DSM-IV axis II comorbidity with borderline personality disorder in monolingual Hispanic psychiatric outpatients.
The authors examined the comorbidity of DSM-IV borderline personality disorder (BPD) with other personality disorders (PD) in a series of adult monolingual (Spanish only) Hispanic psychiatric outpatients with substance use disorders. One hundred outpatients (69 men and 31 women) were assessed with the Spanish version of the Diagnostic Interview for DSM-IV Personality Disorders. PD co-occurrence in the group of patients with BPD (N = 34) was statistically compared with that in the group without BPD (N = 66). Bonferroni-corrected chi-square analysis showed significant diagnostic comorbidity with BPD for antisocial, avoidant, and depressive PD. However, analyses conducted separately by gender showed no significant comorbidity of any PD with BPD in women and significant comorbidity with antisocial, avoidant, and depressive PD in men. These results suggest that in monolingual Hispanic psychiatric outpatients with substance use disorders, gender may play a role in the nature of BPD comorbidity. The BPD diagnosis may represent a broader range of psychopathology in Hispanic men than women.
Grilo
Carlos M
CM
Yale Psychiatric Research at Congress Place, Department of Psychiatry, Yale University School of Medicine, 301 Cedar Street, 2nd Floor, P. O. Box 208098, New Haven, Connecticut 06520, USA.
Miguel Anez
Luis
L
McGlashan
Thomas H
TH
D000328:Adult; D000553:Ambulatory Care; D001883:Borderline Personality Disorder / Q000175:diagnosis / Q000453:epidemiology*; D016009:Chi-Square Distribution; D003156:Community Mental Health Services / Q000706:statistics & numerical data; D015897:Comorbidity; D003237:Connecticut / Q000453:epidemiology; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D007802:Language; D008297:Male; D010554:Personality Disorders / Q000175:diagnosis / Q000453:epidemiology*; D011569:Psychiatric Status Rating Scales; D012737:Sex Factors; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000453:epidemiology; D014481:United States / Q000453:epidemiology