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Pesquisa : F03.675.625 [Categoria DeCS]
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[PMID]:29040324
[Au] Autor:Richetin J; Preti E; Costantini G; De Panfilis C
[Ad] Endereço:Department of Psychology, University of Milano-Bicocca, Milano, Italy.
[Ti] Título:The centrality of affective instability and identity in Borderline Personality Disorder: Evidence from network analysis.
[So] Source:PLoS One;12(10):e0186695, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We argue that the series of traits characterizing Borderline Personality Disorder samples do not weigh equally. In this regard, we believe that network approaches employed recently in Personality and Psychopathology research to provide information about the differential relationships among symptoms would be useful to test our claim. To our knowledge, this approach has never been applied to personality disorders. We applied network analysis to the nine Borderline Personality Disorder traits to explore their relationships in two samples drawn from university students and clinical populations (N = 1317 and N = 96, respectively). We used the Fused Graphical Lasso, a technique that allows estimating networks from different populations separately while considering their similarities and differences. Moreover, we examined centrality indices to determine the relative importance of each symptom in each network. The general structure of the two networks was very similar in the two samples, although some differences were detected. Results indicate the centrality of mainly affective instability, identity, and effort to avoid abandonment aspects in Borderline Personality Disorder. Results are consistent with the new DSM Alternative Model for Personality Disorders. We discuss them in terms of implications for therapy.
[Mh] Termos MeSH primário: Sintomas Afetivos/diagnóstico
Transtorno da Personalidade Borderline/diagnóstico
Transtorno da Personalidade Borderline/psicologia
Crise de Identidade
Redes Neurais (Computação)
[Mh] Termos MeSH secundário: Adolescente
Adulto
Sintomas Afetivos/psicologia
Idoso
Aprendizagem da Esquiva
Transtorno da Personalidade Borderline/classificação
Transtorno da Personalidade Borderline/fisiopatologia
Estudos de Casos e Controles
Dependência (Psicologia)
Depressão/psicologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Narcisismo
Comportamento Obsessivo/psicologia
Transtorno da Personalidade Passivo-Agressiva/psicologia
Escalas de Graduação Psiquiátrica
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171018
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0186695


  2 / 103 MEDLINE  
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[PMID]:28423058
[Au] Autor:Chen CC; Keith JM; Mengersen KL
[Ad] Endereço:Australian Institute of Marine Science, Cape Cleveland QLD, Australia.
[Ti] Título:Accurate phenotyping: Reconciling approaches through Bayesian model averaging.
[So] Source:PLoS One;12(4):e0176136, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Genetic research into complex diseases is frequently hindered by a lack of clear biomarkers for phenotype ascertainment. Phenotypes for such diseases are often identified on the basis of clinically defined criteria; however such criteria may not be suitable for understanding the genetic composition of the diseases. Various statistical approaches have been proposed for phenotype definition; however our previous studies have shown that differences in phenotypes estimated using different approaches have substantial impact on subsequent analyses. Instead of obtaining results based upon a single model, we propose a new method, using Bayesian model averaging to overcome problems associated with phenotype definition. Although Bayesian model averaging has been used in other fields of research, this is the first study that uses Bayesian model averaging to reconcile phenotypes obtained using multiple models. We illustrate the new method by applying it to simulated genetic and phenotypic data for Kofendred personality disorder-an imaginary disease with several sub-types. Two separate statistical methods were used to identify clusters of individuals with distinct phenotypes: latent class analysis and grade of membership. Bayesian model averaging was then used to combine the two clusterings for the purpose of subsequent linkage analyses. We found that causative genetic loci for the disease produced higher LOD scores using model averaging than under either individual model separately. We attribute this improvement to consolidation of the cores of phenotype clusters identified using each individual method.
[Mh] Termos MeSH primário: Loci Gênicos
Predisposição Genética para Doença
Modelos Genéticos
Transtorno da Personalidade Passivo-Agressiva/genética
[Mh] Termos MeSH secundário: Teorema de Bayes
Mapeamento Cromossômico
Ligação Genética
Seres Humanos
Repetições de Microssatélites
Transtorno da Personalidade Passivo-Agressiva/classificação
Transtorno da Personalidade Passivo-Agressiva/diagnóstico
Fenótipo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170506
[Lr] Data última revisão:
170506
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170420
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0176136


  3 / 103 MEDLINE  
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[PMID]:28209215
[Au] Autor:Schlier B; Engel M; Fladung AK; Fritzsche A; Lincoln TM
[Ad] Endereço:University of Hamburg, Department of Clinical Psychology and Psychotherapy, Von-Melle-Park 5, D-20146 Hamburg, Germany. Electronic address: bjoern.schlier@uni-hamburg.de.
[Ti] Título:The relevance of goal-orientation for motivation in high versus low proneness to negative symptoms.
[So] Source:J Behav Ther Exp Psychiatry;55:113-120, 2017 Jun.
[Is] ISSN:1873-7943
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The psychological mechanisms of why individuals with negative symptoms fail to initiate and perform goal-directed behavior are not well understood. Drawing on the reward-sensitivity and expectancy-value theories, we investigate whether negative symptom-like experiences (NSLE) are associated with generating less approach goals (aimed at reaching a positive outcome) and more avoidance goals (aimed at avoiding a negative outcome) and whether this type of goal-orientation explains motivational deficits (i.e., perceiving goals as less feasible and important and being less committed to them). METHODS: Based on the continuum model of negative symptoms, we identified two parallelized extreme groups with high and low levels of NSLE (n = 37, respectively) in an ad-hoc online-sample of healthy individuals (N = 262) using the Community Assessment of Psychic Experiences. In an online study, these participants were instructed to generate approach and avoidance goals and to rate each goal in terms of feasibility, importance and goal-commitment. RESULTS: Participants with low levels of NSLE generated more approach than avoidance goals. Participants with high levels of NSLE showed no such difference due to increased numbers of avoidance goals. Furthermore, avoidance goal-orientation predicted reduced subjective feasibility and importance of goals and less goal-commitment. LIMITATIONS: Results are based on a healthy sample rather than people with psychosis. No longitudinal or behavioral data for goal-striving was collected. CONCLUSION: People with NSLE generate more avoidance goals than controls. This is dysfunctional because it correlates with feeling less committed to reach one's goals. Optimizing goal-setting could be a promising starting-point for psychological interventions aimed at reducing negative symptoms.
[Mh] Termos MeSH primário: Motivação
Transtorno da Personalidade Passivo-Agressiva/fisiopatologia
Transtorno da Personalidade Passivo-Agressiva/psicologia
[Mh] Termos MeSH secundário: Adulto
Análise de Variância
Aprendizagem da Esquiva
Feminino
Seres Humanos
Masculino
Escalas de Graduação Psiquiátrica
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170825
[Lr] Data última revisão:
170825
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170218
[St] Status:MEDLINE


  4 / 103 MEDLINE  
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[PMID]:25621821
[Au] Autor:Segal DL; Gottschling J; Marty M; Meyer WJ; Coolidge FL
[Ad] Endereço:a Psychology Department , University of Colorado at Colorado Springs , Colorado Springs , CO , USA.
[Ti] Título:Relationships among depressive, passive-aggressive, sadistic and self-defeating personality disorder features with suicidal ideation and reasons for living among older adults.
[So] Source:Aging Ment Health;19(12):1071-7, 2015.
[Is] ISSN:1364-6915
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Suicide among older adults is a major public health problem in the USA. In our recent study, we examined relationships between the 10 standard DSM-5 personality disorders (PDs) and suicidal ideation, and found that the PD dimensions explained a majority (55%) of the variance in suicidal ideation. To extend this line of research, the purpose of the present follow-up study was to explore relationships between the four PDs that previously were included in prior versions of the DSM (depressive, passive-aggressive, sadistic, and self-defeating) with suicidal ideation and reasons for living. METHOD: Community-dwelling older adults (N = 109; age range = 60-95 years; 61% women; 88% European-American) completed anonymously the Coolidge Axis II Inventory, the Reasons for Living Inventory (RFL), and the Geriatric Suicide Ideation Scale (GSIS). RESULTS: Correlational analyses revealed that simple relationships between PD scales with GSIS subscales were generally stronger than with RFL subscales. Regarding GSIS subscales, all four PD scales had medium-to-large positive relationships, with the exception of sadistic PD traits, which was unrelated to the death ideation subscale. Multiple regression analyses showed that the amount of explained variance for the GSIS (48%) was higher than for the RFL (11%), and this finding was attributable to the high predictive power of depressive PD. CONCLUSION: These findings suggest that depressive PD features are strongly related to increased suicidal thinking and lowered resilience to suicide among older adults. Assessment of depressive PD features should also be especially included in the assessment of later-life suicidal risk.
[Mh] Termos MeSH primário: Envelhecimento/psicologia
Depressão/psicologia
Transtornos da Personalidade/psicologia
Personalidade/fisiologia
Sadismo/psicologia
Ideação Suicida
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Feminino
Seguimentos
Avaliação Geriátrica
Seres Humanos
Masculino
Meia-Idade
Transtorno da Personalidade Passivo-Agressiva/psicologia
Personalidade/classificação
Transtornos da Personalidade/classificação
Inventário de Personalidade
Escalas de Graduação Psiquiátrica
Análise de Regressão
Comportamento Autodestrutivo
Suicídio/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1601
[Cu] Atualização por classe:150904
[Lr] Data última revisão:
150904
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150127
[St] Status:MEDLINE
[do] DOI:10.1080/13607863.2014.1003280


  5 / 103 MEDLINE  
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[PMID]:25155926
[Au] Autor:Allen KC
[Ad] Endereço:Department of Biostatistics, Environmental Health and Epidemiology, College of Public Health, Kent State University, Kent, OH, USA.
[Ti] Título:Tracking the traveler without a passport: perspective on surveillance of imported disease.
[So] Source:J Travel Med;21(5):295-7, 2014 Sep-Oct.
[Is] ISSN:1708-8305
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Doenças Transmissíveis/epidemiologia
Participação do Paciente
Viagem/estatística & dados numéricos
[Mh] Termos MeSH secundário: Controle de Doenças Transmissíveis/métodos
Dengue/epidemiologia
Dengue/prevenção & controle
Seres Humanos
Transtorno da Personalidade Passivo-Agressiva
Vigilância da População
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1503
[Cu] Atualização por classe:140826
[Lr] Data última revisão:
140826
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140827
[St] Status:MEDLINE
[do] DOI:10.1111/jtm.12143


  6 / 103 MEDLINE  
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[PMID]:23488387
[Ti] Título:Dread difficult people? Do this!
[So] Source:HDA Now;:31-2, 2012.
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Conflito (Psicologia)
Relações Interpessoais
[Mh] Termos MeSH secundário: Hostilidade
Seres Humanos
Negativismo
Transtorno da Personalidade Passivo-Agressiva/psicologia
Personalidade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1304
[Cu] Atualização por classe:161021
[Lr] Data última revisão:
161021
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:130316
[St] Status:MEDLINE


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[PMID]:22804466
[Au] Autor:Walling SM; Meehan JC; Marshall AD; Holtzworth-Munroe A; Taft CT
[Ad] Endereço:Fresno Pacific University, Department of Psychology, 1717 S. Chestnut Ave., Fresno, California 93702-4709, USA. sherry.walling@fresno.edu
[Ti] Título:The relationship of intimate partner aggression to head injury, executive functioning, and intelligence.
[So] Source:J Marital Fam Ther;38(3):471-85, 2012 Jul.
[Is] ISSN:1752-0606
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Measures of head injury, executive functioning, and intelligence were given to a community sample composed of 102 male perpetrators of intimate partner aggression (IPA) and 62 nonaggressive men. A history of head injury and lower mean score on a measure of verbal intelligence were associated with the frequency of male-perpetrated physical IPA as reported by male perpetrators and their female partners. Lower mean scores on a measure of verbal intelligence also predicted frequency of psychological IPA perpetration. Using the perpetrator subtypes outlined by Holtzworth-Munroe et al. (2000), analyses revealed that compared with other groups, the most severely aggressive subtypes (i.e., borderline-dysphoric and generally violent-antisocial) were the most likely to report a history of head injury and to have significantly lower mean scores on a neuropsychological test of verbal intelligence. The possible role of neuropsychological factors in IPA perpetration and implications for prevention and intervention programs are discussed.
[Mh] Termos MeSH primário: Agressão
Lesões Encefálicas/epidemiologia
Inteligência
Transtornos da Personalidade/epidemiologia
Maus-Tratos Conjugais/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Transtorno da Personalidade Antissocial/epidemiologia
Lesões Encefálicas/psicologia
Transtornos Cognitivos/epidemiologia
Transtornos Disruptivos, de Controle do Impulso e da Conduta/epidemiologia
Feminino
Seres Humanos
Masculino
Saúde Mental/estatística & dados numéricos
Meia-Idade
Transtorno da Personalidade Passivo-Agressiva/epidemiologia
Transtornos da Personalidade/psicologia
Fatores de Risco
Maus-Tratos Conjugais/psicologia
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1211
[Cu] Atualização por classe:151119
[Lr] Data última revisão:
151119
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:120719
[St] Status:MEDLINE
[do] DOI:10.1111/j.1752-0606.2011.00226.x


  8 / 103 MEDLINE  
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[PMID]:22783797
[Au] Autor:Harms KA
[Ad] Endereço:kim04302@gmail.com
[Ti] Título:Passive-aggressive behavior in the dental office.
[So] Source:Northwest Dent;91(3):32-4, 2012 May-Jun.
[Is] ISSN:0029-2915
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Recursos Humanos em Odontologia/organização & administração
Transtorno da Personalidade Passivo-Agressiva/psicologia
Administração de Recursos Humanos/métodos
Administração da Prática Odontológica/organização & administração
[Mh] Termos MeSH secundário: Disciplina no Trabalho
Avaliação de Desempenho Profissional
Seres Humanos
Relações Interprofissionais
Transtorno da Personalidade Passivo-Agressiva/prevenção & controle
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1208
[Cu] Atualização por classe:120712
[Lr] Data última revisão:
120712
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:120713
[St] Status:MEDLINE


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[PMID]:22737693
[Au] Autor:Zanarini MC; Frankenburg FR; Reich DB; Fitzmaurice G
[Ad] Endereço:McLean Hospital, Belmont, MA, USA. zanarini@mc lean.harvard.edu
[Ti] Título:Attainment and stability of sustained symptomatic remission and recovery among patients with borderline personality disorder and axis II comparison subjects: a 16-year prospective follow-up study.
[So] Source:Am J Psychiatry;169(5):476-83, 2012 May.
[Is] ISSN:1535-7228
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The purposes of this study were to determine time to attainment of symptom remission and to recovery lasting 2, 4, 6, or 8 years among patients with borderline personality disorder and comparison subjects with other personality disorders and to determine the stability of these outcomes. METHOD: A total of 290 inpatients with borderline personality disorder and 72 comparison subjects with other axis II disorders were assessed during their index admission using a series of semistructured interviews, which were administered again at eight successive 2-year follow-up sessions. For inclusion in the study, patients with borderline personality disorder had to meet criteria for both the Revised Diagnostic Interview for Borderlines and DSM-III-R. RESULTS: Borderline patients were significantly slower to achieve remission or recovery (which involved good social and vocational functioning as well as symptomatic remission) than axis II comparison subjects. However, by the time of the 16-year follow-up assessment, both groups had achieved similarly high rates of remission (range for borderline patients: 78%-99%; range for axis II comparison subjects: 97%-99%) but not recovery (40%-60% compared with 75%-85%). In contrast, symptomatic recurrence and loss of recovery occurred more rapidly and at substantially higher rates among borderline patients than axis II comparison subjects (recurrence: 10%-36% compared with 4%-7%; loss of recovery: 20%-44% compared with 9%-28%). CONCLUSIONS: Our results suggest that sustained symptomatic remission is substantially more common than sustained recovery from borderline personality disorder and that sustained remissions and recoveries are substantially more difficult for individuals with borderline personality disorder to attain and maintain than for individuals with other forms of personality disorder.
[Mh] Termos MeSH primário: Transtorno da Personalidade Borderline/terapia
Transtornos da Personalidade/terapia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Transtorno da Personalidade Antissocial/psicologia
Transtorno da Personalidade Antissocial/terapia
Transtorno da Personalidade Borderline/psicologia
Estudos de Casos e Controles
Transtorno da Personalidade Dependente/psicologia
Transtorno da Personalidade Dependente/terapia
Seguimentos
Seres Humanos
Entrevista Psicológica
Estimativa de Kaplan-Meier
Transtorno da Personalidade Paranoide/psicologia
Transtorno da Personalidade Paranoide/terapia
Transtorno da Personalidade Passivo-Agressiva/psicologia
Transtorno da Personalidade Passivo-Agressiva/terapia
Transtornos da Personalidade/psicologia
Modelos de Riscos Proporcionais
Estudos Prospectivos
Recidiva
Indução de Remissão
Ajustamento Social
Fatores de Tempo
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1207
[Cu] Atualização por classe:161025
[Lr] Data última revisão:
161025
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:120628
[St] Status:MEDLINE


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[PMID]:22329420
[Au] Autor:Hopwood CJ; Wright AG
[Ad] Endereço:Department of Psychology, Michigan State University, East Lansing, MI 48824­1116, USA. hopwood2@msu.edu
[Ti] Título:A comparison of passive-aggressive and negativistic personality disorders.
[So] Source:J Pers Assess;94(3):296-303, 2012.
[Is] ISSN:1532-7752
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Passive-aggressive personality disorder (PAPD) has historically played an important role in clinical theorizing and was diagnosable prior to the Diagnostic and Statistical Manual of Mental Disorders (4th ed. [DSM-IV]; American Psychiatric Association, 1994), in which the construct was relabeled negativistic (NEGPD), expanded to include negative affective symptoms, and appendicized. In this study we tested the hypothesis that the expansion of PAPD to include content related to negative moods and nonspecific personality pathology compromised its discriminant validity. In an undergraduate sample (N = 1,215), a self-report measure of PAPD was only moderately related to NEGPD and showed less diagnostic overlap with other personality disorders than NEGPD. Furthermore, a conjoint factor analysis yielded a strong first factor (moodiness) that appeared less specific to passive-aggressive behavior than 3 other factors (irresponsibility, inadequacy, and contempt). We conclude that future research on this potentially important clinical construct should focus on core passive-aggressive features and abandon the negativistic content that has been added to it in successive editions of the DSM.
[Mh] Termos MeSH primário: Afeto
Manual Diagnóstico e Estatístico de Transtornos Mentais
Transtorno da Personalidade Passivo-Agressiva/diagnóstico
[Mh] Termos MeSH secundário: Adolescente
Agressão
Análise Fatorial
Feminino
Seres Humanos
Masculino
Transtorno da Personalidade Passivo-Agressiva/classificação
Determinação da Personalidade
Psicometria
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1212
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:120215
[St] Status:MEDLINE
[do] DOI:10.1080/00223891.2012.655819



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