Personality and Mental Health 

About: Personality and Mental Health is an academic journal published by Wiley-Blackwell. The journal publishes majorly in the area(s): Personality & Borderline personality disorder. It has an ISSN identifier of 1932-8621. Over the lifetime, 544 publications have been published receiving 7011 citations.

The rationale for the reclassification of personality disorder in the 11th revision of the international classification of diseases (ICD‐11).

Abstract: Nineteen years have elapsed since the 10th revision of the International Classification of Diseases (ICD-10), and many advances have been made in the field of personality disorders since that time. This paper reflects these advances and presents the first proposals of the ICD-11 working group for the reclassification of personality disorders. The essential changes from ICD-10 are to make the primary classification of personality disorder one of five levels of severity, including one of personality difficulty below the severity of disorder, to replace the existing categories of personality disorder with five monothetic trait domains of asocial, emotionally unstable, obsessional (anankastic), anxious/dependent and dissocial groups and to provide a simple algorithm for classification that can be used in ordinary psychiatric practice. It is argued that the proposed changes will improve the clinical utility of the diagnosis of personality disorder, reduce its stigma and help in the development and selection of appropriate treatment. Copyright © 2011 John Wiley & Sons, Ltd.

The time has come for dimensional personality disorder diagnosis

Abstract: Author(s): Hopwood, Christopher J; Kotov, Roman; Krueger, Robert F; Watson, David; Widiger, Thomas A; Althoff, Robert R; Ansell, Emily B; Bach, Bo; Michael Bagby, R; Blais, Mark A; Bornovalova, Marina A; Chmielewski, Michael; Cicero, David C; Conway, Christopher; De Clercq, Barbara; De Fruyt, Filip; Docherty, Anna R; Eaton, Nicholas R; Edens, John F; Forbes, Miriam K; Forbush, Kelsie T; Hengartner, Michael P; Ivanova, Masha Y; Leising, Daniel; John Livesley, W; Lukowitsky, Mark R; Lynam, Donald R; Markon, Kristian E; Miller, Joshua D; Morey, Leslie C; Mullins-Sweatt, Stephanie N; Hans Ormel, J; Patrick, Christopher J; Pincus, Aaron L; Ruggero, Camilo; Samuel, Douglas B; Sellbom, Martin; Slade, Tim; Tackett, Jennifer L; Thomas, Katherine M; Trull, Timothy J; Vachon, David D; Waldman, Irwin D; Waszczuk, Monika A; Waugh, Mark H; Wright, Aidan GC; Yalch, Mathew M; Zald, David H; Zimmermann, Johannes

Personality disorder prevalence in psychiatric outpatients: A systematic literature review

Abstract: Introduction A systematic literature review of studies measuring the prevalence of personality disorder in community secondary care is needed to identify both the met and unmet needs and plan services accordingly. Methods PsycINFO, MEDLINE and EMBASE databases were searched using NHS Evidence. Only studies assessing overall personality disorder prevalence within help-seeking, outpatient populations were included. Papers were excluded for focusing solely on the prevalence of specific personality disorders or comorbid prevalence within specific populations. Results A total of 269 papers were identified. Nine papers met criteria and were critically appraised, showing a high level of heterogeneity with regards to methods, inclusion criteria, source of information, time of assessment, instruments used and overall quality of research. Prevalence estimates in Europe varied between 40% and 92%, were more consistently approximated between 45% and 51% in the USA and differed significantly in the two Asian studies: 1.07% (India) and 60% (Pakistan). Conclusions The prevalence of personality disorder in community mental health care appears to be substantial, but better estimates will only emerge from high quality studies with greater consistency of method. Implementing screening tools within outpatient or community services may result in high rates of personality disorder identification, with both clinical and service implications. Copyright © 2014 John Wiley & Sons, Ltd.

Why borderline personality disorder is neither borderline nor a personality disorder

Abstract: Objectives Borderline personality disorder is the most well-studied personality disorder in psychiatry. Despite its great influence in the study of these conditions, it has not been properly recognized that borderline personality disorder is atypical. Design A critical analysis of the differences between borderline and other personality disorders is made. Method A comparison is made between borderline personality disorder and other personality disorders with respect to diagnostic criteria, relationship to normal personality variation and treatment options. Results Analysis of the operational criteria for borderline and schizotypal personality disorders shows that these are the only personality disorders that are dominated by discrete symptoms rather than traits. Cluster analysis of a data set of personality traits obtained between 1976 and 1978 (before borderline personality disorder became fashionable in the UK) could find no profile that supports the existence of a borderline personality disorder grouping, and the study of published papers on treatment in personality disorder shows a 3 : 1 ratio for borderline personality disorder compared with all other personality disorders combined, approaching 9 : 1 when unspecified (probably mainly borderline) conditions are taken into account. Conclusions Borderline personality disorder is incorrectly classified as a personality disorder and does an injustice to those who suffer from it. It is better classified as a condition of recurrent unstable mood and behaviour, or fluxithymia, which is better placed with the mood disorders than in odd isolation as a personality disorder. Copyright © 2009 John Wiley & Sons, Ltd.

Parental stress in the NICU: the influence of personality, psychological, pregnancy and family factors

Abstract: Background The birth of an infant requiring admission to a Neonatal Intensive Care Unit (NICU) can represent a considerable source of stress for some parents. Currently, little is known about the factors associated with parental stress response to the NICU, especially for fathers. The objective of this study is to compare sources of NICU stress for mothers and fathers and explore variables associated with NICU stress. Method One hundred and seventy-two randomly selected couples with an infant admitted to the NICU were administered a structured clinical interview and completed self-report measures, including the Parental Stress Scale (PSS). Results Mothers had the highest overall stress. The altered parental role was the highest source of stress for both parents. Key general predictors of parental stress were dysfunctional personality traits and high anxiety. For mothers, high stress was associated with lower income, de facto relationship, abnormal pregnancy scan and no previous NICU experience. For fathers, high stress was associated with transfer of the pregnant mother due to complications and early experience of paternal over control. Conclusion Identification of factors that contribute to parent stress can enable health professionals to facilitate parent adaptation and coping, thereby promoting optimal parent–infant relationships and subsequent infant development. Copyright © 2007 John Wiley & Sons, Ltd.