| A systematic assessment of the comorbidity of DSM-III-R personality disorders in alcoholic outpatients. | |
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MedLine Citation:
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PMID: 8131392 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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H G Nurnberg; A Rifkin; S Doddi |
Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Comprehensive psychiatry Volume: 34 ISSN: 0010-440X ISO Abbreviation: Compr Psychiatry Publication Date: 1993 Nov-Dec |
Date Detail:
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Created Date: 1994-04-18 Completed Date: 1994-04-18 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0372612 Medline TA: Compr Psychiatry Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 447-54 Citation Subset: IM |
Affiliation:
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Department of Psychiatry, Queens Hospital Center, Jamaica, NY 11432. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Alcoholism / complications*, diagnosis Female Humans Male Middle Aged Personality Disorders / complications*, diagnosis* Prevalence Psychiatric Status Rating Scales* Questionnaires |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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