Prevalence and correlates of personality disorder in Great Britain

COID, J., YANG, M., TYRER, P. , Roberts, A. and Ullrich, S. (2006) Prevalence and correlates of personality disorder in Great Britain. The British Journal of Psychiatry, 188 (5). pp. 423-431. ISSN 0007-1250

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Prevalence and correlates of personality disorder in Great Britain

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Background: Epidemiological data on personality disorders, comorbidity and associated use of services are essential for health service policy.
Aims: To measure the prevalence and correlates of personality disorderin a representative community sample.
Method: The Structured Clinical Interview forDSM-Axis II disorders was used to measure personality disorder in 626 persons aged 16-74 years in households in England, Scotland and Wales, in a two-phase survey.
Results: The weighted prevalence of personality disorderwas 4.4% (95% CI 2.9-6.7). Rates were highest among men, separated and unemployed participants in urban locations. High use of healthcare services was confounded by comorbid mental disorder and substance misuse. Cluster B disorders were associated with early institutional care and criminality.
Conclusions: Personality disorder is common in the community, especially in urban areas. Services are normally restricted to symptomatic, help-seeking individuals, but a vulnerable group with cluster B disorders can be identified early, are in care during childhood and enter the criminal justice system when young. This suggests the need for preventive interventions at the public mental health level.

Keywords:Personality Disorders, Comorbidity, Substance Misuse, Health Care Services, Community
Subjects:C Biological Sciences > C800 Psychology
C Biological Sciences > C890 Psychology not elsewhere classified
Divisions:College of Social Science > School of Psychology
ID Code:15811
Deposited On:26 Oct 2014 21:08

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