Evidence map›Paper›PMID 37563768›Full record

ArticleBJPsych open2023

Personality functioning and self-disorders in individuals at ultra-high risk for psychosis, with first-episode psychosis and with borderline personality disorder.

Maria Gruber, Johanna Alexopoulos, Stephan Doering, Karin Feichtinger, Fabian Friedrich, Miriam Klauser, Barbara Hinterbuchinger, Zsuzsa Litvan, Nilufar Mossaheb, Karoline Parth and 2 more

Abstract read
In one paragraph

Article in BJPsych open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

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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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

12 authors.

Maria GruberDepartment of Psychoanalysis and Psychotherapy, Medical University of Vienna, Vienna, Austria; and Department of Psychiatry and Psychotherapy, Clinical Division of Social Psychiatry, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-5632-6785
Johanna AlexopoulosDepartment of Psychoanalysis and Psychotherapy, Medical University of Vienna, Vienna, Austria.
Stephan DoeringDepartment of Psychoanalysis and Psychotherapy, Medical University of Vienna, Vienna, Austria.
Karin FeichtingerDepartment of Psychoanalysis and Psychotherapy, Medical University of Vienna, Vienna, Austria.
Fabian FriedrichDepartment of Psychiatry and Psychotherapy, Clinical Division of Social Psychiatry, Medical University of Vienna, Vienna, Austria.
Miriam KlauserDepartment of Psychoanalysis and Psychotherapy, Medical University of Vienna, Vienna, Austria.
Barbara HinterbuchingerDepartment of Psychiatry and Psychotherapy, Clinical Division of Social Psychiatry, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0003-0634-6398
Zsuzsa LitvanDepartment of Psychiatry and Psychotherapy, Clinical Division of Social Psychiatry, Medical University of Vienna, Vienna, Austria.
Nilufar MossahebDepartment of Psychiatry and Psychotherapy, Clinical Division of Social Psychiatry, Medical University of Vienna, Vienna, Austria.
Karoline ParthDepartment of Psychoanalysis and Psychotherapy, Medical University of Vienna, Vienna, Austria.
Antonia WiningerDepartment of Psychoanalysis and Psychotherapy, Medical University of Vienna, Vienna, Austria.
Victor BlümlDepartment of Psychoanalysis and Psychotherapy, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0003-0226-0837

Funding

International Psychoanalytical Association
6 · The paper itself

Abstract

backgroundAssessment of personality functioning in different stages of psychotic disorders could provide valuable information on psychopathology, course of illness and treatment planning, but empirical data are sparse.

aimsTo investigate personality functioning and sense of self in individuals at ultra-high risk (UHR) for psychosis and with first-episode psychosis (FEP) in comparison with a clinical control group of individuals with borderline personality disorder (BPD) and healthy controls.

methodIn a cross-sectional design, we investigated personality functioning (Structured Interview of Personality Organization, STIPO; Level of Personality Functioning Scale, LPFS) and disturbances of the basic self (Examination of Anomalous Self-Experience, EASE) in 107 participants, comprising 24 individuals at UHR, 29 individuals with FEP, 27 individuals with BPD and 27 healthy controls.

resultsThe UHR, FEP and BPD groups had moderate to severe deficits in personality organisation (STIPO) compared with the healthy control group. Self-functioning with its subdomain (facet) 'self-direction' (LPFS) was significantly worse in participants with manifest psychosis (FEP) compared with those at-risk for psychosis (UHR). The FEP group showed significantly worse overall personality functioning than the UHR group and significantly higher levels of self-disturbance (EASE) than the BPD group, with the UHR group lying between these diagnostic groups. Hierarchical cluster analysis based on the seven STIPO domains yielded three clusters differing in level of personality functioning and self-disturbances.

conclusionsOur data demonstrate that psychotic disorders are associated with impaired personality functioning and self-disturbances. Assessment of personality functioning can inform treatment planning for patients at different stages of psychotic disorder.

Indexed as

at-risk mental state for psychosisPersonality functioningpsychotic personality organisationself-disordersStructured Interview for Personality Organization (STIPO)

Identifiers

PMID37563768
PMCPMC10594090

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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.