Evidence map›Paper›PMID 31597579›Full record

ArticlePsychological medicine2020

Personalized models of personality disorders: using a temporal network method to understand symptomatology and daily functioning in a clinical sample.

Hailey L Dotterer, Adriene M Beltz, Katherine T Foster, Leonard J Simms, Aidan G C Wright

Abstract read
In one paragraph

Article in Psychological medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 30 citations in OpenAlex.

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  4. Using the experience sampling method to support clinical practice: An illustration with problematic cannabis use.Psychotherapy research : journal of the Society for Psychotherapy Research · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Hailey L DottererDepartment of Psychology, University of Michigan, Ann Arbor, USA.ORCID 0000-0001-9158-3181
Adriene M BeltzDepartment of Psychology, University of Michigan, Ann Arbor, USA.
Katherine T FosterDepartment of Psychology, University of Michigan, Ann Arbor, USA.
Leonard J SimmsDepartment of Psychology, University at Buffalo, Buffalo, USA.
Aidan G C WrightDepartment of Psychology, University of Pittsburgh, Pittsburgh, USA.
University of Michigan · USUniversity at Buffalo, State University of New York · USUniversity of Pittsburgh · US

Funding

Development of a Computerized Adaptive Test of Personality Disorder (CAT-PD)R01MH080086 · NIMH · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI SIMMS, LEONARD JAY · 2008 to 2012
$2.5M
Estimating Causal Association: Internalizing and Alcohol Use ProblemsF31AA023121 · NIAAA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI FOSTER, KATHERINE TATE · 2014 to 2017
$103k
Dynamic Expression of Antagonistic Personality Pathology in Daily LifeF32MH097325 · NIMH · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI WRIGHT, AIDAN GREGORY CRAVER · 2012 to 2012
$49k
NIAAA NIH HHS F31 AA023121NIMH NIH HHS F32 MH097325NIMH NIH HHS L30 MH101760NIMH NIH HHS R01 MH080086
6 · The paper itself

Abstract

backgroundAn ongoing challenge in understanding and treating personality disorders (PDs) is a significant heterogeneity in disorder expression, stemming from variability in underlying dynamic processes. These processes are commonly discussed in clinical settings, but are rarely empirically studied due to their personalized, temporal nature. The goal of the current study was to combine intensive longitudinal data collection with person-specific temporal network models to produce individualized symptom-level structures of personality pathology. These structures were then linked to traditional PD diagnoses and stress (to index daily functioning).

methodsUsing about 100 daily assessments of internalizing and externalizing domains underlying PDs (i.e. negative affect, detachment, impulsivity, hostility), a temporal network mapping approach (i.e. group iterative multiple model estimation) was used to create person-specific networks of the temporal relations among domains for 91 individuals (62.6% female) with a PD. Network characteristics were then associated with traditional PD symptomatology (controlling for mean domain levels) and with daily variation in clinically-relevant phenomena (i.e. stress).

resultsFeatures of the person-specific networks predicted paranoid, borderline, narcissistic, and obsessive-PD symptom counts above average levels of the domains, in ways that align with clinical conceptualizations. They also predicted between-person variation in stress across days.

conclusionsRelations among behavioral domains thought to underlie heterogeneity in PDs were indeed associated with traditional diagnostic constructs and with daily functioning (i.e. stress) in person-specific networks. Findings highlight the importance of leveraging data and models that capture person-specific, dynamic processes, and suggest that person-specific networks may have implications for precision medicine.

Indexed as

AdultDiagnostic and Statistical Manual of Mental DisordersFemaleHumansInternal-External ControlMaleMiddle AgedPersonality DisordersPersonality InventoryPsychiatric Status Rating ScalesConnectivityexternalizinginternalizingpersonality disorderperson-specific

Identifiers

PMID31597579
PMCPMC12163712
OpenAlexW2979967269

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.