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Gender differences in personality disorders

M Golomb1, M Fava, M Abraham

  • 1Depression Research Program, Massachusetts General Hospital, Boston 02114.

The American Journal of Psychiatry
|April 1, 1995
PubMed
Summary
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Men with major depression showed higher rates of narcissistic, antisocial, and obsessive-compulsive personality disorders compared to women. This study found no personality disorders were more prevalent in women.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Mental Health Research

Background:

  • Personality disorders are complex mental health conditions.
  • Assessing personality disorders in patients with major depression requires careful consideration of diagnostic heterogeneity.
  • Previous research has indicated potential gender differences in personality disorder prevalence.

Purpose of the Study:

  • To investigate gender disparities in the prevalence of personality disorders among individuals diagnosed with major depression.
  • To address potential confounding factors from Axis I diagnoses by focusing on a primary Axis II assessment in a major depressive disorder cohort.

Main Methods:

  • Evaluated 316 patients with major depression using the Personality Diagnostic Questionnaire-Revised (PDQ-R) and/or the Structured Clinical Interview for DSM-III-R Personality Disorders (SCID-II).

Related Experiment Videos

  • Utilized both self-report (PDQ-R) and clinician-rated (SCID-II) measures for personality disorder assessment.
  • Specifically analyzed SCID-II data for cluster B diagnoses in a subset of patients.
  • Main Results:

    • Men were significantly more likely than women to meet criteria for narcissistic, antisocial, and obsessive-compulsive personality disorders on the PDQ-R.
    • Similar gender differences were observed with the SCID-II, showing higher rates of narcissistic and obsessive-compulsive personality disorders in men.
    • No personality disorders were found to be more prevalent in women using either assessment tool.

    Conclusions:

    • Findings align with prior research indicating a higher prevalence of antisocial and narcissistic personality disorders in men.
    • Contradicts some previous studies, as this research did not find a higher prevalence of any personality disorder in women.
    • Highlights the importance of considering gender in the diagnosis and understanding of personality disorders within the context of major depression.