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DSM-III personality disorders in the community
J F Samuels1, G Nestadt, A J Romanoski
1Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD.
The American Journal of Psychiatry
|July 1, 1994
Summary
Personality disorders are common in adults, affecting 5.9% of the community. These individuals often experience other mental health issues and life challenges, yet only 21% receive treatment.
Area of Science:
- Psychiatry
- Epidemiology
- Mental Health Research
Background:
- Community mental health surveys are crucial for understanding the prevalence of psychiatric conditions.
- Diagnostic and Statistical Manual of Mental Disorders, Third Edition (DSM-III) provides criteria for diagnosing personality disorders.
Purpose of the Study:
- To determine the prevalence of DSM-III personality disorders in the general adult population.
- To examine the comorbidity and consequences of these disorders.
Main Methods:
- A representative sample of 810 adults was assessed in 1981.
- Psychiatric interviews using a semi-structured method were conducted to diagnose DSM-III disorders.
Main Results:
- The prevalence of personality disorders was 5.9% (9.3% including provisional cases).
- Higher rates were observed in men and individuals who were separated or divorced.
- Personality disorders were linked to sexual dysfunctions, substance use disorders, suicidal ideation/attempts, and increased life events.
Conclusions:
- Personality disorders are a significant public health concern in the community.
- These disorders are associated with Axis I conditions and adverse life events.
- A substantial treatment gap exists, with only 21% of affected individuals receiving care.