title: Population prevalence of personality disorder and associations with physical health comorbidities and health care service utilization: A review.
abstract: Personality disorder (PD), outcomes of diverse comorbid physical health conditions, and the associated burden on health service resources have seldom been studied at a population level. Consequently, there is limited evidence that might inform a public health approach to managing PD and associated mental and physical disability. A review was conducted of population-based studies examining the prevalence of PD and associations between physical comorbidities and service utilization. The prevalence of any PDs were common (4.4% -21.5%) among populations spanning England, Wales, Scotland, Western Europe, Norway, Australia, and the United States. Preliminary evidence supports associations between PDs from Clusters A and B and physical comorbidities, namely cardiovascular diseases and arthritis. PD appears to increase health care utilization, particularly in primary care. In order to facilitate rational population health planning, further population studies are required.
authors.affiliation: School of Medicine, Deakin University, IMPACT Strategic Research Centre.
authors.forename: Shae E
authors.initials: SE
authors.lastname: Quirk
authors.affiliation: School of Medicine, Deakin University, IMPACT Strategic Research Centre.
authors.forename: Michael
authors.initials: M
authors.lastname: Berk
authors.affiliation: Orygen, the National Centre of Excellence in Youth Mental Health.
authors.forename: Andrew M
authors.initials: AM
authors.lastname: Chanen
authors.affiliation: Institute of Clinical Medicine, Department of Psychiatry, University of Eastern Finland.
authors.forename: Heli
authors.initials: H
authors.lastname: Koivumaa-Honkanen
authors.affiliation: School of Medicine, Deakin University, IMPACT Strategic Research Centre.
authors.forename: Sharon L
authors.initials: SL
authors.lastname: Brennan-Olsen
authors.affiliation: School of Medicine, Deakin University, IMPACT Strategic Research Centre.
authors.forename: Julie A
authors.initials: JA
authors.lastname: Pasco
authors.affiliation: School of Medicine, Deakin University, IMPACT Strategic Research Centre.
authors.forename: Lana J
authors.initials: LJ
authors.lastname: Williams
mesh_terms: D015897:Comorbidity; D006304:Health Status; D006801:Humans; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D010554:Personality Disorders / Q000453:epidemiology*