Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-26T14:47:33.842Z Has data issue: false hasContentIssue false
  • English
  • Français

Incidence and comorbidity of personality disorders among first ever admitted psychiatric patients

Published online by Cambridge University Press:  16 April 2020

O Mors  and
LV Sørensen
O Mors
Affiliation:
Institute of Basic Psychiatric Research, Department of psychiatric Demography, University Hospital in Aarhus, DK-8240Risskov, Denmark
LV Sørensen
Affiliation:
Institute of Basic Psychiatric Research, Department of psychiatric Demography, University Hospital in Aarhus, DK-8240Risskov, Denmark
Get access

Summary

During a period of one year, 157 first ever admitted psychiatric patients in the age group 18-49 years from a catchment area of 217,649 persons were interviewed with the Present State Examination 10th edition, development version and the Personality Disorder Examination, 1988 version. Of the sample, 23% received at least one DSM III-R personality disorder (PD) diagnosis. Rates avoidant PD, very few borderline PDs were found. Almost all patients with PDs also had major psychiatric disorders and the sample was biased towards younger individuals with more severe Axis I symptomatology compared with first ever admitted psychiatric patients aged 18-49 years in Denmark. Cluster A was associated with schizophrenia, cluster B with alcohol or other substance use disorders, and cluster C with anxiety disorders. Within Axis II, schizotypal PD was associated with avoidant and dependent PD, and paranoid with antisocial and dependent PD.

Keywords

DSM III-Rpersonality disordersPSE-10PDEincidencecomorbidity
Type
Original article
Information
European Psychiatry , Volume 9 , Issue 4 , 1994 , pp. 175 - 184
Copyright
Copyright © European Psychiatric Association 1994

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

Aarhus County Department. Annual report 1987-88. Aarhus: Aarhus County Health Department, 1989Google Scholar
Alnaes, RTorgersen, SDSM III personality disorders among patients with major depression, anxiety disorders, and mixed conditions. J Nerv Ment Dis 1990;178:693-8CrossRefGoogle ScholarPubMed
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders 3rd edition. APA: Washington DC, 1980Google Scholar
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders 3rd edition, revised (DSM III-R). APA: Washington DC, 1987Google Scholar
Baron, MGruen, RKane, JAsnis, LModern research criteria and the genetics of schizophrenia. Am J Psychiatry 1985:142:697–701Google ScholarPubMed
Cadoret, RJO’Gorman, TWThroughton, EDHeywood, EAlcoholism and antisocial personality. Arch Gen Psychiatry 1985:42:161-7CrossRefGoogle ScholarPubMed
Campbell, RJPsychiatric Dictionary. Sixth Edition. Oxford University Press: New York. 1989Google Scholar
Casey, PThe epidemiology of personality disorder.In: Tyrer, P, ed. Personality Disorders: Diagnosis, Management, and Course. Wright: London, Boston, Singapore, 1988:74–81Google Scholar
Casey, PRTyrer, PJPersonality, functioning and symptomatology. J Psychiatr Res 1986;20:363-74CrossRefGoogle ScholarPubMed
Cutting, JCowen, PJMann, AHJenkins, RPersonality and psychosis: use of the Standardized Assessment of Personality. Acta Psychiatr Scand 1986;73:87–92CrossRefGoogle ScholarPubMed
Dahl, AASome aspects of the DSM III personality disorders illustrated by a consecutive sample of hospitalized patients. Acta Psychiatr Scand 1986;73 (suppl 328):61-6CrossRefGoogle Scholar
Dupont, AA national psychiatric case register as a tool for mental health planning, research and administration. The Danish model. In: Laska, EMGulhinat, WHRegier, DA, eds. Information Support to Mental Health Programs. An International Perspective. New York: Human Sciences Press, 1983;257-74Google Scholar
Fahrega, HUlrich, RPilkonis, PMezzich, JOn the homogeneity of personality disorder clusters. Comp Psychiatry 1991;32:373-86CrossRefGoogle Scholar
Hosmer, DWLemeshow, SInterpretation of the coefficients of the logistic regression model.In: Hosmer, DWLemeshow, , eds. Applied Logistic Regression. New York: John Wiley & Sons, 1989;38–81Google Scholar
Hunt, CAndrews, GMeasuring personality disorder: The use of selfreport questionnaires. J Pers Disord 1992;6:125-32CrossRefGoogle Scholar
Hyler, SESkodol, AEKellman, HDOldham, JMRosnick, LValidity of the Personality Diagnostic Questionnaire-Revised: comparison with two structured interviews. Am J Psychiatry 1990;147:1043-8Google ScholarPubMed
Ipsen, JJuul, SStatistical Package. Aarhus: Institute of Social Medicine, 1988Google Scholar
Jackson, HJWhiteside, HLBates, GWBell, RRudd, RPEdwards, JDiagnosing personality disorders in psychiatric inpatients. Acta Psychiatr Scand 1991;83:206-13CrossRefGoogle ScholarPubMed
Loranger, AWPersonality Disorder Examination Manual. Yonkers, DV Communications: New York, 1988Google Scholar
Loranger, AWComputer programs for the Personality Disorder Examination, 1988Google Scholar
Loranger, AWPersonality Disorder Examination. PDE (Danish version by Ole, Mors). Copenhagen, Aarhus, Odense: Foreningen af Danske Lægestuderendes Forlag, 1990Google Scholar
Loranger, AWThe impact of DSM III on diagnostic practice in a university hospital. Arch Gen Psychiatry 1990;47:672-5CrossRefGoogle Scholar
Loranger, AWLenzenweger, MFGartner, AFTrait-state artifacts and the diagnosis of personality disorders. Arch Gen Psychiatry 1991:48:720-8CrossRefGoogle Scholar
Loranger, AWAre current self-report and interview measures adequate for epidemiological studies of personality disorders. J Pers Disord 1992;6:313-25CrossRefGoogle Scholar
Loranger, AW (draft). International Personality Disorder Examination. IPDE. Geneva: World Health Organization. 1992Google Scholar
Maier, WLichtermann, DKlingler, THeun, RHallmayer, JPrevalences of personality disorders (DSM III-R) in the community. J Pers Disord 1992;6:187-96CrossRefGoogle Scholar
Mellman, TALeverich, GSHauser, PKramlinger, KPost, RMUhde, TWAxis II pathology in panic and affective disorders: relationship to diagnosis, course of illness, and treatment response. J Pers Disord 1992;6:53–63CrossRefGoogle Scholar
Mors, OIncreasing incidence of borderline stales in Denmark from 1970-1985. Acta Psychiatr Scand 1988;77:575-83CrossRefGoogle Scholar
Mors, OSørensen, LVIncidence and comorbidity of psychiatric disorders from a well-defined catchment area in Denmark. Eur Psychiatry 1993;8:193-9Google Scholar
Norusis, MJSPSS/PC+ V4.0.1. Base Manual. SPSS: Chicago, 1988Google Scholar
O’Boyle, MSelf, DA comparison of two interviews for DSM III-R personality disorders. Psychiatry Res 1990;32:85–92CrossRefGoogle ScholarPubMed
Oldham, JMSkodol, AEKellman, HDHyler, SERosnick, LDavies, MDiagnosis of DSM III-R personality disorders by two structured interviews: patterns of comorbidity. Am J Psychiatry 1992;149:213-20Google ScholarPubMed
Pfohl, BCoryell, WZimmerman, MStangl, DDSM III personality disorders: diagnostic Overlap and internal consistency of individual DSM III criteria. Comp Psychiatry 1986;27:21–34CrossRefGoogle ScholarPubMed
Pfohl, BBlack, DWNoyes, RCoryell, WHBarrash, JAxis I and Axis II comorbidity findings: implications for validity. In: Oldham, JM, ed. Personality Disorders: New Perspectives on Diagnostic Validity. Washington: American Psychiatric Press Inc, 1991;147-61Google Scholar
Perry, JCProblems and considerations in the valid assessment of personality disorders. Am J Psychiatry 1992;149:1645-53Google ScholarPubMed
Sanderson, WCBeck, ATBeck, JSyndrome comorbidity in patients with major depression or dysthymia: prevalence and temporal relationships. Am J Psychiatry 1990;147:1025-28Google ScholarPubMed
Skodol, AEOldham, JMRosnick, LKellman, HDHyler, SEDiagnosis of DSM III-R personality disorders: a comparison of two structured interviews. Int J Methods Psychiatr Res 1991;1:13–26Google Scholar
Standage, KLadha, NAn examination of the reliability of the Personality Disorder Examination and a comparison with other methods of identifying personality disorders in a clinical sample. J Pers Disord 1988;2:267-71CrossRefGoogle Scholar
Stuart, SSimons, ADThase, MEPilkonis, PAre personality assess ments valid in acute major depression? J Affect Disord 1992;24:281-90CrossRefGoogle Scholar
Sundhedsstyrelsen (The National Board of Health). Klassifikation af sygdomme. Systematisk 5-cifret fortegnelse (Classification of diseases. Systematical 5-digit register. Danish edition of ICD-8). Copenhagen: Sundhedsstyrelsen, 1986Google Scholar
Tyrer, PSeivewright, NFerguson, BThe Nottingham Study of neurotic disorder: relationship between personality status and symptoms. Psychol Med 1990;20:423-31CrossRefGoogle Scholar
Widiger, TAFrances, AJHarris, MJacobsberg, LBFyer, MManning, DComorbidity among Axis II disorders.In: Oldham, JM, ed. Personality Disorders: New Perspectives on Diagnostic Validity. Washington DC: American Psychiatric Press Inc, 1991;165-94Google Scholar
Wing, JKCooper, JESartorius, NThe measurement and classification of psychiatric symptoms. Cambridge: Cambridge, University Press, 1974Google Scholar
Wing, JKBabor, TBrugha, T et al. SCAN. Schedules for Clinical Assessment in Neuropsychiatry. Arch Gen Psychiatry 1990;47:589-93CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.