Social impairment and personality disorder features among older adults: An application of the circumplex model

2021 ◽  
Author(s):  
Lisa E. Stone ◽  
Daniel L. Segal
Keyword(s):  
Older Adults ◽  
Personality Disorder ◽  
Social Impairment ◽  
Circumplex Model

Clinical Utility of DSM Personality Disorder Criteria in Older Adults

2012 ◽  
Author(s):  
Richard A. Zweig ◽  
Patricia Zeff ◽  
Daniel J. Sullivan
Keyword(s):  
Older Adults ◽  
Personality Disorder ◽  
Clinical Utility

MULTIVARIATE ANALYSIS OF PERCEIVED DYSFUNCTION RATINGS OF PERSONALITY DISORDER SYMPTOMS

2004 ◽  
Vol 32 (6) ◽  
pp. 595-606
Author(s):  
David C. Watson ◽  
Andrew J. Howell
Keyword(s):  
Factor Analysis ◽  
Multivariate Analysis ◽  
Personality Disorder ◽  
Multidimensional Scaling ◽  
Personality Disorders ◽  
Two Dimensions ◽  
Social Impairment ◽  
Multivariate Techniques ◽  
Personal Distress ◽  
High Distress

Dysfunction in personality disorder symptoms was assessed using multivariate techniques to analyse lay judges' (N = 216) ratings of occupational impairment, social impairment, and personal distress. Factor analysis revealed that ratings of occupational impairment and social impairment loaded onto distinct factors. Personal distress ratings loaded onto two separate factors: high distress and low distress. Multidimensional scaling revealed two dimensions for overall dysfunction among personality disorders: severity of dysfunction and internalization-externalization. The dimensions were independence-dependence and severity of dysfunction for occupational impairment, interpersonal involvement and dominance-submission for social impairment, and internalization-externalization and severity for personal distress.

Risk Aversion Among Depressed Older Adults with Obsessive Compulsive Personality Disorder

2007 ◽  
Vol 31 (2) ◽  
pp. 161-174 ◽  
Author(s):  
Alexander L. Chapman ◽  
Thomas R. Lynch ◽  
M. Zachary Rosenthal ◽  
Jennifer S. Cheavens ◽  
Moria J. Smoski ◽  
...  
Keyword(s):  
Older Adults ◽  
Personality Disorder ◽  
Risk Aversion ◽  
Obsessive Compulsive ◽  
Obsessive Compulsive Personality Disorder

scholarly journals RELATIONSHIPS BETWEEN ANXIETY AND PERSONALITY DISORDER FEATURES IN YOUNGER AND OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S312-S312
Author(s):  
Olivia R Noel ◽  
Lisa E Stone ◽  
Daniel L Segal
Keyword(s):  
Older Adults ◽  
Personality Disorder ◽  
Personality Traits ◽  
Poor Quality ◽  
Community Dwelling ◽  
Functional Impairments ◽  
Obsessive Compulsive ◽  
Coping Methods ◽  
Positive Correlations ◽  
Development Of Anxiety

Abstract Introduction: Anxiety is a prevalent problem that has been found to be associated with multiple other mental disorders, functional impairments, and poor quality of life. Specifically, it appears that personality may play a major role in anxiety based on preferred dispositional coping methods and presence of normal and dysfunctional personality traits. The purpose of this study was to examine associations between anxiety and personality disorder (PD) features. It was hypothesized that anxiety would have positive associations with the avoidant, dependent, obsessive-compulsive, schizotypal, paranoid, and borderline PD scales. Method: Community-dwelling older adults (N = 130) and younger adults (N = 243) completed the Geriatric Anxiety Scale (GAS) and the Coolidge Axis Two Inventory (CATI) as part of a larger assessment battery. Correlations were computed between the GAS total score and the 14 PD scales from the CATI. Results: Results showed that anxiety was significantly and positively associated with all 14 PD scales. Specifically, as expected, the schizotypal (.52), paranoid (.55), avoidant (.56), obsessive-compulsive (.60), dependent (.62), and borderline (.69) PD scales were all significantly positively associated with anxiety. The remaining 8 PD scales also showed strong, positive correlations with anxiety: sadistic (.27), antisocial (.28), schizoid (.32), histrionic (.42), narcissistic (.44), passive-aggressive (.59), self-defeating (.64), and depressive (.69). Discussion: These results indicate that anxiety and abnormal personality traits are highly associated, showing a strong comorbidity. An implication is that PDs may play a role in the development of anxiety, or vice versa. Longitudinal studies are needed to clarify temporal and causative relationships.

scholarly journals Personality disorders in later life: epidemiology, presentation and management

2020 ◽  
Vol 26 (4) ◽  
pp. 208-218
Author(s):  
Ayesha Bangash
Keyword(s):  
Older Adults ◽  
Personality Disorder ◽  
Older People ◽  
Medical Care ◽  
Personality Disorders ◽  
Late Life ◽  
Later Life ◽  
Enormous Amount ◽  
Expected Increase ◽  
Growing Population

SUMMARYDespite the enormous amount of literature on medical care of older people, personality disorders in late life have been given little attention. Clinicians tend not to assign this diagnosis to older adults in view of limited research into, and therefore limited awareness of, this topic. This article aims to promote better understanding of this subject in view of the growing population of older people and hence an expected increase in the number of personality disorder cases.

scholarly journals 542 - Development and validation of the narcissistic personality screening questionnaire (NPSQ) among Thai older adults

2021 ◽  
Vol 33 (S1) ◽  
pp. 84-85
Author(s):  
Pitchapat Chinnarasri ◽  
Tinakon Wongpakaran ◽  
Nahathai Wongpakaran
Keyword(s):  
Older Adults ◽  
Personality Disorder ◽  
Internal Consistency ◽  
Content Validity ◽  
Rasch Analysis ◽  
Screening Tool ◽  
Narcissistic Personality Disorder ◽  
Screening Questionnaire ◽  
Cronbach's Alpha ◽  
Narcissistic Personality

BackgroundA screening tool for narcissistic personality disorder (NPD) in older adults is lacking.ObjectiveThe study aimed to develop a screening tool for detecting symptoms of the NPD and to validate its psychometric properties in older adults.MethodsThis Narcissistic Personality Screening Questionnaire (NPSQ) was developed by constructing items based on DSM-5 criteria of the narcissistic personality disorder (NPD). A literature review regarding the signs and symptoms of NPD was conducted. Interview with NPD patients, the patients’ key informants, and a focus group discussion among psychiatrists, psychiatric nurses and psychiatry residents who have experience in working with patients with NPD were performed. After the items were created, the content validity index (CVI) by 1 psychologist and 1 psychiatrist was analyzed. A field trial was conducted among older adult patients visiting the psychiatry and the cardiology departments at Maharaj Nakorn Chiang Mai hospital between March and April 2021. The internal consistency using Cronbach alpha was analyzed.Item hierarchy, item difficulty, and item fit was also calculated usingRasch analysis. Qualitative information was analyzed regarding language use and time to complete the test.ResultsOriginally, a total of 80 NPSQ items with 4-Likert scales i.e., strongly agree, moderately agree, slightly agree, and disagree were generated. The CVI was 0.75-1 for item-CVI and 0.89 for scale-CVI. The NPSQ was examined among 30 Thai older adults with a mean age of 70.76 ± 6.23 years. The percent of missing items of all 80 items ranged from 2.9% to 8.9%. Cronbach’s alpha for the 80-item NPSQ wasTo determine the correlation of hippocampal volume with Mini-Mental State Examination 0.96. Rasch analysis identified 37 misfitting with a mean square > 1.50, therefore 43 items remained. Person-item map showed a good target between items and sample, even though some items may be redundant. Cronbach’s alpha for the 43-item NPSQ was 0.96. Some participants were confused about who the questions referred to, which were then revised before including it in the final draft version. Only one participant did not complete the questionnaire.ConclusionThe 43 item NPSQ shows good content validity and an excellent internal consistency among older adults. A study with a larger sample size is warranted.

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