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Cluster B personality disorders: A comparative study in a Tunisian psychiatric outpatient unit

Published online by Cambridge University Press:  16 April 2020

Y. El Kissi ,
S. Ben Nasr ,
N. Ben Salah ,
A. Mansour  and
B. Ben Hadj Ali
Y. El Kissi
Affiliation:
Department of Psychiatry, Farhat Hached University Hospital, Sousse, Tunisia Ibn Jazzar Medical School, University of Sousse, Sousse, Tunisia
S. Ben Nasr
Affiliation:
Department of Psychiatry, Farhat Hached University Hospital, Sousse, Tunisia Ibn Jazzar Medical School, University of Sousse, Sousse, Tunisia
N. Ben Salah
Affiliation:
Department of Psychiatry, Farhat Hached University Hospital, Sousse, Tunisia
A. Mansour
Affiliation:
Department of Psychiatry, Farhat Hached University Hospital, Sousse, Tunisia
B. Ben Hadj Ali
Affiliation:
Department of Psychiatry, Farhat Hached University Hospital, Sousse, Tunisia Ibn Jazzar Medical School, University of Sousse, Sousse, Tunisia

Abstract

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Background and aims:

Cluster B personality disorders are common and often correlated with higher rates of axis I comorbidity, increased severity and impaired outcome.

This study aimed to compare sociodemographic and clinical features of patients with cluster B personality disorders to those with cluster A and C.

Methods:

All five years (January 2000 to December 2004) first time attendances to an outpatient psychiatric unit were retrospectively examined. 127 cases with diagnosis of personality disorders (DSM-IV criteria)were selected: Cluster B (n=81), cluster C (n=32) and cluster A (n=14). Comparaisons were performed for sociodemographic features, medical history and axis I comorbidity.

Results:

Patients with cluster B personality disorders were younger(p=0,001), had higher education level (p=0,01) and more regular jobs (p=0,01).

There was less family history of depressive (p=0,011) and anxiety disorders (p=0,021) and more personal history of alcohol abuse (p=0,001). No differences in axis I comorbidity rates were found. However, patients with cluster B personality types had more depressive disorders, addictive disorders and somatoform disorders than those with cluster C (p=0,017) and cluster A (p=0,001). Also, cluster B personality disorders were correlated to earlier onset of addictive disorders (p=0,037) and more frequent follow-up withdrawal (p=0,009).

Conclusion:

Clusters B personality disorders were not correlated to higer axis I comorbity rate but to specific comorbid disorders and to follow-up withdrawal.

Type
Poster Session 1: Personality Disorders
Information
European Psychiatry , Volume 22 , Issue S1: 15th AEP Congress - Abstract book - 15th AEP Congress , March 2007 , pp. S173
Copyright
Copyright © European Psychiatric Association 2007
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