Bogdanovska toskikj, Adriana
Preferred name
Bogdanovska toskikj, Adriana
Official Name
Bogdanovska toskikj, Adriana
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Item type:Publication, Avoidant personality disorder through the lens of ICD 11(Royal College of Psychiatrists, 2024-04); <jats:sec id="S0924933824013609_sec7280" sec-type="intro"><jats:title>Introduction</jats:title><jats:p>With the new dimensional diagnosis of personality disorders in ICD 11, the categorical model has been abandoned. The types of personality disorders in the new dimensional model should show certain common characteristics. According to the recognition of the common characteristics of individual types of personality disorders, as well as determining the severity, a transition from the categorical to the dimensional diagnostic system can be made.</jats:p></jats:sec><jats:sec id="S0924933824013609_sec7281"><jats:title>Objectives</jats:title><jats:p>To analyze and present the trait domains specifiers in persons with avoidant personality disorder and to facilitate the adoption of the new diagnostic criteria.</jats:p></jats:sec><jats:sec id="S0924933824013609_sec7282" sec-type="methods"><jats:title>Methods</jats:title><jats:p>An unsystematized literature review was made, with key words: avoidant personality disorder, ICD 11, ICD 10, traits; and a case was presented.</jats:p></jats:sec><jats:sec id="S0924933824013609_sec7283" sec-type="results"><jats:title>Results</jats:title><jats:p> This is the case of a 26-year-old student who has had no friends since his school days. During his secondary education, on the initiative of another person, he got together with several other people, but he was not fully accepted. During the studies, the communication with the colleagues took place only at the university and around the responsibilities. About a year ago, he had reduced willpower and suicidal thoughts, when he took antidepressant and adjuvant antipsychotic therapy for some time. He is now being examined due to severe tension, dissatisfaction, lack of friends, repeated suicidal ideation. According to researches, people with avoidant disorder have prominent trait domains – negative affectivity, detachment and reduced dissociality (Bach <jats:italic>et al</jats:italic>. BMC Psychiatry 2018; 18:351), negative affectivity, detachment and anankastia (Simon <jats:italic>et al</jats:italic>., Front. Psychiatry 2023, 14:1175425), negative affectivity and detachment (Bach <jats:italic>et al</jats:italic>. Borderline Personality Disorder and Emotion Dysregulation 2022, 9:12). In our case, assessments of trait domains were made with PSQ-11 and PiCD. On the PSQ-11, an increase in the negative affectivity, detachment and anankastia on critical score was obtained, while on the PiCD, an increase in negative affectivity, detachment, anankastia, and a decrease in dissociality was obtained. Mild personality disorder was scored on the Rating Scales for Severity of Disorder (SASPD, LPFS-BF 2.0).</jats:p></jats:sec><jats:sec id="S0924933824013609_sec7284" sec-type="conclusions"><jats:title>Conclusions</jats:title><jats:p>The types of personality disorder can be represented by certain common trait domains specifiers, which will be useful in adopting the diagnostic criteria in ICD 11 for personality disorder. Assessment of the severity of the disorder provides additional information on treatment strategies and prognosis. The most significant features of avoidant personality disorder are negative affectivity and detachment, while anankastia is on the borderline score and has a reduction in dissociality.</jats:p></jats:sec><jats:sec id="S0924933824013609_sec7285"><jats:title>Disclosure of Interest</jats:title><jats:p>None Declared</jats:p></jats:sec> - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Level of personality functioning among outpatients with predominant anxiety symptoms(Royal College of Psychiatrists, 2024-04); <jats:sec id="S0924933824013610_sec7286" sec-type="intro"><jats:title>Introduction</jats:title><jats:p>Dimensional diagnosis of personality disorders has as its main criterion the assessment of the level of functionality. And in patients with other diagnostic categories, there is a difference in the degree of functioning, as well as a difference in the course and prognosis of the disorder. The reason for such a different course may be the existence of a certain degree of personality dysfunctionality.</jats:p></jats:sec><jats:sec id="S0924933824013610_sec7287"><jats:title>Objectives</jats:title><jats:p>The aim of the study is to determine the prevalence of personality disorder in patients with neurotic disorder and predominantly anxiety symptomatology.</jats:p></jats:sec><jats:sec id="S0924933824013610_sec7288" sec-type="methods"><jats:title>Methods</jats:title><jats:p>A descriptive cross-sectional study was made to determine personality disorder in patients with neurotic disorder (F40-F48, excluding those where the disorder is related to stress F43) and predominantly anxiety symptomatology. The HAM-A scale was used to assess anxiety, and the LPFS-BF-2.0 was used to assess the level of personality functioning. The results were processed by descriptive statistical analysis.</jats:p></jats:sec><jats:sec id="S0924933824013610_sec7289" sec-type="results"><jats:title>Results</jats:title><jats:p>The study included 25 individuals (<jats:italic>N</jats:italic> 25, 64% women), aged between 18 and 65 years (mean age 44.16, SD 13.20) with a diagnosed neurotic disorder. All subjects had elevated anxiety symptomatology, mean HAM-A score was 35.36 (SD 7.76). The assessment of the level of personality functioning with the LPFS-BF-2.0 gave the following results: 20% of people have a personality difficulty, 12% have a mild personality disorder, 32% have a moderate and 4% have a severe personality disorder.</jats:p></jats:sec><jats:sec id="S0924933824013610_sec7290" sec-type="conclusions"><jats:title>Conclusions</jats:title><jats:p> According to the obtained results, 68% of people with a neurotic disorder and a high degree of anxiety have a certain degree of personality dysfunction. The prevalence of personality disorder in individuals with neurotic disorder is high (48%). These results lead to the conclusion that people with pronounced anxiety often have a disruption in personality. In people with a high level of anxiety, an assessment should be made for the level of functioning of the person, as well as for the existence of a personality disorder, and the treatment should be adjusted according to the results obtained. In addition to the treatment of the emerging symptoms, the personality dysfunctions should also be treated.</jats:p></jats:sec><jats:sec id="S0924933824013610_sec7291"><jats:title>Disclosure of Interest</jats:title><jats:p>None Declared</jats:p></jats:sec> - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Болести на зависност како ризичен предизвик во адолесценцијата(Меѓународен центар за славјанска просвета - Свети Николе, 2021); Stoilkovska, AnitaAdolescence as a developmental period is vulnerable in many aspects. Such vulnerability makes adolescents susceptible to developing addictive diseases. The research was conducted by examining 100 users of the Center for Addictions, PHI General Hospital Kumanovo with a questionnaire application. The obtained results speak in favor of the first contact with psychoactive substances and the initial regular use of psychoactive substances during adolescence, with the highest frequency in post-adolescence/early maturity (18-21 years) and peak around 19 years of age. The discussion compares the results with other official results and makes recommendations for the period for prevention and early detection strategies.