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Epidemiology of personality disorders

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Abstract

Epidemiology is concerned with the occurrence of disease in populations. Epidemiologic studies measure the prevalence and distribution of disorders, investigate questions of case definition, determine risk factors, and evaluate the natural history and consequences of disorders. This paper reviews and discusses empiric advances made over the past 2 years in the epidemiologic study of personality disorders.

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References and Recommended Reading

  1. Samuels JF, Nestadt G, Romanoski AJ, et al.: DSM-III personality disorders in the community. Am J Psychiatry 1994, 151:1055–1062.

    PubMed  CAS  Google Scholar 

  2. Meier W, Lichtermann D, Klinger T, et al.: Prevalence of personality disorders (DSM-III-R) in the community. J Personality Disord 1992, 6:187–196.

    Google Scholar 

  3. Cooke DJ, Michie C: Psychopathy across cultures: North America and Scotland compared. J Abnormal Psychol 1999, 108:58–68.

    Article  CAS  Google Scholar 

  4. Hare RD: The Hare Psychopathy Checklist-Revised. Toronto: Multi-Health Systems; 1991.

    Google Scholar 

  5. Parker F, Roussos J, Wilhelm K, et al.: On modeling personality disorders: are personality style and disordered functioning independent or interdependent constructs? J Nerv Ment Dis 1998, 186:709–715.

    Article  PubMed  CAS  Google Scholar 

  6. Stuart S, Pfohl B, Battaglia M, et al.: The co-occurrence of DSM-III-R personality disorders. J Personality Disord 1998, 12:302–315.

    CAS  Google Scholar 

  7. Stangl D, Pfohl B, Zimmerman M, et al.: A structured interview for the DSM-III-R personality disorders: a preliminary report. Arch Gen Psychiatry 1985, 42:591–596.

    PubMed  CAS  Google Scholar 

  8. Austin EJ and IJ Deary. The ‘four As’: a common framework for normal and abnormal personality? Personality and Individual Differences 2000, 28:977–995. Austin and Dreary found associations between the personality disorders and normal personality variants outlined in Eysencks’ personality scales. High neuroticism scores were consistently seen in individuals with any personality disorder. This, they believed, gave supporting evidence for the overlap between DSM personality disorders and normal personality variants.

    Article  Google Scholar 

  9. Spitzer RL, Williams JB, Gibbon M, First MB: Structured clinical interview for DSM-III-R personality disorders. Washington, DC: American Psychiatric Press; 1990.

    Google Scholar 

  10. Eysenck SBG, Eysenck HJ, Barrett P: A revised version of the psychoticism scale. Personality Individ Diff 1985, 6:21–29.

    Article  Google Scholar 

  11. Westen D, L Arkowitz-Westen: Limitations of Axis II in diagnosing personality pathology in clinical practice. Am J Psychiatry 1998, 155:1767–1771. The authors studied patients who exhibited difficulties in various areas of their lives due to personality patterns; 61% of the patients did not meet DSM-IV criteria for personality disorder. No explicit descriptors of their personality vulnerabilities were included in the DSM multiaxial system, thus they concluded that the DSM failed to give a “comprehensive and systematic evaluation” of the patient.

    PubMed  CAS  Google Scholar 

  12. Ferro T, Klein DN, Schwartz JE, et al.: 30-Month stability of personality disorder diagnoses in depressed outpatients. Am J Psychiatry 1998, 155:653–659.

    PubMed  CAS  Google Scholar 

  13. Grilo CM, McGlashan TH, Quinlan DM, et al.: Frequency of personality disorders in two age cohorts of psychiatric inpatients. Am J Psychiatry 1999, 156:1522–1528.

    PubMed  Google Scholar 

  14. Levy KN, Becker DF, Grilo CM, et al.: Concurrent and predictive validity of the personality disorder diagnosis in adolescent inpatients. Am J Psychiatry 1998, 155:140–142.

    Google Scholar 

  15. Perugi G, Toni C, Benedetti A, et al.: Delineating a putative phobic-anxious temperament in 126 panic-agoraphobic patients: toward a rapproachement of European and US views. J Affect Disord 1998, 47:11–23.

    Article  PubMed  CAS  Google Scholar 

  16. Krueger RF: Personality traits in late adolescence predict mental disorders in early adulthood: a prospectiveepidemiological study. J Personality 1999, 67:39–65.

    Article  PubMed  CAS  Google Scholar 

  17. Tellegen A: Brief manual for the multidimensional personality questionnaire, unpublished manuscript. Minneapolis: University of Minnesota; 1982.

    Google Scholar 

  18. Robins LN, Helzer JE, Cottler L, Goldring E: Diagnostic interview schedule, version III-R, unpublished manuscript. St. Louis: Washington University; 1989.

    Google Scholar 

  19. Parker G, Roussos J, Austin MP, et al.: Disordered personality style: Higher rates in non-melancholic compared to melancholic depression. J Affect Disord 1998, 47:131–40.

    Article  PubMed  CAS  Google Scholar 

  20. Links PS, Heslegrave R, van Reekum R: Impulsivity: core aspect of borderline personality disorder. J Personality Disord 1999, 13:1–9.

    CAS  Google Scholar 

  21. Gunderson JG, Kolb JE, Austin V: The diagnostic interview for borderline patients. Am J Psychiatry 1981, 138:896–903.

    PubMed  CAS  Google Scholar 

  22. Zanarini MC, Frankenburg FR, Dubo ED, et al.: Axis I comorbidity of borderline personality disorder. Am J Psychiatry 1998, 155:1733–1739.

    PubMed  CAS  Google Scholar 

  23. Kasen S, Cohen P, Skodol AE, et al.: Influence of child and adolescent psychiatric disorders on young adult personality disorder. Arch Gen Psychiatry 1998, 55:821–829.

    Article  Google Scholar 

  24. Langbehn DR, Cadoret RJ, Yates WR, et al.: Distinct contributions of conduct and oppositional defiant symptoms to adult antisocial behavior: evidence from an adoption study. Arch Gen Psychiatry 1998, 55:821–829.

    Article  PubMed  CAS  Google Scholar 

  25. Loney J, Langhorne JE, Paternite CE, et al.: The Iowa habit: hyperkinetic/aggressive boys in treatment. In Human Functioning in Longitudinal Perspective. Edited by Sells SB, Crandall R, Roff M, Strauss JS, Pollin W. Baltimore: Williams & Wilkins; 1980.

    Google Scholar 

  26. Cadoret RJ, Yates WR, Troughton E, et al.: Adoption study demonstrating two genetic pathways to drug abuse. Arch Gen Psychiatry 1995, 52:42–52.

    PubMed  CAS  Google Scholar 

  27. Neugenbauer R, Hoek HW, Susser E: Prenatal exposure to wartime famine and development of antisocial personality disorder in early adulthood. JAMA 1999, 282:455–462. The authors performed a retrospective cohort study to explore possible prenatal ancients to the development of anitsocial personality disorder. They found that subjects exposed to severe nutritional deficiency during the prenatal development had an increased risk of developing antisocial personality disorder.

    Article  Google Scholar 

  28. Johnson JG, Rabkin JG, Williams JBW, et al.: Difficulties in interpersonal relationships associated with personality disorders and axis I disorders: a community-based longitudinal investigation. J Personality Disord 2000, 14:42–56.

    CAS  Google Scholar 

  29. O’Brien KO, Wortman CB, Kessler RC, Joseph JG: Social relationships of men at risk for AIDS. Soc Sci Med 1993, 36:1161–1167.

    Article  PubMed  CAS  Google Scholar 

  30. Russell DW, Peplau LA, Cutrona CE: The revised UCLA loneliness scale: concurrent and discriminant validity evidence. J Personality Soc Psychol 1980, 39:472–480.

    Article  CAS  Google Scholar 

  31. Endicott J, Spitzer RL, Fleiss J, Cohen J: The Global Assessment Scale: a procedure for measuring overall severity of psychiatric disturbance. Arch Gen Psychiatry 1976, 33:766–771.

    PubMed  CAS  Google Scholar 

  32. Hueston WJ, Werth J, Mainous AG, III: Personality disorder traits: prevalence and effects on health status in primary care patients. Int J Psychiatry Med 1999, 29:63–74.

    Article  PubMed  CAS  Google Scholar 

  33. Brazier JE, Harper R, Jones NMB, et al.: Validating the SF-36 health survey questionnaire: new outcome measure for primary care. Br Med J 1992, 305:160–164.

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Psychiatry and Behavioral Sciences, Johns Hopkins Medical Institutions, 600 North Wolfe Street, 21287-7481, Baltimore, MD, USA

    Nicola Sater MD, Jack F. Samuels MD, O. Joseph Bienvenu MD & Gerald Nestadt MD

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  1. Nicola Sater MD
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  2. Jack F. Samuels MD
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  3. O. Joseph Bienvenu MD
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  4. Gerald Nestadt MD
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Sater, N., Samuels, J.F., Bienvenu, O.J. et al. Epidemiology of personality disorders. Curr Psychiatry Rep 3, 41–45 (2001). https://doi.org/10.1007/s11920-001-0071-5

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  • DOI: https://doi.org/10.1007/s11920-001-0071-5

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