DSM-III-R personality disorders in a mood and anxiety disorders clinic: Prevalence, comorbidity, and clinical correlates

• Published in: Journal of affective disorders 1993-02, Vol.27 (2), p.71-79
• Main Authors: Flick, Susan N., Roy-Byrne, Peter P., Cowley, Deborah S., Shores, Molly M., Dunner, David L.
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Adult and adolescent clinical studies; Aged; Anxiety; Anxiety Disorders - diagnosis; Anxiety Disorders - epidemiology; Anxiety Disorders - psychology; Biological and medical sciences; Bipolar Disorder - diagnosis; Bipolar Disorder - epidemiology; Bipolar Disorder - psychology; Clinical correlates; Comorbidity; Cross-Sectional Studies; Depression; Depressive Disorder - diagnosis; Depressive Disorder - epidemiology; Depressive Disorder - psychology; DSM-III-R; Female; Hospitalization; Humans; Incidence; Male; Medical sciences; Middle Aged; Panic Disorder - diagnosis; Panic Disorder - epidemiology; Panic Disorder - psychology; Personality disorders; Personality Disorders - diagnosis; Personality Disorders - epidemiology; Personality Disorders - psychology; Personality Inventory - statistics & numerical data; Psychiatric Status Rating Scales - statistics & numerical data; Psychology. Psychoanalysis. Psychiatry; Psychometrics; Psychopathology. Psychiatry; Substance-Related Disorders - diagnosis; Substance-Related Disorders - epidemiology; Substance-Related Disorders - psychology; Washington - epidemiology
• ISSN: 0165-0327; 1573-2517
• DOI: 10.1016/0165-0327(93)90079-Y

This study examined the prevalence, comorbidity, and clinical correlates of personality disorders in an outpatient sample ( N= 352) with anxiety and depression. Subjects were diagnosed using the Structured Clinical Interview for DSM-III-R (SCID) on Axes I and II, and they also completed interview and self-report measures of symptoms. Subjects with a personality disorder were less likely to be married, more likely to be single or divorced, had lower family incomes, had more severe symptoms of both anxiety and depression, and had a greater number of lifetime Axis I diagnoses. Subjects with dysthymic and bipolar disorders were more likely, and subjects with panic disorder uncomplicated by agoraphobia were less likely to have a personality disorder compared to the rest of the sample. The most prevalent personality disorders were Avoidant, Obsessive-Compulsive, Paranoid, and Borderline. Paranoid co-occured with Narcissistic, and Borderline co-occurred with Histrionic personality disorder significantly more often than chance and base rates would predict.