Andrew E. Skodol’s research while affiliated with University of Arizona and other places

... To the best of our knowledge, this was the first study involving PH as an outcome variable and DSM-5 Sections II and III diagnoses. Our project complements previous research on the clinical utility of the traditional and dimensional models of PD in predicting negative outcomes (e.g., Bach & Simonsen, 2021;McClelland et al., 2023;review in Bach & Tracy, 2022) and the growing number of studies that compare the utility of different types of PD diagnoses for various clinical variables (Berghuis et al., 2021;Müller et al., 2023;Weekers et al., 2024). ...

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Exploring Personality Correlates of Psychiatric Hospitalization: A Cross-Sectional Comparison of Section II Personality Disorder Model and Alternative Model for Personality Disorders

... Debates and controversies surrounding their high prevalence, the co-existence of multiple personality disorder categories in the same person, the co-existence of multiple psychiatric diagnoses, and the lack of a common phenomenological and psychopathological basis for the different personality disorder categories have raised the question of the validity of the categorical diagnostic model of personality disorders [3] . For these reasons, new versions of official diagnostic classification systems, such as the International Classification of Diseases (ICD-11) and the Alternative Model of Personality Disorders (AMPD) in the Diagnostic and Statistical Manual of Mental Disorders , are moving towards a dimensional, or hybrid, model of diagnosing personality disorders. ...

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INTENSITY OF PERSONALITY DISORDER AND BORDERLINE SPECIFICITIES IN PERSONS WITH NEUROTIC AND DEPRESSIVE DISORDERS

... Importantly, this variable was a significant predictor over and above that of identity dysfunction as defined by Criterion A of the AMPD, pointing to a specific facet of identity dysfunction related to feelings of not having an identity at all as being closely associated with emptiness. Notably, these constructs are thought to comprise the specific elements that distinguish personality pathology from other types of psychopathology (Morey et al., 2022). This supports the supposition that, likely, emptiness should at least be considered as an element important to broader personality pathology that may not be specific only to BPD. ...

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Emptiness, Personality Dysfunction, and Emotion Dysregulation: An Experience Sampling Study

... Accordingly, associations between ADHD symptoms, emotion regulation difficulties and impairment have also been observed in community samples [55]. More generally, the continuum view of psychopathology has proven extremely useful in identifying risk and protective factors implicated in psychiatric disorders [56,57]. According to this framework, rather than representing distinct entities, psychopathological symptoms are dimensional in nature and exist on a spectrum, determined by complex interactions between genetic, neurobiological and environmental factors, sometimes leading to full-blown clinical manifestations and sometimes causing only mild alterations in functioning [58]. ...

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Emotion regulation beyond executive and attention difficulties: impact on daily life impairments in community adolescents

... The AMPD has two central criteria. Criterion A describes the general severity of dysfunction, regardless of how the disorder is then manifested in behavior, cognition, or emotion Nysaeter et al., 2022). Personality dysfunction is viewed as dimensional and distributed with different levels of severity and features among all individuals (Tyrer et al., 2011). ...

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Conceptualizing adult ADHD with the DSM alternative model of personality disorder

... Network analysis has gained increasing interest as an approach to conceptualize psychopathology (Borsboom and Cramer 2013), by assuming that mental illness may be the result of the interaction between symptoms (i.e., the nodes) in a network (Cramer et al. 2010;Opsahl et al. 2010) or, more in general, for exploring inter-relations con with other potentially associated aspects (Vierl et al. 2023;Vierl et al. 2024). This approach has also been used in the study of various personality disorders, such as avoidant (Marian et al. 2022) or borderline (Peters et al. 2023) personality disorders, suggesting the possibility that the condition is supported by the interactions among symptoms. Moreover, network analysis has been used in some research on psychopathy in both forensic patients (Preszler et al. 2018) and non-institutionalized samples (Bronchain et al. 2019), in adults (Oba et al. 2024), young adults (Tsang and Salekin 2019), and adolescents (McCuish et al. 2019). ...

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Clinicians' Assessment of Antisocial Personality Disorder (ASPD): A Network Analysis Approach on DSM‐5‐TR Criteria and Domains

... Another possibility is that other variables -genetics and environmental factors -are the cause of both general somatic symptom burden and poor mental health. This view, that the propensity for a general somatic symptom burden shares risk and maintaining factors with internalizing psychopathology, is in line with recent work identifying these constructs as part of the same emotional dysfunction superspectrum [36]. One example of a study in support of such a hierarchical view of psychopathology included 5433 primary care patients from 14 countries and found that when depression symptoms, anxiety symptoms, and physical symptoms were included in the same factor analysis, the best fitting model had all items loading onto a single strong general internalizing factor, while a smaller proportion of the variance was explained by specific factors for anxiety, depression, and somatic complaints [37]. ...

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Understanding General Somatic Symptom Burden: Insights from a Systematic Review of Factor Analyses Pertaining to the Patient Health Questionnaire 15 (PHQ-15) and Somatic Symptom Scale 8 (SSS-8)

... Research has shown that dimensional models better capture the psychopathological patterns in the data compared to categorical ones [13]. The dimensional approach exhibit improved performance in risk prediction [14] and prognosis [15] of mental disorders. ...

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A Framework for Parsing Psychopathological Heterogeneity: Initial Application in a Large-Scale Unselected Community Sample

... L'organisation graphique retrouvée dans le projet de classification des Research Domain Criteria (RDoC) [27], Hierarchical Taxonomy of Psychopathology (HiTOP) [69], et ...

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La domestication de la sémiologie : proposition d’une organisation graphique du thesaurus semeioticus psychiatrique chez l’adulte

... Approximately 10% of patients with BPD complete suicide [6,7]. Personality disorder-specific features such as frantic efforts to avoid abandonment, emptiness, and identity disturbance predict suicide attempts [8]. ...

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Characteristics and outcomes of individuals screening positive for borderline personality disorder on an adult inpatient psychiatry unit: a cross-sectional study