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The prevalence of personality disorder, its comorbidity with mental state disorders, and its clinical significance in community mental health teams

Byline: Giles Newton-Howes (1), Peter Tyrer (1), Katina Anagnostakis (2), Sylvia Cooper (2), Owen Bowden-Jones (3), Tim Weaver (1) Keywords: Personality disorder; Comorbidity; Secondary care; Prevalence Abstract: Background Personality status is seldom assessed in community mental health teams excep... Full description

Journal Title: Social Psychiatry and Psychiatric Epidemiology 2010, Vol.45(4), pp.453-460
Main Author: Newton-Howes, Giles
Other Authors: Tyrer, Peter , Anagnostakis, Katina , Cooper, Sylvia , Bowden-Jones, Owen , Weaver, Tim
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 0933-7954 ; E-ISSN: 1433-9285 ; DOI: 10.1007/s00127-009-0084-7
Link: http://dx.doi.org/10.1007/s00127-009-0084-7
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recordid: springer_jour10.1007/s00127-009-0084-7
title: The prevalence of personality disorder, its comorbidity with mental state disorders, and its clinical significance in community mental health teams
format: Article
creator:
  • Newton-Howes, Giles
  • Tyrer, Peter
  • Anagnostakis, Katina
  • Cooper, Sylvia
  • Bowden-Jones, Owen
  • Weaver, Tim
subjects:
  • Personality disorder
  • Comorbidity
  • Secondary care
  • Prevalence
ispartof: Social Psychiatry and Psychiatric Epidemiology, 2010, Vol.45(4), pp.453-460
description: Byline: Giles Newton-Howes (1), Peter Tyrer (1), Katina Anagnostakis (2), Sylvia Cooper (2), Owen Bowden-Jones (3), Tim Weaver (1) Keywords: Personality disorder; Comorbidity; Secondary care; Prevalence Abstract: Background Personality status is seldom assessed in community mental health teams except at a rudimentary level. This study challenges the assumption that this policy is either prudent or wise. Aims To measure the prevalence of personality disorder within community mental health teams and to investigate its relationship to mental state disorders and overall pathology. Method A cross-sectional survey of 2,528 of 2,567 psychiatric patients (98.5%) managed by community mental health teams in four urban settings in the UK in which diagnoses of personality and mental state pathology were assessed separately. Of these, a sample of 400 was interviewed, with a 70.5% completion rate for more in depth information. Results In total, 40% of all patients in secondary care suffered from at least one personality disorder. Regression modelling showed personality pathology accounted for a greater degree of global psychopathology than psychosis, alcohol or drug dependence, but was associated with anxiety disorders. Conclusion Comorbid personality pathology contributes greatly to overall psychopathology in secondary psychiatric care. It should be both recognised and managed. Author Affiliation: (1) Department of Psychological Medicine, Faculty of Medicine, Imperial College, London, UK (2) Nottinghamshire Healthcare NHS Trust, Nottingham, UK (3) Central and North West London Mental Health NHS Trust, London, UK Article History: Registration Date: 03/06/2009 Received Date: 16/11/2008 Accepted Date: 03/06/2009 Online Date: 20/06/2009 Article note: On behalf of the COSMIC study team.
language: eng
source:
identifier: ISSN: 0933-7954 ; E-ISSN: 1433-9285 ; DOI: 10.1007/s00127-009-0084-7
fulltext: fulltext
issn:
  • 1433-9285
  • 14339285
  • 0933-7954
  • 09337954
url: Link


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descriptionByline: Giles Newton-Howes (1), Peter Tyrer (1), Katina Anagnostakis (2), Sylvia Cooper (2), Owen Bowden-Jones (3), Tim Weaver (1) Keywords: Personality disorder; Comorbidity; Secondary care; Prevalence Abstract: Background Personality status is seldom assessed in community mental health teams except at a rudimentary level. This study challenges the assumption that this policy is either prudent or wise. Aims To measure the prevalence of personality disorder within community mental health teams and to investigate its relationship to mental state disorders and overall pathology. Method A cross-sectional survey of 2,528 of 2,567 psychiatric patients (98.5%) managed by community mental health teams in four urban settings in the UK in which diagnoses of personality and mental state pathology were assessed separately. Of these, a sample of 400 was interviewed, with a 70.5% completion rate for more in depth information. Results In total, 40% of all patients in secondary care suffered from at least one personality disorder. Regression modelling showed personality pathology accounted for a greater degree of global psychopathology than psychosis, alcohol or drug dependence, but was associated with anxiety disorders. Conclusion Comorbid personality pathology contributes greatly to overall psychopathology in secondary psychiatric care. It should be both recognised and managed. Author Affiliation: (1) Department of Psychological Medicine, Faculty of Medicine, Imperial College, London, UK (2) Nottinghamshire Healthcare NHS Trust, Nottingham, UK (3) Central and North West London Mental Health NHS Trust, London, UK Article History: Registration Date: 03/06/2009 Received Date: 16/11/2008 Accepted Date: 03/06/2009 Online Date: 20/06/2009 Article note: On behalf of the COSMIC study team.
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