title: Relationship Between Affect Consciousness and Personality Functioning in Patients With Personality Disorders: A Prospective Study.
abstract: Emotional dysfunction is by definition central to personality disorders (PDs). In the alternative model in DSM-5, self and relational dysfunctioning constitutes the core of PD, but little is known about the relation between emotional functioning and such core aspects of personality functioning. This study investigated concurrent and prospective associations between emotional and personality functioning as assessed by affect consciousness (AC) and the Severity Indices of Personality Problems (SIPP-118), respectively. The SIPP-118 comprises five domains of personality functioning, including Identity Integration and Relation Capacities, and was applied repeatedly during 3-year follow-up of 63 PD patients who participated in a treatment study. Statistical analyses were based on linear mixed models. Lower AC levels were significantly associated with (a) lower levels of Identity Integration and Relational Capacities at baseline, and (b) poorer long-term improvement of Identity Integration. The study supports the notion that affect consciousness is related to core aspects of personality functioning.
authors.affiliation: Oslo University Hospital, Division of Mental Health and Addiction, Department of Personality Psychiatry, Oslo, Norway.
authors.forename: Merete Selsbakk
authors.initials: MS
authors.lastname: Johansen
authors.affiliation: Division of Mental Health & Addiction, Vestfold Hospital Trust, T⊘nsberg, Norway.
authors.forename: Eivind
authors.initials: E
authors.lastname: Normann-Eide
authors.affiliation: Division of Mental Health & Addiction, Vestfold Hospital Trust, T⊘nsberg, Norway.
authors.forename: Tone
authors.initials: T
authors.lastname: Normann-Eide
authors.affiliation: Oslo University Hospital, Division of Mental Health and Addiction, Department of Research and Development, Oslo, Norway.
authors.forename: Ole
authors.initials: O
authors.lastname: Klungs Yr
authors.affiliation: Oslo University Hospital, Division of Mental Health and Addiction, Department of Personality Psychiatry, Oslo, Norway.
authors.forename: Elfrida
authors.initials: E
authors.lastname: Kvarstein
authors.affiliation: Oslo University Hospital, Division of Mental Health and Addiction, Department of Research and Development, Oslo, Norway.
authors.forename: Theresa
authors.initials: T
authors.lastname: Wilberg
mesh_terms: D000293:Adolescent; D000328:Adult; D003243:Consciousness; D003430:Cross-Sectional Studies; D004644:Emotions; D005260:Female; D006801:Humans; D008297:Male; D010551:Personality; D010554:Personality Disorders / Q000523:psychology* / Q000628:therapy; D010555:Personality Inventory; D011446:Prospective Studies; D011613:Psychotherapy; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D055815:Young Adult