Personality disorders in veterans with posttraumatic stress disorder and depression.
Little is known about the frequency of the full-range of personality disorders in outpatients with concurrent posttraumatic stress disorder (PTSD) and depression, a common and oftentimes treatment-resistant combination in clinical practice. In a group therapy outcome study, Axis I and II diagnoses were assessed with the Structured Clinical Interview for DSM-IV and the Clinician-Administered PTSD Scale to select 115 male combat veterans with PTSD and depressive disorder. Within this sample, 52 (45.2%) had one or more personality disorders--most commonly paranoid (17.4%), obsessive-compulsive (16.5%), avoidant (12.2%), and borderline (8.7%)--and 19 (16.5%) had two or more. Documenting a substantial frequency of personality disorders is a first step in devising appropriate interventions for this treatment-resistant combination of disorders.
Dunn
Nancy Jo
NJ
Houston Veterans Affairs Medical Center, Houston, Texas 77030, USA. ndunn@bcm.tmc.edu
Yanasak
Elisia
E
Schillaci
Jeanne
J
Simotas
Sofia
S
Rehm
Lynn P
LP
Souchek
Julianne
J
Menke
Terri
T
Ashton
Carol
C
Hamilton
Joseph D
JD
D015897:Comorbidity; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology*; D039721:Diagnostic and Statistical Manual of Mental Disorders; D006801:Humans; D008297:Male; D008875:Middle Aged; D010554:Personality Disorders / Q000175:diagnosis / Q000453:epidemiology*; D015995:Prevalence; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000453:epidemiology*; D014728:Veterans / Q000523:psychology* / Q000706:statistics & numerical data*