“Patterns of comorbidity” among DSM-III-R and ICD-10 personality disorders as observed with a new inventory for the assessment of personality disorders

  • S. Herpertz
  • E. M. Steinmeyer
  • H. Saß
Original Paper


Although DSM-III-R and ICD-10 suggest the assignment of multiple personality diagnoses, a high degree of overlap may be an indicator of insufficiently distinct and too inclusive types of personality. We studied this problem with a new inventory in an unselected clinical sample. The Aachen List of Items for the Registration of Personality Disorders (AMPS) integrates the different types of disordered personality according to DSM-III-R, ICD-10, and four subaffective categories, which largely follow the typologies of Kracpelin, K. Schneider, and Kretschmer. The prevalence rate of each personality disorder was calculated in a consecutive group of 231 patients. Patterns of comorbidity were computed using odds ratios. More than one personality disorder was found in 41% according to DSM-III-R. ICD-10 showed a significantly higher degree of overlap. Interesting comorbidity patterns are discussed in comparison with several North American studies. Results indicate that clear-cut categorical personality diagnoses are not likely to be set up.

Key words

Personality disorders Prevalence rates Overlap Patterns of comorbidity 


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Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • S. Herpertz
    • 1
  • E. M. Steinmeyer
    • 1
  • H. Saß
    • 1
  1. 1.Psychiatrische Klinik der Medizinischen Fakultät der RWTH AachenAachenGermany

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