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

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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 languageEnglish
Pages (from-to)46-53
Number of pages8
JournalBritish Journal of Psychiatry
Volume195
Issue number1
DOIs
Publication statusPublished - Jul 2009

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ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

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