Assessment of personality functioning in psychosomatic medicine.
Assessment
Coping strategies
Self-regulation
Somatic disease
Structural integration
Journal
Wiener klinische Wochenschrift
ISSN: 1613-7671
Titre abrégé: Wien Klin Wochenschr
Pays: Austria
ID NLM: 21620870R
Informations de publication
Date de publication:
Aug 2022
Aug 2022
Historique:
received:
26
07
2020
accepted:
30
11
2021
pubmed:
29
3
2022
medline:
31
8
2022
entrez:
28
3
2022
Statut:
ppublish
Résumé
Personality functioning, also referred to as structural integration, describes basic emotion-related perception and regulation capacities directed towards the self and others. Patients with impairments of personality functioning experience difficulties in self-regulation and interpersonal relations. Although personality functioning has become increasingly important in psychotherapeutic and psychiatric diagnoses and treatment planning, there is little systematic evidence on the role of personality functioning in patients with chronic and somatic diseases. This article reviews empirical studies using standardized assessments of personality functioning in patients with chronic and somatic diseases and discusses the role of personality structure in psychosomatic medicine. Currently, there are only a limited number of studies using standardized assessments of personality functioning in patients with chronic or somatic diseases. The available evidence points to correlations of personality functioning with pain perception and the development of chronic pain. In addition, patients with lower levels of personality functioning may have difficulties in managing chronic conditions that require enduring changes in health behavior, such as in diabetes or posttransplantation therapy. The review suggests a systematic link between personality functioning and health behavior in patients with chronic diseases that relate to self-regulation and coping strategies. These findings underline the importance of assessing personality functioning for diagnostics and treatment planning in psychosomatic medicine. Finally, an assessment of personality functioning could be helpful in choosing specific psychotherapeutic treatment strategies; however, more empirical studies are needed to comprehensively prove these assumptions.
Sections du résumé
BACKGROUND
BACKGROUND
Personality functioning, also referred to as structural integration, describes basic emotion-related perception and regulation capacities directed towards the self and others. Patients with impairments of personality functioning experience difficulties in self-regulation and interpersonal relations. Although personality functioning has become increasingly important in psychotherapeutic and psychiatric diagnoses and treatment planning, there is little systematic evidence on the role of personality functioning in patients with chronic and somatic diseases. This article reviews empirical studies using standardized assessments of personality functioning in patients with chronic and somatic diseases and discusses the role of personality structure in psychosomatic medicine.
RESULTS
RESULTS
Currently, there are only a limited number of studies using standardized assessments of personality functioning in patients with chronic or somatic diseases. The available evidence points to correlations of personality functioning with pain perception and the development of chronic pain. In addition, patients with lower levels of personality functioning may have difficulties in managing chronic conditions that require enduring changes in health behavior, such as in diabetes or posttransplantation therapy.
CONCLUSION
CONCLUSIONS
The review suggests a systematic link between personality functioning and health behavior in patients with chronic diseases that relate to self-regulation and coping strategies. These findings underline the importance of assessing personality functioning for diagnostics and treatment planning in psychosomatic medicine. Finally, an assessment of personality functioning could be helpful in choosing specific psychotherapeutic treatment strategies; however, more empirical studies are needed to comprehensively prove these assumptions.
Identifiants
pubmed: 35344100
doi: 10.1007/s00508-021-01993-x
pii: 10.1007/s00508-021-01993-x
pmc: PMC9418278
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
602-610Informations de copyright
© 2022. The Author(s).
Références
Z Psychosom Med Psychother. 2018 Sep;64(3):281-297
pubmed: 30829160
Ren Fail. 2015 May;37(4):678-80
pubmed: 25687387
Int J Psychoanal. 1994 Dec;75 ( Pt 5-6):1193-200
pubmed: 7713654
Ann N Y Acad Sci. 1998 May 1;840:33-44
pubmed: 9629234
J Am Psychoanal Assoc. 2007 Spring;55(2):411-56
pubmed: 17601099
Nat Rev Endocrinol. 2011 Nov 08;8(4):228-36
pubmed: 22064493
Physiol Behav. 2015 Apr 1;142:152-4
pubmed: 25680476
Front Psychol. 2017 Sep 14;8:1511
pubmed: 28959219
Int J Psychoanal. 1999 Aug;80 ( Pt 4):769-81
pubmed: 10478311
J Pers Assess. 2012;94(5):522-32
pubmed: 22808938
J Psychiatr Pract. 2020 Nov;26(6):472-484
pubmed: 33275384
Psychosom Med. 2019 Sep;81(7):584-594
pubmed: 31232916
Annu Rev Clin Psychol. 2019 May 7;15:481-502
pubmed: 30601688
Front Psychiatry. 2020 May 11;11:410
pubmed: 32477186
Psychopathology. 2011;44(1):21-6
pubmed: 20980784
Z Psychosom Med Psychother. 2010;56(2):136-49
pubmed: 20623459
Int J Environ Res Public Health. 2021 May 14;18(10):
pubmed: 34069270
J Pers Assess. 2011 Jul;93(4):332-46
pubmed: 22804672
Psychol Assess. 2011 Sep;23(3):615-25
pubmed: 21443364
Z Psychosom Med Psychother. 2002;48(2):163-73
pubmed: 11992326
Z Psychosom Med Psychother. 2015;61(3):262-74
pubmed: 26388057
Eat Disord. 2007 Jul-Sep;15(4):333-46
pubmed: 17710570
J Pers Assess. 2021 May-Jun;103(3):365-379
pubmed: 32631173
Psychopathology. 2014;47(3):185-93
pubmed: 24192300
Br J Clin Psychol. 2015 Sep;54(3):345-60
pubmed: 25772553
Obes Rev. 2015 Jan;16(1):32-63
pubmed: 25470329
J Pers Disord. 2013 Jun;27(3):359-70
pubmed: 23398105
Lancet Diabetes Endocrinol. 2015 Jun;3(6):461-471
pubmed: 25995124
Front Psychiatry. 2021 Apr 16;12:654026
pubmed: 33935839
Int J Psychoanal. 1993 Aug;74 ( Pt 4):659-73
pubmed: 8407123
Diabetes Res Clin Pract. 2019 May;151:106-113
pubmed: 30959148
Psychother Psychosom Med Psychol. 2012 Jan;62(1):25-32
pubmed: 22271173
Front Psychol. 2019 Oct 17;10:2326
pubmed: 31681116
Gen Hosp Psychiatry. 2004 Mar-Apr;26(2):164-5
pubmed: 15038936
J Pers Assess. 2010 Jan;92(1):35-44
pubmed: 20013454
J Diabetes Complications. 2019 Mar;33(3):217-222
pubmed: 30598369
J Psychiatr Res. 2013 Oct;47(10):1499-506
pubmed: 23856083
Res Psychother. 2021 Mar 29;24(1):531
pubmed: 33937117
J Pers Disord. 2021 Mar;35(Suppl A):1-20
pubmed: 30785864
J Clin Psychiatry. 2004 Dec;65(12):1660-5
pubmed: 15641871
Semin Arthritis Rheum. 2012 Feb;41(4):576-88
pubmed: 22035624
Front Hum Neurosci. 2013 Oct 25;7:718
pubmed: 24298247
Psychiatry (Edgmont). 2004 Sep;1(2):19-27
pubmed: 21197375
Front Hum Neurosci. 2013 Oct 25;7:705
pubmed: 24298244
J Clin Gastroenterol. 2021 Sep 1;55(8):e66-e76
pubmed: 33780221
Arch Intern Med. 1993 Sep 27;153(18):2093-101
pubmed: 8379800
Child Dev. 1970 Mar;41(1):49-67
pubmed: 5490680
PLoS One. 2011 Jan 25;6(1):e15712
pubmed: 21283580
Curr Psychiatry Rep. 2021 Jun 28;23(7):45
pubmed: 34181116
J Pers Disord. 2004 Oct;18(5):439-47
pubmed: 15519954
Psychother Psychosom. 2017;86(3):183-184
pubmed: 28490017
Psychol Assess. 2001 Dec;13(4):577-91
pubmed: 11793901
Prim Care Companion CNS Disord. 2015 May 28;17(3):
pubmed: 26644960
J Pain Res. 2020 Jan 10;13:49-55
pubmed: 32021394
Front Hum Neurosci. 2018 Oct 04;12:346
pubmed: 30337862
Neuropsychiatr. 2013;27(1):47-51
pubmed: 23592375