Cargando…

Cluster B versus Cluster C Personality Disorders: A Comparison of Comorbidity, Suicidality, Traumatization and Global Functioning

A general clinical assumption states that cluster B personality disorders (PDs) represent a more severe form of PD than cluster C PDs. Consequently, most PD research is centered on cluster B PDs (especially borderline PD). Yet, prevalence ratings of cluster C PDs exceed those of cluster B PDs. In th...

Descripción completa

Detalles Bibliográficos
Autores principales: Massaal-van der Ree, Laura Y., Eikelenboom, Merijn, Hoogendoorn, Adriaan W., Thomaes, Kathleen, van Marle, Hein J. F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9031793/
https://www.ncbi.nlm.nih.gov/pubmed/35447677
http://dx.doi.org/10.3390/bs12040105
_version_ 1784692479721734144
author Massaal-van der Ree, Laura Y.
Eikelenboom, Merijn
Hoogendoorn, Adriaan W.
Thomaes, Kathleen
van Marle, Hein J. F.
author_facet Massaal-van der Ree, Laura Y.
Eikelenboom, Merijn
Hoogendoorn, Adriaan W.
Thomaes, Kathleen
van Marle, Hein J. F.
author_sort Massaal-van der Ree, Laura Y.
collection PubMed
description A general clinical assumption states that cluster B personality disorders (PDs) represent a more severe form of PD than cluster C PDs. Consequently, most PD research is centered on cluster B PDs (especially borderline PD). Yet, prevalence ratings of cluster C PDs exceed those of cluster B PDs. In this explorative, cross-sectional study, we compared cluster B and C PD patients (N = 94) on a wide range of clinically-relevant severity measures, including comorbidity, suicidality, (childhood) traumatization and global functioning. Results showed that, although cluster B PD patients suffered more often from substance use disorders and lifetime suicide attempts, no difference could be established between groups for all other severity measures, including trauma variables. In our study, we additionally included a group of combined cluster B and C PDs, who were largely similar to both other groups. Although our study is insufficiently powered to claim a significant non-difference, these findings emphasize that high rates of comorbidity, suicidality, childhood traumatization and functional impairment apply to both cluster B and C patients. As such, our findings encourage more research into cluster C PDs, ultimately leading to more evidence-based treatments for this prevalent patient group. In addition, the high level of traumatization across groups calls for a routine trauma screening, especially since PD treatment may benefit from concurrent trauma treatment.
format Online
Article
Text
id pubmed-9031793
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-90317932022-04-23 Cluster B versus Cluster C Personality Disorders: A Comparison of Comorbidity, Suicidality, Traumatization and Global Functioning Massaal-van der Ree, Laura Y. Eikelenboom, Merijn Hoogendoorn, Adriaan W. Thomaes, Kathleen van Marle, Hein J. F. Behav Sci (Basel) Article A general clinical assumption states that cluster B personality disorders (PDs) represent a more severe form of PD than cluster C PDs. Consequently, most PD research is centered on cluster B PDs (especially borderline PD). Yet, prevalence ratings of cluster C PDs exceed those of cluster B PDs. In this explorative, cross-sectional study, we compared cluster B and C PD patients (N = 94) on a wide range of clinically-relevant severity measures, including comorbidity, suicidality, (childhood) traumatization and global functioning. Results showed that, although cluster B PD patients suffered more often from substance use disorders and lifetime suicide attempts, no difference could be established between groups for all other severity measures, including trauma variables. In our study, we additionally included a group of combined cluster B and C PDs, who were largely similar to both other groups. Although our study is insufficiently powered to claim a significant non-difference, these findings emphasize that high rates of comorbidity, suicidality, childhood traumatization and functional impairment apply to both cluster B and C patients. As such, our findings encourage more research into cluster C PDs, ultimately leading to more evidence-based treatments for this prevalent patient group. In addition, the high level of traumatization across groups calls for a routine trauma screening, especially since PD treatment may benefit from concurrent trauma treatment. MDPI 2022-04-12 /pmc/articles/PMC9031793/ /pubmed/35447677 http://dx.doi.org/10.3390/bs12040105 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Massaal-van der Ree, Laura Y.
Eikelenboom, Merijn
Hoogendoorn, Adriaan W.
Thomaes, Kathleen
van Marle, Hein J. F.
Cluster B versus Cluster C Personality Disorders: A Comparison of Comorbidity, Suicidality, Traumatization and Global Functioning
title Cluster B versus Cluster C Personality Disorders: A Comparison of Comorbidity, Suicidality, Traumatization and Global Functioning
title_full Cluster B versus Cluster C Personality Disorders: A Comparison of Comorbidity, Suicidality, Traumatization and Global Functioning
title_fullStr Cluster B versus Cluster C Personality Disorders: A Comparison of Comorbidity, Suicidality, Traumatization and Global Functioning
title_full_unstemmed Cluster B versus Cluster C Personality Disorders: A Comparison of Comorbidity, Suicidality, Traumatization and Global Functioning
title_short Cluster B versus Cluster C Personality Disorders: A Comparison of Comorbidity, Suicidality, Traumatization and Global Functioning
title_sort cluster b versus cluster c personality disorders: a comparison of comorbidity, suicidality, traumatization and global functioning
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9031793/
https://www.ncbi.nlm.nih.gov/pubmed/35447677
http://dx.doi.org/10.3390/bs12040105
work_keys_str_mv AT massaalvanderreelauray clusterbversusclustercpersonalitydisordersacomparisonofcomorbiditysuicidalitytraumatizationandglobalfunctioning
AT eikelenboommerijn clusterbversusclustercpersonalitydisordersacomparisonofcomorbiditysuicidalitytraumatizationandglobalfunctioning
AT hoogendoornadriaanw clusterbversusclustercpersonalitydisordersacomparisonofcomorbiditysuicidalitytraumatizationandglobalfunctioning
AT thomaeskathleen clusterbversusclustercpersonalitydisordersacomparisonofcomorbiditysuicidalitytraumatizationandglobalfunctioning
AT vanmarleheinjf clusterbversusclustercpersonalitydisordersacomparisonofcomorbiditysuicidalitytraumatizationandglobalfunctioning