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[Personality disorders in a psychiatric unit: retrospective study]

D Jiménez Morón1, A Chinchilla Moreno

  • 1Servicio de Psiquiatría, Hospital Ramón y Cajal, Madrid.

Actas Luso-Espanolas De Neurologia, Psiquiatria Y Ciencias Afines
|March 1, 1995
PubMed
Summary

Personality disorders are common in psychiatric admissions, with high comorbidity rates. Specific clusters link to distinct Axis I conditions, influencing readmission and length of stay.

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Area of Science:

  • Psychiatry
  • Clinical Psychology

Context:

  • Study conducted at Hospital Ramón y Cajal, Madrid, over eight years.
  • Inclusion criteria: patients diagnosed with personality disorder (DSM-III/DSM-III-R) admitted to psychiatric inpatient unit.

Purpose:

  • Analyze comorbidity patterns between Axis I and Axis II disorders.
  • Investigate length of admission and readmission rates for personality disorders.
  • Examine general variables like age and sex in relation to personality disorders.

Summary:

  • 17.35% of first-time admissions and 27.03% of readmissions diagnosed with personality disorder.
  • Most frequent: unspecified, histrionic, obsessive-compulsive, and dependent personality disorders.
  • 93.81% of first-time admissions showed Axis I comorbidity.
  • Cluster A associated with schizophrenia/delusional disorder; Cluster B with dysthymia/alcohol problems; Cluster C with depression/dysthymia/OCD.
  • Cluster A had highest rate without Axis I comorbidity (14.28%).
  • Cluster B and unspecified personality disorders linked to shorter admissions but higher readmission rates.

Impact:

  • Highlights significant prevalence and comorbidity of personality disorders in inpatient psychiatric settings.
  • Provides insights into specific Axis I disorder associations for different personality disorder clusters.
  • Informs clinical practice regarding treatment and management strategies for personality disorders and their comorbidities.

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