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[Personality disorders in the elderly: diagnostic aspects].

S P J van Alphen1

  • 1spj.vanalphen@wxs.nl

Tijdschrift Voor Gerontologie En Geriatrie
|August 5, 2006
PubMed
Summary

The Diagnostic and Statistical Manual of Mental Disorders (DSM) offers limited utility for assessing personality disorders in older adults. Current tools are unsuitable, necessitating the development of specific geriatric personality disorder profiles.

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Area of Science:

  • Psychiatry
  • Gerontology
  • Psychological Assessment

Context:

  • The Diagnostic and Statistical Manual of Mental Disorders (DSM) provides a framework for diagnosing personality disorders.
  • Current DSM personality disorder criteria often assume a static, lifelong pattern of interpersonal behavior.
  • Assessing personality disorders in older adults presents unique challenges due to developmental changes and comorbidity.

Purpose:

  • To evaluate the utility of current DSM personality disorder assessments in older adults.
  • To highlight the limitations of static diagnostic models for the dynamic nature of personality pathology in aging.
  • To propose a novel method for developing age-specific personality disorder profiles.

Summary:

  • The DSM's description of personality disorders as static, enduring patterns may not accurately reflect the lifelong course of these conditions.
  • Existing DSM-Axis-II and general personality assessment tools demonstrate limited suitability for evaluating the disposition and severity of personality disorders in the elderly.
  • A Delphi technique approach is suggested to create specific personality disorder profiles for older adults by leveraging expert consensus on existing assessment instruments like the TCI.

Impact:

  • This research aims to improve the accurate diagnosis and assessment of personality disorders in the geriatric population.
  • The proposed Delphi-based method could lead to more sensitive and specific diagnostic tools for older adults.
  • Findings may inform clinical practice and future revisions of diagnostic criteria for personality disorders in aging individuals.

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