Gori Alessio, Topino Eleonora, Sharp Carla
Department of Health Sciences, University of Florence, Florence, Italy.
Integrated Psychodynamic Psychotherapy Institute (IPPI), Florence, Italy.
Personal Ment Health. 2025 May;19(2):e70017. doi: 10.1002/pmh.70017.
Antisocial Personality Disorder (ASPD) is a personality disorder that entails significant impairments and/or costs at the individual, interpersonal, and community levels. Given its clinical relevance, scientific research is placing a significant focus on the study of the central characteristics of this condition to guide prevention and clinical practice. Within this framework, the present study aimed to investigate the associations and centrality of ASPD criteria and maladaptive trait domains in mental health professionals' conceptualization of the disorder, thus taking into account both categorical and dimensional approaches to personality pathology. The research involved 322 mental health professionals who reviewed the importance of ASPD criteria (Section II) and maladaptive trait domains (Criterion B of Section III). Data were analyzed using a network analysis approach. Both edge weights and node centrality were investigated. Within the criteria network, all centrality indices unanimously highlighted the role of lack of remorse. Regarding the trait domain network, the contributions of antagonism, detachment, and disinhibition were emphasized. The findings of this research collect and systematize the mental health professionals' perspective through the network analysis approach to provide further understanding of ASPD's central features. Such data may have useful practical implications for both research and clinical practice.
反社会型人格障碍(ASPD)是一种人格障碍,在个体、人际和社区层面都会导致严重的损害和/或代价。鉴于其临床相关性,科学研究高度关注对该病症核心特征的研究,以指导预防和临床实践。在此框架内,本研究旨在调查在心理健康专业人员对该障碍的概念化中,ASPD标准与适应不良特质领域之间的关联及核心地位,从而兼顾人格病理学的分类和维度方法。该研究涉及322名心理健康专业人员,他们对ASPD标准(第二节)和适应不良特质领域(第三节的B标准)的重要性进行了评估。数据采用网络分析方法进行分析。同时研究了边权重和节点中心性。在标准网络中,所有中心性指标一致突出了缺乏悔恨感的作用。在特质领域网络方面,强调了敌对性、疏离性和抑制解除的作用。本研究的结果通过网络分析方法收集并系统化了心理健康专业人员的观点,以进一步理解ASPD的核心特征。这些数据可能对研究和临床实践都具有有益的实际意义。