La personalidad como vulnerabilidad unidimensional y bidimensional: el papel mediador de las variables cognitivas en la gravedad sintomatológica en una muestra de personas con trastorno grave de personalidad

• Autores: Juan M. Ramos, Laura Broco, Aintzane Sánchez, Aurora Doll
• Localización: Clínica y salud: Investigación Empírica en Psicología, ISSN 1130-5274, Vol. 31, Nº. 1, 2020, págs. 1-12
• Idioma: español
• DOI: 10.5093/clysa2019a18
• Títulos paralelos:
  • Personality as unidimensional and bidimensional vulnerability: the mediator role of cognitive variables in symptom severity in a sample of people with severe personality disorder
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• Dialnet Métricas: 4 Citas
• Resumen
  • español

    RESUMEN Los problemas de conceptualización de los trastornos de personalidad (TP) y su acomodo con el resto de las patologías siguen suscitando un prometedor esfuerzo investigador y clínico que va dando frutos al identificar procesos transdiagnósticos y proponer modelos heurísticos de interacción. Desde el marco de la personalidad como diátesis, estudiamos en una muestra de personas con TP grave (N = 310) el papel mediador de diversas variables en la gravedad sintomatológica. Mediante análisis de conglomerados hallamos una tipología bidimensional que divide de manera exhaustiva y exclusiva al 100% de los participantes. El análisis de mediación revela que el efecto de la personalidad como continuum unidimensional en gravedad sintomatológica está mediado por pensamientos automáticos negativos y fusión cognitiva; su efecto como tipología bidimensional (internalización y externalización) parece mediado solo por pensamientos automáticos. Se discuten los hallazgos e implicaciones de cara al nuevo paradigma de una ciencia clínica basada en procesos

  • English

    ABSTRACT The problems of conceptualization of personality disorders (PD) and their adjustment within the rest of pathologies continue to boost a promising research and clinical effort that helps to identify transdiagnostic processes and suggestheuristic interaction models. Understanting personality from the framework of diathesis, we analized the mediating role of a number of variables in symptom severity in a sample of people with severe PD (N = 310). By means of cluster analysis, we found a two-dimension typology that divides exhaustively and exclusively 100% of the participants. Mediation analyses found that personality as a one-dimension continuum has an effect on symptomatic severity mediated by negative automatic thoughts and by cognitive fusion; its effect as a two-dimension typology (internalization and externalization) appears to be mediated only by automatic thoughts. These findings and their implications are discussed in the context of a new paradigm of a process-based clinical science.

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