The Relationship between Anxiety Disorders and Personality Disorders
The relationship between anxiety disorders and personality disorders (PDs) has received a great deal of attention by researchers. This chapter describes the comorbidity of PDs and anxiety disorders. The data, reviewed in this chapter, were provided by prevalence and treatment outcome studies and the review will be limited to a descriptive level of personality pathology (based on self-report and semi-structured interview). This review includes the following anxiety disorders: panic disorder, social phobia, generalized anxiety disorder, and obsessive-compulsive disorder. Further, additional Axis I disorders and symptoms will be summarized in order to provide an overall view on a descriptive level of the co-occurrence of Axis II disorders, anxiety disorders and related symptomatology. Finally, hypotheses concerning associations between anxiety disorders and PDs will be discussed and areas for future research will be outlined. In this chapter, the term “features” will be used when we refer to the criteria of the PDs. The term “traits” will be used when dimensional personality traits are considered.
KeywordsAnxiety Disorder Obsessive Compulsive Disorder Personality Disorder Personality Disorder Social Phobia
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- American Psychological Association. (1994). Diagnostic and Statistical Manual of Mental Disorders ( fourth ed. ). Washington, DC: Author.Google Scholar
- Baer, L., Jenike, M.A., Ricciardi II, J.N., Holland, A.D., Seymour, R.J., Minichiello, W.E., and Buttolphi, M.L. (1990) Standardized assessment of personality disorders in obsessive-compulsive disorder. Archives of General Psychiatry,47, 826–830.Google Scholar
- Beck, A.T. and Freeman, A. (1990). Cognitive Therapy of Personality Disorders. New York: Guilford Press.Google Scholar
- Docherty, J.P., Fiester, S.J., and Shea, T. (1986). Syndrome diagnosis and personality disorder. In A.J. Frances and R.E. Hales (Eds.), American Psychiatric Association Annual Review, Vol. 5, 315–355. Washington, DC: American Psychiatric Press.Google Scholar
- Mauri, M., Sarno, N., Rossi, V.M., Armani, A, Zambotto, S., Cassano, G.B., and Akiskal, H.S. (1992).Google Scholar
- Personality disorders associated with generalized anxiety, panic, and occurrent depressive disorders. Journal of Personality Disorders,6, 162–167.Google Scholar
- Millon, T. (1983). Millon Clinical Multiaxial Inventory Manual ( 3rd ed. ). Minneapolis, MN: National Computer Systems.Google Scholar
- Sanderson, W.C., Beck, A.T., and McGinn, L.K. (1994). Cognitive therapy for generalized anxiety disorder: Significance of comorbid personality disorders. Journal of Cognitive Psychotherapy, 8, 13–18.Google Scholar
- Spitzer, R.L., Williams, J.B.W., Gibbon, M., and First, M.B. (1990). Structured Clinical Interview for DSM-III-R-personality disorders (SCID-II, Version 1.0), Washington, DC: American Psychiatric Press. Stangl, D., Pfohl, B., Zimmerman, M., Bowers, W., and Corenthal, C. (1985). A Structured Interview for the DSM-III Personality Disorders. Archives of General Psychiatry, 42, 591–596.Google Scholar
- Widiger, T.A., Trull, T.J., Clarkin, J.F., Sanderson, C., and Costa, P.T. (1994). A description of the DSM-III-R and DSM-IV personality disorders with the Five-Factor Model of personality. In P.T. Costa and T.A. Widiger (Eds.), Personality Disorders and The Five-Factor Model of Personality. Washington: American Psychological Association.Google Scholar