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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
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.
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.