The Diagnosis of Personality Disorder With a Modified Version of the SCID-II in A Spanish Clinical Sample

Gómez-Beneyto, Manuel; Villar, Mariano; Renovell, Mercedes; Pérez, Francisco Javier Sedano; Hernández, Manuel; Leal, C.; Cuquerella, Miguel; Slok, Concepción; Asencio, A. P.

doi:10.1521/pedi.1994.8.2.104

Cited by 52 publications

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“…Patients were included if they met DSM-IV criteria for BPD according to two semi-structured diagnostic interviews, the Spanish validated versions of both the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV) Axis II Disorders (SCID-II) [29] and the Revised Diagnostic Interview for Borderlines (DIB-R) [30]. Comorbidity with axis I disorders was allowed, but patients had to be stable from these pathologies at the time of inclusion.…”

Section: Participantsmentioning

confidence: 99%

“…• Structured clinical interview for DSM-IV axis II personality disorders (SCID-II) [29]: semi-structured interview to assess personality disorders according to DSM-IV criteria. The Spanish version has good discrimination between axis II personality disorders, as well as good reliability between raters as indicated by an overall kappa of 0.85.…”

Section: Assessment Instrumentsmentioning

confidence: 99%

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The role of hypothalamus–pituitary–adrenal genes and childhood trauma in borderline personality disorder

Martín-Blanco

Ferrer

Soler

et al. 2015

Eur Arch Psychiatry Clin Neurosci

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Current knowledge suggests that borderline personality disorder (BPD) results from the interaction between genetic and environmental factors. Research has mainly focused on monoaminergic genetic variants and their modulation by traumatic events, especially those occurring during childhood. However, to the best of our knowledge, there are no studies on the genetics of hypothalamus-pituitary-adrenal (HPA) axis, despite its vulnerability to early stress and its involvement in BPD pathogenesis. The aim of this study was to investigate the contribution of genetic variants in the HPA axis and to explore the modulating effect of childhood trauma in a large sample of BPD patients and controls. DNA was obtained from a sample of 481 subjects with BPD and 442 controls. Case-control differences in allelic frequencies of 47 polymorphisms in 10 HPA axis genes were analysed. Modulation of genetic associations by the presence of childhood trauma was also investigated by dividing the sample into three groups: BPD with trauma, BPD without trauma and controls. Two FKBP5 polymorphisms (rs4713902-C and rs9470079-A) showed significant associations with BPD. There were also associations between BPD and haplotype combinations of the genes FKBP5 and CRHR1. Two FKBP5 alleles (rs3798347-T and rs10947563-A) were more frequent in BPD subjects with history of physical abuse and emotional neglect and two CRHR2 variants (rs4722999-C and rs12701020-C) in BPD subjects with sexual and physical abuse. Our findings suggest a contribution of HPA axis genetic variants to BPD pathogenesis and reinforce the hypothesis of the modulating effect of childhood trauma in the development of this disorder.

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Section: Participantsmentioning

confidence: 99%

Section: Assessment Instrumentsmentioning

confidence: 99%

The role of hypothalamus–pituitary–adrenal genes and childhood trauma in borderline personality disorder

Martín-Blanco

Ferrer

Soler

et al. 2015

Eur Arch Psychiatry Clin Neurosci

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“…Para la valoración de los trastornos de personalidad se empleó la versión española de la SCID-II (Gómez-Beneyto, Villar, Renovell, Pérez, Hernández, Cuquerella, et al, 1994), cumplimentando los trastornos: histriónico, narcisista, límite y antisocial junto con el trastorno pasivo-agresivo de la personalidad o trastorno negativista de la personalidad que se incluyó por razones teóricas. Dado que la relación entre algunos trastornos de personalidad y el consumo de sustancias estimulantes e ilegales es difícil de evaluar tal como requiere el SCID-II a la hora de determinar "…un patrón estable y de larga duración que se remonte a la adolescencia o al principio de la edad adulta…no debido a los efectos directos de una sustancia", tal como recomienda el manual en estos casos, se utilizó como criterio de "verdadero" la presencia de un patrón frecuente durante los últimos cinco años.…”

Section: Entrevista Clínica Estructurada Para Los Trastornos De La Peunclassified

Validez de la versión española de la Hypersensitive Narcissism Scale (HSNS) en una Unidad de Conductas Adictivas

2010

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Introduction. Narcissistic personality is an important component of personality disorders which are prevalent in those presenting drug abuse or dependence. Assessment instruments usually consider self-esteem, narcissism and covert narcissism, but although Spanish versions of instruments for self-esteem and narcissism are available, there is no available test for covert narcissism. Objective. To test the validity of the Spanish version of the Hypersensitive Narcissism Scale (HSNS) in individuals presenting drug abuse or dependence. Method. In a sample of 79 outpatients, we assessed reliability by means of Cronbach's alpha and the intraclass correlation coefficient (ICC), construct validity through factor analysis, and concurrent validity by means of the correlation between the HSNS and measures of severity, disability, self-esteem, grandiose narcissism and personality disorders. Results. Reliability of the HSNS total scale score was satisfactory (Cronbach's alpha = 0,73, ICC = 0,67), though some items would require further consideration. Factor analysis showed good construct validity with three factors compatible with the theory of covert narcissism. With regard to concurrent validity, covert narcissism (HSNS) correlated positively with open narcissism, severity and disability due to drug use, and negatively with self-esteem. Highest scores on the HSNS corresponded to borderline, narcissistic and passive-aggressive personality disorders. Conclusions. The Spanish version of the HSNS could be a valid instrument for the assessment of covert narcissism in those treated for drug abuse or dependence.Key words: narcissism, covert narcissism, HSNS, personality disorders, drug abuse. RESUMEN ABSTRACTIntroducción. La personalidad narcisista representa un componente importante de los trastornos de personalidad en los sujetos con abuso o dependencia de drogas y aunque existen validaciones de instrumentos de evaluación de narcisismo manifiesto y autoestima, no se ha validado hasta ahora ninguna prueba de valoración del narcisismo hipersensible en lengua española. Objetivo. Comprobar la validez de la versión española de la escala de narcisismo encubierto Hypersensitive Narcissism Scale (HSNS) en la población indicada. Método. En una muestra de 79 pacientes se evaluó la fiabilidad mediante el alfa de Cronbach y el coeficiente de correlación intraclase (CCIC), la validez de constructo mediante análisis factorial, y la validez concurrente mediante la correlación de la HSNS con medidas de gravedad, discapacidad, autoestima, narcisismo manifiesto o trastornos de personalidad. Resultados. La fiabilidad de la puntuación total de la escala resultó satisfactoria (alfa de Cronbach = 0,73; CCIC = 0,67), aunque algunos ítems precisarán su reconsideración. El análisis factorial mostró buena validez de constructo mediante tres factores compatibles con la teoría. Respecto a la validez concurrente, el narcisismo encubierto (HSNS) se correlacionó positivamente con el narcisismo manifiesto, la gravedad y la discapacidad debidas al consumo de dr...

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“…Para el diagnóstico de los trastornos de personalidad se empleó la versión española de la SCID-II (Gómez-Beneyto, Villar, Renovell, Pérez, Hernández, Cuquerella, et al, 1994). Se cumplimentaron los trastornos de personalidad en los que el rasgo de narcisismo manifiesto o el de narcisismo hipersensible presentan mayor intensidad contribuyendo significativamente a su constructo (Horowitz, 2004;Ronningstam, 2005): histriónico, narcisista, límite, antisocial y trastorno pasivo-agresivo de la personalidad.…”

Section: Entrevista Clínica Estructurada Para Los Trastornos De Launclassified

Narcisismo manifiesto, narcisismo encubierto y trastornos de personalidad en una Unidad de Conductas Adictivas: validez predictiva de respuesta a tratamiento

2010

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Introduction. Although a high prevalence of personality disorders has been reported in substance users, the literature on their value for predicting treatment response is controversial. On the other hand, while the predictive validity of personality traits as predictors of response to drug abuse or dependence has been studied, research on the validity of narcissistic personality traits is scarce. Objectives. To study the predictive value of personality disorders, narcissistic personality traits and selfesteem for predicting treatment response. Method. We assessed 78 patients attended at an addiction treatment unit using personality disorder diagnoses and measures of self-esteem, narcissism and covert (hypersensitive) narcissism. These variables were used in a Cox survival model as predictive variables of time to relapse into drug use. Results. Hypersensitive (covert) narcissism and borderline and passive-aggressive personality disorders were risk factors for relapse into drug use, while open narcissism was a protective factor. Self-esteem did not show predictive validity. Conclusions. Personality disorders characterized by impulsivity-instability and passivity-resentfulness show higher risk of relapse into drug abuse. Personality traits characterized by high sensitivity to humiliation increase the risk of relapse, whereas pride and self-confidence are protective factors. RESUMEN ABSTRACTIntroducción. Aunque se ha estudiado ampliamente la prevalencia de los trastornos de personalidad en la población de usuarios de drogas, la literatura sobre su valor predictivo para el tratamiento es controvertida. Por otro lado, respecto a los rasgos de personalidad, aunque también se ha estudiado su valor predictivo para el tratamiento, son escasos los estudios sobre la validez de los rasgos de personalidad narcisista. Objetivos. Estudiar el valor predictivo de los trastornos de personalidad y de rasgos de personalidad relacionados con el narcisismo y la autoestima en la respuesta a tratamiento de abuso de drogas. Método. Se entrevistaron 78 pacientes atendidos en una Unidad de Conductas Adictivas evaluando la existencia de trastorno de personalidad así como medidas de autoestima, narcisismo y narcisismo encubierto (hipersensible). Estas variables se emplearon como predictoras de recaída en el consumo de la droga principal en un modelo de supervivencia de regresión de Cox. Resultados. Los diagnósticos de trastorno Límite y Pasivo-agresivo de la personalidad así como el narcisismo hipersensible (encubierto) presentaron mayor riesgo de recaídas mientras que el narcisismo manifiesto presentó un carácter protector. La autoestima no mostró valor predictivo. Conclusiones. Respecto a los trastornos de personalidad, los pacientes caracterizados por la impulsividadinestabilidad y la pasividad-resentimiento presentan mayor riesgo de recaída durante el tratamiento. Respecto a los rasgos de personalidad, la sensibilidad excesiva a la humillación supone un factor de riesgo de recaída mientras que el orgullo y la confianza en sí mismo supon...

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The Diagnosis of Personality Disorder With a Modified Version of the SCID-II in A Spanish Clinical Sample

Cited by 52 publications

References 0 publications

The role of hypothalamus–pituitary–adrenal genes and childhood trauma in borderline personality disorder

The role of hypothalamus–pituitary–adrenal genes and childhood trauma in borderline personality disorder

Validez de la versión española de la Hypersensitive Narcissism Scale (HSNS) en una Unidad de Conductas Adictivas

Narcisismo manifiesto, narcisismo encubierto y trastornos de personalidad en una Unidad de Conductas Adictivas: validez predictiva de respuesta a tratamiento

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