Abstract:
:The primary aim of the current study was to determine the prevalence and usage of the diagnosis of personality disorder not otherwise specified (PDNOS). As a secondary objective, this study explores the impact of assessment method and definition of PDNOS on observed prevalence. A meta-analysis is reported of 51 studies reporting separate rates for the overall prevalence of specific personality disorders and PDNOS. The best estimate of the absolute prevalence of PDNOS in patient samples is in the range of 8 to 13% and the best estimate of the relative prevalence of PDNOS (i.e., prevalence of PDNOS divided over the overall Axis II prevalence excluding PDNOS) is in the range of 21-49%. In structured interview studies PDNOS is the third most frequently used personality disorder diagnosis, whereas in nonstructured interview studies, PDNOS is often the single most frequently used diagnosis. PDE/IPDE yielded higher PDNOS prevalences than either the SCID or SIDP. Only slightly more than half of the studies provided an operational definition of PDNOS, and the most frequently occurring definition is "mixed" personality disorder. PDNOS would perhaps be the most frequently used diagnosis if it was used in a manner consistent with its definition in DSM-IV. The clinical relevance of future classification, assessment, and research could substantially benefit from validated, explicit, and uniform guidelines for the assessment of PDNOS.
journal_name
J Pers Disordjournal_title
Journal of personality disordersauthors
Verheul R,Widiger TAdoi
10.1521/pedi.18.4.309.40350subject
Has Abstractpub_date
2004-08-01 00:00:00pages
309-19issue
4eissn
0885-579Xissn
1943-2763journal_volume
18pub_type
杂志文章,meta分析abstract::Numerous studies have demonstrated a link between personality disorders (PDs) and increased treatment utilization and decreased satisfaction. However, few studies have examined the link between general personality models, such as the Five-Factor Model (FFM), and these treatment variables. The current study examines th...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.2006.20.4.369
更新日期:2006-08-01 00:00:00
abstract::The DSM-5 Personality and Personality Disorders (PDs) Work Group has recommended a reformulation of the PD section, one component of which is a replacement of specified operational criteria with a prototype matching dimensional rating system. The Work Group indicated that prototype ratings have been demonstrated to ha...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.2011.25.2.206
更新日期:2011-04-01 00:00:00
abstract::Women who receive a diagnosis of personality disorder may face particular challenges in the context of having a baby. However, this area has received little attention. This study aimed to qualitatively explore experiences of mental health support during the perinatal period in a group of mothers who self-reported havi...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi_2020_34_482
更新日期:2020-06-15 00:00:00
abstract::This study examines the efficacy of a short-term individual therapy, Manual Assisted Cognitive Treatment (MACT), which was developed to treat parasuicidal (suicidal or self-harming) patients. In this trial, MACT was modified to focus on deliberate self-harm (DSH) in patients with borderline personality disorder (BPD)....
journal_title:Journal of personality disorders
pub_type: 杂志文章,随机对照试验
doi:10.1521/pedi.2006.20.5.482
更新日期:2006-10-01 00:00:00
abstract::The goal of the current study was to examine whether individuals with comorbid Major Depressive Disorder (MDD) and Borderline Personality Disorder (BPD) exhibit greater severity of depressive symptoms than (1) individuals with MDD without BPD and (2) individuals with neither MDD nor BPD. One hundred and forty-one indi...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.17.4.319.23968
更新日期:2003-08-01 00:00:00
abstract::The symptoms of antisocial personality disorder (ASPD) and broader personality trait domains such as negative emotionality (NEM) may prove detrimental for marital quality. Previous research with European Americans has found that ASPD negatively predicts couple functioning, even when controlling for NEM. The current st...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi_2019_33_410
更新日期:2020-08-01 00:00:00
abstract::The psychometric properties of the Iowa Personality Disorder Screen (IPDS) were examined in 150 methadone-maintained patients who completed measures of demographic, psychopathology, substance use, pain, and methadone maintenance treatment (MMT) characteristics. An exploratory factor analysis revealed a two-factor solu...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi_2013_27_081
更新日期:2015-02-01 00:00:00
abstract::Section III of DSM-5 includes an alternative model for personality disorders comprising five higher-order pathological personality traits, four of which resemble domains from the Big Five/Five-Factor Model of Personality (FFM). There has, however, been considerable debate regarding the association of FFM Openness-to-E...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi_2014_28_128
更新日期:2014-08-01 00:00:00
abstract::In order to evaluate if measures of DSM-5 Alternative PD Model domains predicted interview-based scores of general personality pathology when compared to self-report measures of DSM-IV Axis II/DSM-5 Section II PD criteria, 300 Italian community adults were administered the Iowa Personality Disorder Screen (IPDS) inter...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi_2105_29_184
更新日期:2016-01-01 00:00:00
abstract::Health and social care professionals are more likely to hold negative attitudes towards people with a diagnosis of personality disorder than toward people with other mental health diagnoses. Negative attitudes have also been found to adversely impact care and service provision. This review sought to systemically evalu...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi_2019_33_458
更新日期:2019-11-04 00:00:00
abstract::This study investigated the extent to which the DSM personality disorder dimensions are associated with discrete patterns of self-concept. Participants were 366 men and women who were receiving mental health services and who completed the Wisconsin Personality Disorders Inventory to assess the personality disorders an...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.15.2.150.19214
更新日期:2001-04-01 00:00:00
abstract::Emotional dysregulation and attachment insecurity have been reported in borderline personality disorder (BPD). Domain disorganization, evidenced in poor regulation of emotions and behaviors in relation to the demands of different social domains, may be a distinguishing feature of BPD. Understanding the interplay betwe...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.2009.23.3.240
更新日期:2009-06-01 00:00:00
abstract::Indicators from three different self-report measures-the Psychological Inventory of Criminal Thinking Styles (PICTS), the Levenson Self-Report Psychopathy (LSRP) scale, and the Antisocial Features (ANT) scale of the Personality Assessment Inventory-were organized into two dimensions, proactive and reactive, and subjec...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.2009.23.6.647
更新日期:2009-12-01 00:00:00
abstract::This study examined the relationships between personality disorders and retrospective reports of family support and conflict with parents. Participants were 798 United States Air Force recruits who were participating in a larger program of research on the peer assessment of personality disorders. Correlational analyse...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.2000.14.4.327
更新日期:2000-01-01 00:00:00
abstract::If we want to explain the links between the various and heterogeneous elements--symptoms, dysfunctional forms of behavior and poor social functioning--making up personality disorders, we need model a self pathology that portrays dysfunctions, the links among them, and how their interactions maintain disorders over tim...
journal_title:Journal of personality disorders
pub_type: 杂志文章,评审
doi:10.1521/pedi.2006.20.6.597
更新日期:2006-12-01 00:00:00
abstract::The literature on borderline personality disorder (BPD) describes interpersonal disturbances as a core sector of psychopathology. The longitudinal course of these features remains poorly understood. Our aim is to describe the course of interpersonal features of BPD in a more detailed way than has been done previously....
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.2010.24.3.365
更新日期:2010-06-01 00:00:00
abstract::Childhood maltreatment (CM), including emotional, physical, and sexual abuse and emotional and physical neglect, is associated with severity of borderline personality disorder (BPD). However, knowledge on the impact of CM on treatment response is scarce. The authors investigated whether self-reported CM or one of its ...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi_2019_33_461
更新日期:2019-12-30 00:00:00
abstract::To investigate the relationship of sadistic personality disorder (SPD), as defined in the appendix of DSM-III-R, to other personality disorders and to sexual sadism, 70 sex offenders (27 child molesters, 33 rapists, and 10 murderers) were assessed by the International Personality Disorder Examination. In 19 subjects (...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.1999.13.2.175
更新日期:1999-07-01 00:00:00
abstract::A brief but valid self-report measure to screen for personality disorders (PDs) would be a valuable tool in making decisions about further assessment and in planning optimal treatments. In psychiatric and nonpsychiatric samples, we compared the validity of three screening measures: the PD scales from the Inventory of ...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.2007.21.2.179
更新日期:2007-04-01 00:00:00
abstract::This study examined the effects of suppressing emotions in the natural environment among individuals who were high (high-BPD; n = 30) and low (low-BPD; n = 39) in borderline personality disorder (BPD) features. Participants responded to prompts from a personal data assistant eight times per day over a four-day period....
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.2009.23.1.29
更新日期:2009-02-01 00:00:00
abstract::Prior studies on the association between the CYP2D6 polymorphism and suicide did not explore whether mental and personality disorders mediate this association. The main objective of the present study was to test an association between CYP2D6 polymorphism and mental and personality disorders among suicide attempters. T...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi_2012_26_080
更新日期:2014-12-01 00:00:00
abstract::This study examined the relationship over time between Cluster B personality disorder symptoms (borderline, histrionic, and narcissistic symptoms) and comorbid internalizing and externalizing symptoms in a community sample of 407 adolescents. Cross-lagged longitudinal models tested (a) the hypothesis that Cluster B sy...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.15.4.336.19185
更新日期:2001-08-01 00:00:00
abstract::Pathological narcissism (PN) and narcissistic personality disorder (NPD) have primarily been identified by striking external features, such as superiority, attention seeking and a critical or condescending attitude, and less attention has been paid to the internal processing contributing to this particular personality...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.2020.34.supp.80
更新日期:2020-03-01 00:00:00
abstract::Following critiques that the DSM multiaxial system lacks psychodynamic information useful for treatment, an axis for defense mechanisms was developed for DSM-IV, including up to 7 individual defenses from a glossary of 27, and 3 predominant defense levels from a list of 7. We tested the feasibility, reliability, and d...
journal_title:Journal of personality disorders
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1521/pedi.1998.12.1.56
更新日期:1998-04-01 00:00:00
abstract::After discarding eight items in the Dutch translation of Livesley's DAPP-BQ that showed item-total correlations < 0.20 in a sample of 223 normal subjects. Cronbach's alpha coefficients were calculated for the remaining items in the 18 scales of this instrument. The 'Dutch' alpha coefficients proved to be satisfactory....
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.16.3.235.22536
更新日期:2002-06-01 00:00:00
abstract::Childhood abuse is relatively prevalent among women and is an important risk factor for both criminal behavior and suicide-related behavior (SRB). Based on a sample of 266 female offenders, we address one theoretical and one practical issue. First, from a theoretical perspective, we assess whether internalizing (depre...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.2010.24.5.581
更新日期:2010-10-01 00:00:00
abstract::The etiology of psychopathy remains poorly understood, despite the wealth of studies focused on examining this serious and complex personality disorder. The present study explored the contribution of psychological, physical, and sexual abuse in predicting PCL-R facet and total scores. The study was conducted on a samp...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi_2015_29_223
更新日期:2016-10-01 00:00:00
abstract::High rates of comorbidity between psychopathy and substance use disorders (SUD) have long been recognized. However, the extent to which relationships between SUD and psychopathy extends beyond shared relationship with general antisociality remains undetermined. We examined zero-order and unique relationships between t...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.2007.21.3.273
更新日期:2007-06-01 00:00:00
abstract::This study investigated social perspective coordination (SPC) in youth (15-24-year-olds) with first-presentation borderline personality disorder (BPD). SPC is defined as the capacity to differentiate and integrate the perspective of the self with the perspectives of others (Selman, Beardslee, Schultz, Krupa, & Podoref...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.2012.26.1.126
更新日期:2012-02-01 00:00:00
abstract::Data regarding the connection between personality disorders (PDs) and impaired social functioning are often difficult to interpret because both sets of variables are influenced by depressed mood and both are usually assessed using self-report instruments. We studied PD symptoms in a nonclinical population and examined...
journal_title:Journal of personality disorders
pub_type: 杂志文章
doi:10.1521/pedi.16.5.437.22123
更新日期:2002-10-01 00:00:00