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[PMID]:27922907
[Au] Autor:Strandholm T; Kiviruusu O; Karlsson L; Pankakoski M; Pelkonen M; Marttunen M
[Ad] Endereço:*Mental Health Unit, Department of Health, National Institute for Health and Welfare; †Institute of Behavioural Sciences, University of Helsinki, Helsinki; ‡Department of Child Psychiatry, Turku University Central Hospital, Turku; and §Adolescent Psychiatry, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
[Ti] Título:Stability and Change in Personality Disorder Symptoms in 1-Year Follow-up of Depressed Adolescent Outpatients.
[So] Source:J Nerv Ment Dis;205(1):15-22, 2017 Jan.
[Is] ISSN:1539-736X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We investigated stability and change in personality disorder (PD) symptoms and whether depression severity, comorbid clinical psychiatric disorders, and social support predict changes in personality pathology among adolescent outpatients. The 1-year outcome of PD symptoms among consecutive adolescent psychiatric outpatients with depressive disorders (N = 189) was investigated with symptom count of depression, comorbid psychiatric disorders, and perceived social support as predictors. An overall decrease in PD symptoms in most PD categories was observed. Decreases in depression severity and in number of comorbid diagnoses correlated positively with decreases in PD symptoms of most PD categories. Social support from close friends predicted a decrease in schizotypal and narcissistic, whereas support from family predicted a decrease in paranoid symptoms. Our results suggest that among depressed adolescent outpatients, PD symptoms are relatively unstable, changes co-occuring with changes/improvement in overall psychopathology. Social support seems a possibly effective point for intervention efforts regarding positive outcome of PD symptoms.
[Mh] Termos MeSH primário: Transtorno Depressivo/fisiopatologia
Progressão da Doença
Transtornos da Personalidade/fisiopatologia
Apoio Social
[Mh] Termos MeSH secundário: Adolescente
Adulto
Comorbidade
Transtorno Depressivo/epidemiologia
Transtorno Depressivo/terapia
Feminino
Finlândia/epidemiologia
Seguimentos
Seres Humanos
Masculino
Pacientes Ambulatoriais
Transtorno da Personalidade Paranoide/epidemiologia
Transtorno da Personalidade Paranoide/fisiopatologia
Transtorno da Personalidade Paranoide/terapia
Transtornos da Personalidade/epidemiologia
Transtornos da Personalidade/terapia
Transtorno da Personalidade Esquizotípica/epidemiologia
Transtorno da Personalidade Esquizotípica/fisiopatologia
Transtorno da Personalidade Esquizotípica/terapia
Índice de Gravidade de Doença
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170529
[Lr] Data última revisão:
170529
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161207
[St] Status:MEDLINE
[do] DOI:10.1097/NMD.0000000000000623


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[PMID]:26461045
[Au] Autor:Chun CA; Barrantes-Vidal N; Sheinbaum T; Kwapil TR
[Ad] Endereço:Department of Psychology.
[Ti] Título:Expression of schizophrenia-spectrum personality traits in daily life.
[So] Source:Personal Disord;8(1):64-74, 2017 Jan.
[Is] ISSN:1949-2723
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The present study examined the expression of the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) schizotypal, schizoid, and paranoid personality disorder (PD) traits in daily life using experience sampling methodology in 206 nonclinically ascertained Spanish young adults oversampled for risk for schizophrenia-spectrum psychopathology. This study examined the overlap and differentiation of pathological personality traits in daily life settings, according to both diagnostic and multidimensional models. Daily life outcomes differentiated among schizophrenia-spectrum disorders. The assignment of Cluster A personality traits to positive, negative, paranoid, and disorganized dimensions provided an alternative to the traditional PD diagnoses. Positive, disorganized, and paranoid schizotypy were associated with elevated stress reactivity, whereas negative schizotypy was associated with diminished reactivity in daily life. The current diagnostic model is limited by the considerable overlap among the PD traits. Nonetheless, experience sampling methodology is sensitive enough to detect differences in day-to-day impairment and can be a powerful research tool for the examination of dynamic constructs such as personality pathology. (PsycINFO Database Record
[Mh] Termos MeSH primário: Avaliação Momentânea Ecológica
Transtorno da Personalidade Paranoide/fisiopatologia
Transtorno da Personalidade Esquizoide/fisiopatologia
Esquizofrenia/fisiopatologia
Transtorno da Personalidade Esquizotípica/fisiopatologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151014
[St] Status:MEDLINE
[do] DOI:10.1037/per0000141


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[PMID]:26859173
[Au] Autor:Waska R
[Ad] Endereço:P.O. Box 2769, San Anselmo, CA 94979. E-mail: drwaska@gmail.com.
[Ti] Título:The Quest for Greatness in the Race to Not Be Forgotten.
[So] Source:Psychoanal Rev;103(1):17-40, 2016 Feb.
[Is] ISSN:1943-3301
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Details from a brief psychoanalytic treatment with a disturbed and desperate patient in acute emotional crisis are used to consider the internal dread some patients have regarding separation from the object and their phantasy of eternal damnation as a result of self-differentiation. One patient's loyalty to her object as the only way to prevent abandonment is examined in depth, but also considered as a severe psychic struggle found in other disturbed patients. The nature of this pathological loyalty has to do with the internalized and projected demand for perfection as the only currency for love and acceptance. Theoretical considerations are offered from a Kleinian perspective.
[Mh] Termos MeSH primário: Transtorno da Personalidade Paranoide/psicologia
Teoria Psicanalítica
Transtorno da Personalidade Esquizoide/psicologia
[Mh] Termos MeSH secundário: Adulto
Contratransferência (Psicologia)
Fantasia
Feminino
Seres Humanos
Apego ao Objeto
Transtorno da Personalidade Paranoide/terapia
Psicanálise
Psicoterapia Breve
Transtorno da Personalidade Esquizoide/terapia
Transferência (Psicologia)
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160210
[St] Status:MEDLINE
[do] DOI:10.1521/prev.2016.103.1.17


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[PMID]:26544619
[Au] Autor:Welander-Vatn A; Ystrom E; Tambs K; Neale MC; Kendler KS; Reichborn-Kjennerud T; Knudsen GP
[Ad] Endereço:Department of Genetics, Environment and Mental Health, Norwegian Institute of Public Health, P.O. Box 4404 Nydalen, N-0403 Oslo, Norway. Electronic address: auwe@fhi.no.
[Ti] Título:The relationship between anxiety disorders and dimensional representations of DSM-IV personality disorders: A co-twin control study.
[So] Source:J Affect Disord;190:349-356, 2016 Jan 15.
[Is] ISSN:1573-2517
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: There is substantial comorbidity between personality disorders (PDs) and anxiety disorders (ADs). Sharing of familial risk factors possibly explains the co-occurrence, but direct causal relationships between the disorders may also exist. METHODS: 2801 persons from 1391 twin pairs from the Norwegian Institute of Public Health Twin Panel were assessed for all DSM-IV PDs and ADs. Bivariate Poisson-regression analyses were performed to assess whether PDs predicted ADs at three different levels: All PDs combined, PDs combined within DSM-IV-clusters and each individual PD separately. Next, bivariate co-twin control analyses were executed within monozygotic (MZ) and dizygotic (DZ) twin pairs. A similar analytic strategy was employed in multivariate models including PDs as independent variables. RESULTS: PDs predicted ADs at all levels of analysis in bivariate regression models. Bivariate co-twin control analyses demonstrated an increased risk of ADs in all PDs combined, all PD-clusters and in schizotypal, paranoid, borderline, antisocial, avoidant and dependent PD. In the multivariate regression model, all PD-clusters and schizotypal, borderline, avoidant and obsessive-compulsive PD predicted ADs. Only borderline and avoidant PD predicted ADs in the multivariate co-twin control analysis. LIMITATIONS: Over-adjustment may explain the results from the multivariate analyses. The cross-sectional study design hampers causal inference. CONCLUSIONS: Comorbidity between ADs and PDs can be largely accounted for by shared familial risk factors. However, the results are also consistent with a direct causal relationship partly explaining the co-occurrence. Our results indicate specific environmental factors for comorbidity of ADs and borderline and avoidant PDs that are not shared with other PDs.
[Mh] Termos MeSH primário: Transtornos de Ansiedade/diagnóstico
Doenças em Gêmeos/diagnóstico
Transtorno da Personalidade Paranoide/diagnóstico
Transtornos da Personalidade/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Transtorno da Personalidade Antissocial/diagnóstico
Transtornos de Ansiedade/epidemiologia
Transtornos de Ansiedade/genética
Comorbidade
Estudos Transversais
Manual Diagnóstico e Estatístico de Transtornos Mentais
Doenças em Gêmeos/epidemiologia
Doenças em Gêmeos/genética
Feminino
Seres Humanos
Masculino
Análise Multivariada
Noruega
Transtorno da Personalidade Paranoide/epidemiologia
Transtorno da Personalidade Paranoide/genética
Transtornos da Personalidade/epidemiologia
Transtornos da Personalidade/genética
Análise de Regressão
Fatores de Risco
Gêmeos Dizigóticos/psicologia
Gêmeos Monozigóticos/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T; TWIN STUDY
[Em] Mês de entrada:1608
[Cu] Atualização por classe:170824
[Lr] Data última revisão:
170824
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151107
[St] Status:MEDLINE


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[PMID]:26662870
[Au] Autor:Seijas-Gomez R; Basterra-Jimenez I; Luna-Lario P; Tirapu-Ustarroz J; Cabada-Giadas T; Iridoy-Zulet M; Jerico-Pascual I; Gargallo-Vaamonde Á; Lopez-Goni JJ
[Ad] Endereço:Complejo Hospitalario de Navarra. Servicio Navarro de Salud-Fundacion Argibide, Pamplona, Espana.
[Ti] Título:[A descriptive study of the neuropsychological and psychopathological profile in patients with type 1 myotonic dystrophy].
[Ti] Título:Estudio descriptivo del perfil neuropsicologico y psicopatologico en pacientes con distrofia miotonica tipo 1..
[So] Source:Rev Neurol;61(12):529-35, 2015 Dec 16.
[Is] ISSN:1576-6578
[Cp] País de publicação:Spain
[La] Idioma:spa
[Ab] Resumo:INTRODUCTION: Type 1 myotonic dystrophy (MD-1) or Steinert disease is a multisystemic progressive disorder. Studies have shown cognitive deficits, depressive symptoms and a high incidence of anxiety personality traits that compromise both the functionality and the quality of life of these patients. AIM: To describe the cognitive and psychopathological profile of a sample of patients with the adult variant of MD-1. PATIENTS AND METHODS: A sample of 27 patients diagnosed with MD-1 was selected from those being followed up in the neurology service of the Complejo Hospitalario de Navarra. Eligibility criteria were age under 50 years and the absence of any other pathology or physical condition that prevented them from performing the psychological evaluation. A neuropsychological evaluation battery specifically designed for this kind of pathology was used, together with psychopathological and functionality measures. RESULTS: The neuropsychological evaluation revealed mainly deficits in visual-constructional and visuospatial skills, alternating attention and in other-reported dysexecutive signs and symptoms. The group of patients did not present any clinically significant symptoms of depression or anxiety, but did score high on obsession-compulsion, interpersonal sensitivity, paranoid ideation and psychoticism. The results point towards a deterioration in functionality. CONCLUSIONS: In the integral approach to MD-1, the characterisation and developmental monitoring of the cognitive, psychopathological and personality profile, as well as the level of functionality, all contribute to an improvement in the quality of life of these patients.
[Mh] Termos MeSH primário: Distrofia Miotônica/psicologia
[Mh] Termos MeSH secundário: Adulto
Transtornos de Ansiedade/etiologia
Transtornos Cognitivos/etiologia
Transtorno da Personalidade Compulsiva
Transtorno Depressivo/etiologia
Progressão da Doença
Função Executiva
Feminino
Seres Humanos
Masculino
Meia-Idade
Distrofia Miotônica/complicações
Distrofia Miotônica/fisiopatologia
Testes Neuropsicológicos
Transtorno da Personalidade Paranoide
Personalidade
Testes de Personalidade
Transtornos Psicóticos/etiologia
Qualidade de Vida
Fatores Socioeconômicos
[Pt] Tipo de publicação:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Mês de entrada:1609
[Cu] Atualização por classe:151215
[Lr] Data última revisão:
151215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151215
[St] Status:MEDLINE


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[PMID]:26351160
[Au] Autor:Valmaggia LR; Day FL; Kroll J; Laing J; Byrne M; Fusar-Poli P; McGuire P
[Ad] Endereço:King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, United Kingdom; OASIS, South London and Maudsley NHS Trust, London, United Kingdom. Electronic address: Lucia.Valmaggia@kcl.ac.uk.
[Ti] Título:Bullying victimisation and paranoid ideation in people at ultra high risk for psychosis.
[So] Source:Schizophr Res;168(1-2):68-73, 2015 Oct.
[Is] ISSN:1573-2509
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Bullying victimisation has been suggested to contribute to paranoid ideation in general population samples and recent evidence found that individuals with an ultra high risk (UHR) for psychosis are twice as likely to have been bullied than controls. AIMS: This study sought to examine whether a history of bullying would be associated with higher levels of paranoid ideation in individuals with an UHR and in healthy controls (HCs). METHOD: The study included 64 UHR and 43 HC participants. Following the baseline assessment, participants entered a Virtual Reality (VR) London Underground train. Paranoid ideation was measured immediately after the end of the VR experience. RESULTS: Compared to HCs, UHR participants described higher levels of childhood bullying (OR 5.19, 95% CI=2.21-12.19, p<.001) and experienced more paranoid ideation during VR (χ(2)(1)=21.06, p<.001). Childhood bullying was associated with paranoid ideation during VR in both groups (χ(2)(1)=5.931, p=,021) but prolonged exposure to bullying was not associated with increased paranoid ideation. CONCLUSION: A history of bullying in childhood is particularly common in young adults at high risk for psychosis. However bullying is associated with paranoid ideation in later life, independent of clinical status, consistent with dimensional models of psychotic phenomena.
[Mh] Termos MeSH primário: Bullying
Vítimas de Crime/psicologia
Transtorno da Personalidade Paranoide/psicologia
Transtornos Psicóticos/psicologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Londres
Masculino
Transtorno da Personalidade Paranoide/epidemiologia
Escalas de Graduação Psiquiátrica
Transtornos Psicóticos/epidemiologia
Estudos Retrospectivos
Fatores de Risco
Inquéritos e Questionários
Interface Usuário-Computador
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1606
[Cu] Atualização por classe:151001
[Lr] Data última revisão:
151001
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150910
[St] Status:MEDLINE


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[PMID]:25394477
[Au] Autor:Kendler KS; Aggen SH; Neale MC; Knudsen GP; Krueger RF; Tambs K; Czajkowski N; Ystrom E; Ørstavik RE; Reichborn-Kjennerud T
[Ad] Endereço:Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University,Richmond,VA,USA.
[Ti] Título:A longitudinal twin study of cluster A personality disorders.
[So] Source:Psychol Med;45(7):1531-8, 2015 May.
[Is] ISSN:1469-8978
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: While cluster A personality disorders (PDs) have been shown to be moderately heritable, we know little about the temporal stability of these genetic risk factors. METHOD: Paranoid PD (PPD) and schizotypal PD (STPD) were assessed using the Structured Interview for DSM-IV Personality in 2793 young adult twins from the Norwegian Institute of Public Health Twin Panel at wave 1 and 2282 twins on average 10 years later at wave 2. Using the program Mx, we fitted a longitudinal latent factor model using the number of endorsed criteria for PPD and STPD. RESULTS: The stability over time of the criteria counts for PPD and STPD, estimated as polychoric correlations, were +0.34 and +0.40, respectively. The best-fit longitudinal model included only additive genetic and individual-specific environmental factors with parameter estimates constrained to equality across the two waves. The cross-wave genetic and individual-specific environmental correlations for a latent cluster A factor were estimated to equal +1.00 and +0.13, respectively. The cross-time correlations for genetic and environmental effects specific to the individual PDs were estimated at +1.00 and +0.16-0.20, respectively. We found that 68% and 71% of the temporal stability of PPD and STPD derived, respectively, from the effect of genetic factors. CONCLUSION: Shared genetic risk factors for two of the cluster A PDs are highly stable in adults over a 10-year period while environmental risk factors are relatively transient. Over two-thirds of the long-term stability of the common cluster A PD liability can be attributed to genetic influences.
[Mh] Termos MeSH primário: Doenças em Gêmeos/genética
Transtorno da Personalidade Paranoide/genética
Sistema de Registros/estatística & dados numéricos
Transtorno da Personalidade Esquizotípica/genética
[Mh] Termos MeSH secundário: Adolescente
Adulto
Doenças em Gêmeos/epidemiologia
Doenças em Gêmeos/etiologia
Feminino
Seres Humanos
Estudos Longitudinais
Masculino
Noruega/epidemiologia
Transtorno da Personalidade Paranoide/epidemiologia
Transtorno da Personalidade Paranoide/etiologia
Transtorno da Personalidade Esquizotípica/epidemiologia
Transtorno da Personalidade Esquizotípica/etiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T; TWIN STUDY
[Em] Mês de entrada:1512
[Cu] Atualização por classe:161019
[Lr] Data última revisão:
161019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141115
[St] Status:MEDLINE
[do] DOI:10.1017/S0033291714002669


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[PMID]:25176118
[Au] Autor:Raza GT; DeMarce JM; Lash SJ; Parker JD
[Ad] Endereço:a Veterans Affairs Medical Center , Salem , Virginia.
[Ti] Título:Paranoid personality disorder in the United States: the role of race, illicit drug use, and income.
[So] Source:J Ethn Subst Abuse;13(3):247-57, 2014.
[Is] ISSN:1533-2659
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Differential rates of schizophrenia and paranoia symptoms have been found for Black and White individuals. Paranoid personality disorder shares symptoms with schizophrenia, yet has received minimal attention with regard to potential racial differences. In a sample consisting of 180 substance use disorder treatment-seeking individuals, the association between the diagnosis of paranoid personality disorder and the variables of race, cannabis use disorder, and income were examined. Results extended previous findings to paranoid personality disorder, supporting the hypothesis that Black individuals would be diagnosed with higher rates of paranoid personality disorder. Cannabis use disorder status and income did not predict paranoid personality disorder diagnoses.
[Mh] Termos MeSH primário: Afroamericanos/estatística & dados numéricos
Grupo com Ancestrais do Continente Europeu/estatística & dados numéricos
Abuso de Maconha/epidemiologia
Transtorno da Personalidade Paranoide/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Renda/estatística & dados numéricos
Masculino
Abuso de Maconha/etnologia
Abuso de Maconha/reabilitação
Meia-Idade
Transtorno da Personalidade Paranoide/etnologia
Transtornos Relacionados ao Uso de Substâncias/reabilitação
Estados Unidos/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, U.S. GOV'T, NON-P.H.S.
[Em] Mês de entrada:1603
[Cu] Atualização por classe:140901
[Lr] Data última revisão:
140901
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140902
[St] Status:MEDLINE
[do] DOI:10.1080/15332640.2013.850463


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[PMID]:25081894
[Au] Autor:Dakwar E; Levin FR; Olfson M; Wang S; Kerridge B; Blanco C
[Ad] Endereço:With the exception of Mr. Kerridge, the authors are with the New York State Psychiatric Institute and the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City (e-mail: dakware@nyspi.columbia.edu ). Mr. Kerridge is with the School of Public Health, University of Maryland, College Park, Maryland.
[Ti] Título:First treatment contact for ADHD: predictors of and gender differences in treatment seeking.
[So] Source:Psychiatr Serv;65(12):1465-73, 2014 Dec 01.
[Is] ISSN:1557-9700
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: For attention-deficit hyperactivity disorder (ADHD), treatment seeking is a critical first step in treatment initiation and remains insufficiently understood. The aims of this study were to estimate ADHD treatment-seeking probabilities over the lifetime and to identify predictors of treatment seeking for ADHD separately for males and females. METHODS: Data were drawn from 2001 to 2005 as part of the National Epidemiologic Survey on Alcohol and Related Conditions, a two-wave face-to-face survey conducted by the National Institute on Alcohol Abuse and Alcoholism (N=34,653). RESULTS: The lifetime cumulative probability of ADHD treatment seeking was estimated at 55%. Males identifying as African American, with less than 12 years of education, or paranoid personality disorder or in an older cohort (>30 years old) at the time of interview were more likely to experience delays, whereas males with comorbid alcohol dependence, dysthymic disorder, borderline personality disorder, or histrionic personality disorder were less likely. Among females, older age (>44 years) was the only predictor of a delay to first treatment seeking, whereas bipolar disorder was associated with more rapid treatment seeking. Age of onset had opposite effects on treatment-seeking delays by gender; males but not females with early-onset ADHD were more likely to experience treatment-seeking delays. CONCLUSIONS: A large proportion of persons with ADHD do not seek treatment. Furthermore, treatment seeking by males was affected by a greater number of identifiable characteristics, suggesting that males might be more responsive to efforts directed toward expediting treatment entry. Future research should explore how to facilitate early access to treatment for individuals with ADHD.
[Mh] Termos MeSH primário: Transtorno do Deficit de Atenção com Hiperatividade
Aceitação pelo Paciente de Cuidados de Saúde
[Mh] Termos MeSH secundário: Adulto
Idade de Início
Alcoolismo/epidemiologia
Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico
Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia
Transtorno do Deficit de Atenção com Hiperatividade/psicologia
Transtorno do Deficit de Atenção com Hiperatividade/terapia
Demografia
Feminino
Seres Humanos
Masculino
Meia-Idade
Transtorno da Personalidade Paranoide/epidemiologia
Aceitação pelo Paciente de Cuidados de Saúde/psicologia
Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos
Fatores Sexuais
Problemas Sociais/prevenção & controle
Problemas Sociais/psicologia
Fatores Socioeconômicos
Tempo para o Tratamento
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, U.S. GOV'T, P.H.S.
[Em] Mês de entrada:1511
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140802
[St] Status:MEDLINE
[do] DOI:10.1176/appi.ps.201300298


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[PMID]:24661172
[Au] Autor:Iacovino JM; Jackson JJ; Oltmanns TF
[Ad] Endereço:Department of Psychology, Washington University in St. Louis.
[Ti] Título:The relative impact of socioeconomic status and childhood trauma on Black-White differences in paranoid personality disorder symptoms.
[So] Source:J Abnorm Psychol;123(1):225-30, 2014 Feb.
[Is] ISSN:1939-1846
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The current study examines mechanisms of racial differences in symptoms of paranoid personality disorder (PPD) in a sample of adults ages 55-64 from the St. Louis, MO area. Socioeconomic status (SES) and childhood trauma were tested as intervening variables in the association between race and PPD symptoms using structural equation modeling. PPD symptoms were modeled as a latent variable composed of items from the PPD scales of the Multi-Source Assessment of Personality Pathology self and informant reports and the Structured Interview for the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) Personality. Childhood trauma was measured using the Traumatic Life Events Questionnaire, and SES was a composite of parent education, participant education, and annual household income. Blacks exhibited higher levels of PPD symptoms across the 3 personality measures, reported significantly lower SES, and reported greater childhood trauma. The proposed model was a good fit to the data, and the effect of race on PPD symptoms operated mainly through SES. The indirect effect through SES was stronger for males. Findings suggest that racial differences in PPD symptoms are partly explained by problems more commonly experienced by Black individuals.
[Mh] Termos MeSH primário: Adultos Sobreviventes de Maus-Tratos Infantis/psicologia
Afroamericanos/psicologia
Grupo com Ancestrais do Continente Europeu/psicologia
Transtorno da Personalidade Paranoide/diagnóstico
Classe Social
[Mh] Termos MeSH secundário: Manual Diagnóstico e Estatístico de Transtornos Mentais
Feminino
Seres Humanos
Masculino
Meia-Idade
Transtorno da Personalidade Paranoide/psicologia
Avaliação de Sintomas
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1504
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140326
[St] Status:MEDLINE
[do] DOI:10.1037/a0035258



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