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. 2023 Mar 28;11(1):83.
doi: 10.1186/s40359-023-01122-5.

The maladaptive domains according to the alternative model of personality disorders (AMPD) criterion B in patients with affective disorders and temperamental triads related to these domains: two unique profiles

Saeid Komasi  1 , Minoo Jananeh  2 , Sahar Mahdavi  3 , Tahereh Shademan  3 , Anis Vaysi  3 , Mehrnoosh Shahlaee  3 , Atefeh Mirani  4 , Zahra Chamandoust  3 , Mozhgan Saeidi  3
Affiliations

The maladaptive domains according to the alternative model of personality disorders (AMPD) criterion B in patients with affective disorders and temperamental triads related to these domains: two unique profiles

Saeid Komasi et al. BMC Psychol. .

Abstract

Objectives: The study aimed to (i) compare the maladaptive domains and facets according to the Alternative Model of Personality Disorders (AMPD) Criterion B in patients with a type II bipolar disorder (BD-II) or major depressive disorder (MDD) with healthy controls (HCs), and (ii) investigating the relationship between affective temperaments and these domains and facets in the total sample.

Methods: Outpatients diagnosed with current BD-II (n = 37; female 62.2%) or MDD (n = 17; female 82.4%) based on the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria and community HCs (n = 177; female 62.1%) in Kermanshah from July to October 2020 included this case-control study. All participants completed the Personality Inventory for DSM-5 (PID-5), the Temperament Evaluation of Memphis, Pisa, Paris, and San Diego Autoquestionnaire (TEMPS-A), and the second version of the Beck Depression Inventory (BDI-II). Data were analyzed using analysis of variance (ANOVA), Pearson correlation, and multiple regression.

Results: The score of patients with BD-II in all five domains and those with MDD in three domains including negative affectivity, detachment, and disinhibition are significantly higher than the HCs (p < 0.05). Depressive temperament (related to negative affectivity, detachment, and disinhibition) and cyclothymic temperament (related to antagonism and psychoticism) were the most important correlates of the maladaptive domains.

Conclusions: Two unique profiles are proposed, including three domains of negative affectivity, detachment, and disinhibition associated with the depressive temperament for MDD, and two domains of antagonism and psychoticism related to cyclothymic temperament for BD-II.

Keywords: Affective disorder; Bipolar mood; Major depression; Personality pathology; Temperament.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Temperamental triads related to the maladaptive domains according to the AMPD Criterion B in the total sample
See this image and copyright information in PMC

References

    1. American Psychiatric Association . Diagnostic and statistical Manual of Mental Disorders. 5. Arlington, VA: Author; 2013.
    1. Oldham JM. The alternative DSM-5 model for personality disorders. World Psychiatry. 2015 Jun;14(2):234–6. - PMC - PubMed
    1. Skodol AE, Morey LC, Bender DS, Oldham JM. The Alternative DSM-5 Model for Personality Disorders: a clinical application. Am J Psychiatry. 2015;172(7):606–13. doi: 10.1176/appi.ajp.2015.14101220. - DOI - PubMed
    1. Krueger RF, Derringer J, Markon KE, Watson D, Skodol AE. The Personality Inventory for DSM-5 (PID-5)–Adult. Washington, DC: American Psychiatric Association. 2013. Available from http://bit.ly/Kyaxzq.
    1. Krueger RF. Criterion B of the AMPD and the interpersonal, multivariate, and empirical paradigms of personality assessment. The DSM-5 Alternative Model for Personality Disorders. Routledge. 2019.p.p 60–76.