The current study connects mentalizing impairments to dynamic interpersonal processes using a multi-method design. A sample of 218 participants completed the Movie for the Assessment of Social Cognition (MASC; Dziobek et al., 2006) to assess mentalizing ability. Subsequently, participants rated their agentic and communal behavior and their perception of interaction partners’ agentic and communal behavior over 21-days. Mentalizing ability moderated the within-person relationship between behavior and perception for both agency and communion. Worse performance on the MASC was associated with weaker interpersonal complementarity, suggesting that mentalizing impairments lead to deviations from expected patterns of behavior and perception across interpersonal situations. These findings confirm the assumption of Contemporary Integrative Interpersonal Theory that mentalization impairments can disrupt normative interpersonal processes (Cain et al., 2024; Pincus & Hopwood, 2012).

Transdiagnostic psychopathology in the light of robust single-trial event-related potentials.

Recent evidence indicates that event-related potentials (ERPs) as measured on the electroencephalogram (EEG) are more closely related to transdiagnostic, dimensional measures of psychopathology (TDP) than to diagnostic categories. A comprehensive examination of correlations between well-studied ERPs and measures of TDP is called for. In this study, we recruited 50 patients with emotional disorders undergoing 14 weeks of transdiagnostic group psychotherapy as well as 37 healthy comparison subjects (HC) matched in age and sex. HCs were assessed once and patients three times throughout treatment (N = 172 data sets) with a battery of well-studied ERPs and psychopathology measures consistent with the TDP framework The Hierarchical Taxonomy of Psychopathology (HiTOP). ERPs were quantified using robust single-trial analysis (RSTA) methods and TDP correlations with linear regression models as implemented in the EEGLAB toolbox LIMO EEG. We found correlations at several levels of the HiTOP hierarchy. Among these, a reduced P3b was associated with the general p-factor. A reduced error-related negativity correlated strongly with worse symptomatology across the Internalizing spectrum. Increases in the correct-related negativity correlated with symptoms loading unto the Distress subfactor in the HiTOP. The Flanker N2 was related to specific symptoms of Intrusive Cognitions and Traumatic Re-experiencing and the mismatch negativity to maladaptive personality traits at the lowest levels of the HiTOP hierarchy. Our study highlights the advantages of RSTA methods and of using validated TDP constructs within a consistent framework. Future studies could utilize machine learning methods to predict TDP from a set of ERP features at the subject level.

Maladaptive personality traits in patients with epilepsy and psychogenic non-epileptic seizures

ObjectiveWe aimed to evaluate the sociodemographic, clinical, and psychological characteristics associated with psychogenic non-epileptic seizures (PNES) in patients with epilepsy, with particular emphasis on the personality profile assessed from a dimensional perspective. MethodsThe cohort study included 77 consecutive inpatients with active epilepsy aged 36–55 years; 52 (67.5%) were female. The presence of PNES was confirmed by video-EEG monitoring. All patients underwent the Mini-International Neuropsychiatric Interview to diagnose psychiatric disorders. All participants completed the Neurological Disorders Depression Inventory in Epilepsy, the Epilepsy Anxiety Survey Instrument - brief version, and the Personality Inventory for DSM-5 and ICD-11 Brief Form Plus Modified. Chi-square and Fisher's exact tests were used to compare categorical variables, and the Brunner-Munzel test was used for quantitative variables. ResultsTwenty-four patients (31.2%) had both epilepsy and PNES. There were no significant differences in social, demographic or clinical characteristics, psychiatric diagnoses or depression severity. Compared to patients with epilepsy alone, patients with epilepsy and PNES had higher anxiety scores and more pronounced maladaptive personality traits such as disinhibition and psychoticism. SignificanceThe main novelty of our study is that using the recently proposed dimensional approach to personality disorders and an appropriate instrument we assessed all personality domains listed in two of the most widely used classifications of mental disorders (DSM-5 and ICD-11) in PWE with and without PNES. To our knowledge, this is the first study to demonstrate the association of the maladaptive traits of psychoticism and disinhibition with the development of PNES in PWE.

Abstinence duration and psychopathology among addiction outpatients during 18 months of COVID-19.

The COVID-19 pandemic has impacted the mental health of patients with substance use disorder (SUD). However, few longitudinal studies have been done which examine associations between the pandemic, SUD patients' mental health and their drug use. This study aimed to examine duration of abstinence according to psychiatric status among SUD outpatients followed-up for 18 months from the pandemic related lockdown. A follow-up study of 316 SUD outpatients was undertaken. Sociodemographic features, and clinical and consumption related variables were recorded. Pre, during and post lockdown information was evaluated. Abstinence/substance use was monitored at the patient's scheduled follow-up appointments, and psychiatric disorders and psychological variables were revaluated at 18 months. Survival analyses were used to compare the duration of abstinence (in months) from the beginning of the lockdown. It was observed that 70% of patients consumed the main substance for which they were being treated at some point during the follow-up. Men, younger patients, those with more symptoms of anxiety and personality disorders, and patients who experienced increased craving during follow-up, showed shorter duration of abstinence. While patients who had previously maintained at least one year of abstinence, achieved better results. During the first year and a half of the pandemic, SUD outpatients presented alterations in mental health, such us anxiety, depression and maladaptive personality traits and a high rate of relapse. For this reason, despite the health and social crisis and their restrictive measures, a comprehensive treatment should be ensured.

Connecting loneliness with pathological personality traits: Evidence for genetic and environmental mediation from a study of older twins.

Loneliness has broad public health importance, especially in older adulthood, and there is some evidence suggesting it is associated with several personality disorders (PDs). The etiology of these PD-loneliness associations, however, has rarely been studied, especially in the context of the maladaptive traits of the DSM-5 alternative model of personality disorder (AMPD). To address these limitations, we estimated phenotypic, genetic, and unique environmental associations between loneliness and maladaptive personality traits in a sample of older adults from the Minnesota Twin Registry (n = 1,356, Mage = 70.4). Loneliness was moderately to strongly associated with each of the AMPD domains of negative affect, detachment, antagonism, disinhibition, and psychoticism (r = .22-.58), with evidence of both genetic (rg = .45-.75) and unique environmental (re = .10-.48) influences explaining the associations to varying degrees. We argue that loneliness may be an underappreciated concomitant of personality pathology, with PD traits perhaps underlying its development. Indeed, these findings suggest that loneliness may be a manifestation of the genetic and environmental forces that also lead to pathological personality variation. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Agreement and discrepancies in patient-clinician reports of DSM-5-TR section III maladaptive personality traits: A study on a mixed outpatient sample.

The assessment of personality pathology based on dimensional models may improve self-other agreement, but previous research mainly adopted a categorical approach and overlooked the role of the person of the therapist. Our study examined patient-clinician agreement in a mixed sample of Italian outpatients using the Personality Inventory for DSM-5 (PID-5) and the PID-5-Informant Form (PID-5-IRF). Moreover, the role of clinician personality traits on agreement was preliminary explored. Sixty-eight outpatients (51.4% male, M = 30.30, SD = 12.05 years) and their treating clinicians (N = 22; 77.3% female, M = 43.77 ± 8.45 years) entered the study. Patients completed the PID-5, whereas clinicians filled-in the PID-5-Brief Form (PID-5-BF) and the PID-5-IRF for each patient they involved. A multilevel Bayesian analysis showed that rank-order agreement was large for domains (mean r = .60) and moderate for facets (mean r = .44). As regards mean-level agreement, patient ratings on cognitive/perceptual dysregulation, distractibility, eccentricity, and emotional lability were higher than clinician ratings, whereas patients' scores on depressivity were lower than clinicians' ones. Scores on the PID-5-BF detachment positively predicted agreement on anhedonia, anxiousness, depressivity, distractibility, separation insecurity, and suspiciousness, while scores on the PID-5-BF negative affectivity, antagonism, and disinhibition negatively predicted agreement on few specific facets. Current findings suggest that clinician personality traits may contribute to agreement on maladaptive personality traits, but areas of discrepancies remain in case of low observable internal ones. Since patient-clinician agreement is crucially involved in therapeutic alliance, further research on this issue is highly encouraged. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Early maladaptive schemas as discriminators of differential attitudes toward substance use among individuals with cluster A, B, and C personality

ABSTRACT Background Early Maladaptive Schemas (EMSs), personality traits, and substance use exhibit intricate associations. EMSs could potentially serve as vulnerability factors for substance use and personality disorders. However, there is a paucity of research examining how these schemas influence attitudes toward SU in individuals with different personality clusters. Aim To investigate the association of EMSs with substance use and attitudes toward substance use among youth. Also, to identify the EMSs those play a pivotal role in classifying individuals with different attitudes toward substance use. Method A total of 155 participants were selected using an incidental sampling method. CAGE-AID. Drug Attitude Scale, Young’s Schema Questionnaire, and MCMI-III were used to measure study variables. Results EMSs were found to be significantly associated with CAGE-AID score and attitudes toward substance use among individuals with diverse personality traits. “Fear of losing control,” “Emotional constriction,” and “Punitiveness self-directed” schemas emerged as the most influential predictors differentiating positive, neutral, and negative attitudes toward substance use among individuals with Cluster A, B, and C personality traits, respectively. Those with negativity/pessimism, enmeshment, and subjugation EMSs are more likely to engage in substance use. Conclusion EMSs play a crucial role in developing a positive attitude toward substance use.

A longitudinal, multimethod study of children’s early emerging maladaptive personality traits: Stress sensitivity as a protective factor

Children of fathers with alcohol use problems and mothers with depression are considered to be at high risk for the development of antisocial behavior, which may be at least partially mediated by early emerging externalizing personality traits (e.g., aggression, manipulativeness). However, not all high-risk youth develop externalizing personality traits. We examined whether associations between fathers’ lifetime history of alcohol use disorder (AUD) and mothers’ lifetime history of major depressive disorder (MDD) with children’s externalizing personality traits were moderated by a psychophysiological marker of children’s stress reactivity and fearfulness/anxiousness, namely, cortisol output during a standardized stress task. Participants were a community sample of 205 children and their caregivers assessed at three time points. Paternal lifetime history of AUD and maternal lifetime history of MDD, combined with lower child cortisol output, were related to youth self-reported aggression. Further, girls lower in cortisol output were higher in manipulativeness in the context of paternal lifetime history of AUD.

Sociosexuality and maladaptive personality traits as mediators of the relationship between childhood trauma and sexual victimization in adulthood.

Sociosexuality and maladaptive personality traits as mediators of the relationship between childhood trauma and sexual victimization in adulthood.

Supplemental Material for Sociosexuality and Maladaptive Personality Traits as Mediators of the Relationship Between Childhood Trauma and Sexual Victimization in Adulthood

Supplemental Material for Sociosexuality and Maladaptive Personality Traits as Mediators of the Relationship Between Childhood Trauma and Sexual Victimization in Adulthood

Maladaptive Personality Trait Facets and Mentalization in Youth Gambling

Maladaptive Personality Trait Facets and Mentalization in Youth Gambling

Association between maladaptive personality traits and violence risk.

Association between maladaptive personality traits and violence risk.