Journal articles: 'Histrionic personality disorder'

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Nalini, R., and S. Panneerselvam. "Histrionic Personality Disorder." International Journal of Advances in Nursing Management 6, no. 4 (2018): 329. http://dx.doi.org/10.5958/2454-2652.2018.00075.6.

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Rubino, I. Alex, Anna Saya, and Bianca Pezzarossa. "Percept-Genetic Signs of Repression in Histrionic Personality Disorder." Perceptual and Motor Skills 74, no. 2 (April 1992): 451–64. http://dx.doi.org/10.2466/pms.1992.74.2.451.

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Several types of perceptual distortions of two anxiety-arousing visual stimuli are coded as repression in the Defense Mechanism Test, a tachistoscopic, percept-genetic technique. Given the well-established correspondence between hysteria and repression, the study included a clinical validation of these variants of repression against the diagnosis of histrionic personality disorder. 41 subjects with evidence of this disorder on the Millon Clinical Multiaxial Inventory-II were compared with 41 nonhistrionic controls. Significantly more histrionics were coded for the type of repression in which the threatening figure is transformed into a harmless object (code 1:42), while animal- and statue-repressions, when combined (codes 1:1 and 1:2), were significantly more characteristic of the nonhistrionic group. As an unpredicted finding, significantly more histrionic subjects employed defensive strategies, currently coded as reaction formations (code 4:). Histrionic subjects without concomitant compulsive features were coded more frequently for introaggression (code 6:) compared both with nonhistrionic controls and with histrionic-compulsive subjects. The findings are discussed within the context of the available percept-genetic literature. It is suggested that the Defense Mechanism Test may be further employed to objectify and investigate the defense mechanisms of the DSM-III—R disorders.

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Trifu, Simona, Elena-Alexandra Neacșa, Ștefania-Elena Neagoe, and Andreea-Simina Ojică. "HISTRIONIC IMMATURE PERSONALITY DISORDER." International Journal of Research -GRANTHAALAYAH 9, no. 3 (April 8, 2021): 241–47. http://dx.doi.org/10.29121/granthaalayah.v9.i3.2021.3801.

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Background: We aim at presenting a clinical case of a 37-year-old patient, who has been a nun for several years and at the moment can no longer adapt to the environment in which she lives and to the requirements of everyday life. The perspective of this analysis is both a psychiatric one, explaining the diagnosis of Axis II of Histrionic Immature Personality Disorder, but also the overlap with dissociative conversion disorder, and explanatory from a psychodynamic perspective, by addressing the regression issues and the presence of the Oedipus Complex. Histrionic Immature Personality Disorder and its overlap with Dissociative/Conversion Disorder are conditions with negative effects in terms of adaptation to the social environment and assuming professional responsibilities. Also, the particularities in the sphere of immaturity make it difficult to relate to those around. Method: Hospitalization, psychiatric interview, psychodynamic interview, psychological tests - CAQ Personality Questionnaire and the Szondi Test, psychodynamic interpretations. Results: The results highlight aspects of an immature premorbid personality, characterized by a high degree of sensitivity. Currently, the patient's ego is fragile and cannot adapt to the emotional meanings in the environment in which she lives, which leads to functional crises and manifestations such as dissociative fugue. Conclusions: Dissociative manifestations are associated with immaturity and reduced ability to adapt to professional requirements. On a personal level, the same immaturity leads to the denial of one's sexuality and projection.

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Perezhogin, L. O., and O. V. Rasponomareva. "Pathomorphosis of histrionic personality disorder." European Psychiatry 17 (May 2002): 166. http://dx.doi.org/10.1016/s0924-9338(02)80720-9.

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Karterud, Sigmund. "Carmen: histrionic personality disorder and psychotherapy." Personality and Mental Health 4, no. 2 (April 23, 2010): 153–57. http://dx.doi.org/10.1002/pmh.125.

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Kjolbye, Morten. "Carmen: histrionic personality disorder and psychotherapy." Personality and Mental Health 4, no. 2 (April 23, 2010): 158–60. http://dx.doi.org/10.1002/pmh.126.

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Fernández, Sergio Valdivieso. "Carmen: histrionic personality disorder and psychotherapy." Personality and Mental Health 4, no. 2 (May 2010): 146–52. http://dx.doi.org/10.1002/pmh.124.

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Ronningstam, Elsa. "Carmen: histrionic personality disorder and psychotherapy." Personality and Mental Health 4, no. 2 (May 2010): 161–62. http://dx.doi.org/10.1002/pmh.127.

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Unchae Jeong. "Histrionic Epic as the Depth Cause of Histrionic Personality Disorder." Classical Literature and Education ll, no. 21 (February 2011): 199–233. http://dx.doi.org/10.17319/cle.2011..21.199.

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Hörz-Sagstetter, Susanne, Diana Diamond, John F. Clarkin, Kenneth N. Levy, Michael Rentrop, Melitta Fischer-Kern, Nicole M. Cain, and Stephan Doering. "Clinical Characteristics of Comorbid Narcissistic Personality Disorder in Patients With Borderline Personality Disorder." Journal of Personality Disorders 32, no. 4 (August 2018): 562–75. http://dx.doi.org/10.1521/pedi_2017_31_306.

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This study examines psychopathology and clinical characteristics of patients with borderline personality disorder (BPD) and comorbid narcissistic personality disorder (NPD) from two international randomized controlled trials. From a combined sample of 188 patients with BPD, 25 also fulfilled criteria for a comorbid diagnosis of NPD according to DSM-IV. The BPD patients with comorbid NPD, compared to the BPD patients without comorbid NPD, showed significantly more BPD criteria (M = 7.44 vs. M = 6.55, p < .001), fulfilled more criteria of comorbid histrionic (M = 3.84 vs. M = 1.98, p < .001), paranoid (M = 3.12 vs. M = 2.27, p = .014), and schizotypal (M = 1.64 vs. M = 1.02, p = .018) personality disorders, and were more likely to meet criteria for full histrionic PD diagnosis (44.0% vs. 14.2%, p < .001). The BPD-NPD group also reported significantly fewer psychiatric hospitalizations in the previous year (M = 0.40 vs. M = 0.82, p = .019) and fewer axis I disorders (M = 2.68 vs. M = 3.75, p = .033). No differences could be found in general functioning, self-harming behavior, and suicide attempts.

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Carvalho, Lucas De Francisco, Catarina Sette, and Cláudio G. Capitão. "Investigation of the clinical functioning of the Attention Seeking of the Dimensional Clinical Personality Inventory." PSICOLOGIA 30, no. 1 (June 25, 2016): 49–60. http://dx.doi.org/10.17575/rpsicol.v30i1.1072.

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The aim of this study was to investigate the clinical functioning of one of the dimensions of the Dimensional Clinical Personality Inventory (IDCP), Attention Seeking, and to establish a cutoff considering the diagnosis of histrionic personality disorder, whose pathological characteristics are directly related to this dimension. The IDCP was applied to 1954 participants (62.20% women), between 18 and 90 years (M = 29.30, SD = 11.38), divided into three groups: patients with histrionic personality disorders (n = 14), patients with other personality disorders (n = 168), and those without diagnoses (n = 1772). The parameters of items and persons were estimated by the rating scale model, and reliability measures were generated, as well as the item-person map and map of items, ANOVA for comparison between groups, and ROC curve. The results suggest suitability of the Attention Seek dimension in clinical functioning; however, problems that seem inherent to the histrionic personality disorder were reflected in the setting of the dimension.

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Morrison, James. "Histrionic Personality Disorder in Women with Somatization Disorder." Psychosomatics 30, no. 4 (November 1989): 433–37. http://dx.doi.org/10.1016/s0033-3182(89)72250-7.

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Shao, Xu, Chu Wang, Chanchan Shen, Yanli Jia, and Wei Wang. "Nightmare experience and personality disorder functioning styles in healthy volunteers and nightmare disorder patients." Bulletin of the Menninger Clinic 84, no. 3 (September 2020): 278–94. http://dx.doi.org/10.1521/bumc.2020.84.3.278.

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Nightmares are prevalent in psychiatric disorders, and personality disorder features might be associated with nightmare experience, especially in nightmare disorder patients. The authors invited 219 healthy volunteers and 118 nightmare disorder patients to undergo tests of the Nightmare Experience Questionnaire (NEQ), the Parker Personality Measure (PERM), and the Plutchik-van Praag Depression Inventory. Compared to healthy volunteers, nightmare disorder patients scored significantly higher on annual nightmare frequency and NEQ Physical Effect, Negative Emotion, Meaning Interpretation, and Horrible Stimulation, and higher on PERM Paranoid, Schizotypal, Borderline, Histrionic, Narcissistic, Avoidant, and Dependent styles. Borderline, Schizotypal, and Passive-Aggressive styles in healthy volunteers and Dependent, Avoidant, Histrionic, and Paranoid in patients were significant predictors of some NEQ scales. Higher annual nightmare frequency, higher scale scores of nightmare experience and personality disorder styles, and more associations between the two were found in nightmare disorder patients, implying the need for personality-adjustment therapy for nightmare disorder.

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Popova, G. A. "Gender Identity Disorder Arising as a Part of Nonpsychotic Forms of Endogenous Diseases and Personality Disorders (Clinical and Psychopathological Aspects)." Psychiatry 18, no. 2 (July 22, 2020): 13–20. http://dx.doi.org/10.30629/2618-6667-2020-18-2-13-20.

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Purpose: psychopathological differentiation of gender identity disorder (GID) that occurs as part of depressive episode; creating a typology for developing diagnostic and prognostic criteria. Material and methods: 63 patients (46 women and 17 men) who applied to the FSBRI MHRC from 2016 to 2019 were examined by a clinical psychopathological method. All patients were diagnosed with a depression being part of schizotypal disorder or histrionic personality disorder or mixed histrionic and schizoid personality disorder. Results: Clinical and psychopathological analysis of gender identity disorder occurring as a part of depressive episode showed its heterogeneity, varying severity, as well as a diverse relationship with other psychopathological disorders, which required an in-depth and detailed study. We have identified the following typological varieties: type 1 — GID as a part of depersonalization disorders, type 2 — GID as a part of dysmorphophobic disorders, type 3 — GID as a part of histrionic disorders. Conclusions: The obtained results give us the opportunity to suggest that the diagnosis of the disease, in which the gender identity disorder is detected, can help predict its further course and possible outcomes.

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Stern, Julian, Michael Murphy, and Christopher Bass. "Personality Disorders in Patients with Somatisation Disorder." British Journal of Psychiatry 163, no. 6 (December 1993): 785–89. http://dx.doi.org/10.1192/bjp.163.6.785.

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Twenty-five women with somatisation disorder (SD) were compared with matched patient controls for the presence of personality disorders. Personality was assessed with the Personality Assessment Schedule (PAS). Interviewers were unaware of the patients' diagnoses. All controls had DSM–III–R axis I diagnoses of depressive or anxiety disorders. The prevalence of personality disorders among patients with somatisation disorder was 72% compared with 36% among controls. Certain personality disorders, including passive–dependent, histrionic, and sensitive–aggressive, occurred significantly more often in the SD patients than controls.

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AlaviHejazi, Minasadat, Maryam Fatehizade, Fatemeh Bahrami, and Ozra Etemadi. "Histrionic Women in Iran: A Qualitative Study of the Couple Interactive Pathology of the Women with Symptoms of Histrionic Personality Disorder (HPD)." Review of European Studies 9, no. 1 (December 14, 2016): 18. http://dx.doi.org/10.5539/res.v9n1p18.

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A variety of factors contribute to causes the couple’s vulnerabilities, including the personality traits that affect the couple’s healthy relationships. This study mainly aims to identify the couple’s vulnerabilities, notably women, with symptoms of the histrionic personality disorder. This is a qualitative study with a content analysis approach. The data collection process consists of 17 semi-structured interviews with the therapists, men with histrionic spouses, and the women with histrionic personality disorder, and using the related literature. The sampling process started purposefully and continued until data saturation. The data analysis led to the extraction of three categories including functional vulnerabilities, relationship vulnerabilities, and emotional vulnerabilities. Findings showed that personality traits of a histrionic woman dramatically affect the obvious individual behaviors and interpersonal relationships including couple’s relationships.

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Rienzi, Beth M., and David J. Scrams. "Gender Stereotypes for Paranoid, Antisocial, Compulsive, Dependent, and Histrionic Personality Disorders." Psychological Reports 69, no. 3 (December 1991): 976–78. http://dx.doi.org/10.2466/pr0.1991.69.3.976.

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To assess similarity between gender-role stereotypes and the personality disorder prototypes, university students (31 women and 13 men) were asked to assign gender to six descriptions of DSM-III—R personality disorders. Significant agreement was found in gender assignment for five of the six descriptions. Descriptions of the paranoid, antisocial, and compulsive personality disorders were viewed as male, and descriptions of the dependent and histrionic personality disorders were viewed as female. The description of schizoid personality disorder was not significantly gender-typed.

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Nestadt, G., A. J. Romanoski, R. Chahal, A. Merchant, M. F. Folstein, E. M. Gruenberg, and P. R. McHugh. "An epidemiological study of histrionic personality disorder." Psychological Medicine 20, no. 2 (May 1990): 413–22. http://dx.doi.org/10.1017/s0033291700017724.

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SynopsisIn conjunction with the Epidemiological Catchment Area (ECA) survey conducted in Baltimore, MD, a two-stage probability sample of community subjects was developed with a full psychiatric examination employing DSM-III criteria. This report details the observations on those subjects diagnosed with the DSM-III diagnosis Histrionic Personality Disorder. The results indicate that this condition can be diagnosed reliably and that it is a valid construct. It has a prevalence of 2·1 % in a general population. Males and females are equally affected, suggesting that prior reports of an increased prevalence in females was an expression of ascertainment bias found in hospital-based studies. The diagnosis is associated with clear evidence of disturbance in the emotional, behavioural, and social realms. Individuals with this disorder tend to use health care facilities more frequently than others.

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Cooper, S. A., and R. A. Collacott. "Histrionic personality disorder as pseudo-learning disability." Journal of Intellectual Disability Research 39, no. 5 (October 1995): 450–53. http://dx.doi.org/10.1111/j.1365-2788.1995.tb00551.x.

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Hellwig, Sabine, Petra Dykierek, Bernhard Hellwig, Stefan Zwernemann, and Philipp T. Meyer. "Alzheimer's disease camouflaged by histrionic personality disorder." Neurocase 18, no. 1 (February 2012): 75–79. http://dx.doi.org/10.1080/13554794.2011.556125.

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Blagov, Pavel S., and Drew Westen. "Questioning the Coherence of Histrionic Personality Disorder." Journal of Nervous and Mental Disease 196, no. 11 (November 2008): 785–97. http://dx.doi.org/10.1097/nmd.0b013e31818b502d.

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Cale, Ellison M., and Scott O. Lilienfeld. "Histrionic Personality Disorder and Antisocial Personality Disorder: Sex-Differentiated Manifestations of Psychopathy?" Journal of Personality Disorders 16, no. 1 (February 2002): 52–72. http://dx.doi.org/10.1521/pedi.16.1.52.22557.

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HONG, JIN PYO, JACK SAMUELS, O. JOSEPH BIENVENU, FANG-CHI HSU, WILLIAM W. EATON, PAUL T. COSTA, and GERALD NESTADT. "The longitudinal relationship between personality disorder dimensions and global functioning in a community-residing population." Psychological Medicine 35, no. 6 (July 28, 2004): 891–95. http://dx.doi.org/10.1017/s0033291704003174.

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Background. Little is known about the long-term outcome of personality disorder traits. The purpose of this study was to investigate, in a community-residing population, the longitudinal relationship between psychiatrist-assessed personality disorder scores and global functioning 13–18 years later.Method. A stratified random sample of residents of east Baltimore were examined by psychiatrists in 1981 and asssessed for DSM-III personality disorders using a semi-structured instrument, the Standardized Psychiatric Examination. A total of 292 persons were re-examined by different psychiatrists during 1994–1999 using the Schedules for the Assessment of Neuropsychiatry (SCAN). After completion of the SCAN, the subjects' functional status was evaluated using the Global Assessment of Functioning (GAF). The relationships between personality dimensions and follow-up GAF scores were evaluated using linear regression models.Results. All of the personality disorder scales measured in 1981 were inversely related to functioning 13–18 years later, with the exception of narcissistic and compulsive scales. After controlling for Axis I disorders diagnosed contemporaneously with GAF assessment, schizoid, antisocial, borderline, histrionic, and avoidant personality disorder scores significantly predicted GAF scores.Conclusions. Most dimensions of DSM-III personality disorder traits were significantly associated with global functioning after an interval of 15 years. However, only schizoid, antisocial, borderline, histrionic, and avoidant personality disorder traits had long-term effects on functioning when Axis I disorders at follow-up were controlled. This suggests that the functional effect of the other personality disorder traits may be mediated through their relationship with Axis I disorders. Future research is needed using more specific and sensitive outcome measures.

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GABBARD, GLEN O. "Hysterical Personality Style and the Histrionic Personality Disorder, revised ed." American Journal of Psychiatry 150, no. 7 (July 1993): 1120–21. http://dx.doi.org/10.1176/ajp.150.7.1120.

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Birnbaum, Jack. "A Replacement Therapy for the Histrionic Personality Disorder." Transactional Analysis Journal 17, no. 2 (April 1987): 24–28. http://dx.doi.org/10.1177/036215378701700205.

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Vasile, D., O. Vasiliu, G. Grigorescu, A. G. Mangalagiu, D. G. Ojog, and V. Bogdan. "Incidence of axis I and axis II dual diagnosis in hospitalised patients with somatization disorder." European Psychiatry 26, S2 (March 2011): 1575. http://dx.doi.org/10.1016/s0924-9338(11)73279-5.

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IntroductionSomatization disorder is frequently associated in epidemiologic trials with depressive, anxiety, other somatoform or substance related disorders, as well as with personality disorders. An examination of psychiatric comorbidity in patients diagnosed with somatization disorder is strongly advised due to the impact of these associated conditions over the prognosis and treatment.ObjectiveTo establish the incidence of psychiatric dual diagnosis in hospitalized patients with somatization disorder.MethodsA group of 37 patients, 22 female and 15 male, mean age 45.9, were evaluated using Structured Clinical Interview for DSM Axis I (SCID-I) and Axis II (SCID-II) disorders at the admission in our department for a diagnosis of somatization disorder. All patients included in this trial were known with somatization disorder for at least one year prior to this admission.ResultsPatients diagnosed with somatization disorder presented mostly depressive disorders (46%, n = 17), anxiety disorders (37.8%, n = 14), substance related disorders (16.2%, n = 6) and personality disorders (67.5%, n = 25). A more detailed analysis on axis I established major depressive disorder as the most frequent diagnosis (37.8%, n = 14), followed by panic disorder (27%, n = 10) and alcohol dependence (13.5%, n = 5), while on axis II the histrionic (21.6%, n = 8) and obsessive-compulsive (19%, n = 7) personality disorders were the most frequently associated conditions. A number of 21 patients presented at least three axis I and/or II simultaneous diagnosis (64.8%).ConclusionThe most frequently comorbidities in somatization disorder are major depressive disorder and panic disorder on axis I, as well as histrionic and obsessive-compulsive personality disorder on axis II.

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Hamlat, Elissa J., Jami F. Young, and Benjamin L. Hankin. "Developmental Course of Personality Disorder Traits in Childhood and Adolescence." Journal of Personality Disorders 34, Supplement B (September 2020): 25–43. http://dx.doi.org/10.1521/pedi_2019_33_433.

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Developmental patterns of personality pathology traits are not well delineated from childhood through late adolescence. In the present study, participants (N = 675, 56% female) were recruited to create three cohorts of third (n = 205), sixth (n = 248), and ninth (n = 222) graders to form an accelerated longitudinal cohort design. We assessed six PD (avoidant, dependent, histrionic, narcissistic, borderline, schizotypal) traits based on DSM-IV trait diagnostic conceptualizations via parent report at baseline, 18 months, and 36 months. According to parent report, mean levels of avoidant, dependent, histrionic, narcissistic, borderline, and schizotypal traits all declined for both boys and girls. The changes in dependent and histrionic traits were of medium effect size, and the changes in avoidant, narcissistic, borderline, and schizotypal traits were of small effect size. Over the 3 years of the study, the traits of each PD also demonstrated moderate to high rank-order stability.

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Arruda, Mariana Gianola, Ana Sofia Trillo, Vivian Paulin Correia, Aline Romão da Silva, and Sonia Maria Motta Palma. "Histrionic personality disorder and conversion disorder: case report in an adolescent." Revista Debates em Psiquiatria Ano 7 (June 15, 2017): 39–42. http://dx.doi.org/10.25118/2236-918x-7-3-6.

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O transtorno de personalidade histriônica é caracterizado por autodramatização, teatralidade e expressão exagerada de emoções, labilidade emocional, comportamentos inadequados, sexualmente provocadores ou sedutores. Já os transtornos dissociativos/conversivos caracterizam-se pela perda parcial ou completa da integração normal entre as memórias do passado, a consciência de identidade, as sensações imediatas e o controle dos movimentos corporais. Este estudo relata o caso de uma adolescente de 14 anos de idade, do sexo feminino, diagnosticada com quadro de transtorno dissociativo. Os autores descrevem o manejo do caso e discutem aspectos relevantes.

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Gadisov, T. G., and A. A. Tkachenko. "Comparison of categorical and dimensional approaches to the diagnosis of personality disorders." V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY, no. 4 (December 17, 2020): 15–25. http://dx.doi.org/10.31363/2313-7053-2020-4-15-25.

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Summary. Objective: A comparative study of the personality structure from the perspective the Five-factor personality model (“Big Five”) in mentally healthy and in people with personality disorders depending on the leading radical determined by the clinical method.Materials and methods: a comparative study of personality structures in the mentally healthy (13 people) and in individuals with personality disorders (47 people) was carried out. To assess the personality structure, the NEO-Five Factor Inventory questionnaire was used. Persons with personality disorders were divided into groups in accordance with the leading radical: 24 — with emotionally unstable; 13 — with a histrionic; 6 — with schizoid; 4 — with paranoid radicals.Results: There were no differences in the values of the domains of the Five-Factor personality model between a group of individuals with personality disorders and the norm. The features of domain indicators of the Five-factor personality model were revealed in individuals with personality disorder depending on theradical.Conclusion: The NEO-Five Factor Inventory questionnaire, like most other tools from the perspective of the Five-Factor Model, is not suitable for assessing a person in terms of assigning it to variants of a mental disorder. When comparing the categorical and dimensional approaches to assessing the structure of personality disorders, it was found that the obligate personality traits identified using the categorical approach are fully reflected in the «Big Five» in individuals with a leading schizoid radical. The relations of obligate personal traits with the domains of the Five-factor model of personality in individuals with other (paranoid, histrionic,and emotionally unstable) radicals are less clear.

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Candel, Octav Sorin. "Review on the Present Condition of Histrionic Personality Disorder." Bulletin of Integrative Psychiatry 25, no. 3 (September 11, 2019): 39–44. http://dx.doi.org/10.36219/bpi.2019.03.03.

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ÁLVAREZ RAMÍREZ, LEONARDO YOVANY. "CHARACTERIZATION OF IRRATIONAL BELIEFS RELATED TO HISTRIONIC PERSONALITY DISORDER." psicogente 17, no. 31 (January 1, 2014): 143–54. http://dx.doi.org/10.17081/psico.17.31.427.

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Blais, Mark A., and Mark J. Hilsenroth. "Rorschach Correlates of the DSM-IV Histrionic Personality Disorder." Journal of Personality Assessment 70, no. 2 (April 1998): 355–64. http://dx.doi.org/10.1207/s15327752jpa7002_12.

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Barzega, G., G. Maina, S. Venturello, and F. Bogetto. "Gender-related distribution of personality disorders in a sample of patients with panic disorder." European Psychiatry 16, no. 3 (April 2001): 173–79. http://dx.doi.org/10.1016/s0924-9338(01)00560-0.

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SummaryObjectiveWe examined gender differences in the frequency of DSM-IV personality disorder diagnoses in a sample of patients with a diagnosis of panic disorder (PD).MethodOne hundred and eighty-four outpatients with a principal diagnosis of PD (DSM-IV) were enrolled. All patients were evaluated with a semi-structured interview to collect demographic and clinical data and to generate Axis I and Axis II diagnoses in accordance with DSM-IV criteria.ResultsMales were significantly more likely than females to meet diagnoses for schizoid and borderline personality disorder. Compared to males, females predominated in histrionic and cluster C diagnoses, particularly dependent personality disorder diagnoses. A significant interaction was found between female sex and agoraphobia on personality disorder (PD) distribution.ConclusionsMale PD patients seem to be characterized by more severe personality disorders, while female PD patients, particularly with co-morbid agoraphobia, have higher co-morbidity rates with personality disorders belonging to the ‘anxious-fearful cluster’.

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Sinha, Birendra K., and David C. Watson. "Hostility and Personality Disorder." Imagination, Cognition and Personality 25, no. 1 (September 2005): 45–57. http://dx.doi.org/10.2190/bvqv-t26m-2wq3-fdf5.

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The role of hostility in personality disorder (Pd) traits was explored using the Buss-Durkee Hostility Inventory. Stepwise multiple regression analyses were conducted to ascertain the relative contributions of the eight hostility scales. The criterion variables were the personality disorder scales of the Millon Clinical Multiaxial Inventory. The participants were 158 first year male and female university students. The results show that Resentment (covert hostility) explains large proportions of variances in borderline, avoidant, schizotypal, passive-aggressive, obsessive-compulsive, and schizoid disorder traits. Verbal hostility (overt hostility) is associated with antisocial, histrionic, and narcissistic Pd traits. Suspiciousness contributes relatively large variances in paranoid disorder traits, whereas guilt is the dominant aspect of dependent Pd traits. The results are explained with reference to the agreeableness versus antagonism facets of the Five-Factor model of personality and Beck's schema construct.

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Cohen, Bruce J., Gerald Nestadt, Jack F. Samuels, Alan J. Romanoski, Paul R. McHugh, and Peter V. Rabins. "Personality Disorder in Later Life: A Community Study." British Journal of Psychiatry 165, no. 4 (October 1994): 493–99. http://dx.doi.org/10.1192/bjp.165.4.493.

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BackgroundThis exploratory study compares the prevalence of personality disorders and traits in people over and under 55 years of age. The comorbidity between personality and other psychiatric disorders is also examined.MethodPsychiatrists examined 810 subjects in a two-stage community survey. The semi-structured Standardized Psychiatric Examination was used to diagnose all DSM-III personality disorders and other psychiatric disorders.ResultsThe older subjects were significantly less likely than the younger subjects to have any personality disorder (6.6% v. 10.5%; relative odds = 0.42, 95% confidence interval = 0.25–0.70, P<0.001). Antisocial and histrionic personality disorders were much less prevalent in the older than younger subjects (P < 0.05). The older subjects also had significantly fewer maladaptive personality traits (x2 = 88.9, d.f. = 3, P < 0.001). The patterns of comorbidity between personality disorders and other psychiatric disorders were different in the two age groups.ConclusionsIt is important to evaluate personality in patients of all ages. While some older patients no longer meet criteria for personality disorder, maladaptive traits may become evident during times of stress.

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Messer, Stanley. "Review of Hysterical Personality Style and the Histrionic Personality Disorder (rev. ed.)." Contemporary Psychology: A Journal of Reviews 37, no. 7 (July 1992): 716. http://dx.doi.org/10.1037/032386.

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Shafiee-Kandjani, Ali Reza, Shahrokh Amiri, Asghar Arfaie, Azadeh Ahmadi, and Mahmoud Farvareshi. "Relationship between Personality Profiles and Suicide Attempt via Medicine Poisoning among Hospitalized Patients: A Case-Control Study." International Scholarly Research Notices 2014 (November 20, 2014): 1–7. http://dx.doi.org/10.1155/2014/675480.

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Objectives. Inflexible personality traits play an important role in the development of maladaptive behaviors among patients who attempt suicide. This study was conducted to investigate the relationship between personality profiles and suicide attempt via medicine poisoning among the patients hospitalized in a public hospital. Materials and Methods. Fifty-nine patients who attempted suicide for the first time and hospitalized in the poisoning ward were selected as the experimental group. Sixty-three patients hospitalized in the other wards for a variety of reasons were selected as the adjusted control group. Millon Clinical Multiaxial Personality Inventory, 3rd version (MCMI-III) was used to assess the personality profiles. Results. The majority of the suicide attempters were low-level graduates (67.8% versus 47.1%, OR = 2.36). 79.7% of the suicide attempters were suffering from at least one maladaptive personality profile. The most common maladaptive personality profiles among the suicide attempters were depressive personality disorder (40.7%) and histrionic personality disorder (32.2%). Among the syndromes the most common ones were anxiety clinical syndrome (23.7%) and major depression (23.7%). Conclusion. Major depression clinical syndrome, histrionic personality disorder, anxiety clinical syndrome, and depressive personality disorder are among the predicators of first suicide attempts for the patients hospitalized in the public hospital due to the medicine poisoning.

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Park, Emma C., Glenn Waller, and Kenneth Gannon. "Early Improvement in Eating Attitudes during Cognitive Behavioural Therapy for Eating Disorders: The Impact of Personality Disorder Cognitions." Behavioural and Cognitive Psychotherapy 42, no. 2 (February 1, 2013): 224–37. http://dx.doi.org/10.1017/s1352465812001117.

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Background: The personality disorders are commonly comorbid with the eating disorders. Personality disorder pathology is often suggested to impair the treatment of axis 1 disorders, including the eating disorders. Aims: This study examined whether personality disorder cognitions reduce the impact of cognitive behavioural therapy (CBT) for eating disorders, in terms of treatment dropout and change in eating disorder attitudes in the early stages of treatment. Method: Participants were individuals with a diagnosed eating disorder, presenting for individual outpatient CBT. They completed measures of personality disorder cognitions and eating disorder attitudes at sessions one and six of CBT. Drop-out rates prior to session six were recorded. Results: CBT had a relatively rapid onset of action, with a significant reduction in eating disorder attitudes over the first six sessions. Eating disorder attitudes were most strongly associated with cognitions related to anxiety-based personality disorders (avoidant, obsessive-compulsive and dependent). Individuals who dropped out of treatment prematurely had significantly higher levels of dependent personality disorder cognitions than those who remained in treatment. For those who remained in treatment, higher levels of avoidant, histrionic and borderline personality disorder cognitions were associated with a greater change in global eating disorder attitudes. Conclusions: CBT's action and retention of patients might be improved by consideration of such personality disorder cognitions when formulating and treating the eating disorders.

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Savci, Mustafa, Mark D. Griffiths, and Ferda Aysan. "Development and Validation of the Online Histrionic Personality Scale (OHPS) Using the DSM-5 Criteria for Histrionic Personality Disorder." Journal of Technology in Behavioral Science 5, no. 4 (June 8, 2020): 367–77. http://dx.doi.org/10.1007/s41347-020-00144-9.

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Hollander, E., and J. Rosen. "Impulsivity." Journal of Psychopharmacology 14, no. 2_suppl1 (March 2000): S39—S44. http://dx.doi.org/10.1177/02698811000142s106.

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Disorders characterized by impulsivity include disorders of impulse control (intermittent explosive disorder, pyromania, kleptomania, pathological gambling and trichotillomania), paraphilias, sexual impulsions and sexual addictions and impulsive aggression personality disorders (borderline, antisocial, histrionic and narcissistic personality disorders). Impulsivity has a substantial impact on both individuals and society. Impulse control disorders may be conceptualized as a subset of the obsessive-compulsive spectrum. In this article, we examine the genetic and neurobiological aetiology of these disorders and possible treatment options. The link between serotonergic dysfunction and the pathophysiology of impulsivity is discussed, and studies that examine the efficacy of various selective serotonin reuptake inhibitors and other alternatives in the treatment of impulsive disorders such as pathological gambling, sexual addictions and borderline personality disorder are presented.

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Kim, Soo-Jung, Chun-Gil Ryu, A.-Ram Cho, Joo-Hee Seo, Ji-Na Kim, Woo-Yong Sung, and Jang-Ho Park. "A Case Report of a Somatization Disorder Patient with Histrionic Personality Disorder." Journal of Oriental Neuropsychiatry 23, no. 2 (June 30, 2012): 85–98. http://dx.doi.org/10.7231/jon.2012.23.2.085.

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Taylor, Jeanette, Mark Reeves, Lisa James, and Leonardo Bobadilla. "Disinhibitory trait profile and its relation to Cluster B personality disorder features and substance use problems." European Journal of Personality 20, no. 4 (June 2006): 271–84. http://dx.doi.org/10.1002/per.585.

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Certain personality and motivational traits may present vulnerability towards disinhibitory psychopathology (e.g. antisocial personality disorder, substance abuse). Cluster analysis was used to separately group 306 women and 274 men on impulsivity, Constraint, Negative Emotionality, behavioural activation system (BAS), and behavioural inhibition system (BIS) scores. As expected, a ‘disinhibited’ group with low Constraint, high impulsivity, weak BIS, and strong BAS emerged that showed elevated drug use problems, and histrionic and antisocial personality disorder features across gender. A ‘high affectivity’ group with high Negative Emotionality and strong BIS also showed elevated drug use problems and personality disorder features. Results suggested that two different trait profiles are associated with disinhibitory psychopathology and both may present vulnerability toward the development of such disorders. Copyright © 2006 John Wiley & Sons, Ltd.

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Prisco, V., T. Iannaccone, and G. Di Grezia. "Personality Disorders and Temperament Traits in Patients with Breast Disease: Preliminary Results." European Psychiatry 41, S1 (April 2017): S260. http://dx.doi.org/10.1016/j.eurpsy.2017.02.066.

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Aim of the study was to identify individual characteristics in patients with a benign or malignant breast disease diagnosis. The role of specific personality traits has been considered in the assessment of temperament and character as a predictor of a certain psychopathological state in patients with breast disease diagnosis. Participants were interviewed using a structured clinical test (SCID-II, version 2.0) disorders, and the Italian version of Akiskal's semi-structured clinical interview for temperamental profiles (TEMPS-I) after clinical breast exams and ultrasonography. All patients presented different personality disorders and heterogeneity in temperamental profiles. Of 29 patients with benign breast disease diagnosis, twelve presented histrionic, seven narcissistic, five dependent, four obsessive, two borderline, one antisocial and one paranoid personality disorder. The histrionic-narcissistic disorder is associated with benign breast disease. The three patients with malignant diagnosis presented the same temperamental profile: depressive temperament was associated with malignant breast disease diagnosis. According to recent literature personality disorders cannot influence breast cancer or its prognosis. However, a psychological consultation represent a very important step to pre-dispose specific interventions, treating psychiatric reactive comorbidities. The study shows the relevance of psychiatric counselling in breast units in the diagnostic cluster detection. Future purpose is to extend the sample and to add a follow-up evaluation.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Schotte, Chris, Dirk De Doncker, Michael Maes, Raymond Cluydts, and Paul Cosyns. "MMPI Assessment of the DSM-III-R Histrionic Personality Disorder." Journal of Personality Assessment 60, no. 3 (June 1993): 500–510. http://dx.doi.org/10.1207/s15327752jpa6003_7.

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Pirkalani, K. K., and Z. Talaee Rad. "Reciprocal interaction between sexuality and personality: parallel assessment of patients with QSAF- 2009 and MCMI-III." European Psychiatry 26, S2 (March 2011): 1552. http://dx.doi.org/10.1016/s0924-9338(11)73256-4.

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ObjectiveTo evaluate mutual interaction between sexuality and personality we tried to study 111 patients with QSAF 2009 and MCMI-III.MethodsHundred and eleven consecutive patients with sexual problems (76) or personality disorders (35) were examined with two tests. Only volunteer personality disorder patients were enrolled to this trial. The results were compared with 325 examinees evaluated with QSAF and 1600 patients evaluated with MCMI-III.ResultsAll patients with sexual problems showed at least two scores higher than 72 in their MCMI-III. This was more prominent in sexual deviations than dysfunctions. Homosexuals had higher scores in schizoid and schizotypal, pedophiles in schizoid and antisocial, voyeurs in schizoid and avoidant, masochists in dependent and self defeating personality scales …. Sexually deviated persons remain clinically latent and show themselves as alien, aloof and eccentric. Almost all deviated persons show high scores in personality disorder scales. On the contrary, only a minority of personality disorder patients show prominent sexual problems in the form of deviation. They predominantly have disturbed sexual self image, show inhibited sexual desire problems (dependent, schizoid and avoidant) personality, dyspareunia and vaginism (avoidant and schizotypal personality), spouse abuse (borderline and antisocial personality) postcoital disorders (borderline, dependent and narcissistic personality) and extramarital relationship in a series of disorders including histrionic personality …. as studied by the QSAF 2009 which evaluates 64 sexual scales.ConclusionEvaluation of personality disordered patients in regard to sexuality and vice versa is essential for better understanding the pathogenesis of each disease and helps in smoother treatments.

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Muquebil Ali Al Shaban Rodriguez, O. W., J. R. López Fernández, C. Huergo Lora, S. Ocio León, M. J. Hernández González, A. Alonso Huerta, M. Gómez Simón, et al. "Personality Disorders and Suicide Attempts." European Psychiatry 33, S1 (March 2016): S506. http://dx.doi.org/10.1016/j.eurpsy.2016.01.1867.

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IntroductionThe personality disorders are defined according to the DSM-5 like “an enduring maladaptive patterns of behavior, cognition and inner experience, exhibited across many contexts and deviating markedly from those accepted by the individual's cultures. These patterns develop in adolescence and the beginning of adulthood, and are associated with significant distress or disability”. The personality disorders can be a risk factor for different processes of the psychiatric pathology like suicide. The personality disorders are classified in 3 groups according to the DSM-5:– cluster A (strange subjects): paranoid, schizoid and schizotypal;– cluster B (immature subjects): antisocial, bordeline, histrionic and narcissistic;– cluster C (frightened subjects): avoidant, dependent and obsessive-compulsive.AimsTo describe the influence of personality disorders in suicide attempts.MethodologyExhibition of clinical cases.ResultsIn this case report, we exhibit three clinical cases of suicide attempts which correspond to a type of personality disorder belonging to each of the three big groups of the DSM-5 classification, specifically the paranoid disorder of the cluster A, the disorder borderline of cluster B and the obsessive compulsive of cluster C.ConclusionsThe personality disorders have a clear relation with the suicide attempts, increasing this influence in some of them, especially the borderline personality disorder.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Misic-Pavkov, Gordana, Zoran Gajic, Boris Golubovic, and Ksenija Bozic. "Mother’s filicide with suicide attempt." Srpski arhiv za celokupno lekarstvo 138, no. 9-10 (2010): 647–50. http://dx.doi.org/10.2298/sarh1010647m.

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Introduction. Filicide is the killing of a son or daughter by a parent. The paper examines interaction between stress and maternal psychopathology that led to the killing. Case Outline. After prolonged conflict with her ex-husband and father of her only child, the respondent committed filicide. Two years before committing filicide, after she had divorced the father of the child, the respondent attempted suicide and had to be hospitalized. On that occasion, she was diagnosed with depressive disorder, which was not treated after hospitalization. Having killed her daughter by cutting her throat, she tried to commit suicide in the same manner, by slitting her throat. During further observation, the respondent was found to suffer from acute psychotic disorder, depressive disorder and histrionic personality disorder. These disorders in interaction with stress do not provide us with an explanation for an unusual and psychopathological motivation analysis of killing the child. Conclusion. Filicide is a violent act, most frequently multifactorial in its nature. Histrionic personality disorder in mother cannot explain the filicide act. Only interactive and dynamic evaluation of this psychiatric disorder in its longitudinal, development aspects and its potentiality to enable the expression of some other psychiatric disorders, especially dissociative states, as well as the importance of prolonged and acute stress and its subjective importance for the individual can shed some more light on the mental state of the mother at the time of filicide.

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Schiavone, Paolo, Stella Dorz, Donatella Conforti, Caterina Scarso, and Giuseppe Borgherini. "Comorbidity of DSM–IV Personality Disorders in Unipolar and Bipolar Affective Disorders: A Comparative Study." Psychological Reports 95, no. 1 (August 2004): 121–28. http://dx.doi.org/10.2466/pr0.95.1.121-128.

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The aim of this study was to compare the prevalence of Personality Disorders assessed by Structured Clinical Interview for Axis-II in 155 inpatients diagnosed with Unipolar Disorder vs inpatients with Bipolar Disorder (39). The most frequent Axis II diagnoses among Unipolar inpatients were Borderline (31.6%), Dependent (25.2%), and Obsessive-Compulsive (14.2%) Personality Disorders. Among Bipolar inpatients, the most prevalent personality disorders were Borderline (41%), Narcissistic (20.5%), Dependent (12.8%), and Histrionic disorders (10.3%). Using chi squared analysis, few differences in distribution emerged between the two groups: Unipolar patients had more recurrent Obsessive-Compulsive Personality Disorder than Bipolar patients (χ12 = 6.24, p < .005). Comorbid Narcissistic Personality Disorder was significantly more frequent in the Bipolar than in the Unipolar group (χ12 = 6.34, p < .01). Considering the three clusters (DSM–IV classification), there was a significant difference between the groups, Cluster C (fearful, avoidant) diagnoses being more frequent in the Unipolar than in the Bipolar group (48.4% vs 20.5%, respectively). Cluster B (dramatic, emotionally erratic) diagnoses were found more frequently in patients with Bipolar Disorders (71.8% vs 45.2% in Unipolar patients, χ22 = 10.1, p < .006). The differences in the distribution and prevalence of Personality Disorders between the two patient groups are discussed.

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Hollander, Eric, and Jennifer Rosen. "OC Spectrum Disorders: The Impulsive and Schizo-Obsessive Clusters." CNS Spectrums 4, S3 (May 1999): 16–21. http://dx.doi.org/10.1017/s1092852900007379.

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AbstractTwo symptom clusters within the obsessive-compulsive (OC) spectrum—the impulsive cluster and the schizo-obsessive cluster—are discussed in this paper. Disorders characterized by impulsivity include disorders of impulse control (eg, intermittent explosive disorder, pyromania, kleptomania, pathologic gambling, trichotillomania); paraphilias, sexual impulsions, and sexual addictions; and impulsive aggression personality disorders (eg, borderline, antisocial, histrionic, and narcissistic personality disorders). The schizo-obsessive cluster includes comorbid symptoms of obsessive-compulsive disorder (OCD) and schizophrenia. Both clusters of disorders have a substantial impact on individuals and society. This article examines the overlap of symptoms between OCD and OC spectrum disorders, along with possible treatment options. Studies on the effectiveness of serotonin reuptake inhibitors in treating pathologic gambling, compulsive buying, and comorbid OCD and schizophrenia are presented. The need for additional large scale, adequately-controlled studies is discussed.

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Hughes, Abigail, Gayle Brewer, and Roxanne Khan. "Sexual Coercion by Women: The Influence of Pornography and Narcissistic and Histrionic Personality Disorder Traits." Archives of Sexual Behavior 49, no. 3 (October 7, 2019): 885–94. http://dx.doi.org/10.1007/s10508-019-01538-4.

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Abstract Largely overlooked in the literature, this study investigated factors influencing women’s use of sexual coercion. Specifically, pornography use and personality disorder traits linked with poor impulse control, emotional regulation, and superior sense of sexual desirability were considered. Women (N = 142) aged 16–53 years (M = 24.23, SD = 7.06) were recruited from community and student populations. Participants completed the Narcissistic and Histrionic subscales of the Personality Diagnostic Questionnaire-4, in addition to the Cyber-Pornography Use Inventory to explore the influence of their pornography use (interest, efforts to engage with pornography, and compulsivity) on their use of sexual coercion. This was measured using four subscales of the Postrefusal Sexual Persistence Scale: nonverbal sexual arousal, emotional manipulation and deception, exploitation of the intoxicated, and use of physical force or threats. Multiple regression analyses revealed that pornography use, narcissistic traits, and histrionic traits significantly predicted the use of nonverbal sexual arousal, emotional manipulation and deception, and exploitation of the intoxicated. Effort to engage with pornography was a significant individual predictor of nonverbal sexual arousal and emotional manipulation and deception, while histrionic traits were a significant individual predictor of exploitation of the intoxicated. Findings were discussed in relation to existing sexual coercion literature and potential future research.

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Journal articles on the topic 'Histrionic personality disorder'

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