Validity of the diagnosis of personality disorder in adults with learning disability and severe behavioural problems. Preliminary study.
BACKGROUND
Personality disorder in people with learning disability has received little research attention, with only a handful of cross-sectional surveys of prevalence available. As yet, there have been no studies to include an examination of validity.


OBJECTIVE
To investigate the prevalence of personality disorder in adults with learning disability who are in specialist challenging behaviour in-patient services and to examine the validity of the diagnosis of personality disorder in this group in terms of its association with abusive experience in early life.


METHODS
The Standardised Assessment of Personality (SAP) was used to diagnose personality disorder in 36 individuals with mild/moderate learning disability. Case notes were reviewed for details of clinical diagnosis and early psychosocial history.


RESULTS
Thirty-nine per cent of the sample met the criteria for severe personality disorder. This diagnosis showed a significant association with early traumatic experience.


CONCLUSIONS
Severe personality disorder is a common diagnosis in this group. There is preliminary evidence that the diagnosis is associated with abuse in childhood.
Flynn
Andrew
A
Department of Psychiatry of Disability, St George's Hospital Medical School, London.
Matthews
Helen
H
Hollins
Sheila
S
D000328:Adult; D002648:Child; D002649:Child Abuse / Q000523:psychology; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007859:Learning Disabilities / Q000175:diagnosis* / Q000523:psychology; D008297:Male; D016017:Odds Ratio; D010554:Personality Disorders / Q000175:diagnosis* / Q000453:epidemiology; D010556:Personality Tests / Q000592:standards*; D015995:Prevalence; D015203:Reproducibility of Results; D006113:United Kingdom / Q000453:epidemiology