Clinical Staging for Personality Disorders in Older Adults-Reference-Cited by-同舟云学术

Clinical Staging for Personality Disorders in Older Adults

Published:2024-05-29 Issue: Volume: Page:
ISSN:0891-9887
Container-title:Journal of Geriatric Psychiatry and Neurology
language:en
Short-container-title:J Geriatr Psychiatry Neurol

Author:

Conjaerts Jeroen A. P.¹^ORCID,Videler Arjan C.²³⁴^ORCID,Schepman Roel²,Elfeddali Iman²³⁴,Rosowsky Erlene⁵,van Alphen Sebastiaan P. J.¹⁶^ORCID

Affiliation:

1. Clinical Center of Excellence for Personality Disorders in Older Adults, Mondriaan Mental Health Center, Heerlen-Maastricht, The Netherlands

2. Clinical Center of Excellence of Personality Disorders and Developmental Disorders in Older Adults, GGz Breburg Mental Health Center, PersonaCura, Tilburg, The Netherlands

3. Tranzo department, Tilburg University, Tilburg, The Netherlands

4. Clinical Centre of Excellence Body Mind and Health, GGz Breburg Mental Health Center, Tilburg, The Netherlands

5. Department of Clinical Psychology William James College, Newton, MA, USA

6. Personality and Psychopathology Research Group (PEPS), Department of Psychology (PE), Vrije Universiteit Brussel (VUB), Brussels, Belgium

Abstract

Objective This scientific research aimed to investigate the feasibility of implementing a clinical staging (CS) model for personality disorders (PDs) in older adults. The CS model could provide valuable insights into the life course of personality pathology, prognosis, and treatment decisions for PDs in older adults. Methods/Design The study employed an international Delphi methodology with three rounds and involved 21 experts. Results Consensus was achieved on 12 out of 17 statements, confirming the viability of a CS model for PDs in older adults. The proposed model incorporates the Alternative Model for PDs, criterion A, and integrates life course information, distinguishing between chronic PD, re-emergent PD, late-onset PD, and past PD. Conclusion The findings suggest that international experts support the implementation of a CS model for PDs in older adults, considering both the severity of personality functioning and the retrospective life course of PD expression.

Publisher

SAGE Publications

Link

https://journals.sagepub.com/doi/pdf/10.1177/08919887241254467

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