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Personality disorders in problematic medical patients

J Emerson1, L Pankratz, S Joos

  • 1Portland VA Medical Center, Psychology Service, OR.

Psychosomatics
|September 1, 1994
PubMed
Summary

Many patients in behavioral medicine clinics have personality disorders. These diagnoses frequently co-occur with somatoform disorders, impacting patient care and requiring medical provider awareness.

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Area of Science:

  • Psychiatry
  • Behavioral Medicine

Background:

  • Problematic medical patients often present complex diagnostic challenges.
  • Understanding psychiatric comorbidities is crucial for effective behavioral medicine treatment.

Purpose of the Study:

  • To examine psychiatric diagnoses in patients referred to a behavioral medicine clinic.
  • To investigate the comorbidity between Axis I and Axis II diagnoses, specifically somatoform and personality disorders.

Main Methods:

  • Reviewed psychiatric diagnoses of 448 patients referred to a behavioral medicine clinic.
  • Analyzed the co-occurrence of Axis I (e.g., somatoform) and Axis II (personality) disorders using DSM-III-R criteria.

Main Results:

  • 42% of patients met DSM-III-R personality disorder criteria.
  • A statistically significant co-occurrence was found between somatoform and personality disorders (P < 0.0001).

Conclusions:

  • Personality disorders are prevalent in behavioral medicine settings.
  • The significant comorbidity highlights the importance of recognizing personality disorders for medical providers treating patients with somatoform conditions.

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