Associations Between Epistemic Trust and the Severity of Personality Disorder: Results From a Study Comparing Patients With Personality Disorder, Anxiety Disorder, and Controls

  • 0Altrecht Mental Health Care, Utrecht, the Netherlands.

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Summary

This summary is machine-generated.

Early childhood adversity can lead to epistemic mistrust (EM), increasing psychopathology risk. This study found impaired epistemic trust (ET) in personality disorder patients, supporting its link to personality disorders (PDs).

Area Of Science

  • Psychiatry
  • Psychology
  • Clinical Psychology

Background

  • Early adversity may foster epistemic mistrust (EM), a state of distrust in information from others.
  • EM is hypothesized to increase psychopathology risk and is theoretically linked to personality disorders (PDs).
  • Epistemic trust (ET) theory is novel yet widely accepted, requiring empirical validation.

Purpose Of The Study

  • To investigate ET levels in patients with PDs and anxiety disorders compared to a community sample.
  • To examine the associations between ET and the severity and types of PDs.
  • To provide empirical evidence for the theoretical model linking EM and PD development.

Main Methods

  • Cross-sectional study design.
  • Inclusion of patients diagnosed with PDs, anxiety disorders, and a healthy community sample.
  • Assessment of ET levels and PD characteristics.

Main Results

  • Patients with PDs and anxiety disorders exhibited significantly more severe impairments in ET compared to the community sample.
  • Significant associations were found between ET levels and the severity and specific types of PDs.
  • Findings support the theoretical model positing a relationship between ET and PDs.

Conclusions

  • Impaired ET is evident in individuals with PDs and anxiety disorders.
  • The study corroborates the theoretically assumed link between ET and the development of PDs.
  • Further research with larger, prospective studies is recommended to substantiate ET theory.

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