Document Detail

Chronic fatigue syndrome and DSM-IV personality disorders.
MedLine Citation:
PMID:  19073288     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Personality is an important factor in the research of the chronic fatigue syndrome (CFS). Although some studies report a high rate of personality disorders--around the 40% level--in samples of patients with CFS, the generalizability of these findings can be questioned. The present study evaluates the prevalence of Diagnostic and Statistical Manual for Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) personality disorders in a sample of female CFS patients and in two control groups. METHOD: The ADP-IV questionnaire (Assessment of DSM Personality Disorders IV) was used to assess the DSM-IV-TR personality disorders at a dimensional and categorical level in a sample of 50 female CFS patients and in two matched control samples of Flemish civilians (n=50) and psychiatric patients (n=50). RESULTS: The results indicate a striking lack of statistical significant differences between the CFS sample and the Flemish control group at the level of dimensional Trait scores, number of criteria, and prevalence rates of personality disorder diagnoses. Unsurprisingly, higher scores at these levels were obtained within the psychiatric sample. The prevalence of an Axis II disorder was 12% in the Flemish and CFS samples, whereas the psychiatric sample obtained a prevalence of 54%. CONCLUSION: The prominent absence of any significant difference in personality disorder characteristics between the female Flemish general population and the CFS samples seems to suggest only a minor etiological role for personality pathology, as defined by the DSM-IV Axis II, within CFS.
Joachime Courjaret; Christiaan K W Schotte; Herlindis Wijnants; Greta Moorkens; Paul Cosyns
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Publication Detail:
Type:  Journal Article     Date:  2008-11-22
Journal Detail:
Title:  Journal of psychosomatic research     Volume:  66     ISSN:  0022-3999     ISO Abbreviation:  J Psychosom Res     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2008-12-16     Completed Date:  2009-03-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376333     Medline TA:  J Psychosom Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  13-20     Citation Subset:  IM    
Department of Psychiatry, University Hospital Antwerp, Edegem, Belgium.
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MeSH Terms
Cross-Sectional Studies
Diagnostic and Statistical Manual of Mental Disorders*
Fatigue Syndrome, Chronic / diagnosis,  epidemiology,  psychology*
Illness Behavior*
Mental Disorders / diagnosis,  epidemiology,  psychology
Middle Aged
Personality Disorders / diagnosis,  epidemiology,  psychology*
Reference Values

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