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Personality disorders in the public sector.

J M Oldham1, A E Skodol

  • 1New York State Office of Mental Health, New York.

Hospital & Community Psychiatry
|May 1, 1991
PubMed
Summary

This study found that personality disorders are underdiagnosed in New York state hospitals. Patients with personality disorders often have co-occurring mental health conditions like mood and substance use disorders.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Epidemiology

Background:

  • Axis II personality disorders are a significant aspect of psychiatric diagnosis.
  • Understanding comorbidity between Axis I and Axis II disorders is crucial for effective treatment.

Purpose of the Study:

  • To determine the prevalence of DSM-III Axis II personality disorders among New York state hospital patients.
  • To investigate the comorbidity patterns between Axis I and Axis II disorders in this population.
  • To compare these patterns with data from non-state facilities.

Main Methods:

  • Analysis of a clinical database from New York state hospitals.
  • Examination of patient diagnoses for both Axis I and Axis II disorders.
  • Comparative analysis with data from non-state psychiatric facilities.

Main Results:

  • 11% of state hospital patients received a diagnosis of personality disorder.
  • Patients with personality disorders showed higher rates of primary diagnoses including schizoaffective disorder, major affective disorder, dysthymia, and substance use disorder.
  • Distinct patterns of comorbidity and a higher frequency of borderline personality disorder were observed in non-state facilities compared to state facilities.

Conclusions:

  • Axis II personality disorders appear to be underreported in New York state hospital facilities.
  • Differences in diagnostic patterns exist between state and non-state psychiatric facilities.
  • Further research is needed to address potential underdiagnosis of personality disorders in state hospitals.

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