Eating Disorders

Cambridge University Press eBooks, Год журнала: 2025, Номер unknown, С. 247 - 259

Опубликована: Янв. 2, 2025

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Trauma-Informed Forensic Mental Health Assessment of Plaintiffs Alleging Harms from Childhood Abuse

Опубликована: Янв. 1, 2025

Язык: Английский

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Assessment of Personality Functioning Across Immigrant Groups– Measurement Invariance and Its Association with Mental Distress in a German Population-Based Sample

Journal of Personality Assessment, Год журнала: 2025, Номер unknown, С. 1 - 12

Опубликована: Фев. 3, 2025

Despite the growing body of research on self-report measures personality functioning, tests measurement invariance in immigrant samples have mostly been neglected. The present study aimed to fill this gap by testing OPD-Structure Questionnaire (OPD-SQS) across groups and evaluating association between functioning mental distress. Methods: Based representative population Germany comprising N = 6,999 participants, factor structure OPD-SQS different (1st generation immigrants, 2nd non-immigrants) were examined. Associations distress depending immigration status investigated using multiple linear regression. Confirmatory analysis showed an acceptable good model fit proposed three-factor for all groups. Furthermore, was strictly invariant regression a strong, positive impairment can be assumed invariant. Hence, provides valid economic screening tool that applied immigrants' health.

Язык: Английский

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Personality Functioning in Inpatients With Eating Disorders: Association With Symptom Severity and Treatment Outcome

European Eating Disorders Review, Год журнала: 2025, Номер unknown

Опубликована: Фев. 17, 2025

Impairment in personality functioning (PF) has been linked to a number of mental disorders, including eating disorders (EDs). However, the precise relationship between PF and symptom severity, as well potential impact on outcome, remains unclear. The study aimed analyse association its change with severity ED symptomatology outcome hospital treatment. sample consisted 397 patients EDs, treated 19 university hospitals for Psychosomatic Medicine Psychotherapy Germany 1/2019 12/2020. was measured Structure Questionnaire Operationalised Psychodynamic Diagnosis (OPD-SQ, short version), psychopathology examination questionnaire (EDE-Q). Outcome defined EDE-Q total score. We used Latent Change Score Modelling changes pathology during treatment 1-year follow-up period. A higher level impairment at admission correlated more less favourable outcome. Additionally, greater improvement improvements discharge. needs be part diagnostic assessments should considered an important target psychotherapeutic interventions. MEPP registered German Clinical Trials Register (DRKS, www.drks.de; ID: DRKS00016412).

Язык: Английский

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Unravelling inter‐relations within and between psychodynamic constructs and psychopathology using network analysis

Personality and Mental Health, Год журнала: 2024, Номер 18(4), С. 323 - 338

Опубликована: Июнь 17, 2024

Abstarct Psychodynamic constructs and psychopathology are closely inter‐related, but more detailed insight is needed. We investigated these complex inter‐relations using network analysis. A Gaussian graphical model in a sample of N = 2232 psychotherapeutic inpatients was estimated. Self‐administered questionnaires to assess interpersonal relations (Inventory Interpersonal Problems‐32), psychodynamic conflicts (Operationalized Diagnosis–Conflict Questionnaire), personality functioning Diagnosis–Structure Questionnaire‐Short Form, Inventory Personality Organization‐Short Form), (Brief Symptom Inventory) were utilized. the structure, identified most inter‐related with strongest psychopathology, explored clustering all included constructs. Active passive conflict processing modes negatively conflicts. Passive strongly related than active ones conflicts, apart from care versus autarky conflict. Identity diffusion shared within The that impairments self‐perception self‐worth Psychopathology formed distinct clusters. Our results emphasize relevance relation psychopathology.

Язык: Английский

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From symptoms to subjective and bodily experiences: the contribution of the Psychodynamic Diagnostic Manual (PDM-2) to diagnosis and treatment monitoring in eating disorders

Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity, Год журнала: 2023, Номер 28(1)

Опубликована: Март 30, 2023

Abstract Purpose Atheoretical and descriptive conceptualizations of eating disorders (EDs) have faced substantial criticism due to their limited ability assess patients’ subjective characteristics experiences, as needed determine the most appropriate treatment options. The present article provides an overview clinical empirical literature supporting potential contribution Psychodynamic Diagnostic Manual (PDM-2) both diagnostic assessment monitoring. Methods Following a discussion relevant shortcomings current models EDs description rationale structure PDM-2, evidence core PDM-2 dimensions ED experiences (i.e., affective states, cognitive processes, relational patterns, somatic/bodily states) are examined, alongside relevance diagnosis treatment. Results Overall, reviewed studies support importance these patterns in EDs, highlighting role either predisposing or maintaining factors target psychotherapy. A growing body multidisciplinary also shows that bodily somatic central management patients. Moreover, there is PDM-based may enable closer monitoring patient progress during treatment, with regard symptom patterns. Conclusions study suggests frameworks for would benefit from addition person-centered perspective considers not only symptoms, but full range functioning—including deep surface-level emotional, cognitive, interpersonal, social patterns—to improve patient-tailored interventions. Level V, narrative review.

Язык: Английский

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Attachment style to body dissatisfaction, restrained eating, and disordered eating in adolescent girls: Differential weight communication mediators

Appetite, Год журнала: 2024, Номер 198, С. 107321 - 107321

Опубликована: Март 28, 2024

Язык: Английский

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Improvement of personality functioning among people treated within personality disorder mental health services. A longitudinal, observational study

Frontiers in Psychiatry, Год журнала: 2023, Номер 14

Опубликована: Май 9, 2023

Evidence-based personality disorder (PD) treatments are dominated by interventions targeting Borderline PD, although clinical populations characteristically include different PD features and severity. Personality functioning is a new concept intended to capture common across PDs. This study aimed investigate longitudinal improvement of in sample assigned treatment.An observational, large, patients on specialist mental health service levels (N = 1,051). DSM-5 PDs were systematically assessed referral. was repeatedly (LPFS-BF-2.0), supplemented symptom distress (anxiety: PHQ-GAD-7, depression: PHQ-9), social/occupational activity (WSAS, work/study activity). Statistics linear mixed models.Thirty per cent had difficulties below threshold. Among PDs, 31% (BPD), 39% Avoidant (AvPD), 15% not otherwise specified, other 24% > one PD. More severe initial LPFS-BF associated with younger age, presence increasing number total criteria. Across conditions, LPFS-BF, PHQ-9 GAD-7 improved significantly (overall effect size 0.9). Mean duration treatment 15 (SD 9) months. Drop-out rates low (12%). improvement-rates higher for BPD. Younger age moderately slower improvement. Work/study initially poor, poorer AvPD non-significant conditions. WSAS improvement-rates.Personality The results highlight BPD improvements. points challenges concerning treatment, poor occupational age-related differences.

Язык: Английский

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Measuring Change in Attachment Insecurity Using Short Forms of the ECR-R: Longitudinal Measurement Invariance and Sensitivity to Treatment

Journal of Personality Assessment, Год журнала: 2023, Номер 106(2), С. 218 - 229

Опубликована: Июль 26, 2023

AbstractAttachment insecurity is important for psychotherapy both as an aspect influencing the therapeutic process well potential outcome variable of a treatment. Two German short forms Experiences in Close Relationships – Revised (ECR-R) have been proposed to assess individual differences attachment anxiety and avoidance. In this research, we examined whether these questionnaires are suitable measuring change avoidance by testing longitudinal measurement invariance two independent clinical samples (N1 = 493, N2 273) using pre-post design. Results indicated that strict can be assumed measures. Thus, changes scale scores before after treatment interpreted latent dimensions Both were also sensitive was overall reduced therapy. Although measures appear generally investigating effects, they exhibited consistent problems with structural validity across should reexamined future research. Data availability statementThe data support findings study available from corresponding author, [SM], upon reasonable request.Notes1 Whereas Ehrenthal et al. (Citation2021) relied on WLSMV estimator CFA modeling forms, MLR present facilitated its more established guidelines. addition, inspection, results largely similar between suggested same general conclusions.

Язык: Английский

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Unravelling the Longitudinal Relations Between Developmental Milestones, General Psychopathology, and Personality Functioning in a Youth Clinical Sample

Journal of Youth and Adolescence, Год журнала: 2024, Номер 53(8), С. 1887 - 1902

Опубликована: Март 18, 2024

Abstract Personality functioning, general psychopathology, and developmental milestones achievement are critical domains in the field of young people’s mental health; however, no prior research has considered these variables jointly or examined temporal dynamics between them. To fill gaps, present study aimed to investigate longitudinal associations above constructs a clinical sample Dutch youth. 525 outpatients (72.5% women; age range: 12–26 years, M = 18.8 ± 2.83) diagnosed with different psychological difficulties were recruited from specialized health care services The Netherlands. They completed self-report measures assessing personality psychopathological symptoms, youth-specific milestones. Data collected on three occasions within year modelled using Cross-Lagged Panel Model approach. levels dysfunction, found fluctuate one wave other. dysfunction psychopathology positively interrelated at each time point, while both negatively associated achievement. Importantly, achieving predicted worsening functioning 6 months later. This result would suggest that precedes supporting importance interventions promoting age-adequate

Язык: Английский

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