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The prevalence of personality disorder, its comorbidity with mental state disorders, and its clinical significance in community mental health teams
Social Psychiatry and Psychiatric Epidemiology, 06/30/09

Newton-Howes G et al. - Comorbid personality pathology contributes greatly to overall psychopathology in secondary psychiatric care. It should be both recognised and managed.

Methods

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.

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