Personality disorder traits, maladaptive schemas, modes and coping styles in participants with complex dissociative disorders, borderline personality disorder and avoidant personality disorder

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2023-08-10 DOI:10.1002/cpp.2892

Robin P. A. van der Linde, Rafaële J. C. Huntjens, Nathan Bachrach, Marleen M. Rijkeboer

{"title":"Personality disorder traits, maladaptive schemas, modes and coping styles in participants with complex dissociative disorders, borderline personality disorder and avoidant personality disorder","authors":"Robin P. A. van der Linde, Rafaële J. C. Huntjens, Nathan Bachrach, Marleen M. Rijkeboer","doi":"10.1002/cpp.2892","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>The schema mode model offers a new conceptualisation of complex dissociative disorders (CDD) as it explains shifts between identities as shifts between schema modes. Furthermore, in this model CDD is conceived as personality pathology, incorporating core features of personality disorders. This study tested the assumptions of this schema mode model of CDD.</p>\n </section>\n \n <section>\n \n <h3> Method</h3>\n \n <p>Questionnaires measuring personality disorder traits, schemas, schema modes and coping styles were filled out by patients with CDD, borderline personality disorder and avoidant personality disorder (<i>N</i> = 210), and their scores on the various constructs were compared.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Participants with CDD were characterised by specific schizoid, schizotypal, borderline and avoidant personality traits and early maladaptive schemas in the domains of disconnection and rejection and over-vigilance and inhibition. The most pronounced schema modes were the dysfunctional parent modes, avoidant coping modes and the vulnerable child mode. For coping styles, no differences were found between the diagnostic groups.</p>\n </section>\n \n <section>\n \n <h3> Conclusion and discussion</h3>\n \n <p>On all outcome measures participants with CDD scored at the level of personality disorders and showed a unique pattern different from participants with borderline and avoidant personality disorder. This suggests that CDD shows features akin to a personality disorder. A clinical implication is that an adapted form of schema therapy might present a viable treatment option for CDD.</p>\n </section>\n </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"30 6","pages":"1234-1245"},"PeriodicalIF":3.2000,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.2892","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical psychology & psychotherapy","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/cpp.2892","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 1

Abstract

Objective

The schema mode model offers a new conceptualisation of complex dissociative disorders (CDD) as it explains shifts between identities as shifts between schema modes. Furthermore, in this model CDD is conceived as personality pathology, incorporating core features of personality disorders. This study tested the assumptions of this schema mode model of CDD.

Method

Questionnaires measuring personality disorder traits, schemas, schema modes and coping styles were filled out by patients with CDD, borderline personality disorder and avoidant personality disorder (N = 210), and their scores on the various constructs were compared.

Results

Participants with CDD were characterised by specific schizoid, schizotypal, borderline and avoidant personality traits and early maladaptive schemas in the domains of disconnection and rejection and over-vigilance and inhibition. The most pronounced schema modes were the dysfunctional parent modes, avoidant coping modes and the vulnerable child mode. For coping styles, no differences were found between the diagnostic groups.

Conclusion and discussion

On all outcome measures participants with CDD scored at the level of personality disorders and showed a unique pattern different from participants with borderline and avoidant personality disorder. This suggests that CDD shows features akin to a personality disorder. A clinical implication is that an adapted form of schema therapy might present a viable treatment option for CDD.

Abstract Image

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

患有复杂分离障碍、边缘型人格障碍和回避型人格障碍的参与者的人格障碍特征、适应不良模式、模式和应对方式。

目的：图式模式模型为复杂分离障碍（CDD）提供了一种新的概念，因为它将身份之间的转换解释为图式模式之间的转换。此外，在这一模式中，CDD 被视为人格病理学，包含了人格障碍的核心特征。本研究对 CDD 模式模型的假设进行了检验：方法：CDD、边缘型人格障碍和回避型人格障碍患者（210 人）填写了测量人格障碍特质、图式、图式模式和应对方式的调查问卷，并比较了他们在不同建构上的得分：结果：CDD 患者具有特定的精神分裂型、分裂型、边缘型和回避型人格特征，以及在断裂和拒绝、过度警觉和抑制等领域的早期适应不良模式。最明显的模式是功能失调型父母模式、回避型应对模式和脆弱型儿童模式。在应对方式方面，各诊断组之间没有发现差异：在所有结果测量中，CDD患者的得分都达到了人格障碍的水平，并表现出不同于边缘型人格障碍和回避型人格障碍患者的独特模式。这表明 CDD 表现出类似于人格障碍的特征。其临床意义在于，经过调整的图式疗法可能是 CDD 的一种可行治疗方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.