In search of hidden threats: A scoping review on paranoid presentations in personality disorders.

paranoia personality disorders personality pathology psychopathology systematic synthesis

Journal

Clinical psychology & psychotherapy
ISSN: 1099-0879
Titre abrégé: Clin Psychol Psychother
Pays: England
ID NLM: 9416196

Informations de publication

Date de publication:
20 Sep 2023
Historique:
revised: 25 07 2023
received: 13 03 2023
accepted: 04 09 2023
medline: 20 9 2023
pubmed: 20 9 2023
entrez: 20 9 2023
Statut: aheadofprint

Résumé

Recent diagnostic developments suggest that paranoia is a transdiagnostic characteristic common to several personality disorders rather than a personality disorder per se. Nonetheless, empirical literature fails to provide comprehensive and univocal findings on whether and how paranoid presentations relate to different personality disorders. In the present scoping review, we map the empirical literature on paranoid presentations in personality disorders, considering the entire spectrum of paranoid manifestations (i.e., the paranoia hierarchy). In selecting original quantitative studies on paranoid presentations in personality-disordered patients, we screened 4,433 records in PsycArticles, PsycInfo and PUBMED. We eventually included 47 eligible studies in the review. Our synthesis indicates consistent empirical evidence of a wide range of paranoid presentations in Paranoid, Schizotypal and Borderline personality disorders. Conversely, little empirical literature exists on paranoid presentations in other personality disorders. Preliminary findings suggest broad-severity paranoid presentations, ranging from milder to severe forms, in Paranoid, Schizotypal and Borderline personality disorders. There is also some evidence of milder forms of paranoia in Avoidant, Antisocial and Narcissistic personality disorders. Conversely, there is poor evidence of paranoid presentations in Schizoid, Histrionic, Dependent or Obsessive-compulsive personality disorders. Research gaps and recommendations for improving empirical research on paranoid presentations in personality disorders are discussed.

Identifiants

pubmed: 37727949
doi: 10.1002/cpp.2913
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2023 John Wiley & Sons Ltd.

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Auteurs

Erika Fanti (E)

Department of Psychology, University of Milano-Bicocca, Milan, Italy.

Marco Di Sarno (M)

Department of Psychology, University of Milano-Bicocca, Milan, Italy.
Personality Disorder Lab (PDLab), Milan-Parma, Italy.

Rossella Di Pierro (R)

Department of Psychology, University of Milano-Bicocca, Milan, Italy.
Personality Disorder Lab (PDLab), Milan-Parma, Italy.

Classifications MeSH