Functional Impairment in Personality Disorders

Nakao, Kazuhisa; Gunderson, John G.; Phillips, Katharine A.; Tanaka, Norio; Yorifuji, Kazuhiro; Takaishi, Jyo; Nishimura, Tsuyoshi

doi:10.1521/pedi.1992.6.1.24

Cited by 87 publications

(58 citation statements)

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“…According to these authors, "maladaptivity does appear to be related to the extent to which one is introverted, extraverted, agreeable, or antagonistic," although "each dimension of personality will not have the same degree of implications for maladaptivity" and the relationship of a certain dimension with maladaptivity "might be more unipolar than bipolar," meaning, for instance, that high levels of Neuroticism are usually found to be more maladaptive than low levels (Widiger & Costa, 1994, pp.84-85). Indeed, as we have seen in the study by Nakao et al (1992), significant impairments in social, occupational, or other important areas of functioning were found to be related to (an indirect measure of) trait extremity. Although these findings are not in agreement with Livesley's conviction that a personality disorder diagnosis can only be made after securing ourselves that certain trait-independent criteria are met, we are certainly not forced to conclude that the type of maladaptive functioning that is described by must now be regarded simply not of importance in clinical assessment and diagnosis.…”

Section: Discussionsupporting

confidence: 69%

“…With respect to the second kind of discontinuity, a study by Nakao, Gunderson, Phillips, Tanaka, Yorifuji, Takaishi, & Nashimura (1992) is of interest. In this study the authors found that functional impairment, measured by the DSM-III-R Global Assessment of Functioning Scale (GAF), followed a continuous distribution with lower scores (indicating impairment) for patients who met thresholds for personality disorder than it was for patients without a personality disorder diagnosis.…”

Section: Dirk Van Kampen Phdmentioning

confidence: 99%

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The DAPP-BQ in the Netherlands: Factor Structure and Relationship with Basic Personality Dimensions

Kampen¹

2002

Journal of Personality Disorders

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Section: Discussionsupporting

confidence: 69%

Section: Dirk Van Kampen Phdmentioning

confidence: 99%

The DAPP-BQ in the Netherlands: Factor Structure and Relationship with Basic Personality Dimensions

Kampen¹

2002

Journal of Personality Disorders

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“…Research suggests that patients with any PD are more functionally impaired than those without a PD [2]. Recent research has documented that individuals with BPD exhibit considerable functional impairment in relation to other diagnoses.…”

Section: Introductionmentioning

confidence: 99%

Psychosocial impairment and treatment utilization by patients with borderline personality disorder, other personality disorders, mood and anxiety disorders, and a healthy comparison group

Ansell

Sanislow

McGlashan

et al. 2007

Comprehensive Psychiatry

125

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This study compared psychosocial functioning and treatment utilization in 130 participants who were diagnosed with a borderline personality disorder (BPD), a non-BPD personality disorder (OPD), a mood and/or anxiety disorder (MAD), or had no current psychiatric diagnosis and served as a healthy comparison group. Diagnostic and Statistical Manual of Mental Disorders (4th Edition) diagnoses, psychosocial functioning, and treatment utilization were determined by using well-established semistructured research interviews conducted by trained doctoral-level clinicians. Analysis of variance revealed the most severe deficits in functioning characterized the BPD group across areas of global functioning with more moderate impairments in functioning occurring in OPD and MAD groups. The BPD group was characterized by significantly greater psychiatric and nonpsychiatric treatment utilization than the other groups. These findings indicate that BPD as well as other personality disorders are a source of considerable psychologic distress and functional impairment equivalent to, and at times exceeding, the distress found in mood and anxiety disorders. The public health impact of BPD diagnosis is highlighted by the high rates of psychiatric and nonpsychiatric treatment utilization. D

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“…The features comprising borderline personality are considered as one of the most detrimental combinations to live with (Nakao et al, 1992). It is therefore important to examine the problems of individuals with borderline personality features to gain a comprehensive understanding of their problem areas.…”

Section: According To Both the Diagnostic And Statistical Manual For mentioning

confidence: 99%

Mindfulness skills in individuals with borderline personality features: Roles of impulsivity and rejection sensitivity

Emiral-Coskun¹,

Egeci²

2017

GJPR

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The current s tudy explores whether mindfulness mediates the rela tionships between borderline pers onality fea tures and the fa cets of i mpulsi vi ty a nd borderline personality features and rejection sensiti vi ty. The sample consisted of 419 i ndividuals aged between 20 and 39 (M = 26.24, SD = 4.67). Da ta were collected using the Borderline Personali ty Inventory, Mi ndful Attention Awa reness Scale, Urgency, Premedi ta tion, Perseverance, and Sensation-Seeking Impulsi vi ty Scale, and rejection sensiti vi ty ques tionnaire. Mediation anal ysis of the da ta was conducted using the PROCESS ma cro of Ha yes . It was found that mi ndfulness pa rtiall y media tes the relationship between borderline personali ty fea tures and urgency (N = (419) R 2 = (0.22), F = (120.67), p < 0.001), a nd borderline personality fea tures and sensation-seeking fa cets of i mpulsi ve beha viours (N = (419) R 2 = (0.08), F = (36.62), p < 0.001). The study's findings a re dis cussed in rela tion to the exis ting litera ture.Keywords : Borderline personali ty features, mindfulness , i mpulsi vi ty, rejection sensiti vi ty.

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Functional Impairment in Personality Disorders

Cited by 87 publications

References 1 publication

The DAPP-BQ in the Netherlands: Factor Structure and Relationship with Basic Personality Dimensions

The DAPP-BQ in the Netherlands: Factor Structure and Relationship with Basic Personality Dimensions

Psychosocial impairment and treatment utilization by patients with borderline personality disorder, other personality disorders, mood and anxiety disorders, and a healthy comparison group

Mindfulness skills in individuals with borderline personality features: Roles of impulsivity and rejection sensitivity

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