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Personality disorders in first- and multiple-episode mania

E Dunayevich1, S M Strakowski, K W Sax

  • 1Department of Psychiatry, University of Cincinnati College of Medicine, OH 45267-0559, USA.

Psychiatry Research
|August 30, 1996
PubMed
Summary

Multiple affective episodes in bipolar disorder correlate with higher rates of personality disorders. This study found 65% of multiple-episode patients met criteria, versus 33% of first-episode patients.

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Area of Science:

  • Psychiatry
  • Clinical Psychology

Background:

  • Bipolar disorder is a serious mental health condition.
  • Personality disorders are common comorbidities in psychiatric populations.

Purpose of the Study:

  • To compare the prevalence of personality disorders in first-episode versus multiple-episode bipolar patients.
  • To explore the association between race and personality disorder diagnosis in bipolar disorder.

Main Methods:

  • Utilized the Structured Clinical Interview for DSM-III-R (SCID-II) for personality disorder assessment.
  • Evaluated 33 first-episode and 26 multiple-episode bipolar patients.

Main Results:

  • A significantly higher percentage of multiple-episode patients (65%) met DSM-III-R criteria for personality disorders compared to first-episode patients (33%).

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  • Race was found to be associated with a diagnosis of personality disorder.
  • Personality disorders may be linked to the number of affective episodes experienced.

    • Conclusions:

    • The presence of multiple affective episodes in bipolar disorder is associated with an increased likelihood of comorbid personality disorders.
    • Race may play a role in the development or diagnosis of personality disorders within the bipolar population.