| Autor: |
Hines A; Department of Psychology, University of Kentucky., Kushner ML; Department of Psychology, University of Kentucky., Stumpp N; Department of Psychology, University of Kentucky., Semcho S; Department of Psychology, University of Kentucky., Bridges E; Department of Psychology, University of Kentucky., Croom H; Department of Psychology, University of Kentucky., Rahman A; Department of Psychology, University of Kentucky., Cecil S; Department of Psychology, University of Kentucky., Maynard C; Department of Psychology, University of Kentucky., Southward MW; Department of Psychology, University of Kentucky., Widiger TA; Department of Psychology, University of Kentucky., Sauer-Zavala S; Department of Psychology, University of Kentucky. |
| Jazyk: |
angličtina |
| Zdroj: |
Personality disorders [Personal Disord] 2024 Sep; Vol. 15 (5), pp. 352-360. Date of Electronic Publication: 2024 Jul 29. |
| DOI: |
10.1037/per0000676 |
| Abstrakt: |
Borderline personality disorder (BPD) is defined by the presence of at least five of nine symptoms in Section II of the Diagnostic and Statistical Manual of Mental Disorders , fifth edition. In the Diagnostic and Statistical Manual of Mental Disorders, fifth edition, Section III Alternative Model of Personality Disorders (AMPD), BPD is defined by deficits in self and/or interpersonal functioning (Criterion A), elevated negative affectivity, and elevated antagonism and/or disinhibition (Criterion B). However, it is unclear if these definitions describe the same people and if the AMPD criteria explain unique variability in treatment outcomes in this population. In a treatment-seeking sample of adult participants diagnosed with BPD according to Section II criteria ( n = 65, M age = 27.60, 70.8% female, 76.9% White), we found a majority (66.2%) would have also received the diagnosis based on AMPD criteria. Those meeting AMPD criteria reported more severe Section II BPD symptoms than those who did not, p s < .02, d s > 0.60, and the presence or severity of Section II fears of abandonment and inappropriate anger uniquely predicted AMPD BPD diagnoses, p s < .03, OR s ≥ 2.31. Changes in AMPD dimensions explained 34% of the variability in change in work/social adjustment ( p = .13) and quality of life ( p = .22), respectively, over and above changes in Section II symptoms during a novel cognitive-behavioral treatment for BPD. These results suggest that AMPD criteria capture a more severe subset of BPD than Section II criteria and may be important predictors of treatment outcomes. We discuss the potential trade-offs of this shift in diagnosis. (PsycInfo Database Record (c) 2024 APA, all rights reserved). |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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