Two-Year Stability and Change of Schizotypal, Borderline, Avoidant, and Obsessive-Compulsive Personality Disorders.

Grilo, Carlos M.; Sanislow, Charles A.; Gunderson, John G.; Pagano, Maria E.; Yen, Shirley; Zanarini, Mary C.; Shea, M. Tracie; Skodol, Andrew E.; Stout, Robert L.; Morey, Leslie C.; McGlashan, Thomas H.

doi:10.1037/0022-006x.72.5.767

Cited by 236 publications

(213 citation statements)

References 38 publications

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“…CLPS enrolled 668 participants age 18 -45 years with at least one of four PDs (STPD, BPD, AVPD, or OCPD) or with current MDD without any PD. Detailed descriptions of the CLPS aims, methods, and characteristics of the overall study group have been reported (Grilo et al, 2004;Gunderson et al, 2000;McGlashan et al, 2000) but are summarized here.…”

Section: Methods Participantsmentioning

confidence: 99%

Two-Year Prospective Naturalistic Study of Remission From Major Depressive Disorder as a Function of Personality Disorder Comorbidity.

Grilo¹,

Sanislow²,

Shea³

et al. 2005

Journal of Consulting and Clinical Psychology

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113

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In this study, the authors examined prospectively the 24-month natural course of remission from major depressive disorder (MDD) as a function of personality disorder (PD) comorbidity. In 302 participants (196 women, 106 men), psychiatric and PDs were assessed at baseline with diagnostic interviews, and the course of MDD was assessed with the Longitudinal Interval Follow-Up Evaluation at 6-, 12-, and 24-month follow-ups. Survival analyses revealed an overall 24-month remission rate of 73.5% for MDD that differed little by gender. Participants with MDD who had

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Section: Methods Participantsmentioning

confidence: 99%

Two-Year Prospective Naturalistic Study of Remission From Major Depressive Disorder as a Function of Personality Disorder Comorbidity.

Grilo¹,

Sanislow²,

Shea³

et al. 2005

Journal of Consulting and Clinical Psychology

Self Cite

113

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“…17, 27 McGlashan and colleagues 17 demonstrated overall improvement in BPD symptoms but also found that the rank order of symptom prevalence remains stable over time. In other words, the most prevalent BPD criteria, such as affective instability and anger, were least likely to remit and had trait-like qualities.…”

mentioning

confidence: 99%

The Relationship Between Borderline Personality Disorder and Major Depression in Later Life: Acute Versus Temperamental Symptoms

Galione

Oltmanns

2013

The American Journal of Geriatric Psychiatry

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Objective A recent issue in the personality disorder field is the prevalence and course of Axis II symptoms in later life. Focusing on the presentation of personality disorder criteria over time may have some utility in exploring the relationship between borderline personality disorder (BPD) and major depression in older adults. Temperamental personality symptoms are relatively resistant to change but tend to be nonspecific to disorders, while acute symptoms remit relatively quickly. We predicted that temperamental BPD symptoms would be positively correlated with a history of depression and did not expect to find a relationship between major depression and acute BPD symptoms. Method One thousand six hundred and thirty participants between the ages of 55 and 64 were recruited to participate in a community-based longitudinal study representative of the St. Louis area. Participants completed a battery of assessments at baseline, including diagnostic interviews for all ten personality disorders and major depressive disorder. Results Temperamental and acute BPD symptoms were significantly correlated with a history of major depression. After adjustments were made for the effects of temperamental symptoms on depression, acute symptoms were no longer correlated with a history of depression. As predicted, temperamental symptoms remained significantly related to depression, even after controlling for the effects of acute symptoms. BPD acute symptoms showed a unique negative correlation with the amount of time following remission from a depressive episode. Conclusions Overall, this study supports associations between major depression and borderline personality in older adults. The findings indicate that a history of major depression is primarily related to stable BPD symptoms related to emotional distress, which are more prevalent in older adults compared to acute features.

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“…However, findings indicate that maladaptive personality trait constellations are more stable in their structure than personality disorder diagnoses per se. Maladaptive personality traits may change in severity or expression over time, but they often lead to persistent functional impairment and reduced quality of life, even though the diagnostic threshold for a personality disorder is no longer reached (14,15).…”

Section: Personality Disorders In Adolescentsmentioning

confidence: 99%

The Relationship between Personality Disorders and Quality of Life in Adolescent Outpatients

Korsgaard

Torgersen

Wentzel‐Larsen

et al. 2014

Scandinavian Journal of Child and Adolescent Psychiatry and Psychology

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Background: During recent years, there has been an increasing focus on the benefits of the early detection and treatment of personality disorders in adolescents. Previous studies of adults have shown that the number of personality disorder criteria met is negatively correlated with a patient's quality of life and general functioning. Objective: The aim of the present study was to investigate the prevalence of personality disorders, particularly with regard to the correlation between the number of personality disorder criteria fulfilled and self-perceived quality of life. Distribution according to gender and age in a clinical sample of adolescent outpatients were also considered. Method: This study included 153 adolescents between the ages of 14 and 17 years who were referred to a mental health outpatient clinic. Personality disorders were assessed using the Structured Interview for DSM-IV Personality. Quality of life was assessed using the Youth Quality of Life Instrument -Research Version, which is a 41-item questionnaire that covers broad aspects of quality of life. Axis I disorders were assessed using the Mini International Neuropsychiatric Interview. Results: Results demonstrated that 21.6% of the adolescents met the diagnostic criteria for at least one personality disorder. A relationship between the number of personality disorder criteria met and reduced quality of life was found. No significant gender differences with regard to the prevalence of each of the personality disorders were revealed. Adjustment for the presence of Axis I disorders did not appreciably affect these findings Conclusion: The present study indicates that reduced quality of life as a result of the number of personality disorder criteria met affects adolescents in much the same way that it does adults. This further emphasizes the clinical importance of including quality of life assessment as part of the general diagnostic procedures used with adolescents.

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Two-Year Stability and Change of Schizotypal, Borderline, Avoidant, and Obsessive-Compulsive Personality Disorders.

Cited by 236 publications

References 38 publications

Two-Year Prospective Naturalistic Study of Remission From Major Depressive Disorder as a Function of Personality Disorder Comorbidity.

Two-Year Prospective Naturalistic Study of Remission From Major Depressive Disorder as a Function of Personality Disorder Comorbidity.

The Relationship Between Borderline Personality Disorder and Major Depression in Later Life: Acute Versus Temperamental Symptoms

The Relationship between Personality Disorders and Quality of Life in Adolescent Outpatients

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