personality functioning
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The relationship between negative attitudes and psychopathology is not yet clear. The current shift to a dimensional approach to mental disorders, as reflected in both the DSM-5 and ICD-11 models of personality disorders, seems to enrich the traditional approach to study attitudes. This study investigates whether and how impairments in personality functioning are linked to attitudes toward minorities. A comparison of levels of impairment in global and Self and interpersonal personality functioning, negative attitudes, social distance, and racism was conducted in the sample of 127 adults from the general population group (n = 69) and a group of people with diagnosed personality disorders (n = 58). Differences between both groups were found. The personality disorders group showed higher impairment in personality functioning, scored higher on negative attitude measures, and was more prone to the blatant expression of attitudes than the general population. The association between attitudes and personality functioning did not fully reflect these trends. However, given the nature of differences, it is suspected that the proclivity to the blatant expression of negative attitudes could go beyond negative attitudes toward minorities themselves and reflect disorder-related characteristics, that is, more problematic and conflicted relationships with others in general.
- MeSH
- Diagnostický a statistický manuál mentálních poruch MeSH
- dospělí MeSH
- etnické a rasové minority * MeSH
- lidé MeSH
- osobnost * MeSH
- poruchy osobnosti diagnóza MeSH
- postoj MeSH
- psychopatologie MeSH
- rasismus MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
BACKGROUND: The Alternative DSM-5 Model for Personality Disorders and the latest eleventh version of the International Classification of Diseases implement the level of impairment in self and interpersonal personality functioning (Level of Personality Functioning Scale - LPFS) as a core feature of personality pathology. However, some studies have indicated that personality functioning is also impaired in other mental disorders, but a more thorough exploration is missing. Thus, this study aims to develop profiles of levels of personality functioning in people with personality disorders and some other psychiatric diagnoses as well as without diagnosis. METHODS: One-hundred-forty-nine people participated in the study. They came from three groups - healthy controls (n = 53), people with personality disorders (n = 58), and people with mood and anxiety disorders (n = 38). The LPFS was assessed by the Semi-structured Interview for Personality Functioning DSM-5 (STiP-5.1). An optimal clustering solution using agglomerative hierarchical cluster analysis was generated to represent profiles of personality functioning. RESULTS: The two patient groups showed significantly higher levels of personality functioning impairment than healthy controls. People with personality disorders showed higher levels of impairment than the other groups. In addition, the clustering analysis revealed three distinct profiles of personality functioning. CONCLUSIONS: The impairment of personality functioning seems to be useful in the clinical assessment of other than personality disorders as well. As the resulting clustering profiles suggest, LPFS can be seen as an overall indicator of the severity of mental health difficulties and the presence of mental disorders symptoms. The LPFS provides valuable and detailed information about the individual's mental health and can thus serve as a broad basis for case formulation, treatment and therapy planning, and prognosis.
- MeSH
- Diagnostický a statistický manuál mentálních poruch MeSH
- lidé MeSH
- osobnost * MeSH
- poruchy osobnosti * diagnóza MeSH
- psychometrie MeSH
- reprodukovatelnost výsledků MeSH
- shluková analýza MeSH
- úzkost MeSH
- úzkostné poruchy diagnóza MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
Cíl: Přechod od kategoriálních modelů poruch osobnosti k dimenzionálnímu pojetí funkčních schopností osobnosti, jak jsou konceptualizovány v DSM-5 i MKN-11, představuje pro klinickou oblast výzvu k implementaci nových diagnostických metod pro poruchy osobnosti. Zároveň se ukazuje, že koncept osobnostního fungování má širší uplatnění kvůli svým schopnostem popisovat obecně závažnost psychopatologie. České verze dvou instrumentů zaměřených na funkčních schopnosti osobnosti již prošly ověřením psychometrických vlastností, nicméně pro jejich další využívání je potřebné, aby byly podrobeny dalším výzkumům. V této studii se proto zaměřujeme na jejich schopnost diskriminovat mezi těmi bez psychiatrické diagnózy a dvěma skupinami lidí s psychiatrickou diagnózou. Materiál a metoda: Studie byla realizována na 163 respondentech, kteří pocházeli ze tří skupin: 1) pacienti s poruchami osobnosti (n = 58), 2) pacienti se zvýšeným skóre neuroticismu (n = 50), 3) běžná populace (n = 55). Funkční schopnosti osobnosti byly hodnoceny za pomocí sebeposuzovacícho dotazníku Level of Personality Functioning Scale-Brief Form 2.0 (LPFS-BF 2.0) a klinicky hodnoceným polostrukturovaným rozhovorem Semi-structured Interview for Personality Functioning DSM-5 (STiP 5.1). Výsledky: Tři sledované skupiny se lišily v osobnostním fungování. Obecně se dá říct, že lidé s poruchou osobnosti dosahovali nejvyššího narušení osobnostního fungování, zatímco nejnižší úroveň narušení osobnostního fungování měla běžná populace, mezi nimi pak byla skupina se zvýšeným neuroticismem. Zatímco rozhovor STiP-5.1 byl schopen rozlišovat i v rámci skupin pacientů, dotazník LPFS-BF 2.0 měl tuto schopnost nižší. Z demografických proměnných se ukázala jako významná korelace s věkem naznačující trend ke zralejšímu osobnostnímu fungování s vyšším věkem, dále se ukázalo, že vyšší vzdělání bylo asociováno s nižším narušením osobnostního fungování. Závěr: Polostrukturovaný rozhovor STiP-5.1 i screeningový dotazník LPFS-BF 2.0 ukázaly adekvátní schopnost diskriminovat tři zkoumané populace. Obě metody jsou uživatelsky příznivé a vzhledem k dobrým psychometrickým vlastnostem jejich českých verzí je možné obě doporučit pro výzkumné užití a s obezřetností také pro klinickou praxi. Rozšiřuje se tak repertoár moderních metod (nejen) k diagnostice poruch osobnosti v ČR.
Objective: The transition from categorical models of personality disorders to a dimensional approach of personality functioning, as conceptualized by the DSM-5 and ICD-11, represents a challenge for the clinical area to implement new diagnostic methods for personality disorders. While it also seems that the personality functioning concept has a broader application because of its ability to capture the overall severity of psychopathology. The psychometric properties of Czech versions of two instruments assessing personality functioning have been verified already. However, for their future use, they must be subjected to further research. Therefore, in this study, we focus on their ability to discriminate between those without a psychiatric diagnosis and two groups of people with a psychiatric diagnosis. Method: The study was conducted on 163 respondents from three groups: 1) patients with personality disorders (n = 58), 2) patients with increased neuroticism score (n = 50), 3) general population (n = 55). Personality functioning was assessed by self-report questionnaire Level of Personality Functioning Scale-Brief Form 2.0 (LPFS-BF 2.0) and clinician-rated Semi-structured Interview for Personality Functioning DSM-5 (STiP 5.1). Results: The three groups differed in their level of personality functioning. Generally, people with personality disorders had the highest level of personality functioning impairment, the general population had the lowest level of impairment, the group with increased neuroticism score was in the middle. While the STiP-5.1 was able to differentiate within the patients ́ groups, the ability of LPFS-BF 2.0 was limited. From the demographic variables, age correlated with personality functioning, suggesting a trend toward more mature personality functioning in older age. Also, higher education levels were associated with lower personality functioning impairment. Conclusion: The semi-structured interview STiP-5.1 and the screening questionnaire LPFS-BF 2.0 showed adequate ability to discriminate between the three study groups. Both methods are user-friendly, and given the psychometric properties of their Czech versions, they can be recommended for research proposes and with caution to use in clinical practice. Thus, the repertoire of modern methods available in the Czech Republic for assessing (not only) personality disorders is expanding.
- MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- neuroticismus MeSH
- osobnost * MeSH
- poruchy osobnosti * diagnóza MeSH
- sebeposuzující dotazníky PHQ MeSH
- senioři MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- práce podpořená grantem MeSH
The DSM-5 Alternative Model for Personality Disorders introduced a dimensional perspective on personality disorders and their assessment by measuring personality functioning in the following domains: Identity, Self-Direction, Empathy, and Intimacy. This study provides a replication of the psychometric evaluation of the Semi-Structured Interview for Personality Functioning DSM-5 (STiP-5.1) within a mixed clinical sample and a community sample. The sample consisted of 188 adults: 86 participants from the general population and 102 people from a mixed clinical sample. All participants completed the STiP-5.1 and Level of Personality Functioning Scale-Brief Form (LPFS-BF 2.0). Results showed good internal consistency (McDonald's ω = 0.89-0.94) and promising convergent validity (correlations with LPFS-BF 2.0 above 0.6) of the STiP-5.1. Its scores differentiated participants within the community sample from those in the mixed clinical sample with large effect sizes (rrb = 0.77-0.88). Moreover, the impairment in personality functioning was more pronounced in people with personality disorders than in other psychiatric disorders (medium effect size, rrb = 0.46-0.57), supporting the notion of a continuum of personality functioning impairment. The STiP-5.1 therefore offers an instrument with satisfactory psychometric properties for the assessment of personality functioning both for research and clinical practice.
- MeSH
- Diagnostický a statistický manuál mentálních poruch MeSH
- dospělí MeSH
- lidé MeSH
- osobnost * MeSH
- poruchy osobnosti * diagnóza MeSH
- psychometrie MeSH
- reprodukovatelnost výsledků MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika MeSH
... Model of Functioning and Disability 17 -- 6. ... ... ICF-CY Two-level classification 29 -- ICF-CY Detailed classification with definitions 43 -- Body Functions ...
xxvii, 322 s. : il., tab. ; 30 cm
- MeSH
- dítě MeSH
- kauzalita MeSH
- mladiství MeSH
- postižení klasifikace MeSH
- tělesná konstituce MeSH
- vývoj dítěte klasifikace MeSH
- vývoj mladistvých klasifikace MeSH
- zdravotní stav MeSH
- Check Tag
- dítě MeSH
- mladiství MeSH
- Publikační typ
- příručky MeSH
- Konspekt
- Pediatrie
- NLK Obory
- pediatrie
- NLK Publikační typ
- publikace WHO
