Relationship Pattern of Personality Disorder Traits in Major Psychiatric Disorders: A Cross-Sectional Study

Background: Normal personality development, gone awry due to genetic or environmental factors, results in personality disorders (PD). These often coexist with other psychiatric disorders, affecting their outcome adversely. Considering the heterogeneity of data, more research is warranted. Methods: T...

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Autores principales: Bhavneesh Saini, Pir Dutt Bansal, Mamta Bahetra, Arvind Sharma, Priyanka Bansal, Baltej Singh, Kavita Moria, Rakesh Kumar
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Publicado: SAGE Publishing 2021
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spelling oai:doaj.org-article:619d748dbf654a3284ee89b1d26425862021-11-18T23:33:41ZRelationship Pattern of Personality Disorder Traits in Major Psychiatric Disorders: A Cross-Sectional Study0253-71760975-156410.1177/0253717621999537https://doaj.org/article/619d748dbf654a3284ee89b1d26425862021-11-01T00:00:00Zhttps://doi.org/10.1177/0253717621999537https://doaj.org/toc/0253-7176https://doaj.org/toc/0975-1564Background: Normal personality development, gone awry due to genetic or environmental factors, results in personality disorders (PD). These often coexist with other psychiatric disorders, affecting their outcome adversely. Considering the heterogeneity of data, more research is warranted. Methods: This was a cross-sectional study on personality traits in psychiatric patients of a tertiary hospital, over 1 year. Five hundred and twenty-five subjects, aged 18–45 years, with substance, psychotic, mood, or neurotic disorders were selected by convenience sampling. They were evaluated for illness-related variables using psychiatric pro forma; diagnostic confirmation and severity assessment were done using ICD-10 criteria and suitable scales. Personality assessment was done using the International Personality Disorder Examination after achieving remission. Results: Prevalence of PD traits and PDs was 56.3% and 4.2%, respectively. While mood disorders were the diagnostic group with the highest prevalence of PD traits, it was neurotic disorders for PDs. Patients with PD traits had a past psychiatric history and upper middle socioeconomic status (SES); patients with PDs were urban and unmarried. Both had a lower age of onset of psychiatric illness. Psychotic patients with PD traits had higher and lower PANSS positive and negative scores, respectively. The severity of personality pathology was highest for mixed cluster and among neurotic patients. Clusterwise prevalence was cluster C > B > mixed > A (47.1%, 25.2%, 16.7%, and 11.4%). Among subtypes, anankastic (18.1%) and mixed (16.7%) had the highest prevalence. Those in the cluster A group were the least educated and with lower SES than others. Conclusions: PD traits were present among 56.3% of the patients, and they had many significant sociodemographic and illness-related differences from those without PD traits. Cluster C had the highest prevalence. Among patients with psychotic disorders, those with PD traits had higher severity of psychotic symptoms.Bhavneesh SainiPir Dutt BansalMamta BahetraArvind SharmaPriyanka BansalBaltej SinghKavita MoriaRakesh KumarSAGE PublishingarticlePsychiatryRC435-571ENIndian Journal of Psychological Medicine, Vol 43 (2021)
institution DOAJ
collection DOAJ
language EN
topic Psychiatry
RC435-571
spellingShingle Psychiatry
RC435-571
Bhavneesh Saini
Pir Dutt Bansal
Mamta Bahetra
Arvind Sharma
Priyanka Bansal
Baltej Singh
Kavita Moria
Rakesh Kumar
Relationship Pattern of Personality Disorder Traits in Major Psychiatric Disorders: A Cross-Sectional Study
description Background: Normal personality development, gone awry due to genetic or environmental factors, results in personality disorders (PD). These often coexist with other psychiatric disorders, affecting their outcome adversely. Considering the heterogeneity of data, more research is warranted. Methods: This was a cross-sectional study on personality traits in psychiatric patients of a tertiary hospital, over 1 year. Five hundred and twenty-five subjects, aged 18–45 years, with substance, psychotic, mood, or neurotic disorders were selected by convenience sampling. They were evaluated for illness-related variables using psychiatric pro forma; diagnostic confirmation and severity assessment were done using ICD-10 criteria and suitable scales. Personality assessment was done using the International Personality Disorder Examination after achieving remission. Results: Prevalence of PD traits and PDs was 56.3% and 4.2%, respectively. While mood disorders were the diagnostic group with the highest prevalence of PD traits, it was neurotic disorders for PDs. Patients with PD traits had a past psychiatric history and upper middle socioeconomic status (SES); patients with PDs were urban and unmarried. Both had a lower age of onset of psychiatric illness. Psychotic patients with PD traits had higher and lower PANSS positive and negative scores, respectively. The severity of personality pathology was highest for mixed cluster and among neurotic patients. Clusterwise prevalence was cluster C > B > mixed > A (47.1%, 25.2%, 16.7%, and 11.4%). Among subtypes, anankastic (18.1%) and mixed (16.7%) had the highest prevalence. Those in the cluster A group were the least educated and with lower SES than others. Conclusions: PD traits were present among 56.3% of the patients, and they had many significant sociodemographic and illness-related differences from those without PD traits. Cluster C had the highest prevalence. Among patients with psychotic disorders, those with PD traits had higher severity of psychotic symptoms.
format article
author Bhavneesh Saini
Pir Dutt Bansal
Mamta Bahetra
Arvind Sharma
Priyanka Bansal
Baltej Singh
Kavita Moria
Rakesh Kumar
author_facet Bhavneesh Saini
Pir Dutt Bansal
Mamta Bahetra
Arvind Sharma
Priyanka Bansal
Baltej Singh
Kavita Moria
Rakesh Kumar
author_sort Bhavneesh Saini
title Relationship Pattern of Personality Disorder Traits in Major Psychiatric Disorders: A Cross-Sectional Study
title_short Relationship Pattern of Personality Disorder Traits in Major Psychiatric Disorders: A Cross-Sectional Study
title_full Relationship Pattern of Personality Disorder Traits in Major Psychiatric Disorders: A Cross-Sectional Study
title_fullStr Relationship Pattern of Personality Disorder Traits in Major Psychiatric Disorders: A Cross-Sectional Study
title_full_unstemmed Relationship Pattern of Personality Disorder Traits in Major Psychiatric Disorders: A Cross-Sectional Study
title_sort relationship pattern of personality disorder traits in major psychiatric disorders: a cross-sectional study
publisher SAGE Publishing
publishDate 2021
url https://doaj.org/article/619d748dbf654a3284ee89b1d2642586
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