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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: Saini, Bhavneesh, Bansal, Pir Dutt, Bahetra, Mamta, Sharma, Arvind, Bansal, Priyanka, Singh, Baltej, Moria, Kavita, Kumar, Rakesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8826195/
https://www.ncbi.nlm.nih.gov/pubmed/35210680
http://dx.doi.org/10.1177/0253717621999537
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author Saini, Bhavneesh
Bansal, Pir Dutt
Bahetra, Mamta
Sharma, Arvind
Bansal, Priyanka
Singh, Baltej
Moria, Kavita
Kumar, Rakesh
author_facet Saini, Bhavneesh
Bansal, Pir Dutt
Bahetra, Mamta
Sharma, Arvind
Bansal, Priyanka
Singh, Baltej
Moria, Kavita
Kumar, Rakesh
author_sort Saini, Bhavneesh
collection PubMed
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.
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spelling pubmed-88261952022-02-23 Relationship Pattern of Personality Disorder Traits in Major Psychiatric Disorders: A Cross-Sectional Study Saini, Bhavneesh Bansal, Pir Dutt Bahetra, Mamta Sharma, Arvind Bansal, Priyanka Singh, Baltej Moria, Kavita Kumar, Rakesh Indian J Psychol Med Original Articles 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. SAGE Publications 2021-04-06 2021-11 /pmc/articles/PMC8826195/ /pubmed/35210680 http://dx.doi.org/10.1177/0253717621999537 Text en © 2021 Indian Psychiatric Society - South Zonal Branch https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Articles
Saini, Bhavneesh
Bansal, Pir Dutt
Bahetra, Mamta
Sharma, Arvind
Bansal, Priyanka
Singh, Baltej
Moria, Kavita
Kumar, Rakesh
Relationship Pattern of Personality Disorder Traits in Major Psychiatric Disorders: A Cross-Sectional Study
title 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_short 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
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8826195/
https://www.ncbi.nlm.nih.gov/pubmed/35210680
http://dx.doi.org/10.1177/0253717621999537
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