title: Personality disorders in veterans with posttraumatic stress disorder and depression.
abstract: 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.
authors.affiliation: Houston Veterans Affairs Medical Center, Houston, Texas 77030, USA. ndunn@bcm.tmc.edu
authors.forename: Nancy Jo
authors.initials: NJ
authors.lastname: Dunn
authors.forename: Elisia
authors.initials: E
authors.lastname: Yanasak
authors.forename: Jeanne
authors.initials: J
authors.lastname: Schillaci
authors.forename: Sofia
authors.initials: S
authors.lastname: Simotas
authors.forename: Lynn P
authors.initials: LP
authors.lastname: Rehm
authors.forename: Julianne
authors.initials: J
authors.lastname: Souchek
authors.forename: Terri
authors.initials: T
authors.lastname: Menke
authors.forename: Carol
authors.initials: C
authors.lastname: Ashton
authors.forename: Joseph D
authors.initials: JD
authors.lastname: Hamilton
mesh_terms: 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*