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Analyzing Correlations Between Personality Disorders and Frontal Functions: A Pilot Study

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Advances in Neural Networks (WIRN 2015)

Part of the book series: Smart Innovation, Systems and Technologies ((SIST,volume 54))

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Abstract

This paper reports the results of an open cross-sectional study in which socio-demographic, clinical, psychopathological and neuropsychological features of outpatients—who consecutively enter for treatments in a private service of psychiatry and psychotherapy—are examined. The involved participants (63 subjects, 24 males and 39 females aged from 18 to 66, mean age 34 years) were assessed for personality disorders (PDs) by administering the Structured Clinical Interview for Diagnosis of axis II disorders (SCID-II) and for frontal lobe hypo-functioning activities by administering the Frontal Assessment Battery (FAB). 21 subjects reached a FAB total score less than 13.5, indicating the presence of frontal function deficits. 21 subjects had a diagnosis of Personality Disorder (PD). The remaining 42 subjects did not meet sufficient criteria for any diagnosis of PD even though they showed one or more typical PD symptoms. It was found that the PD syndromic diagnosis did not significantly correlate with frontal functions deficits, while some PD symptoms (such as abnormal behavior, emotional experiences and pathological cognitive processes) correlated negatively with the FAB total scores and therefore with a frontal lobe hypo-functioning. These significant negative correlations suggest that PD symptoms have more ecological value than the DSM V diagnostic categories confirming their artificial nature and uselessness for clinical practices.

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Notes

  1. 1.

    The symptoms are: avoidance of abandonment, identity disturbance, inappropriate anger, affective instability, suicidal or self-mutilative behavior, impulsivity in two areas, unstable relationships, chronic feeling of emptiness and stress-related paranoid ideation.

References

  1. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-IV TR). American Psychiatric Press, Washington DC (2013)

    Google Scholar 

  2. Krueger, R.F., Skodol, A.E., Livesley, W.J., Shrout, P.E., Huang, Y.: Synthesizing dimensional and categorical approaches to personality disorders: refining the research agenda for DSM-V Axis II. Int. J. Methods Psychiatr. Res. 16(S1), S65–S73 (2007)

    Article  Google Scholar 

  3. Livesley, W.J.: A framework for integrating dimensional and categorical classifications of personality disorder. J. Pers. Disord. 21(2), 199–224 (2007)

    Article  Google Scholar 

  4. Paris, J.: Neurobiological dimensional models of personality: a review of three models. In Widiger, T.A., Simonsen, E., Sirovatka, P.J., Regier, D.A. (eds.): Dimensional Models of Personality Disorders. Refining the Research Agenda for DSM-V, pp. 61–72. American Psychiatric Association, Washington, DC

    Google Scholar 

  5. Grilo, C.M., McGlashan, T. H., Morey, L.C., Gunderson, J.G., Skodol, A.E., Shea, et al.: Internal consistency, intercriterion overlap and diagnostic efficiency of criteria sets for DSM-IV schizotypal, borderline, avoidant and obsessive-compulsive personality disorders. Acta Psychiatr. Scand. 104(4), 264–72 (2001)

    Google Scholar 

  6. Livesley, W.J.: Diagnostic dilemmas in classifying personality disorder In: Phillips K.A., First, M.B., Pincus, H.A (eds.), Advancing DSM: Dilemmas in psychiatric diagnosis, pp. 153–190. American Psychiatric Association, Washington, DC (2003)

    Google Scholar 

  7. Trull, T.J., Durrett, C.A.: Categorical and dimensional models of personality disorder. Annu. Rev. Clin. Psychol. 1, 355–380 (2005)

    Article  Google Scholar 

  8. Widiger, T.A., Simonsen, E., Krueger, R., Livesley, W.J., Verheul, R.: Personality disorder research agenda for the DSM-V. J. Pers. Disord. 19(3), 315–338 (2005)

    Article  Google Scholar 

  9. Skodol, A.E., Pagano, M.E., Bender, D.S., et al.: Stability of functional impairment in patients with schizotypal, borderline, avoidant, or obsessive-compulsive personality disorder over two years. Psychol. Med. 35, 443–451 (2005)

    Article  Google Scholar 

  10. Cantone, D., Sperandeo, R., Maldonato, M.: A dimensional approach to personality disorders in a sample of juvenile offenders. Rev. Latinoam. Psicopat. Fund. 15(1), 42–57 (2012)

    Article  Google Scholar 

  11. Rounsaville, B.J., Alarcon, R.D., Andrews, G., Jackson, J.S., Kendell, R.E., Kendler, K.: Basic nomenclature issues for DSM-V. In: Kupfer, D.J., First, M.B., Regier, D.E. (eds.) A research agenda for DSM-V, pp. 1–29. American Psychiatric Association, Washington, DC (2002)

    Google Scholar 

  12. Verheul, R.: Clinical utility of dimensional models for personality pathology. J. Pers. Disord. 19(3), 283–302 (2005)

    Article  Google Scholar 

  13. Meares, R., Gerull, F., Stevenson, J., Korner, A.: Is Self Disturbance the Core of Borderline Personality Disorder? An Outcome Study of Borderline Personality Factors. Aust. N. Z. J. Psychiatry 45, 214–222 (2011)

    Article  Google Scholar 

  14. Berlin, H.A., Rolls, E.T., Iversen, S.D.: Borderline Personality Disorder, Impulsivity, and the Orbitofrontal Cortex. Am. J. Psychiatry 162, 2360–2373 (2005)

    Article  Google Scholar 

  15. Soloff, P.H., Meltzer, C.C., Becker, C., Greer, P.J., Kelly, T.M., Constantine, D.: Impulsivity and prefrontal hypo-metabolism in borderline personality disorder. Psychiatry Res. 123(3), 153–163 (2003)

    Article  Google Scholar 

  16. Fabbro, F.: Manuale di neuropsichiatria infantile. Roma, Carocci (2012)

    Google Scholar 

  17. Gazzaniga, M.S., Ivry, R.B., Mangun, G.R.: Neuroscienze cognitive. Bologna, Zanichelli (2005)

    Google Scholar 

  18. Hart., S.: Brain, Attachment, Personality. An introduction to neuroaffective development. London, Karnac Book (2008)

    Google Scholar 

  19. First, M.B., Gibbon, M., Spitzer, R.L., Williams, J.B.W., Benjamin, L.: User’s guide for the Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II). Biometrics Research Department, New York State Psychiatric Institute, New York (1996)

    Google Scholar 

  20. Dubois, B., Slachevsky, A., Litvan, I., Pillon, B.: A frontal assessment battery at bedside. Neurology 55(11), 1621–1626 (2000)

    Article  Google Scholar 

  21. Schulz, K.F., Altman, D.G., Moher, D.: CONSORT Statement 2010: linee guida aggiornate per il reporting di trial randomizzati a gruppi paralleli. Evidence 4(7), e1000024 (2012)

    Google Scholar 

  22. Chapados, C., Petrides, M.: Impairment only on the fluency subtest of the Frontal Assessment Battery after prefrontal lesions. Brain 136(10), 2966–2978 (2013)

    Article  Google Scholar 

  23. Diamond, A., Lee, K.: Interventions shown to aid executive function development in children 4 to 12 years old. Science 333(6045), 959–964 (2011)

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Human Sciences DISU, University of Basilicata, Potenza, Italy

    Raffaele Sperandeo

  2. Department of Psychology, Seconda Università di Napoli, and IIASS, Caserta, Italy

    Anna Esposito

  3. Department of European and Mediterranean Cultures, Università della Basilicata, Potenza, Italy

    Mauro Maldonato & Silvia Dell’Orco

Authors
  1. Raffaele Sperandeo
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  2. Anna Esposito
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  3. Mauro Maldonato
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  4. Silvia Dell’Orco
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Corresponding author

Correspondence to Raffaele Sperandeo .

Editor information

Editors and Affiliations

  1. Computer Science Department, University of Milano, Milano, Italy

    Simone Bassis

  2. Department of Psychology, Seconda Università di Napoli and IIASS, Caserta, Italy

    Anna Esposito

  3. Dept. of Info., Mathematics, Ele & Trans, Univ. Mediterranea of Reggio Calabria, Reggio Calabria, Italy

    Francesco Carlo Morabito

  4. Dip. Elettronica e Telecomunicazioni, Politecnico di Torino, Torino, Italy

    Eros Pasero

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Sperandeo, R., Esposito, A., Maldonato, M., Dell’Orco, S. (2016). Analyzing Correlations Between Personality Disorders and Frontal Functions: A Pilot Study. In: Bassis, S., Esposito, A., Morabito, F., Pasero, E. (eds) Advances in Neural Networks. WIRN 2015. Smart Innovation, Systems and Technologies, vol 54. Springer, Cham. https://doi.org/10.1007/978-3-319-33747-0_29

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  • DOI: https://doi.org/10.1007/978-3-319-33747-0_29

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-33746-3

  • Online ISBN: 978-3-319-33747-0

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