Document Detail

A systematic assessment of the comorbidity of DSM-III-R personality disorders in alcoholic outpatients.
MedLine Citation:
PMID:  8131392     Owner:  NLM     Status:  MEDLINE    
To our knowledge, this is the first study to examine the systematic comorbidity of DSM-III-R personality disorders (PDs) in a sample of alcoholic outpatients. The extent and direction of overlap can provide a measure of heterogeneity and descriptive validity. Fifty sober alcoholic outpatients enrolled in a treatment program were assessed by Structured Clinical Interview for DSM-III (SCID) instruments for the presence of axis I and axis II disorders; 80% had either a coexistent axis I or II disorder, with 66% having an axis I disorder, 64% an axis II disorder, and 50% both axis I and II disorders. There were 84 PD diagnoses among the 32 PD patients (2.6/patient), with multiple diagnoses in 20 (62%). The most prevalent PD diagnoses were paranoid (44%), antisocial (20%), avoidant (20%), passive-aggressive (18%), and borderline (16%). Overlap was extensive and not confined to any one of the three designated axis II clusters. Poorer outcome was associated with the presence of PD. Personality variables may offer a means of further characterizing the heterogeneity observed in axis I disorders. Further refinement of the current system of PD classification and investigation into alternate models is needed.
H G Nurnberg; A Rifkin; S Doddi
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Comprehensive psychiatry     Volume:  34     ISSN:  0010-440X     ISO Abbreviation:  Compr Psychiatry     Publication Date:    1993 Nov-Dec
Date Detail:
Created Date:  1994-04-18     Completed Date:  1994-04-18     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372612     Medline TA:  Compr Psychiatry     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  447-54     Citation Subset:  IM    
Department of Psychiatry, Queens Hospital Center, Jamaica, NY 11432.
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MeSH Terms
Alcoholism / complications*,  diagnosis
Middle Aged
Personality Disorders / complications*,  diagnosis*
Psychiatric Status Rating Scales*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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