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[Affective disorders and personality disorders].

M Maurel1, M Adida1, R Belzeaux1

  • 1SHU Psychiatrie adultes, Solaris, Hôpital Sainte Marguerite, 13274 Marseille cedex 9, France.

L'Encephale
|January 1, 2015
PubMed
Summary
This summary is machine-generated.

Co-occurring affective and personality disorders are common, often leading to a poor prognosis and complex comorbidities. Differentiating similar symptoms with distinct underlying mechanisms is crucial for accurate diagnosis and treatment.

Keywords:
Affective disorderBipolar disorderBorderline personalityImpulsivityImpulsivitéPersonality disorderPersonnalité borderlineTrouble affectifTrouble bipolaireTrouble de la personnalité

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Mental Health Research

Context:

  • Coexistence of affective and personality disorders is frequently observed in clinical practice.
  • Existing literature is extensive but often heterogeneous, with some discordant findings.
  • Despite variability, certain consensus points have emerged within the scientific community.

Purpose:

  • To review the current literature on the coexistence of affective and personality disorders.
  • To highlight areas of scientific consensus regarding prognosis and diagnostic challenges.
  • To discuss the complexities arising from shared phenomenology and differing underlying mechanisms.

Summary:

  • A significant consensus exists regarding the generally poor prognosis associated with comorbid affective and personality disorders.
  • High rates of comorbidities across all axes of the Diagnostic and Statistical Manual of Mental Disorders (DSM) are consistently reported.
  • A key challenge identified is the potential misattribution of symptoms due to similar presentations (phenomenology) masking distinct underlying pathological mechanisms.

Impact:

  • Informs clinicians about the serious implications of these comorbid conditions.
  • Guides future research towards elucidating distinct mechanisms behind similar symptoms.
  • Contributes to a more nuanced understanding of diagnostic criteria and treatment strategies for complex mental health presentations.