El trastorno límite e histriónico de la personalidad y sus estrategias de regulación emocional: una revisión  sistemática y crítica desde el modelo dimensional

Ignacio  Cañamero Ballestar; María Carpallo González; Gabriel  Esteller-Collado; Roger Muñoz Navarro

doi:10.24310/espsiescpsi.v16i1.15194

Authors

Ignacio Cañamero Ballestar Spain
María Carpallo González Universitat de València Spain https://orcid.org/0000-0002-7920-3171
Gabriel Esteller-Collado 1Departamento de Personalidad, Evaluación y Tratamientos Psicológicos, Facultad de Psicología, Universidad de Valencia, España Spain
Roger Muñoz Navarro Universitat de València Spain https://orcid.org/0000-0002-7064-3699

DOI:

https://doi.org/10.24310/espsiescpsi.v16i1.15194

Keywords:

Personality disorders, dimensional model, emotional regulation, cluster B, systematic review.

Abstract

Personality disorders are scarcely attended to in real clinical practice, despite that their prevalence is high and they cause high interference and emotional distress in those who suffer from them. The objective of this study is to carry out a systematic review on borderline personality disorder (BPD) and histrionic personality disorder (HPD) from the dimensional models, as well as the emotional regulation strategies used by people who suffer from these disorders. The review has been carried out in compliance with the PRISMA guidelines, selecting a total of fourteen articles published between 2012 and 2022. The clear trend shown in the results is that people who suffer from BPD display the greatest severity, use more maladaptive emotional regulation strategies and have a series of pathological traits in common with HPD, whereas people with HPD show less severity. Future lines of research should focus on expanding studies on dimensional models and how they can be an alternative to traditional categorical diagnosis.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Álvarez Ramírez, L. Y. (2014). Caracterización de las creencias irracionales del trastorno histriónico de la personalidad. Psicogente, 17(31), 143-154. https://doi.org/10.17081/psico.17.31.427

Angstman, K., & Rasmussen, N. H. (2011). Personality disorders: review and clinical application in daily practice. American Family Physician, 84(11), 1253-1260. PMID: 22150659.

APA, 2002 American Psychiatric Association (APA) Manual Diagnóstico y Estadístico de los Trastornos Mentales (4.th ed. Texto Revisado [DSM-IV-TR]). Barcelona: Masson; 2002.

APA, 2013 American Psychiatric Association (APA) Diagnostic and Statistical Manual of Mental Disorders (5.thed. [DSM-5]). Washington, D.C: American Psychiatric Association; 2013.

Bakkevig, J. F., & Karterud, S. (2010). Is the Diagnostic and Statistical Manual of Mental Disorders, histrionic personality disorder category a valid construct?. Comprehensive Psychiatry, 51(5), 462-470. https://doi.org/10.1016/j.comppsych.2009.11.009

Bernal, F. T., & Navarrete, F. F. (2015). Protocolo diagnóstico de los trastornos de personalidad. Medicine-Programa de Formación Médica Continuada Acreditado, 11(84), 5041-5048. https://doi.org/10.1016/j.med.2015.07.015

Blackburn, R. (2000). Treatment or incapacitation? Implications of research on personality disorders for the management of dangerous offenders. Legal and Criminological Psychology, 5(1), 1-21. https://doi.org/10.1348/135532500167921

Brislin, S. J., Drislane, L. E., Smith, S. T., Edens, J. F., & Patrick, C. J. (2015). Development and validation of triarchic psychopathy scales from the Multidimensional Personality Questionnaire. Psychological Assessment, 27(3), 838–851. https://doi.org/10.1037/pas0000087

Caballo, V. E. (2004). Manual de Trastornos de la Personalidad: Descripción, Evaluación y Tratamiento (pp. 25-56). Madrid: Síntesis.

Carlson, E. N., Vazire, S., & Oltmanns, T. F. (2011). You probably think this paper's about you: narcissists' perceptions of their personality and reputation. Journal of Personality and Social Psychology, 101(1), 185. https://doi.org/10.1037/a0023781

Clark, L. A. (2005). Temperament as a unifying basis for personality and psychopathology. Journal of Abnormal Psychology, 114(4), 505. https://doi.org/10.1037/0021-843X.114.4.505

Clark, L. A. (2007). Assessment and diagnosis of personality disorder: Perennial issues and an emerging reconceptualization. Annual Review of Psychology, 58, 227. https://doi.org/10.1146/annurev.psych.57.102904.190200

Daurio, A. M., & Taylor, J. (2022). An investigation of the triarchic model of psychopathy and self-reported Cluster B personality disorder traits. Personality Disorders: Theory, Research, and Treatment. https://doi.org/10.1037/per0000500

Decuyper, M., De Fruyt, F., & Buschman, J. (2008). A five-factor model perspective on psychopathy and comorbid Axis-II disorders in a forensic-psychiatric sample. International Journal of Law and Psychiatry, 31(5), 394–406. https://doi.org/10.1016/j.ijlp.2008.08.008

Dixon-Gordon, K. L., Peters, J. R., Fertuck, E. A., & Yen, S. (2017). Emotional processes in borderline personality disorder: An update for clinical practice. Journal of Psychotherapy Integration, 27(4), 425. https://doi.org/10.1037/int0000044

Ekselius, L. (2018). Personality disorder: a disease in disguise. Upsala Journal of Medical Sciences, 123(4), 194-204. https://doi.org./10.1080/03009734.2018.1526235

Escribano, T. (2006). Trastorno Límite de la Personalidad: Estudio y Tratamiento. Intelligo, 1, 4-20.

Esbec, E., & Echeburúa, E. (2010). Violencia y trastornos de la personalidad: implicaciones clínicas y forenses. Actas Españolas de Psiquiatría, 38(5), 249-261.

Esbec, E., & Echeburúa, E. (2014). La evaluación de los trastornos de la personalidad según el DSM-5: recursos y limitaciones. Terapia Psicológica, 32(3), 255-264. https://dx.doi.org/10.4067/S0718-48082014000300008

Garofalo, C., Velotti, P., Callea, A., Popolo, R., Salvatore, G., Cavallo, F., & Dimaggio, G. (2018). Emotion dysregulation, impulsivity, and personality disorder traits: A community sample study. Psychiatry Research, 266, 186-192. https://doi.org/10.1016/j.psychres.2018.05.067Get

Ghaderi, D., Mostafaei, A., Bayazidi, S., & Shahnazari, M. (2016). Investigating the prevalence of personality disorders and its relationship with personality traits among students. International Journal of Medical Research & Health Sciences, 5(4), 119-126.

Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41-54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94

Groth-Marnat, G. (1997). Handbook of Psychological Assessment. John Wiley & Sons.

Gunderson, J. G. y Links, P. (2008). Borderline personality disorder: a clinical guide (2ª ed). Washington, DC: American Psychiatric Press, Inc.

Kernberg, O. F. (1984). Severe personality disorders: psychotherapeutic strategies. New Haven: Yale University Press

Krueger, R. F. (2002). Personality from a realist’s perspective: Personality traits, criminal behaviors, and the externalizing spectrum. Journal of Research in Personality, 36(6), 564–572. https://doi.org/10.1016/S0092-6566(02)00506-8

Krueger, R. F., Markon, K. E., Patrick, C. J., & Iacono, W. G. (2005). Externalizing psychopathology in adulthood: a dimensional-spectrum conceptualization and its implications for DSM-V. Journal of Abnormal Psychology, 114(4), 537. https://doi.org/10.1037/0021-843X.114.4.537

Marín, J. L. (2011). Trastornos de la personalidad. Madrid: Sociedad Española de Medicina Psicosomática y Psicología Médica

McCrae, R. R., & Costa, P. T. (1985). Updating Norman's" adequacy taxonomy": Intelligence and personality dimensions in natural language and in questionnaires. Journal of Personality and Social Psychology, 49(3), 710. https://doi.org/10.1037/0022-3514.49.3.710

McCrae, R. R., & Costa Jr, P. T. (1992). Discriminant validity of NEO-PIR facet scales. Educational and Psychological Measurement, 52(1), 229-237. https://doi.org/10.1177/001316449205200128

Miller, A. E., & Racine, S. E. (2020). Emotion regulation difficulties as common and unique predictors of impulsive behaviors in university students. Journal of American College Health, 1-9. https://doi.org/10.1080/07448481.2020.1799804

Millon, T., Grossman, S.D., Millon, C., Meagher, S.E., Ramnath, R., (2004). Personality Disorders in Modern Life, 2nd ed. John Wiley & Sons, Hoboken, NJ.

Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., Altman, D., Antes, G., ... & Tugwell, P. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement (Chinese edition). Journal of Chinese Integrative Medicine, 7(9), 889-896. https://doi.org/10.1371/journal.pmed.1000097

Patrick, C. J., Fowles, D. C., & Krueger, R. F. (2009). Triarchic conceptualization of psychopathy: Developmental origins of disinhibition, boldness, and meanness. Development and Psychopathology, 21(3), 913-938. https://doi.org/10.1017/S0954579409000492

Pedrero, E., López, A., & Fernández, E. (2012). Dimensiones factoriales del cuestionario de millon (MCMI-II) en adictos a sustancias. Psicothema, 24(4), 661-667.

Ramos, J. M., Broco, L., Sánchez, A., & Doll, A. (2019). La personalidad como vulnerabilidad unidimensional y bidimensional: el papel mediador de las variables cognitivas en la gravedad sintomatológica en una muestra de personas con trastorno grave de personalidad. Clínica y Salud, 31(1), 1-12. https://dx.doi.org/10.5093/clysa2019a18

Ramos, J. M., Sendra, J. M., Sánchez, A., y Mena, A. (2015). Perturbación sintomática general y afectiva en los trastornos de la personalidad: influencia de la gravedad frente al tipo de trastorno. Behavioral Psychology/Psicología Conductual, 23(1).

Ramos, J. M., Sendra, J. M., Sánchez, A., Mena, A., & Rodríguez, C. (2017). Gravedad y cambio en los trastornos de la personalidad. Psicología Conductual, 25(1), 25.

Ruiz, E., Salazar, I. C., & Caballo, V. E. (2012). Inteligencia emocional, regulación emocional y estilos/trastornos de personalidad. Behavioral Psychology/Psicología Conductual, 20(2).

Samuel, D. B., & Widiger, T. A. (2008). A meta-analytic review of the relationships between the five-factor model and DSM-IV-TR personality disorders: A facet level analysis. Clinical Psychology Review, 28(8), 1326-1342. https://doi.org/10.1016/j.cpr.2008.07.002

Sánchez, R. O. (2019). Modelos dimensionales para los trastornos de la personalidad: Un proceso inconcluso. Revista Argentina de Clínica Psicológica. https://doi.org/10.24205/03276716.20191126

Saulsman, L. M., & Page, A. C. (2004). The five-factor model and personality disorder empirical literature: A meta-analytic review. Clinical Psychology Review, 23(8), 1055-1085. https://10.1016/j.cpr.2002.09.001

Shedler, J., & Westen, D. (1998). Refining the measurement of Axis II: A Q-sort procedure for assessing personality pathology. Assessment, 5(4), 333-353. https://doi.org/10.1177/107319119800500403

Stone, L. E., & Segal, D. L. (2021). An empirical evaluation of the DSM-5 Alternative Model of Personality Disorders in later life. The International Journal of Aging and Human Development, 93(3), 904-926. https://doi.org/10.1177/0091415020980762

Torres-Soto, J. F., Moya-Faz, F. J., Giner-Alegría, C. A., & Oliveras-Valenzuela, M. A. (2019). Inventario PID-5, perfil dimensional del DSM-5 para orientar el diagnóstico y las necesidades terapéuticas en los trastornos de personalidad. Anales de Psicología, 35(1), 47-57. https://doi.org/10.6018/analesps.35.1.333191

Torgersen, S. (2014). Prevalence, sociodemographics, and functional impairment. In J. M. Oldham, A. E. Skodol, & D. S. Bender (Eds.), The American Psychiatric Publishing textbook of personality disorders (pp. 109–129). American Psychiatric Publishing, Inc.

Valikhani, A., Mokaberian, M., Rahmati Kankat, L., & Moustafa, A. A. (2020). Dimensional investigation of individual differences in personality disorder traits based on the three-dimensional model of personality self-regulation. Current Psychology, 1-13. https://doi.org/10.1007/s12144-020-01031-5

Van den Broeck, J., Rossi, G., De Clercq, B., Dierckx, E., & Bastiaansen, L. (2013). Validation of the FFM PD count technique for screening personality pathology in later middle-aged and older adults. Aging & Mental Health, 17(2), 180-188. https://doi.org/10.1080/13607863.2012.717258

Widiger, T. A., & Samuel, D. B. (2005). Diagnostic categories or dimensions? A question for the Diagnostic and statistical manual of mental disorders--. Journal of Abnormal Psychology, 114(4), 494. https://doi.org/10.1037/0021-843X.114.4.494

Widiger, T. A., Lynam, D. R., Miller, J. D., & Oltmanns, T. F. (2012). Measures to assess maladaptive variants of the five-factor model. Journal of Personality Assessment, 94(5), 450-455. https://doi.org/10.1080/00223891.2012.677887