The impact of personality disorder in UK primary care: a 1-year follow-up of attenders

Moran, Paul; Rendu, Alison; Jenkins, Rachel; Tylee, André; Mann, Anthony

doi:10.1017/s003329170105450z

Cited by 50 publications

(31 citation statements)

References 10 publications

(15 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In primary care, PD is associated with frequent and unplanned attendance to general practice, but with fewer referrals to secondary care (Moran, Jenkins, Tylee, Blizard, & Mann, 2000;Moran, Rendu, Jenkins, Tylee, & Mann, 2001). In mental health settings, patients with PD, compared to those without PD, receive greater polypharmacy, which is itself associated with inherent health risks (Bender et al, 2001;Crawford et al, 2011).…”

Section: Possible Mechanismsmentioning

confidence: 99%

Personality Disorder and Self-Rated Health: A Population-Based Cross-Sectional Survey

Fok¹,

Hotopf²,

Stewart³

et al. 2014

Journal of Personality Disorders

View full text Add to dashboard Cite

Little is known about the impact of personality disorder (PD) on the health of people living in the community. The authors set out to examine the association between PD and general health, using a cross-sectional survey of a representative community sample in London, UK. A total of 1,698 adults aged 16 years or over from 1,075 randomly selected households were recruited and interviewed face-to-face by trained interviewers. Using multivariable logistic regression, the authors examined the cross-sectional association between PD screen status, as assessed by the Standardised Assessment of Personality-Abbreviated Scale (SAPAS), and self-rated health, adjusting for demographic and health covariates. Of the participants, 14.5% screened positively for PD. A greater proportion of those scoring positively for PD reported poor self-rated health, compared to screen negative participants (41.3% versus 15.0%). This association was reduced, but remained significant, after adjustment for potential confounders (unadjusted odds ratio (OR) = 3.99, 95% CI [2.93, 5.42]; fully adjusted OR = 1.53, 95% CI [1.02, 2.29]. Of note, subthreshold symptoms of PD were significantly associated with poor self-rated health (unadjusted OR per unit SAPAS score increment = 1.53, 95% CI [1.40, 1.67]; fully adjusted OR = 1.19, 95% CI [1.07, 1.33]. Furthermore, people screening positive for PD were more likely to report multiple (three or more) long-standing illnesses. The authors conclude that in the general population, individuals who are at high risk for PD are independently at increased risk of poor general health.

show abstract

Section: Possible Mechanismsmentioning

confidence: 99%

Personality Disorder and Self-Rated Health: A Population-Based Cross-Sectional Survey

Fok¹,

Hotopf²,

Stewart³

et al. 2014

Journal of Personality Disorders

View full text Add to dashboard Cite

show abstract

“…When PDs remain unnoticed or untreated, individuals with co-occurring PD benefit considerably less from disorder-related treatments for axis I disorders than patients without PD [7,9]. Consequently, individuals with PD were considered to be a cause of high medical, financial, and social costs [e.g., [10,11]].…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Efficiency of the German Version of the Self-Rated Standardized Assessment of Personality – Abbreviated Scale

Söchtig¹,

Kliem²,

Kröger³

2012

Psychopathology

View full text Add to dashboard Cite

Background: About 30% of outpatients meet the criteria of a personality disorder (PD). When PD remains unnoticed or untreated, individuals with co-occurring PD benefit considerably less from disorder-related treatments for axis I disorders than patients without PD. The present study examines the diagnostic efficiency of the German version of the Standardized Assessment of Personality – Abbreviated Scale Self-Rating Version (SAPAS-SR). Sampling and Methods: Based on the signal detection theory, receiver operating characteristics as well as reliability and validity indicators are determined in a heterogeneous outpatient sample (n = 230). Results: The values of internal consistency and the validity indicators turned out to be in the expected range. The area under the curve was low, at 0.67. Using the cutoff point of 4, sensitivity (80%) and specificity (46%) values were at a level that was only acceptable. Conclusions: Since specificity was lower than in previous studies, using the SAPAS-SR results in a moderate cost efficiency only.

show abstract

“…There is also evidence that PDs are highly comorbid with Axis I disorders, burdensome with regards to impairment in role functioning, and burdensome with regards to utilization of both general medical and mental health specialty services. 6,[10][11][12][13][14][15][16][17][18] However, all these studies have been conducted in economically advantaged regions of the world; PDs have been relatively neglected as a research interest in Latin America and the rest of the developing world.…”

Section: Introductionmentioning

confidence: 99%

DSM-IV personality disorders in Mexico: results from a general population survey

Benjet

Borges

Medina‐Mora

2008

Rev. Bras. Psiquiatr.

View full text Add to dashboard Cite

The impact of personality disorder in UK primary care: a 1-year follow-up of attenders

Cited by 50 publications

References 10 publications

Personality Disorder and Self-Rated Health: A Population-Based Cross-Sectional Survey

Personality Disorder and Self-Rated Health: A Population-Based Cross-Sectional Survey

Diagnostic Efficiency of the German Version of the Self-Rated Standardized Assessment of Personality – Abbreviated Scale

DSM-IV personality disorders in Mexico: results from a general population survey

Contact Info

Product

Resources

About