Article

Journal of Psychopathology and Behavioral Assessment

, 30:154

First online:

Comorbidity of Personality Disorders and Somatization Disorder: A Meta-analytic Review

  • Robert F. BornsteinAffiliated withDerner Institute of Advanced Psychological Studies, Adelphi University Email author 
  • , Stephanie H. GoldAffiliated withDerner Institute of Advanced Psychological Studies, Adelphi University

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Abstract

Meta-analysis of studies assessing the comorbidity of somatization disorder (SD) with one or more personality disorders (PDs) revealed that-contrary to the assertions of the Diagnostic and Statistical Manual of Mental Disorders (4th edition, text revision)-SD co-occurs with the majority of Axis II PDs. Although comorbidity effect sizes (rs) linking SD with paranoid PD and obsessive-compulsive PD were small, effect sizes for antisocial, borderline, narcissistic, histrionic, avoidant, and dependent PD yielded rs about or above 0.20. Comorbidity information in future versions of the DSM should be revised to reflect the greater number of PDs empirically linked with SD.

Keywords

Somatization Personality disorder Axis II Meta-analysis Comorbidity