Sperandeo Raffaele, Messina Giovanni, Iennaco Daniela, Sessa Francesco, Russo Vincenzo, Polito Rita, Monda Vincenzo, Monda Marcellino, Messina Antonietta, Mosca Lucia Luciana, Mosca Laura, Dell'Orco Silvia, Moretto Enrico, Gigante Elena, Chiacchio Antonello, Scognamiglio Chiara, Carotenuto Marco, Maldonato Nelson Mauro
SiPGI-Postgraduate School of Integrated Gestalt Psychotherapy, Torre Annunziata, Italy.
Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.
Front Psychiatry. 2020 Jan 9;10:938. doi: 10.3389/fpsyt.2019.00938. eCollection 2019.
Personality disorders (PDs) are one of the major problems for the organization of public health systems. Deepening the link between personality traits and psychopathological drifts, it seems increasingly essential for the often dramatic repercussions that PDs have on social contexts. Some of these disorders, such as borderline PD, antisocial PD, in their most tragic expression, are the basis of problems related to crime, sexual violence, abuse, and mistreatment of minors. Many authors propose a dimensional classification of personality pathology, which has received empirical support from numerous studies over the last 20 years based on more robust theoretical principles than those applied to current nosography. The present study investigates the nature of the research carried out in the last years on the personality in the clinical field exploring the contents of current research on personality relapses, evaluating, on the one hand, the emerging areas of greatest interest and others, those that they stopped generating sufficient motivations in scholars. This study evaluates text patterns regarding how the terms "personality" and "mental health" are used in titles and abstracts published in PubMed in the last 5 years. We use a topic analysis: Latent Dirichlet Allocation that expresses every report as a probabilistic distribution of latent topics that are represented as a probabilistic distribution of words. A total of 7,572 abstracts (from 2012 to 2017) were retrieved from PubMed for the query on "mental health" and "personality." The study found 30 topics organized in eight hierarchical clusters that describe the type of current research carried out on personality and its clinical relapse. The hierarchical clusters latent themes were the following: social dimensions, clinical aspects, biological issues, clinical history of PD, internalization and externalization symptoms, impulsive behaviors, comorbidities, criminal behaviors. The results indicate that the concept of personality is associated with a wide range of conditions. The study of personality and mental health still proceeds, mainly, according to a practical-clinical approach; too little moves, however, according to an innovative research approach, but the work shows the common commitment of scholars to a new way of dealing with the study of personality.
人格障碍是公共卫生系统组织面临的主要问题之一。随着人格特质与精神病理演变之间的联系日益深入,鉴于人格障碍对社会环境往往产生巨大影响,这一点似乎变得愈发重要。其中一些障碍,如边缘型人格障碍、反社会型人格障碍,在其最悲惨的表现形式中,是与犯罪、性暴力、虐待和虐待未成年人相关问题的根源。许多作者提出了人格病理学的维度分类,在过去20年里,基于比当前疾病分类学所应用的更为坚实的理论原则,这一分类得到了众多研究的实证支持。本研究通过探索当前关于人格复发的研究内容,调查了近年来临床领域对人格进行的研究的性质,一方面评估了最受关注的新兴领域,另一方面评估了那些在学者中不再产生足够研究动力的领域。本研究评估了过去5年在PubMed上发表的标题和摘要中“人格”和“心理健康”这两个术语的使用文本模式。我们采用主题分析:潜在狄利克雷分配,将每篇报告表示为潜在主题的概率分布,而潜在主题又表示为单词的概率分布。从PubMed中检索了总共7572篇摘要(2012年至2017年),用于查询“心理健康”和“人格”。该研究发现了30个主题,这些主题被组织成八个层次聚类,描述了当前对人格及其临床复发所开展的研究类型。层次聚类潜在主题如下:社会维度、临床方面、生物学问题、人格障碍的临床病史、内化和外化症状、冲动行为、共病、犯罪行为。结果表明人格概念与广泛的状况相关联。人格与心理健康的研究主要仍按照实践 - 临床方法进行;然而,按照创新研究方法开展的研究很少,但这项工作显示了学者们对一种处理人格研究的新方式的共同承诺。