title: Personality pathology and increased use of medical resources in later adulthood.
abstract: OBJECTIVE
  Personality pathology is associated with many negative health outcomes in young adulthood, including overutilization of healthcare resources. It is unclear, however, what the relation between personality pathology and medical resource utilization is as individuals age and develop new physical health problems.
  
  
  METHODS
  The present study examined whether personality disorder (PD) features were related to greater medical resource utilization in a sample of 1,630 community-dwelling participants, aged 55-64 years. PD features and health status were measured at baseline; medical resource utilization and new physical health problems were measured at four 6-month follow-up assessments. Multilevel modeling analyses tested associations between number of physical health problems and PD features in medical resource use over time.
  
  
  RESULTS
  Greater number of physical health problems significantly predicted higher medical resource utilization. The results also showed that many PD features were related to higher reported medical resource utilization independent of health status and sociodemographic variables. Schizoid and schizotypal PD features were associated with less reported medical resource utilization. When all PDs were included in the model together, dependent, antisocial, histrionic, and narcissistic PD features remained predictive of higher medical resource utilization.
  
  
  CONCLUSIONS
  Personality pathology remains a relevant predictor of greater medical resource utilization into later adulthood and should be considered an important risk factor when trying to determine ways to reduce costly overuse of healthcare resources among older adults.
authors: Department of Psychiatry, Emory University, Atlanta, GA. Electronic address: adpower@emory.edu.
authors: Abigail
authors: A
authors: Powers
authors: Department of Psychology, Washington University in St. Louis, St. Louis, MO.
authors: Michael J
authors: MJ
authors: Strube
authors: Department of Psychology, Washington University in St. Louis, St. Louis, MO.
authors: Thomas F
authors: TF
authors: Oltmanns
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006296:Health Services / Q000706:statistics & numerical data*; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D010554:Personality Disorders / Q000453:epidemiology*; D012307:Risk Factors
keywords: Personality disorders; later adulthood; medical resource utilization; personality pathology