Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-15T09:23:48.619Z Has data issue: false hasContentIssue false
  • English
  • Français

Personality problems are considerably associated with somatic morbidity and health care utilisation

Published online by Cambridge University Press:  16 April 2020

I. Olssøn  and
A.A. Dahl
I. Olssøn*
Affiliation:
Department of Psychiatry, Innlandet Hospital Trust, Hamar DPS, Skolegt 32, 2318Hamar, Norway
A.A. Dahl
Affiliation:
Department of Clinical Cancer Research, The Norwegian Radium Hospital, Oslo University Hospital, Montebello, 0310Oslo, Norway Faculty Division, University of Oslo, The Norwegian Radium Hospital, 0310Oslo, Norway
*
*Corresponding author. Tel.: +47 62581800; fax: +47 62581801. E-mail address: [email protected], [email protected] (I. Olssøn).
Get access

Abstract

Purpose

To explore the associations between the presence of personality problems and somatic morbidity and health care utilisation.

Methods

The Iowa Personality Disorder Screen was administered in order to identify persons with personality problems in a Norwegian population survey (the Oslo Health Study – HUBRO). Cases consisted of 369 individuals, 30, 40 and 45 years of age with personality problems matched on age and gender with five controls each. Data on somatic morbidity and health care utilisation were collected by questionnaires.

Results

The cases more frequently reported persistent muscular pain, asthma, fibromyalgia and alcohol problems than the controls. They also more often used nonprescribed analgesics and antidepressants. The cases more frequently had consulted a general practitioner (GP) in the last 12 months, less frequently got referral to somatic specialist care and were less satisfied with their last visit to a GP.

Conclusion

In this population based study, personality problems in young adults based on DSM-IV personality disorder criteria were associated with increased occurrence of somatic morbidity and primary health care utilisation. The relevance for GP to take personality problems into account during consultations is underlined and a method for doing so is suggested.

Keywords

Personality disordersAxis-II comorbiditySomatic morbidityHealth care utilisation
Type
Original article
Information
European Psychiatry , Volume 24 , Issue 7 , October 2009 , pp. 442 - 449
Copyright
Copyright © Elsevier Masson SAS 2008

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

HUBRO. (http//www.fhi.no/hubro) 25th Jan 2008.Google Scholar
Albert, CMChae, CURexrode, KMManson, JEKawachi, IPhobic anxiety and risk of coronary heart disease and sudden cardiac death among women. Circulation 2005;111:480–487CrossRefGoogle ScholarPubMed
Anda, RWilliamson, DJones, DMacera, CEaker, EGlassman, Aet al.Depressed affect, hopelessness, and the risk of ischemic-heart-disease in a cohort of United-States adults. Epidemiology 1993;4:285–293CrossRefGoogle Scholar
Bowling, AJust one question: If one question works, why ask several?. J Epidemiol Community Health 2005;59:342–345CrossRefGoogle Scholar
Caspi, ARoberts, BWShiner, RLPersonality development: stability and change. Annu Rev Psychol 2005;56:453–484CrossRefGoogle ScholarPubMed
Cohen, JStatistical power analysis for the behavioural sciences 1988 Erlbau Hillsdale, NJGoogle Scholar
Coid, JYang, MTyrer, PRoberts, AUllrich, SPrevalence and correlates of personality disorder in Great Britain. Br J Psychiatry 2006;188:423–431CrossRefGoogle ScholarPubMed
Derogatis, LRLipman, RSRickels, KUhlenhuth, EHCovi, LThe Hopkins Symptom Checklist (HSCL). A measure of primary symptom dimensions. Mod Probl Pharmacopsychiatry 1974;7:79–110 [Review] [76 refs]CrossRefGoogle ScholarPubMed
Echeburua, Ede Medina, RBAizpiri, JComorbidity of alcohol dependence and personality disorders: a comparative study. Alcohol Alcohol 2007;42:618–622CrossRefGoogle ScholarPubMed
Everson, SAKaplan, GAGoldberg, DELakka, TASivenius, JSalonen, JTAnger expression and incident stroke – Prospective evidence from the Kuopio Ischemic Heart Disease Study. Stroke 1999;30:523–528CrossRefGoogle ScholarPubMed
Fayers, PMSprangers, MAGUnderstanding self-rated health. Lancet 2002;359:187–188CrossRefGoogle ScholarPubMed
Fishbain, DACole, BCutler, RBLewis, JRosomoff, HLRosomoff, RSChronic pain and the measurement of personality: do states influence traits?[see comment]. Pain Med 2006;7:509–529 [Review] [77 refs]CrossRefGoogle Scholar
Frankenburg, FRZanarini, MCThe association between borderline personality disorder and chronic medical illnesses, poor health-related lifestyle choices, and costly forms of health care utilization. J Clin Psychiatry 2004;65:1660–1665CrossRefGoogle ScholarPubMed
Friedman, MRosenman, RHAssociation of specific overt behavior pattern with blood and cardiovascular findings – Blood cholesterol level, blood clotting time, incidence of arcus senilis, and clinical coronary artery disease. JAMA 1959;169:1286–1296CrossRefGoogle ScholarPubMed
Gallo, LCMatthews, KAUnderstanding the association between socioeconomic status and physical health: do negative emotions play a role?. Psychol Bull 2003;129:10–51CrossRefGoogle ScholarPubMed
Gallo, LCSmith, TWCox, CMSocioeconomic status, psychosocial processes, and perceived health: an interpersonal perspective. Ann Behav Med 2006;31:109–119CrossRefGoogle ScholarPubMed
Goldstein, RBDawson, DAChou, SPRuan, WJSaha, TDPickering, RPet al.Antisocial behavioral syndromes and past-year physical health among adults in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry 2008;69:368–380CrossRefGoogle ScholarPubMed
Goodwin, RDCastro, MKovacs, MMajor depression and allergy: does neuroticism explain the relationship?. Psychosom Med 2006;68:94–98CrossRefGoogle ScholarPubMed
Goodwin, RDCox, BJClara, INeuroticism and physical disorders among adults in the community: results from the national comorbidity survey. J Behav Med 2006;29:229–238CrossRefGoogle ScholarPubMed
Grant, BFChou, SPGoldstein, RBHuang, BStinson, FSSaha, TDet al.Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry 2008;69:533–545CrossRefGoogle ScholarPubMed
Grant, BFHasin, DSStinson, FSDawson, DAChou, SPRuan, WJet al.Prevalence, correlates, and disability of personality disorders in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry 2004;65:948–958CrossRefGoogle ScholarPubMed
Gump, BBMatthews, KAEberly, LEChang, YFDepressive symptoms and mortality in men results from the multiple risk factor intervention trial. Stroke 2005;36:98–102CrossRefGoogle ScholarPubMed
Haas, DCDavidson, KWSchwartz, DJRieckmann, NRoman, MJPickering, TGet al.Depressive symptoms are independently predictive of carotid atherosclerosis. Am J Cardiol 2005;95:547–550CrossRefGoogle ScholarPubMed
Herrmann, CBrand-Driehorst, SKaminsky, BLeibing, EStaats, HRuger, UDiagnostic groups and depressed mood as predictors of 22-month mortality in medical inpatients. Psychosom Med 1998;60:570–577CrossRefGoogle ScholarPubMed
Hueston, WJMainous, AGSchilling, RPatients with personality disorders: functional status, health care utilization, and satisfaction with care. J Fam Pract 1996;42:54–60Google ScholarPubMed
Jackson, HJBurgess, PMPersonality disorders in the community: a report from the Australian National Survey of Mental Health and Wellbeing. Soc Psychiatry Psychiatr Epidemiol 2000;35:531–538CrossRefGoogle ScholarPubMed
Jackson, HJBurgess, PMPersonality disorders in the community: results from the Australian National Survey of Mental Health and Wellbeing Part II. Relationships between personality disorder. Axis I mental disorders and physical conditions with disability and health consultations. Soc Psychiatry Psychiatr Epidemiol 2002;37:251–260CrossRefGoogle ScholarPubMed
Jackson, HJBurgess, PMPersonality disorders in the community: results from the Australian National Survey of Mental Health and Well-being Part III. Relationships between specific type of personality disorder. Axis 1 mental disorders and physical conditions with disability and health consultations. Soc Psychiatry Psychiatr Epidemiol 2004;39:765–776CrossRefGoogle ScholarPubMed
Krause, NMJay, GMWhat do global self-rated health items measure?. Med Care 1994;32:930–942CrossRefGoogle ScholarPubMed
Langbehn, DRPfohl, BMReynolds, SClark, LABattaglia, MBellodi, Let al.The Iowa Personality Disorder Screen: development and preliminary validation of a brief screening interview. J Personal Disord 1999;13:75–89CrossRefGoogle ScholarPubMed
Matthews, KACoronary heart-disease and type-A behaviors – Update on and alternative to the Booth-Kewley and Friedman (1987) quantitative review. Psychol Bull 1988;104:373–380CrossRefGoogle ScholarPubMed
Miller, TQSmith, TWTurner, CWGuijarro, MLHallet, AJA meta-analytic review of research on hostility and physical health. Psychol Bull 1996;119:322–348CrossRefGoogle ScholarPubMed
Moran, PRendu, AJenkins, RTylee, AMann, AThe impact of personality disorder in UK primary care: a 1-year follow-up of attenders. Psychol Med 2001;31:1447–1454CrossRefGoogle ScholarPubMed
Morse, JQPilkonis, PAScreening for personality disorders. J Personal Disord 2007;21:179–198CrossRefGoogle ScholarPubMed
Mueller, TIPsychiatric disorders in alcoholics. Med Health R I 1997;80:87–90 [Review] [16 refs]Google ScholarPubMed
Nakao, KGunderson, JGPhillips, KATanaka, NYorifuji, KTakaishi, Jet al.Functional impairment in personality-disorders. J Personal Disord 1992;6:24–33CrossRefGoogle Scholar
Narud, KMykletun, ADahl, AAQuality of life in patients with personality disorders seen at an ordinary psychiatric outpatient clinic. BMC Psychiatry 2005;5:10CrossRefGoogle ScholarPubMed
Nestadt, GRomanoski, AJChahal, RMerchant, AFolstein, MFGruenberg, EMet al.An epidemiological study of histrionic personality disorder. Psychol Med 1990;2:413–422CrossRefGoogle Scholar
Nordholm, DNielsen, BPersonality disorders among Danish alcoholics attending outpatient treatment. Eur Addict Res 2007;13:222–229CrossRefGoogle ScholarPubMed
Nose, MCipriani, ABiancosino, BGrassi, LBarbui, CEfficacy of pharmacotherapy against core traits of borderline personality disorder: meta-analysis of randomized controlled trials. Int Clin Psychopharmacol 2006;21:345–353Google ScholarPubMed
Penninx, BWJHBeekman, ATFHonig, ADeeg, DJHSchoevers, RAvan Eijk, JTMet al.Depression and cardiac mortality – Results from a community-based longitudinal study. Arch Gen Psychiatry 2001;58:221–227CrossRefGoogle ScholarPubMed
Rosmalen, JGMNeeleman, JGans, ROBde Jonge, PThe association between neuroticism and self-reported common somatic symptoms in a population cohort. J Psychosom Res 2007;62:305–311CrossRefGoogle Scholar
Rowan, PJHaas, DCampbell, JAMaClean, DRDavidson, KWDepressive symptoms have an independent, gradient risk for coronary heart disease incidence in a random, population-based sample. Ann Epidemiol 2005;15:316–320CrossRefGoogle Scholar
Rutledge, THogan, BEA quantitative review of prospective evidence linking psychological factors with hypertension development. Psychosom Med 2002;64:758–766Google ScholarPubMed
Sansone, RASansone, LAWiederman, MWBorderline personality disorder and health care utilization in a primary care setting. South Med J 1996;89:1162–1165CrossRefGoogle Scholar
Sogaard, AJDalgard, OSHolme, IRoysamb, EHaheim, LLAssociations between type A behaviour pattern and psychological distress: 28 years of follow-up of the Oslo Study 1972/1973. Soc Psychiatry Psychiatr Epidemiol 2008;43:216–223CrossRefGoogle ScholarPubMed
Sogaard, AJSelmer, RBjertness, EThelle, DThe Oslo Health Study: the impact of self-selection in a large, population-based survey. Int J Equity Health 2004;3:http://www.equityhealthj.com/contentsite (website consulted on 3rd January 2003)CrossRefGoogle Scholar
Stewart, SHAlcoholics in acute medical settings have increased risk for other drug, mood, and personality disorders. Int J Psychiatry Med 2007;37:59–67CrossRefGoogle ScholarPubMed
Strand, BHDalgard, OSTambs, KRognerud, MMeasuring the mental health status of the Norwegian population: a comparison of the instruments SCL-25, SCL-10, SCL-5 and MHI-5 (SF-36). Nord J Psychiatry 2003;57:113–118CrossRefGoogle Scholar
Suls, JBunde, JAnger, anxiety, and depression as risk factors for cardiovascular disease: the problems and implications of overlapping affective dispositions. Psychol Bull 2005;131:260–300CrossRefGoogle ScholarPubMed
Thieme, KTurk, DCFlor, HComorbid depression and anxiety in fibromyalgia syndrome: relationship to somatic and psychosocial variables. Psychosom Med 2004;66:837–844CrossRefGoogle ScholarPubMed
Todaro, JFShen, BJNiaura, RSpiro, AWard, KDEffect of negative emotions on frequency of coronary heart disease (the Normative Aging Study). Am J Cardiol 2003;92:901–906CrossRefGoogle Scholar
Torgersen, SKringlen, ECramer, VThe prevalence of personality disorders in a community sample. Arch Gen Psychiatry 2001;58:590–596CrossRefGoogle Scholar
Trull, TJAmdur, MDiagnostic efficiency of the Iowa Personality Disorder Screen items in a nonclinical sample. J Personal Disord 2001;15:351–357CrossRefGoogle Scholar
Twillman, RKMental disorders in chronic pain patients. J Pain Palliat Care Pharmacother 2007;21:13–19 [Review] [19 refs]CrossRefGoogle ScholarPubMed
Verheul, RCo-morbidity of personality disorders in individuals with substance use disorders. Eur Psychiatry 2001;16:274–282 [Review] [62 refs]CrossRefGoogle ScholarPubMed
Williams, JENieto, FJSanford, CPCouper, DJTyroler, HAThe association between trait anger and incident stroke risk – The Atherosclerosis Risk in Communities (ARIC) study. Stroke 2002;33:13–19CrossRefGoogle ScholarPubMed
Yan, LJLLiu, KMatthews, KADaviglus, MLFerguson, TFKiefe, CIPsychosocial factors and risk of hypertension – The Coronary Artery Risk Development in Young Adults (CARDIA) study. JAMA 2003;290:2138–2148CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.