Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-18T23:04:05.512Z Has data issue: false hasContentIssue false

Gender-related distribution of personality disorders in a sample of patients with panic disorder

Published online by Cambridge University Press:  16 April 2020

G. Barzega
Affiliation:
Department of Neuroscience, Psychiatry, Section Via Cherasco 11 10126, Torino, Italy
G. Maina*
Affiliation:
Department of Neuroscience, Psychiatry, Section Via Cherasco 11 10126, Torino, Italy
S. Venturello
Affiliation:
Department of Neuroscience, Psychiatry, Section Via Cherasco 11 10126, Torino, Italy
F. Bogetto
Affiliation:
Department of Neuroscience, Psychiatry, Section Via Cherasco 11 10126, Torino, Italy
*
*Correspondence and reprints.
Get access

Summary

Objective

We examined gender differences in the frequency of DSM-IV personality disorder diagnoses in a sample of patients with a diagnosis of panic disorder (PD).

Method

One hundred and eighty-four outpatients with a principal diagnosis of PD (DSM-IV) were enrolled. All patients were evaluated with a semi-structured interview to collect demographic and clinical data and to generate Axis I and Axis II diagnoses in accordance with DSM-IV criteria.

Results

Males were significantly more likely than females to meet diagnoses for schizoid and borderline personality disorder. Compared to males, females predominated in histrionic and cluster C diagnoses, particularly dependent personality disorder diagnoses. A significant interaction was found between female sex and agoraphobia on personality disorder (PD) distribution.

Conclusions

Male PD patients seem to be characterized by more severe personality disorders, while female PD patients, particularly with co-morbid agoraphobia, have higher co-morbidity rates with personality disorders belonging to the ‘anxious-fearful cluster’.

Type
Original article
Copyright
Copyright © Éditions scientifiques et médicales Elsevier SAS 2001

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alnaes, K., Torgersen, S.DSM-III symptom disorders (Axis I) and personality disorders (Axis II) in an outpatient population. Acta Psychiatr Scand 1988; 78: 348-355.CrossRefGoogle Scholar
Alnaes, K., Torgersen, S.DSM-III personality disorders among patients with major depression, anxiety disorders, and mixed conditions. J Nerv Ment Dis 1990; 178: 693-698.CrossRefGoogle ScholarPubMed
American Psychiatric Association Diagnostic and statistical manual of mental disorders 4th. Washington, DC: APA; 1994.Google Scholar
Ampollini, P., Marchesi, C., Signifredi, R., Maggini, C.Temperament and personality features in panic disorder with or without comorbid mood disorders. Acta Psychiatr Scand 1997; 95: 420-423.CrossRefGoogle ScholarPubMed
Ampollini, P., Marchesi, C., Signifredi, R., Ghinaglia, E., Scardovi, F., Codeluppi, S.et alTemperament and personality features in patients with major depression, panic disorder and mixed conditions. J Affect Disord 1999; 52: 203-207.CrossRefGoogle ScholarPubMed
Bekker, M.H.L.Agoraphobia and gender: a review. Clin Psychol Rev 1996; 16: 129-146.CrossRefGoogle Scholar
Cox, B.J., Swinson, R.P., Shulman, I.D., Kuch, K., Reichman, J.T.Gender effects and alcohol use in panic disorder with agoraphobia. Behav Res Ther 1993; 31: 413-416.CrossRefGoogle ScholarPubMed
Friedman, C.J., Shear, M.K., Frances, A.F.DSM-III personality disorders in panic patients. J Pers Disord 1987; 1: 132-135.CrossRefGoogle Scholar
Golomb, M., Fava, M., Abraham, M., Rosenbaum, J.F.Gender differences in personality disorders. Am J Psychiatry 1995; 152: 579-582.Google ScholarPubMed
Grilo, C.M., Becker, D.F., Walker, M.L., Edell, W.S., McGlashan, T.H.Gender differences in personality disorders in psychiatrically hospitalized young adults. J Nerv and Ment Dis 1996; 184: 754-757.CrossRefGoogle ScholarPubMed
Grilo, C.M., Becker, D.F., Fehon, D.C., Walker, M.L., Edell, W.S., McGlashan, T.H.Gender differences in personality disorders in psychiatrically hospitalized adolescents. Am J Psychiatry 1996; 153: 1089-1091.Google ScholarPubMed
Hoffart, A., Thornes, K., Hedley, L.M., Strand, J.DSM-III-R Axis I and Axis II disorders in agoraphobic patients with and without panic disorder. Acta Psychiatr Scand 1994; 89: 186-191.CrossRefGoogle ScholarPubMed
Jackson, H.J., Whiteside, H.L., Bates, G.W., Bell, R., Rudd, R.P., Edwards, J.Diagnosing personality disorders in psychiatric inpatients. Acta Psychiatr Scand 1991; 83: 206-213.CrossRefGoogle ScholarPubMed
Kroll, J., Sines, L., Martin, K., Lari, S., Pyle, R., Zander, J.Borderline personality disorder: construct validity of the concept. Arch Gen Psychiatry 1981; 38: 1021-1026.CrossRefGoogle Scholar
Langs, G., Quehenberger, F., Fabisch, K., Klug, G., Fabisch, H., Zapotoczky, H.G.Prevalence, patterns and role of personality disorders in panic disorder patients with and without comorbid (lifetime) major depression. Acta Psychiatr Scand 1998; 98: 116-123.CrossRefGoogle ScholarPubMed
Langs, G., Quehenberger, F., Fabisch, K., Klug, G., Fabisch, H., Zapotoczky, H.G.The development of agoraphobia in panic disorder: a predictable process?. J Affect Disord 2000; 58: 43-50.CrossRefGoogle ScholarPubMed
Latas, M., Starcevic, V., Trajkovic, G., Bogojevic, G.Predictors of comorbid personality disorders in patients with panic disorder with agoraphobia. Compr Psychiatry 2000; 41: 28-34.CrossRefGoogle ScholarPubMed
Mavissakalian, M.R., Hamman, M.S., Abou Haidar, S., de Groot, C.M.DSM-III personality disorders in generalized anxiety, panic/agoraphobia, and obsessive-compulsive disorders. Compr Psychiatry 1993; 34: 243-248.CrossRefGoogle ScholarPubMed
Mc, G.I., shan, T.H.The Chestnut Lodge Follow-Up Study, III: long-term outcome of borderline personalities. Arch Gen Psychiatry 1986; 43: 20-30.Google Scholar
Merikangas, K.R., Stevens, D.E., Fenton, B.et alCo-morbidity and familial aggregation of alcoholism and anxiety disorders. Psychol M 1998; 28: 773-788.CrossRefGoogle ScholarPubMed
Oei, T.P.S., Wanstall, K., Evans, L.Sex differences in panic disorder with agoraphobia. J Anxiety Disord 1990; 4: 317-324.CrossRefGoogle Scholar
Reich, J.Sex distribution of DSM-III personality disorders in psychiatric outpatients. Am J Psychiatry 1987; 144: 485-488.Google ScholarPubMed
Robins, L.N., Helzer, J.E., Weissman, M.M., Orvaschel, H., Gruenberg, E., Burke, J.D. Jret alLifetime prevalence of specific psychiatric disorders in three sites. Arch Gen Psychiatry 1984; 41: 949-958.CrossRefGoogle ScholarPubMed
Sanderson, W.C., Wetzler, S., Beck, A.T., Betz, F.Prevalence of personality disorders among patients with anxiety disorders. Psychatry Res 1993; 51: 167-174.CrossRefGoogle Scholar
Starcevic, V., Djordjevic, A., Latas, M., Bogojevic, G.Characteristics of agoraphobia in women and men with PD with agoraphobia. Depress Anxiety 1998; 8: 8-13.3.0.CO;2-9>CrossRefGoogle Scholar
Yonkers, K.A., Zlotnick, C., Allsworth, J., Warshaw, M., Shea, T., Keller, M.B.Is the course of panic disorder the same in women and men?. Am J Psychiatry 1998; 155: 596-602.CrossRefGoogle ScholarPubMed
Zimmerman, M., Coryell, W.H.DSM-III personality disorder dimensions. J Nerv Ment Dis 1990; 178: 686-692.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.