Is low affect consciousness related to the severity of psychopathology? A cross-sectional study of patients with avoidant and borderline personality disorder

Normann-Eide, Eivind; Johansen, Merete Selsbakk; Normann-Eide, Tone; Egeland, Jens; Wilberg, Theresa

doi:10.1016/j.comppsych.2012.07.003

Cited by 15 publications

(22 citation statements)

References 33 publications

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“…Previous studies on this topic refer mainly to interpersonal problems as assessed by IIP (Lech et al, 2008;Nicolò et al, 2011;Normann-Eide et al, 2013;Solbakken, Hansen, Havik, & Monsen, 2011). The present study extends these results by applying the outcome measure SIPP-118, which uses a different conceptualization of relational functioning, comprising central PD aspects such as capacity for intimacy, enduring relationships, and ability to feel recognition from others.…”

Section: Relational Capacitiessupporting

confidence: 55%

Relationship Between Affect Consciousness and Personality Functioning in Patients With Personality Disorders: A Prospective Study

Johansen¹,

Normann-Eide²,

Normann-Eide³

et al. 2016

Journal of Personality Disorders

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Emotional dysfunction is by definition central to personality disorders (PDs). In the alternative model in DSM-5, self and relational dysfunctioning constitutes the core of PD, but little is known about the relation between emotional functioning and such core aspects of personality functioning. This study investigated concurrent and prospective associations between emotional and personality functioning as assessed by affect consciousness (AC) and the Severity Indices of Personality Problems (SIPP-118), respectively. The SIPP-118 comprises five domains of personality functioning, including Identity Integration and Relation Capacities, and was applied repeatedly during 3-year follow-up of 63 PD patients who participated in a treatment study. Statistical analyses were based on linear mixed models. Lower AC levels were significantly associated with (a) lower levels of Identity Integration and Relational Capacities at baseline, and (b) poorer long-term improvement of Identity Integration. The study supports the notion that affect consciousness is related to core aspects of personality functioning.

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Section: Relational Capacitiessupporting

confidence: 55%

Relationship Between Affect Consciousness and Personality Functioning in Patients With Personality Disorders: A Prospective Study

Johansen¹,

Normann-Eide²,

Normann-Eide³

et al. 2016

Journal of Personality Disorders

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“…In a previous study of the present sample, we found that lower levels of AC were associated with more interpersonal and self-esteem problems when measured cross-sectionally at two points of time, while there was no significant association between AC and general symptom distress [ 46 ]. The present study is an extension of our previous study and aimed to analyze changes in AC and its association with clinical status.…”

Section: Introductionmentioning

confidence: 69%

“…The second main finding of the present study was how clinical status at follow-up were related to the improvement in AC. Cross-sectional studies on AC have reported an association between the level of AC and severity of the psychopathology, i.e., self-esteem and interpersonal problems [ 35 , 44 – 46 ]. The present results complement these studies, and to our knowledge this is the first study to report that improved AC is related to follow-up measures of self-relatedness and interpersonal function, which are some of the core markers of maladaptive personality functioning.…”

Section: Discussionmentioning

confidence: 99%

Personality Disorder and Changes in Affect Consciousness: A 3-Year Follow-Up Study of Patients with Avoidant and Borderline Personality Disorder

et al. 2015

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Personality disorders (PDs) are highly prevalent in patients receiving psychiatric services, and are associated with significant personal and social costs. Over the past two decades, an increasing number of treatment studies have documented the effectiveness of treatment for patients with PDs, especially when it comes to reduction of symptom distress, risk taking behavior, self-harm, or suicide attempts. However, less is known about the more complex aims of improving the personality structure itself, such as identity- and interpersonal disturbances. Emotional dysfunction is closely associated with PD pathology. The present study investigated changes in affect consciousness (AC) in patients with avoidant or borderline PD, and how these changes were associated with clinical status after 3 years of follow-up. The study included 52 individuals; 79 percent were females, and mean age was 30 years. The evaluations included the Affect Consciousness Interview, Symptom Checklist-90-R, Circumplex of Interpersonal Problems, the Index of Self-Esteem, and three domains (Identity Integration, Relational Capacities, and Self-Control) of the Severity Indices of Personality Problems (SIPP-118). There was a significant increase in the Global AC and AC scores for most of the specific affects from baseline to follow-up. As the present study did not include a control group, it cannot be concluded that changes in AC are effects of psychotherapy, and the possibility of age-related maturation processes cannot be excluded. The change in Global AC contributed significantly to explained variance in the follow-up levels of Circumplex of Interpersonal Problems, and the two SIPP-118 domains Relational Capacities and Identity Integration. Improved AC was not associated with change in the Self-Control domain or the Global Severity Index of Symptom Checklist-90-R. The results suggest that AC may be altered for patients with borderline and avoidant PDs, and this is the first study to report that improvement in AC contribute significantly to the variance in the self- and interpersonal domains of personality functioning.

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“…Consciousness construct and assessed by use of the semi-structured Affect Consciousness Interview (Monsen, Monsen, Hansen, & Solbakken, 2008). Numerous studies have indicated the usefulness of this conceptualization at both clinical and theoretical levels (e.g., Monsen, Ødegård, & Melgård, 1989;Monsen et al, 1996;Monsen & Monsen, 1999;McCullough Vaillant, 1997;Falkenström, Solbakken, Möller, Lech, Sandell, & Holmqvist, 2014;Gude, Monsen, & Hoffart, 2001;Normann-Eide, Johansen, Normann-Eide, Egeland, & Wilberg, 2013;Waller & Scheidt, 2004;Holmqvist, 2008;Lech, Andersson, & Holmqvist, 2008;Choi-Kain & Gunderson, 2008;Solbakken et al, 2011b;Solbakken et al, 2012;Taarvig, Solbakken, Grova, & Monsen, 2014).…”

Section: Affect Integration Has Been Commonly Operationalized Throughmentioning

confidence: 99%

Tell me how you feel and I will tell you who you are: First validation of the affect integration inventory

et al. 2017

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Is low affect consciousness related to the severity of psychopathology? A cross-sectional study of patients with avoidant and borderline personality disorder

Cited by 15 publications

References 33 publications

Relationship Between Affect Consciousness and Personality Functioning in Patients With Personality Disorders: A Prospective Study

Relationship Between Affect Consciousness and Personality Functioning in Patients With Personality Disorders: A Prospective Study

Personality Disorder and Changes in Affect Consciousness: A 3-Year Follow-Up Study of Patients with Avoidant and Borderline Personality Disorder

Tell me how you feel and I will tell you who you are: First validation of the affect integration inventory

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