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A evolução histórica dos conceitos de transtorno de humor e transtorno de personalidade: problemas no diagnóstico diferencial; Historical evolution of mood disorders and personality disorders concepts: difficulties in the differential diagnostic

CAMPOS, Rodolfo Nunes; CAMPOS, João Alberto de Oliveira; SANCHES, Marsal
Fonte: Faculdade de Medicina da Universidade de São Paulo Publicador: Faculdade de Medicina da Universidade de São Paulo
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
56.58%
CONTEXTO: Os conceitos de transtornos de humor e de personalidade sofreram diversas mudanças nas últimas décadas. Historicamente, esses conceitos foram construídos em paralelo, isto é, transtornos de humor e personalidade são considerados como transtornos independentes em relação ao diagnóstico, ao prognóstico e ao tratamento. Recentemente, entretanto, novas propostas na conceituação nosológica desses transtornos levantaram a questão de uma possível sobreposição dessas entidades, tornando o diagnóstico diferencial entre esses transtornos muitas vezes difícil. OBJETIVOS: Realizar uma revisão de literatura sobre a evolução dos conceitos de transtorno de humor e personalidade sob uma perspectiva histórica, focando em publicações relacionadas ao diagnóstico. MÉTODO: Revisão compreensiva da literatura utilizando o banco de dados MEDLINE (1990-2007). RESULTADOS: Ao contrário do conceito de transtorno de humor, que se apresenta estável e relativamente sem modificações desde suas primeiras descrições, o conceito de transtorno de personalidade mostra considerável variação ao longo dos diferentes achados de literatura. Assim, ambos os grupos de transtornos têm sido conceituados tanto categorial como dimensionalmente. Esta última abordagem pode ser...

Obsessive-compulsive disorder and personality disorder - Evidence from the British National Survey of Psychiatric Morbidity 2000

Torres, Albina R.; Moran, Paul; Bebbington, Paul; Brugha, Traolach; Bhugra, Dinesh; Coid, Jeremy W.; Farrell, Michael; Jenkins, Rachel; Lewis, Glyn; Meltzer, Howard; Prince, Martin
Fonte: Springer Publicador: Springer
Tipo: Artigo de Revista Científica Formato: 862-867
ENG
Relevância na Pesquisa
56.35%
Background Previous studies indicate that most individuals with obsessive-compulsive disorder (OCD) have comorbid personality disorders (PDs), particularly from the anxious cluster. However, the nature and strength of this association remains unclear, as the majority of previous studies have relied heavily on clinical populations. We analysed the prevalence of screen positive personality disorder in a representative sample of adults with OCD living in private households in the UK. Methods A secondary analysis of data from the 2000 British National Survey of Psychiatric Morbidity. The prevalence of PD, as determined by the SCID-II questionnaire, was compared in participants with OCD, with other neuroses and non-neurotic controls. Within the OCD group we also analysed possible differences relating to sex and subtypes of the disorder. Results the prevalence of any screen positive PD in the OCD group (N = 108) was 74%, significantly greater than in both control groups. The most common screen positive categories were paranoid, obsessive-compulsive, avoidant, schizoid and schizotypal. Compared to participants with other neuroses, OCD cases were more likely to screen positively for paranoid, avoidant, schizotypal, dependent and narcissistic PDs. Men with OCD were more likely to screen positively for PDs in general...

Comorbidity of obsessive-compulsive disorder and personality disorders. A Brazilian controlled study

Torres, A. Rodrigues; Del Porto, J. A.
Fonte: Universidade Estadual Paulista Publicador: Universidade Estadual Paulista
Tipo: Artigo de Revista Científica Formato: 322-329
ENG
Relevância na Pesquisa
66.45%
The aim of this study was to evaluate the presence of personality disorders (PDs) in 40 patients with obsessive-compulsive disorder (DSM-III-R criteria) from the Medical School of Botucatu (UNESP), Sao Paulo, Brazil. It is a case-control study. Patients were 24 women and 16 men, 16-68 years old, referred to our outpatient psychiatric service for treatment. Controls were 40 nonpsychiatric outpatients matched to the cases by sex, age and marital status. The instrument used was the Portuguese version of the Structured Interview for DSM-III-R Personality Disorders (SIDP-R). All interviews (n = 80) were made simultaneously by 2 raters, with independent scoring, so that the interrater reliability of the instrument could also be assessed (kappa statistics). The consensual axis II diagnoses in the OCD group were: avoidant (52.5%, κ = 0.80), dependent (40%, κ = 0.84), histrionic (20%, κ = 0.83), paranoid (20%, κ = 0.74), obsessive-compulsive (17.5%, κ = 0.86), narcissistic (7.5%, κ = 1.00), schizotypal (5%, κ = 0.65), passive-aggressive (5%, κ = 0.79) and self-defeating (5%, κ 0.55). At least one PD diagnosis was made in 70% of the patients, while only 6 controls had a PD diagnosis (p < 0.01). A great deal of diagnostic overlap was found in the OCD group (57.5% had two or more PDs)...

Validity Evidences for the Dimensional Clinical Personality Inventory in Outpatient Psychiatric Sample

Abela,Roberta Katz; Carvalho,Lucas de Francisco; Cho,Sabrina Jisun Myung; Yazigi,Latife
Fonte: Universidade de São Paulo, Faculdade de Filosofia Ciências e Letras de Ribeirão Preto Publicador: Universidade de São Paulo, Faculdade de Filosofia Ciências e Letras de Ribeirão Preto
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2015 EN
Relevância na Pesquisa
56.37%
The Dimensional Clinical Personality Inventory (IDCP) was developed in Brazil for the assessment of pathological personality traits. This study aimed to seek validity evidence for the dimensions of IDCP based on external criteria, psychiatric diagnosis. We examined the profile in IDCP of 105 psychotherapy outpatients, previously diagnosed with personality disorders. The profiles were compared with the profile of the normative non-clinical sample and we conducted the repeated measures analysis to investigate whether the IDCP is able to discriminate consistent profiles for different diagnoses and compared the general population. The results suggest validity evidence based on external criteria for the IDCP dimensions and points to the clinical effectiveness of the instrument.

DSM-IV personality disorders in Mexico: results from a general population survey

Benjet,Corina; Borges,Guilherme; Medina-Mora,Maria Elena
Fonte: Associação Brasileira de Psiquiatria - ABP Publicador: Associação Brasileira de Psiquiatria - ABP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/09/2008 EN
Relevância na Pesquisa
66.62%
OBJECTIVE: This paper reports the first population estimates of prevalence and correlates of personality disorders in the Mexican population. METHOD: Personality disorders screening questions from the International Personality Disorder Examination were administered to a representative sample of the Mexican urban adult population (n = 2,362) as part of the Mexican National Comorbidity Survey, validated with clinical evaluations conducted in the United States. A multiple imputation method was then implemented to estimate prevalence and correlates of personality disorder in the Mexican sample. RESULTS: Multiple imputation method prevalence estimates were 4.6% Cluster A, 1.6% Cluster B, 2.4% Cluster C, and 6.1% any personality disorder. All personality disorders clusters were significantly comorbid with DSM-IV Axis I disorders. One in every five persons with an Axis I disorder in Mexico is likely to have a comorbid personality disorder, and almost half of those with a personality disorder are likely to have an Axis I disorder. CONCLUSIONS: Modest associations of personality disorders with impairment and strong associations with treatment utilization were largely accounted for by Axis I comorbidity suggesting that the public health significance of personality disorders lies in their comorbidity with...

The involvement of the orbitofrontal cortex in psychiatric disorders: an update of neuroimaging findings

Jackowski,Andrea Parolin; Filho,Gerardo Maria de Araújo; Almeida,Amanda Galvão de; Araújo,Célia Maria de; Reis,Marília; Nery,Fabiana; Batista,Ilza Rosa; Silva,Ivaldo; Lacerda,Acioly L. T.
Fonte: Associação Brasileira de Psiquiatria - ABP Publicador: Associação Brasileira de Psiquiatria - ABP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2012 EN
Relevância na Pesquisa
56.49%
OBJECTIVE: To report structural and functional neuroimaging studies exploring the potential role of the orbitofrontal cortex (OFC) in the pathophysiology of the most prevalent psychiatric disorders (PD). METHOD: A non-systematic literature review was conducted by means of MEDLINE using the following terms as parameters: "orbitofrontal cortex", "schizophrenia", "bipolar disorder", "major depression", "anxiety disorders", "personality disorders" and "drug addiction". The electronic search was done up to July 2011. DISCUSSION: Structural and functional OFC abnormalities have been reported in many PD, namely schizophrenia, mood disorders, anxiety disorders, personality disorders and drug addiction. Structural magnetic resonance imaging studies have reported reduced OFC volume in patients with schizophrenia, mood disorders, PTSD, panic disorder, cluster B personality disorders and drug addiction. Furthermore, functional magnetic resonance imaging studies using cognitive paradigms have shown impaired OFC activity in all PD listed above. CONCLUSION: Neuroimaging studies have observed an important OFC involvement in a number of PD. However, future studies are clearly needed to characterize the specific role of OFC on each PD as well as understanding its role in both normal and pathological behavior...

Obsessive-compulsive (anankastic) personality disorder: toward the ICD-11 classification

Fineberg,Naomi A.; Reghunandanan,Samar; Kolli,Sangeetha; Atmaca,Murad
Fonte: Associação Brasileira de Psiquiatria - ABP Publicador: Associação Brasileira de Psiquiatria - ABP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2014 EN
Relevância na Pesquisa
56.41%
Obsessive-compulsive personality disorder (OCPD) is an early-onset disorder characterized by perfectionism, need for control, and cognitive rigidity. Its nosological status is currently under review. Historically, OCPD has been conceptualized as bearing a close relationship with obsessive-compulsive disorder (OCD). In this article, we discuss the diagnosis of OCPD in anticipation of its review for the ICD-11, from the perspective of clinical utility, global applicability, and research planning. Considering the recent establishment of an obsessive-compulsive and related disorders (OCRD) category in DSM-5, we focus on the relationship between OCPD and the disorders that are currently thought to bear a close relationship with OCD, including DSM-5 OCRD, and other compulsive disorders such as eating disorder and autistic spectrum disorder (that were not included in the DSM-5 OCRD category), as well as with the personality disorders, focusing on nosological determinants such as phenomenology, course of illness, heritability, environmental risk factors, comorbidity, neurocognitive endophenotypes, and treatment response. Based on this analysis, we attempt to draw conclusions as to its optimal placement in diagnostic systems and draw attention to key research questions that could be explored in field trials.

Personality disorders in euthymic bipolar patients: a systematic review

Bezerra-Filho,Severino; Almeida,Amanda Galvão-de; Studart,Paula; Rocha,Marlos V.; Lopes,Frederico L.; Miranda-Scippa,Ângela
Fonte: Associação Brasileira de Psiquiatria - ABP Publicador: Associação Brasileira de Psiquiatria - ABP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2015 EN
Relevância na Pesquisa
66.32%
Objective: To identify, by means of a systematic review, the frequency with which comorbid personality disorders (PDs) have been assessed in studies of euthymic bipolar patients. Methods: PubMed, ciELO and PsychINFO databases were searched for eligible articles published between 1997 and 2013. After screening 1,249 empirical papers, two independent reviewers identified three articles evaluating the frequency of PDs in patients with bipolar disorders assessed in a state of euthymia. Results: The total sample comprised 376 euthymic bipolar patients, of whom 155 (41.2%) had at least one comorbid PD. Among them, we found 87 (23.1%) in cluster B, 55 (14.6%) in cluster C, and 25 (6.6%) in cluster A. The frequencies of PD subtypes were: borderline, 38 (10.1%); histrionic, 29 (7.7%); obsessive-compulsive, 28 (7.4%); dependent, 19 (5%); narcissistic, 17 (4.5%); schizoid, schizotypal, and avoidant, 11 patients each (2.95%); paranoid, five (1.3%); and antisocial, three (0.79%). Conclusion: The frequency of comorbid PD was high across the spectrum of euthymic bipolar patients. In this population, the most common PDs were those in cluster B, and the most frequent PD subtype was borderline, followed by histrionic and obsessive-compulsive.

Personality disorders and erroneous beliefs in pathological gambling

Abdollahnejad, R.; Delfabbro, P.; Denson, L.
Fonte: Springer Verlag Publicador: Springer Verlag
Tipo: Artigo de Revista Científica
Publicado em //2015 EN
Relevância na Pesquisa
66.55%
This study investigated the extent to which pathological gambling and gambling-related erroneous beliefs are related to personality disorders and the general dysfunctional beliefs that are common to these disorders. Respondents were recruited from the general community by advertising in community newspapers in southern Australia. Participants were asked to contact the researchers and were administered a short screening telephone interview to ensure that volunteers met study criteria. A package of measures, a consent form and other related information were mailed to them for self-completion. Once this was returned, participants were again interviewed by phone to validate their responses and finalise data collection. The sample comprised 140 regular gamblers who were recruited from the general public. A variety of self- report and semi structured questionnaires were administered, including the NORC DSM-IV Screen for Gambling Problems, The 21-item PDI (Peters et al. Delusions Inventory), the PAI-BOR measure of borderline personality disorder and the Gambling Related Cognition Scale (GRCS). Pathological gambling scores were strongly related to scores on borderline personality disorder measure as well as gambling-specific belief scores. A path analysis showed that personality disorders are only weakly related to gambling-related belief after controlling for delusion-proneness. In other words...

Personality disorders and emotional variables in patients with lupus

Co??n-Mej??as, Mar??a ??ngeles; Peralta-Ram??rez, Mar??a Isabel; Callejas-Rubio, Jos?? Luis; P??rez Garc??a, Miguel
Fonte: Instituto Nacional de Psiquiatr??a Ram??n de la Fuente Mu??iz Publicador: Instituto Nacional de Psiquiatr??a Ram??n de la Fuente Mu??iz
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
56.52%
El lupus eritematoso sist??mico (LES) es una enfermedad de car??cter autoinmune que afecta principalmente a mujeres en edad f??rtil. Los s??ntomas m??s comunes de los pacientes incluyen dolor articular, erupciones cut??neas, cansancio o fatiga y dificultad en la respiraci??n. Aunque el curso de la enfermedad es cr??nico, evoluciona normalmente en forma de brotes, que se alternan con periodos de remisi??n relativa. Si bien la etiolog??a es desconocida, se sabe que existe una base gen??tica predisponente y diversos factores ambientales que pueden actuar como desencadenantes. Entre ??stos destacan la luz ultravioleta, las infecciones (especialmente virales), el embarazo y diversos f??rmacos. Adem??s, diferentes variables psicol??gicas se han relacionado con la exacerbaci??n de la enfermedad, de las cuales una de las m??s frecuentes es el estr??s. Distintos estudios han mostrado que el estr??s cotidiano produce un incremento en la sintomatolog??a l??pica. Asimismo, los pacientes con lupus padecen tambi??n diversos trastornos psiqui??tricos asociados a su enfermedad, cuya prevalencia oscila entre 20 y 66%, y se relaciona con una peor calidad de vida y una peor evoluci??n y posesi??n de antecedentes psiqui??tricos. En referencia concreta a las alteraciones de personalidad...

The prevalence of personality disorders in Portuguese male prison inmates: Implications for penitentiary treatment

Brazão, Nélio; CINEICC - Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-Comportamental, Faculdade de Psicologia e de Ciências da Educação da Universidade de Coimbra; da Motta, Carolina; Universidade dos Açores; CINEICC - Ce
Fonte: ISPA - Instituto Universitário Publicador: ISPA - Instituto Universitário
Tipo: Artigo de Revista Científica Formato: application/pdf
Publicado em 23/09/2015 POR
Relevância na Pesquisa
66.59%
Prison inmates are known to be a population with a high prevalence of mental disorders. Most of these disorders are chronic and difficult to treat, particularly in what concerns Cluster B Personality Disorders, which prevalence in forensic samples  are even higher than in the general population. This study assesses the prevalence of Personality Disorders in a sample of 294 Portuguese male prison inmates, interviewed with the Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II). The results showed a global prevalence rate of 79.9%, with 42.8% of the participants diagnosed with Antisocial Personality Disorder as the main diagnosis. Paranoid, Passive-Aggressive, Borderline, and Narcissistic Personality Disorders were the most common comorbid diagnosis associated with Antisocial Personality Disorder. These results strongly suggest that Personality Disorders should be taken into account when deciding and planning the intervention inside prison.

Massage with aromatherapy: effectiveness on anxiety of users with personality disorders in psychiatric hospitalization

Domingos,Thiago da Silva; Braga,Eliana Mara
Fonte: Universidade de São Paulo, Escola de Enfermagem Publicador: Universidade de São Paulo, Escola de Enfermagem
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2015 EN
Relevância na Pesquisa
66.38%
OBJECTIVE To investigate the effectiveness of aromatherapy massage using the essential oils (0.5%) of Lavandula angustifolia and Pelargonium graveolens for anxiety reduction in patients with personality disorders during psychiatric hospitalization. METHOD Uncontrolled clinical trial with 50 subjects submitted to six massages with aromatherapy, performed on alternate days, on the cervical and the posterior thoracic regions. Vital data (heart and respiratory rate) were collected before and after each session and an anxiety scale (Trait Anxiety Inventory-State) was applied at the beginning and end of the intervention. The results were statistically analyzed with the chi square test and paired t test. RESULTS There was a statistically significant decrease (p < 0.001) of the heart and respiratory mean rates after each intervention session, as well as in the inventory score. CONCLUSION Aromatherapy has demonstrated effectiveness in anxiety relief, considering the decrease of heart and respiratory rates in patients diagnosed with personality disorders during psychiatric hospitalization.

The Experience of Treatment of Persons Presenting with Concomitant Psychotic and Borderline Personality Disorders

Thérien, Phillip
Fonte: Université de Montréal Publicador: Université de Montréal
Tipo: Travail aux cycles supérieurs / Graduate student work
EN
Relevância na Pesquisa
56.22%
Cette étude a évalué l’expérience de traitement de 9 individus avec un trouble concomitant de personnalité limite et psychotique. Vu le peu de recherches sur l’expérience de ces personnes, l’objectif était d’explorer les Pathways to Care, les transitions entre les services et la perception général du traitement en utilisant une méthodologie qualitative. Une entrevue semi-structurée a été administrée à chaque participant. Les participants ont été référés par des psychiatres soit dans le programme de psychose ou la clinique des TPL. Les entrevues transcrites ont été codées en utilisant une procédure de codage ouvert et fermé avec le logiciel QDA Miner 3.2.3. Les participants ne dichotomisaient pas leur expérience en termes de tout-bon ou de tout-mauvais, mais donnaient plutôt des récits nuancés de leur traitement. Chaque participant a décrit plusieurs Pathways to Care qui expliquaient leur entrée dans un traitement spécifique. Seulement la coercition avait un impact négatif sur l’expérience de traitement. Plusieurs transitions ont été décrites, mais encore une fois, seules les transitions par coercition ont été vécues de manière négative. Le facteur clé dans l’expérience de traitement des participants était la relation clinicien/participant. Une relation positive permettait aux participants de faire confiance à leur clinicien et ainsi recevoir de l’aide de celui-ci. Les limites incluent un biais possible dans la procédure de recrutement et la portée réduite de l’étude. La compréhension de la perspective de ces individus peut promouvoir des meilleures expériences de traitements dans le futur.; The present study investigated the treatment experience of 9 individuals with concomitant psychotic and borderline personality disorders. Given the paucity of research on the experience of this population...

Respuesta a fluoxetina y polimorfismos del transportador de serotonina en trastorno límite de personalidad; Fluoxetine response and serotonin transporter polymorphism in borderline personality disorders

Villarroel Garrido, Juana Elizabeth; Solari I., Aldo; Iturra C., Patricia; Bustamante C., María Leonor; Jerez C., Sonia; Roa V., Natalia; Silva I., Hernán
Fonte: Universidade do Chile Publicador: Universidade do Chile
Tipo: Artículo de revista
ES
Relevância na Pesquisa
56.35%
Introduction: Impulsiveness and aggressiveness are characteristics of borderline personality disorders. Aggressive and impulsive behaviors are associated to a serotoninergic system dysfunction and are treated with selective serotonin reuptake inhibitors (SSRIs). The short (S) allele of the serotonin transporter promoter (5-HTTPR) gene is associated to a worse response to SSRI in major depression. The objective of this work is to study the anti-impulsive effect of fluoxetine and his relation with short and long alleles of 5-HTTPR gene in borderline personality disordered patients. Method: 59 patients with DSM-IV borderline personality disorder were treated with fluoxetine for 12 weeks. Impulsivity was evaluated with the Overt Aggression Scale Modified (OAS-M). Polymorphisms L and S of the 5-HTTPR gene were determined. Results: S carriers (LS and SS) had a significantly minor response on OAS-M and Aggression subscale than LL carriers. Conclusions: S allele of the 5-HTTPR gene predicts poor response to anti-impulsive effect of fluoxetine in borderline personality disorder. It is likely that multiple genes contribute to a SSRI response.; Financiamiento: Proyecto FONDECYT N° 1030305.

A evolução histórica dos conceitos de transtorno de humor e transtorno de personalidade: problemas no diagnóstico diferencial; Historical evolution of mood disorders and personality disorders concepts: difficulties in the differential diagnostic

Campos, Rodolfo Nunes; Campos, João Alberto de Oliveira; Sanches, Marsal
Fonte: Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria Publicador: Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; ; Formato: application/pdf
Publicado em 01/01/2010 POR
Relevância na Pesquisa
56.58%
CONTEXTO: Os conceitos de transtornos de humor e de personalidade sofreram diversas mudanças nas últimas décadas. Historicamente, esses conceitos foram construídos em paralelo, isto é, transtornos de humor e personalidade são considerados como transtornos independentes em relação ao diagnóstico, ao prognóstico e ao tratamento. Recentemente, entretanto, novas propostas na conceituação nosológica desses transtornos levantaram a questão de uma possível sobreposição dessas entidades, tornando o diagnóstico diferencial entre esses transtornos muitas vezes difícil. OBJETIVOS: Realizar uma revisão de literatura sobre a evolução dos conceitos de transtorno de humor e personalidade sob uma perspectiva histórica, focando em publicações relacionadas ao diagnóstico. MÉTODO: Revisão compreensiva da literatura utilizando o banco de dados MEDLINE (1990-2007). RESULTADOS: Ao contrário do conceito de transtorno de humor, que se apresenta estável e relativamente sem modificações desde suas primeiras descrições, o conceito de transtorno de personalidade mostra considerável variação ao longo dos diferentes achados de literatura. Assim, ambos os grupos de transtornos têm sido conceituados tanto categorial como dimensionalmente. Esta última abordagem pode ser...

Transtornos de personalidade em pacientes com fobia social; Personality disorders in a sample of social phobics

Barros Neto, Tito Paes de; Lotufo Neto, Francisco
Fonte: Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria Publicador: Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf
Publicado em 01/01/2006 POR
Relevância na Pesquisa
56.59%
O objetivo deste estudo foi investigar se outros transtornos de personalidade, além do transtorno de personalidade esquiva, ocorrem entre fóbicos sociais. Vinte e dois pacientes com diagnóstico de fobia social de acordo com os critérios do DSM-III-R foram avaliados através do Inventário Multifásico Minnesota de Personalidade (MMPI), da Entrevista Estruturada para Distúrbios de Personalidade do DSM-III-R (SIDP-R) e do Exame do Estado Psíquico (PSE). Catorze pacientes (64%) da amostra receberam pelo menos um diagnóstico de transtorno de personalidade - todos estes receberam o diagnóstico de transtorno de personalidade esquiva. Metade dos pacientes que recebeu o diagnóstico de transtornos de personalidade apresentou dois ou mais transtornos de personalidade. O transtorno de personalidade paranóide foi diagnosticado em seis pacientes (27%). Dez pacientes (46%), avaliados através do MMPI, apresentaram escore patológico na escala paranóia (Pa). Outros traços patológicos de personalidade foram observados nas escalas depressão (D), histeria (Hy) e introversão-extroversão (Si) do MMPI. Idéias de referência não-delirantes (IR) do PSE ocorreram em 19 pacientes. O transtorno de personalidade paranóide foi diagnosticado com freqüência maior neste estudo do que na maioria dos estudos realizados com fóbicos sociais. Isso parece ter ocorrido por sobreposição de critérios diagnósticos pouco específicos e também por auto-referência e traços paranóides de personalidade...

Transtorno de personalidade na terceira idade; Personality disorders in an elderly patient

Pereira, Fernanda Speggiorin; Aparício, Marco A. Moscoso; Felício, Jonia Lacerda; Bassitt, Débora Pastore
Fonte: Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria Publicador: Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; Formato: application/pdf
Publicado em 01/01/2007 POR
Relevância na Pesquisa
66.5%
CONTEXT: Interpersonal difficulties, affective instability, distortions of the clinician-patient relationship, and unpredictable responses to clinical interventions, are characteristics found in older adults as well as in younger patients with personality disorders. CASE REPORT: We report the case of a 68 years old patient with histrionic personality disorder and other psychiatric comorbidities. CONCLUSION: Personality disorders are frequently overlooked in the diagnostic workout of complex psychogeriatric syndromes, and require a comprehensive assessment of personality traits. The correct identification of personality disorders and their subtypes is critical for planning the therapeutic approach, including pharmacotherapy and psychological management.; CONTEXTO: Dificuldades interpessoais, instabilidade afetiva, distorções da relação médico-paciente e respostas imprevisíveis às intervenções são características centrais aos transtornos de personalidade que são encontradas tanto em pacientes jovens, como em adultos idosos. RELATO DE CASO: Encontra-se aqui descrito um caso de transtorno de personalidade em paciente de 68 anos de idade, com transtorno de personalidade do tipo histriônica e outras comorbidades psiquiátricas. CONCLUSÃO: Transtorno de personalidade é um diagnóstico raramente aventado no tratamento psiquiátrico no paciente idoso de difícil manejo. Deve-se nestes casos fazer uma investigação mais aprofundada do funcionamento da personalidade...

Exploratory and confirmatory factorial structure of the MCMI-III Personality Disorders: Overlapping versus non-overlapping scales

Cuevas,Lara; García,Luis F.; Aluja,Antón; García,Óscar
Fonte: The European Journal of Psychiatry Publicador: The European Journal of Psychiatry
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/06/2008 ENG
Relevância na Pesquisa
66.34%
Background and Objectives: The aim of this study was to explore the factorial structure of the 14 Personality Disorder (PD's) scales of the MCMI-III for the overlapping and non-overlapping scales, independently. Previous exploratory studies using different factor extraction procedures inform that the structure of MCMI-III personality disorders has between 2 and 4 factors. Methods: The present study used a large sample of 674 non-clinical subjects divided at random in two groups: a) calibration, and b) validation. In the calibration group, principal component analysis with orthogonal rotation was carried out, obtaining 2, 3 and 4 factors for the overlapping and non-overlapping scales independently. In the validation group, the three models were compared using confirmatory factorial analysis techniques. Results and Conclusions: The exploratory and confirmatory results indicate that the 4-factor solution is the most plausible. Although the congruence coefficients between non-overlapping and overlapping scales in the 4-factor solution were higher, confirmatory factor analysis showed that models designed from overlapping scales did not fit well to data.

Premorbid adjustment and previous personality in schizophrenic patients

Rodríguez Solano,José Juan; González de Chávez,Manuel
Fonte: The European Journal of Psychiatry Publicador: The European Journal of Psychiatry
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/12/2005 ENG
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Psychosocial adjustment and premorbid personality are two factors that are frequently studied in order to elucidate the etiopathogenesis of schizophrenia. Premorbid adjustment alterations and personality disorders (principally those of the schizophrenia spectrum) have been considered vulnerability elements or have been linked with the early manifestations of a disease that is still underdeveloped (hypothesis of neurodevelopment). In this paper we review the literature. We also studied the relationship between premorbid adjustment (PAS scale) and previous personality disorders (SCID-II) in a sample of 40 patients with schizophrenia (DSM-III-R, DSM-IV, CIE-10), and statistically correlated them. The results show that premorbid adjustment correlates with avoidant, schizotypal and schizoid personality disorders: the more personality pathology found, the poorer is the premorbid psychosocial adjustment. Premorbid adjustment positively correlates with histrionic personality traits. The pathological traits of schizotypal and schizoid personalities account for up to 77% of the variance of the total premorbid adjustment in schizophrenic patients. Conclusion: The degrees of premorbid adjustment in schizophrenia are related to the different premorbid personality disorders of schizophrenic patients...

The prevalence of personality disorders in Portuguese male prison inmates: Implications for penitentiary treatment

Brazão,Nélio; Motta,Carolina da; Rijo,Daniel; Pinto-Gouveia,José
Fonte: Instituto Superior de Psicologia Aplicada Publicador: Instituto Superior de Psicologia Aplicada
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/09/2015 EN
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Prison inmates are known to be a population with a high prevalence of mental disorders. Most of these disorders are chronic and difficult to treat, particularly in what concerns Cluster B Personality Disorders, which prevalence in forensic samples are even higher than in the general population. This study assesses the prevalence of Personality Disorders in a sample of 294 Portuguese male prison inmates, interviewed with the Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II). The results showed a global prevalence rate of 79.9%, with 42.8% of the participants diagnosed with Antisocial Personality Disorder as the main diagnosis. Paranoid, Passive-Aggressive, Borderline, and Narcissistic Personality Disorders were the most common comorbid diagnosis associated with Antisocial Personality Disorder. These results strongly suggest that Personality Disorders should be taken into account when deciding and planning the intervention inside prison.