✦ LIBER ✦

The effect of age on prevalence, type and diagnosis of personality disorder in psychiatric inpatients

✍ Scribed by Janine Stevenson; Amy Datyner; Philip Boyce; Henry Brodaty

Publisher: John Wiley and Sons
Year: 2010
Tongue: English
Weight: 377 KB
Volume: 26
Category: Article
ISSN: 0885-6230
DOI: 10.1002/gps.2645

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Objective

To examine age‐related differences in personality disorder (PD) comorbidity and in their diagnosis in psychiatric inpatients.

Methods

Two hundred thirty‐one consenting adults consecutively admitted to inpatient psychiatry units and aged between the age of 18 and 100 were assessed using the Structured Clinical Interview for DSM IV Axis I and II (SCID‐I and ‐II), after excluding cognitively impaired, non‐English speaking, short stay and respite patients. Hospital files were audited for clinical diagnoses, in particular for recorded PDs. Rates of PD prevalence and clinician diagnosis were compared for young (n = 76), middle‐age (n = 57) and older (n = 98) patients.

Results

Significant personality comorbidity was evident at all ages, but rates were lowest in the older group. PD was present in 73.7% of young, 71.9% of middle‐age and 58.8% of older patients. Complex PD was more common in young patients. Only 19.8% of PDs were noted by their clinicians to have PD.

Conclusion

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