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The effect of age on prevalence, type and diagnosis of personality disorder in psychiatric inpatients

Title: The effect of age on prevalence, type and diagnosis of personality disorder in psychiatric inpatients
Authors: Stevenson, Janine; Datyner, Amy; Boyce, Philip; Brodaty, Henry
Source: International Journal of Geriatric Psychiatry ; volume 26, issue 9, page 981-987 ; ISSN 0885-6230 1099-1166
Publisher Information: Wiley
Publication Year: 2010
Collection: Wiley Online Library (Open Access Articles via Crossref)
Description: Objective To examine age‐related differences in personality disorder (PD) comorbidity and in their diagnosis in psychiatric inpatients. Methods Two hundred thirty‐one consenting adults consecutively admitted to inpatient psychiatry units and aged between the age of 18 and 100 were assessed using the Structured Clinical Interview for DSM IV Axis I and II (SCID‐I and ‐II), after excluding cognitively impaired, non‐English speaking, short stay and respite patients. Hospital files were audited for clinical diagnoses, in particular for recorded PDs. Rates of PD prevalence and clinician diagnosis were compared for young ( n = 76), middle‐age ( n = 57) and older ( n = 98) patients. Results Significant personality comorbidity was evident at all ages, but rates were lowest in the older group. PD was present in 73.7% of young, 71.9% of middle‐age and 58.8% of older patients. Complex PD was more common in young patients. Only 19.8% of PDs were noted by their clinicians to have PD. Conclusion Comorbid PD is common in psychiatric inpatient groups regardless of age but seldom diagnosed clinically. Copyright © 2010 John Wiley & Sons, Ltd.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1002/gps.2645
Availability: https://doi.org/10.1002/gps.2645; https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Fgps.2645; https://onlinelibrary.wiley.com/doi/pdf/10.1002/gps.2645
Rights: http://onlinelibrary.wiley.com/termsAndConditions#vor
Accession Number: edsbas.1CF72564
Database: BASE