DSM-IV personality disorders in the WHO World Mental Health Surveys

Yueqin Huang; Roman Kotov; Giovanni De Girolamo; Antonio Preti; Matthias Angermeyer; Corina Benjet; Koen Demyttenaere; Ron De Graaf; Oye Gureje; Aimée Nasser Karam; Sing Lee; Jean Pierre Lépine; Herbert Matschinger; José Posada-Villa; Sharain Suliman; Gemma Vilagut; Ronald C. Kessler

doi:10.1192/bjp.bp.108.058552

DSM-IV personality disorders in the WHO World Mental Health Surveys

Yueqin Huang
, Roman Kotov
, Giovanni De Girolamo
, Antonio Preti
, Matthias Angermeyer
, Corina Benjet
, Koen Demyttenaere
, Ron De Graaf
, Oye Gureje
, Aimée Nasser Karam
, Sing Lee
, Jean Pierre Lépine
, Herbert Matschinger
, José Posada-Villa
, Sharain Suliman
, Gemma Vilagut
, Ronald C. Kessler

Psychiatry

Peking University
IRCCS Centro San Giovanni di Dio Fatebenefratelli - Brescia
University of Cagliari
Center for Public Mental Health
Instituto Nacional de Psiquiatria Ramon de la Fuente
KU Leuven
Trimbos Institute, Netherlands Institute of Mental Health and Addiction
University College Hospital, Ibadan
Saint George Hospital University Medical Center
University of Balamand
Chinese University of Hong Kong
Assistance publique – Hôpitaux de Paris
Leipzig University
Universidad Colegio Mayor de Cundinamarca
Stellenbosch University
Municipal Institute for Medical Research Hospital del Mar
Harvard University

Research output: Contribution to journal › Article › peer-review

249 Scopus citations

Abstract

Background: Little is known about the cross-national population prevalence or correlates of personality disorders. Aims: To estimate prevalence and correlates of DSM-IV personality disorder clusters in the World Health Organization World Mental Health (WMH) Surveys. Method: International Personality Disorder Examination (IPDE) screening questions in 13 countries (n=21162) were calibrated to masked IPDE clinical diagnoses. Prevalence and correlates were estimated using multiple imputation. Results: Prevalence estimates are 6.1% (s.e.=0.3) for any personality disorder and 3.6% (s.e.=0.3), 1.5% (s.e.=0.1) and 2.7% (s.e.=0.2) for Clusters A, B and C respectively. Personality disorders are significantly elevated among males, the previously married (Cluster C), unemployed (Cluster C), the young (Clusters A and B) and the poorly educated. Personality disorders are highly comorbid with Axis I disorders. Impairments associated with personality disorders are only partially explained by comorbidity. Conclusions: Personality disorders are relatively common disorders that often co-occur with Axis I disorders and are associated with significant role impairments beyond those due to comorbidity.

Original language	English
Pages (from-to)	46-53
Number of pages	8
Journal	British Journal of Psychiatry
Volume	195
Issue number	1
DOIs	https://doi.org/10.1192/bjp.bp.108.058552
State	Published - Jul 2009

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Huang, Y., Kotov, R., De Girolamo, G., Preti, A., Angermeyer, M., Benjet, C., Demyttenaere, K., De Graaf, R., Gureje, O., Karam, A. N., Lee, S., Lépine, J. P., Matschinger, H., Posada-Villa, J., Suliman, S., Vilagut, G., & Kessler, R. C. (2009). DSM-IV personality disorders in the WHO World Mental Health Surveys. British Journal of Psychiatry, 195(1), 46-53. https://doi.org/10.1192/bjp.bp.108.058552

@article{900c3aa630ae42baa469789984c712c5,

title = "DSM-IV personality disorders in the WHO World Mental Health Surveys",

abstract = "Background: Little is known about the cross-national population prevalence or correlates of personality disorders. Aims: To estimate prevalence and correlates of DSM-IV personality disorder clusters in the World Health Organization World Mental Health (WMH) Surveys. Method: International Personality Disorder Examination (IPDE) screening questions in 13 countries (n=21162) were calibrated to masked IPDE clinical diagnoses. Prevalence and correlates were estimated using multiple imputation. Results: Prevalence estimates are 6.1\% (s.e.=0.3) for any personality disorder and 3.6\% (s.e.=0.3), 1.5\% (s.e.=0.1) and 2.7\% (s.e.=0.2) for Clusters A, B and C respectively. Personality disorders are significantly elevated among males, the previously married (Cluster C), unemployed (Cluster C), the young (Clusters A and B) and the poorly educated. Personality disorders are highly comorbid with Axis I disorders. Impairments associated with personality disorders are only partially explained by comorbidity. Conclusions: Personality disorders are relatively common disorders that often co-occur with Axis I disorders and are associated with significant role impairments beyond those due to comorbidity.",

author = "Yueqin Huang and Roman Kotov and \{De Girolamo\}, Giovanni and Antonio Preti and Matthias Angermeyer and Corina Benjet and Koen Demyttenaere and \{De Graaf\}, Ron and Oye Gureje and Karam, \{Aim{\'e}e Nasser\} and Sing Lee and L{\'e}pine, \{Jean Pierre\} and Herbert Matschinger and Jos{\'e} Posada-Villa and Sharain Suliman and Gemma Vilagut and Kessler, \{Ronald C.\}",

year = "2009",

month = jul,

doi = "10.1192/bjp.bp.108.058552",

language = "English",

volume = "195",

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journal = "British Journal of Psychiatry",

issn = "0007-1250",

number = "1",

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Huang, Y, Kotov, R, De Girolamo, G, Preti, A, Angermeyer, M, Benjet, C, Demyttenaere, K, De Graaf, R, Gureje, O, Karam, AN, Lee, S, Lépine, JP, Matschinger, H, Posada-Villa, J, Suliman, S, Vilagut, G & Kessler, RC 2009, 'DSM-IV personality disorders in the WHO World Mental Health Surveys', British Journal of Psychiatry, vol. 195, no. 1, pp. 46-53. https://doi.org/10.1192/bjp.bp.108.058552

TY - JOUR

T1 - DSM-IV personality disorders in the WHO World Mental Health Surveys

AU - Huang, Yueqin

AU - Kotov, Roman

AU - De Girolamo, Giovanni

AU - Preti, Antonio

AU - Angermeyer, Matthias

AU - Benjet, Corina

AU - Demyttenaere, Koen

AU - De Graaf, Ron

AU - Gureje, Oye

AU - Karam, Aimée Nasser

AU - Lee, Sing

AU - Lépine, Jean Pierre

AU - Matschinger, Herbert

AU - Posada-Villa, José

AU - Suliman, Sharain

AU - Vilagut, Gemma

AU - Kessler, Ronald C.

PY - 2009/7

Y1 - 2009/7

N2 - Background: Little is known about the cross-national population prevalence or correlates of personality disorders. Aims: To estimate prevalence and correlates of DSM-IV personality disorder clusters in the World Health Organization World Mental Health (WMH) Surveys. Method: International Personality Disorder Examination (IPDE) screening questions in 13 countries (n=21162) were calibrated to masked IPDE clinical diagnoses. Prevalence and correlates were estimated using multiple imputation. Results: Prevalence estimates are 6.1% (s.e.=0.3) for any personality disorder and 3.6% (s.e.=0.3), 1.5% (s.e.=0.1) and 2.7% (s.e.=0.2) for Clusters A, B and C respectively. Personality disorders are significantly elevated among males, the previously married (Cluster C), unemployed (Cluster C), the young (Clusters A and B) and the poorly educated. Personality disorders are highly comorbid with Axis I disorders. Impairments associated with personality disorders are only partially explained by comorbidity. Conclusions: Personality disorders are relatively common disorders that often co-occur with Axis I disorders and are associated with significant role impairments beyond those due to comorbidity.

AB - Background: Little is known about the cross-national population prevalence or correlates of personality disorders. Aims: To estimate prevalence and correlates of DSM-IV personality disorder clusters in the World Health Organization World Mental Health (WMH) Surveys. Method: International Personality Disorder Examination (IPDE) screening questions in 13 countries (n=21162) were calibrated to masked IPDE clinical diagnoses. Prevalence and correlates were estimated using multiple imputation. Results: Prevalence estimates are 6.1% (s.e.=0.3) for any personality disorder and 3.6% (s.e.=0.3), 1.5% (s.e.=0.1) and 2.7% (s.e.=0.2) for Clusters A, B and C respectively. Personality disorders are significantly elevated among males, the previously married (Cluster C), unemployed (Cluster C), the young (Clusters A and B) and the poorly educated. Personality disorders are highly comorbid with Axis I disorders. Impairments associated with personality disorders are only partially explained by comorbidity. Conclusions: Personality disorders are relatively common disorders that often co-occur with Axis I disorders and are associated with significant role impairments beyond those due to comorbidity.

UR - https://www.scopus.com/pages/publications/67650737559

U2 - 10.1192/bjp.bp.108.058552

DO - 10.1192/bjp.bp.108.058552

M3 - Article

C2 - 19567896

AN - SCOPUS:67650737559

SN - 0007-1250

VL - 195

SP - 46

EP - 53

JO - British Journal of Psychiatry

JF - British Journal of Psychiatry

IS - 1

ER -

DSM-IV personality disorders in the WHO World Mental Health Surveys

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