Personality disorders in first- and multiple-episode mania.
We compared rates of DSM-III-R personality disorders in 33 first-episode and 26 multiple-episode bipolar patients. Patients were evaluated with the patient and personality disorders versions of the Structured Clinical Interview for DSM-III-R. Significantly more multiple-episode patients (65%) met DSM-III-R criteria for a personality disorder than did first-episode patients (33%). Race was also associated with a diagnosis of a personality disorder. Personality disorders may be associated with multiple affective episodes in bipolar patients.
Dunayevich
E
E
Department of Psychiatry, University of Cincinnati College of Medicine, OH 45267-0559, USA.
Strakowski
S M
SM
Sax
K W
KW
Sorter
M T
MT
Keck
P E
PE
McElroy
S L
SL
McConville
B J
BJ
D000328:Adult; D001714:Bipolar Disorder / Q000175:diagnosis* / Q000523:psychology; D015897:Comorbidity; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010554:Personality Disorders / Q000175:diagnosis* / Q000523:psychology; D011569:Psychiatric Status Rating Scales; D012008:Recurrence