Functional Impairment in Patients With Schizotypal, Borderline, Avoidant, or Obsessive-Compulsive Personality Disorder
Top Cited Papers
- 1 February 2002
- journal article
- research article
- Published by American Psychiatric Association Publishing in American Journal of Psychiatry
- Vol. 159 (2) , 276-283
- https://doi.org/10.1176/appi.ajp.159.2.276
Abstract
Objective: The purpose of this study was to compare psychosocial functioning in patients with schizotypal, borderline, avoidant, or obsessive-compulsive personality disorder and patients with major depressive disorder and no personality disorder. Method: Patients (N=668) were recruited by the four clinical sites of the Collaborative Longitudinal Personality Disorders Study. The carefully diagnosed study groups were compared on an array of domains of psychosocial functioning, as measured by the Longitudinal interval Follow-Up Evaluation-Baseline Version and the Social Adjustment Scale. Results: Patients with schizotypal personality disorder and borderline personality disorder were found to have significantly more impairment at work, in social relationships, and at leisure than patients with obsessive-compulsive personality disorder or major depressive disorder; patients with avoidant personality disorder were intermediate. These differences were found across assessment modalities and remained significant after covarying for demographic differences and comorbid axis I psychopathology. Conclusions: Personality disorders are a significant source of psychiatric morbidity, accounting for more impairment in functioning than major depressive disorder alone.Keywords
This publication has 45 references indexed in Scilit:
- Validity in the diagnosis of personality disorders: The use of the LEAD standard.Psychological Assessment, 1991
- Personality Disorders as a Predictor of OutcomeJournal of Personality Disorders, 1989
- The Longitudinal Interval Follow-up EvaluationArchives of General Psychiatry, 1987
- Frequency and Implications of Personality Disorders in a Sample of Depressed OutpatientsJournal of Personality Disorders, 1987
- Schizotypal Personality DisorderArchives of General Psychiatry, 1986
- Genetic and Nosological Aspects of Schizotypal and Borderline Personality DisordersArchives of General Psychiatry, 1984
- The Borderline SyndromeArchives of General Psychiatry, 1983
- The Validity of DSM-III Borderline Personality DisorderArchives of General Psychiatry, 1983
- Diagnostic Interview for Borderline PatientsArchives of General Psychiatry, 1981
- Assessment of Social Adjustment by Patient Self-ReportArchives of General Psychiatry, 1976