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Personality Disorders in Consultation-liaison Psychiatry - an Empirical Investigation [P03-73]

Published online by Cambridge University Press:  16 April 2020

A. Diefenbacher ,
U. Golombek  and
J.J. Strain
A. Diefenbacher
Affiliation:
Psychotherapy and Psychosomatic, Ev. Krankenhaus Königin Elisabeth Herzberge, Berlin, Germany
U. Golombek
Affiliation:
Psychotherapy and Psychosomatic, Ev. Krankenhaus Königin Elisabeth Herzberge, Berlin, Germany
J.J. Strain
Affiliation:
Mount Sinai New York University Medical Center, New York, USA

Abstract

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Up to now hardly any quantitative research regarding diagnosis of personality disorders in the environment of Consultation-Liaison Psychiatry and Psychosomatic Medicine is available.

The data of 3032 patients aged 17-65 years seen between 1988 and 1997 at the Mount Sinai Hospital in New York, NY, were recorded and analyzed using the Micro-Cares Database System.

19,7% (N=598) of patients exhibited a personality disorder. Out of those 7,7% distributed to Cluster A (Odd or Eccentric Behavior), 54,3% to Cluster B and 38,0% to Cluster C.

89% of patients with personality disorders showed at least one additional specific psychiatric disorder.

Patients with a personality disorder had a lower incidence of somatic disease, but exhibited a higher level in psychosocial impairment and a higher comorbidity in substance abuse. During the previous year they used psychiatric treatment more often and were in need of a more intense social and psychotherapeutical treatment.

The age group of 17-40 year old patients with a personality disorder was hospitalized shorter and had less of a lag between hospitalization and time of psychiatric consultation.

More reasons for a psychiatric consultation were given when patients with a personality disorder were referred.

In the environment of Consultation-Liaison Psychiatry and Psychosomatic Medicine every 5th to 6th patient requires a specific, psychiatric, psychotherapeutic or social treatment because of a personality disorder.

The classification of personality disorders into clusters did not yield an additional benefit.

Type
P03-73
Information
European Psychiatry , Volume 24 , Issue S1: 17th EPA Congress - Lisbon, Portugal, January 2009, Abstract book , January 2009 , 24-E1072
Copyright
Copyright © European Psychiatric Association 2009
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