Personality disorders in the community: Results from the Australian National Survey of Mental Health and Well-Being Part III - Relationships between specific type of personality disorder, Axis 1 mental disorders and physical conditions with disability and

Jackson, Henry J. and Burgess, Philip M. (2004) Personality disorders in the community: Results from the Australian National Survey of Mental Health and Well-Being Part III - Relationships between specific type of personality disorder, Axis 1 mental disorders and physical conditions with disability and health consultations. Social Psychiatry and Psychiatric Epidemiology, 39 10: 765-776. doi:10.1007/s00127-004-0821-x


Author Jackson, Henry J.
Burgess, Philip M.
Title Personality disorders in the community: Results from the Australian National Survey of Mental Health and Well-Being Part III - Relationships between specific type of personality disorder, Axis 1 mental disorders and physical conditions with disability and health consultations
Journal name Social Psychiatry and Psychiatric Epidemiology   Check publisher's open access policy
ISSN 0933-7954
1433-9285
Publication date 2004-10
Sub-type Article (original research)
DOI 10.1007/s00127-004-0821-x
Volume 39
Issue 10
Start page 765
End page 776
Total pages 12
Editor P. Bebbington
Place of publication Darmstadt
Publisher Dietrich Steinkopff Verlag
Collection year 2004
Language eng
Subject C1
321021 Psychiatry
730211 Mental health
Abstract Background The aims of this study were threefold. First, to ascertain whether personality disorder (PD) was a significant predictor of disability (as measured in a variety of ways) over and above that contributed by Axis I mental disorders and physical conditions. Second, whether the number of PD diagnoses given to an individual resulted in increasing severity of disability, and third, whether PD was a significant predictor of health and mental health consultations with GPs, psychiatrists, and psychologists, respectively, over the last 12 months. Method Data were obtained from the National Survey of Mental Health and Wellbeing, conducted between May and August 1997. A stratified random sample of households was generated, from which all those aged 18 and over were considered potential interviewees. There were 10 641 respondents to the survey, and this represented a response rate of 78%. Each interviewee was asked questions indexing specific ICD-10 PD criteria. Results Five measures of disability were examined. It was found that PD was a significant predictor of disability once Axis I and physical conditions were taken into account for four of the five disability measures. For three of the dichotomously-scored disability measures, odds ratios ranged from 1.88 to 6.32 for PD, whilst for the dimensionally-scored Mental Summary Subscale of the SF-12, a beta weight of -0.17 was recorded for PD. As regards number of PDs having a quasi-linear relationship to disability, there was some indication of this on the SF-12 Mental Summary Subscale and the two role functioning measures, and less so on the other two measures. As regards mental consultations, PD was a predictor of visits to GPs, psychiatrists and psychologists, over and above Axis I disorders and physical conditions. Conclusion The study reports findings from a nationwide survey conducted within Australia and as such the data are less influenced by the selection and setting bias inherent in other germane studies. However, it does support previous findings that PD is a significant predictor of disability and mental health consultations independent of Axis I disorders and physical conditions.
Keyword Psychiatry
Personality Disorders
Physical Disorders
Mental Disorders
Epidemiological Studies
Community-dwelling Individuals
Mental Health Surveys
Psychiatric-disorders
Prevalence
Lifetime
27-year Follow-up
Borderline
Nemesis
Sample
Specific Personality Disorders
Physical
Disorders
Disability
Mental Health And Health
Consultations
Functional Impairment
Lifetime Prevalence
Comorbidity
Q-Index Code C1

 
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Created: Wed, 15 Aug 2007, 05:16:24 EST