Long-term impact of temporary and persistent personality disorder on anxiety and depressive disorders
MetadataShow full item record
BACKGROUND: It is of interest to know if temporary and persistent personality disorders are associated with different outcomes.METHOD: A cohort of 210 people with anxiety and depressive disorders was followed up on nine occasions over 12years. During this study, personality status was assessed at baseline and after 2years using two methods, one linked to the new International Classification of Diseases 11th Revision (ICD-11) severity codes. The impact on the symptomatic outcome and social function of temporary (i.e. personality disorder on one occasion only) and persistent personality disorder (personality disorder present on both occasions) was compared.RESULTS: Of the 162 patients studied we identified four groups (no personality disorder at any time (n=46), two with temporary personality disorder (baseline only (n=33) and 2years only (n=28), and persistent personality disorder (n=55). Those with persistent personality disorder had significantly worse outcomes than other groups for self-rated anxiety symptoms (p=0.02) and overall social function (p<0.001), 81% had a current DSM diagnosis at 12years compared with 52-65% in the other groups (p<0.03). Significantly, more patients with ICD-11 moderate or severe personality disorder at baseline had persistent personality disorder than had temporary disorders (p=0.017).CONCLUSION: Persistent personality disorder is associated with more severe personality dysfunction and has a negative impact on the outcome of common mental disorder and particularly on long-term social functioning. Copyright © 2016 John Wiley & Sons, Ltd.Copyright © 2016 John Wiley & Sons, Ltd.
Showing items related by title, author, creator and subject.
Re-offending in forensic patients released from secure care: The role of antisocial/borderline personality disorder co-morbidity, substance dependence and severe childhood conduct disorder Howard, Richard C.; McCarthy, Lucy; Huband, Nick; Duggan, Conor (2013)Background Research suggests that a particular externalising phenotype, manifested in a developmental trajectory from severe childhood conduct disorder through early-onset substance abuse to adult antisocial/borderline ...
Guo, Boliang (2014)OBJECTIVE: This study aims to compare ICD-10 and putative ICD-11 classifications of personality disorder in different clinical populations.DESIGN: Prospective recording of ICD-10 and ICD-11 personality disorder classifications ...