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Forschung - Publikationsliste

Publikationsliste nach Themen gereiht (zur Übersicht):

Nach ICD-10 (WHO):

F 60 - F69

Personality Disorders:

        J Personal Disord 2003 Feb;17(1):73-85

Personality disorders and personality dimensions in anorexia nervosa.
Karwautz A, Troop NA, Rabe-Hesketh S, Collier DA, Treasure JL.

Information on the relationship between anorexia nervosa (AN) and personality disorders (PDs) and dimensions of temperament and character (measured by the Temperament and Character Inventory [TCI; Cloninger, Przybeck Svrakic, & Wetzel, 1994]) is limited. This study examines the predictive validity of the TCI for PD diagnoses assessed by the International Personality Disorder Examination-ICD-10 (IPDE-ICD-10; Loranger, Janca, & Sartorius, 1997) interviews of 46 women with DSM-IV-defined AN. Patients with a PD reported higher levels of harm-avoidance and lower levels of self-directedness than those without a PD. Scores on the TCI were predictive of the number of PD features present, particularly for those PDs in the anankastic, anxious, and dependent groups accounting for 40% to 51% of the variance. Cluster analysis based on scores on the TCI identified a subgroup of patients characterized by low levels of novelty seeking, self-directedness, and cooperativeness and high levels of harm avoidance. This cluster included the majority of those with avoidant, anxious, or dependent PDs. Assessment of particular personality dimensions was able to predict PDs in an anorexic sample. Since normal personality dimensions have greater validity than the categorical PDs, a consideration of normal temperament and character may assist in clinical decisionmaking and considerations concerning treatment.

J Personal Disord 1997 Fall;11(3):285-300 
Negative and positive dimensions of schizotypal personality disorder.
Squires-Wheeler E, Friedman D, Amminger GP, Skodol A, Looser-Ott S, Roberts S,
Pape K, Erlenmeyer-Kimling L.

The positive (perceptual-cognitive) and negative (social-interpersonal)
dimensions of schizotypal personality traits were examined in biological
relatives of individuals with Axis I disorder. The subjects were young adult
offspring from three contrasting parental groups, including schizophrenic
disorder, affective disorder, and normal controls. Cognitive correlates,
including digit span (presumed to assess working memory) and P3 amplitudes, were
also examined. Preliminary results showed that positive and negative dimensions
were distinguished by different prevalence patterns in the offspring subjects,
and by a different pattern of correlations with cognitive measures. Negative
dimensions were more frequent in offspring from the schizophrenic parental group
than in the offspring from affective disorder and normal control parental
groups. Digits forward and backward, and P3 amplitude decrements, characterized
a subset of offspring with negative features from the schizophrenic parental
group. Positive dimensions did not differ between the psychiatric parental
groups, and did not covary with digit span or P3 amplitude assessments. These
results support the view that positive and negative dimensions may reflect
separable pathophysiologic processes.

Wien Klin Wochenschr 1996;108(3):82-4 
Self-mutilation in adolescence as addictive behaviour.
Karwautz A, Resch F, Wober-Bingol C, Schuch B.

Self-mutilation as addictive behaviour has been mentioned in a few studies in
recent years. We present the case of a girl with narcissistic borderline
personality disorder (DSM III-R: 301.83, 301.81), who undertook multiple,
repetitive self-mutilating acts. Self-mutilation is discussed as addictive
behaviour in this case. We emphasize the evaluation of repetitive
self-mutilating acts by applying criteria for addictive and dependence
disorders, in order to achieve additional adequate strategies for treating
patients showing this behaviour.
 

Z Kinder Jugendpsychiatr 1993 Dec;21(4):253-9 
Kann Selbstverletzung als suechtiges Verhalten bei Jugendlichen angesehen werden?
Aspekte der Pathogenese selbstverletzenden Verhaltens
Can self-injury be viewed as an addictive behavior in adolescents? Aspects of
the pathogenesis of self-injury behavior
Resch F, Karwautz A, Schuch B, Lang E.

Im Anschluss an eine Uebersicht ueber unterschiedliche Versuche, selbstverletzendes Verhalten nosologisch einzuordnen, werden Bausteine einer Pathogenese des "Verhaltensmusters der Selbstverletzung" auf biologischer, phaenomenologischer, biographischer und psychodynamischer Ebene zusammengetragen. Es wird die Hypothese herausgearbeitet, dass zumindest bei manchen Patienten wiederholte Akte der Selbstverletzung den Charakter suechtigen Verhaltens aufweisen und als nicht stoffgebundene Sucht aufgefasst werden koennen.

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