Axis I diagnostic comorbidity and borderline personality disorder.
نویسندگان
چکیده
Borderline personality disorder (PD) has been the most studied PD. Research has examined the relationship between borderline PD and most axis I diagnostic classes such as eating disorders, mood disorders, and substance use disorders. However, there is little information regarding the relationship of borderline PD and overall comorbidity with all classes of axis I disorders assessed simultaneously. In the present study, 409 patients were evaluated with semistructured diagnostic interviews for axis I and axis II disorders. Patients with a diagnosis of borderline PD versus those who did not receive the diagnosis were assigned significantly more current axis I diagnoses (3.4 v 2.0). Borderline PD patients were twice as likely to receive a diagnosis of three or more current axis I disorders (69.5% v 31.1%) and nearly four times as likely to have a diagnosis of four or more disorders 147.5% v 13.7%). In comparison to nonborderline PD patients, borderline PD patients more frequently received a diagnosis of current major depressive disorder (MDD), bipolar I and II disorder, panic disorder with agoraphobia, social and specific phobia, posttraumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD), eating disorder NOS, and any somatoform disorder. Similar results were observed for lifetime diagnoses. Overall, borderline PD patients were more likely to have multiple axis I disorders than nonborderline PD patients, and the differences between the two groups were present across mood, anxiety, substance use, eating, and somatoform disorder categories. These findings highlight the importance of performing thorough evaluations of axis I pathology in patients with borderline PD in order not to overlook syndromes that are potentially treatment-responsive.
منابع مشابه
همبودی اختلالهای روانپزشکی در مراجعهکنندگان یک درمانگاه روانپزشکی
AbstractObjectives: This project was conducted to appraise the comorbidity of psychiatric disorders in a psychiatric outpatient clinic. Method: This was a descriptive-retrospective study. Out of 4000 patients of Tehran Psychiatric Institute’s Clinic during the years of 1996-2000, a total of 648 cases diagnosed based on DSM-IV criteria were selected systematic randomly. The cases were further e...
متن کاملComorbidity of axis I and axis II disorders.
OBJECTIVE In light of continuing controversies concerning the DSM-III-R system for diagnosing personality disorders, their construct validity, and the assignment of disorders to a particular axis, the authors studied patterns of axis I-axis II comorbidity. METHOD Semistructured interviews were used to assess axis I and axis II disorders in 200 inpatients and outpatients. Odds ratios were calc...
متن کاملBorderline personality disorder in clinical practice.
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متن کامل[Axis I comorbidity in borderline personality disorder].
OBJECTIVE This study examines Axis I comorbidity in patients with borderline personality disorder as compared with patients with other personality disorders and to patients without personality disorders. METHODS A total of 235 clinical histories were evaluated. These were divided into three groups: 92 pertaining to patients with borderline personality disorder, 69 to ones having other persona...
متن کاملThe joint structure of DSM-IV Axis I and Axis II disorders.
The Diagnostic and Statistical Manual (4th ed. [DSM-IV]; American Psychiatric Association, 1994) distinction between clinical disorders on Axis I and personality disorders on Axis II has become increasingly controversial. Although substantial comorbidity between axes has been demonstrated, the structure of the liability factors underlying these two groups of disorders is poorly understood. The ...
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ورودعنوان ژورنال:
- Comprehensive psychiatry
دوره 40 4 شماره
صفحات -
تاریخ انتشار 1999