TY - JOUR
T1 - The relationship between personality and DSM-III axis I disorders in the population
T2 - Results from an epidemiological survey
AU - Nestadt, Gerald
AU - Romanoski, Alan J.
AU - Samuels, Jack F.
AU - Folstein, Marshal F.
AU - McHugh, Paul R.
PY - 1992
Y1 - 1992
N2 - Objective: The aim of this study was to assess the relationships between specific personality disorders and DSM-III axis I conditions in a community sample. Method: A total of 810 subjects were examined by psychiatrists in the second stage of the Eastern Baltimore Mental Health Survey, part of the Epidemiological Catchment Area Program of the National Institute of Mental Health. A semistructured examination, the Standardized Psychiatric Examination, was employed to assess axis I and axis II conditions. Scales for compulsive and antisocial personality disorders were derived from DSM-III criteria. The relationships between scores on these personality disorder scales and the presence of generalized anxiety disorder, alcohol use disorders (alcohol abuse and alcohol dependence), and simple phobia were evaluated by using logistic regression. Results: Higher compulsive personality scores were associated with a greater odds of generalized anxiety disorder and simple phobia but a smaller odds of alcohol use disorders. In contrast, higher antisocial personality scores were associated with a greater odds of alcohol use disorders but a smaller odds of generalized anxiety disorder. There was no relationship between antisocial personality scores and simple phobia. Conclusions: Personality disorders have specific relationships to axis I conditions, which suggests different vulnerabilities but also different protective influences.
AB - Objective: The aim of this study was to assess the relationships between specific personality disorders and DSM-III axis I conditions in a community sample. Method: A total of 810 subjects were examined by psychiatrists in the second stage of the Eastern Baltimore Mental Health Survey, part of the Epidemiological Catchment Area Program of the National Institute of Mental Health. A semistructured examination, the Standardized Psychiatric Examination, was employed to assess axis I and axis II conditions. Scales for compulsive and antisocial personality disorders were derived from DSM-III criteria. The relationships between scores on these personality disorder scales and the presence of generalized anxiety disorder, alcohol use disorders (alcohol abuse and alcohol dependence), and simple phobia were evaluated by using logistic regression. Results: Higher compulsive personality scores were associated with a greater odds of generalized anxiety disorder and simple phobia but a smaller odds of alcohol use disorders. In contrast, higher antisocial personality scores were associated with a greater odds of alcohol use disorders but a smaller odds of generalized anxiety disorder. There was no relationship between antisocial personality scores and simple phobia. Conclusions: Personality disorders have specific relationships to axis I conditions, which suggests different vulnerabilities but also different protective influences.
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U2 - 10.1176/ajp.149.9.1228
DO - 10.1176/ajp.149.9.1228
M3 - Article
C2 - 1503137
AN - SCOPUS:0026806277
SN - 0002-953X
VL - 149
SP - 1228
EP - 1233
JO - American Journal of Psychiatry
JF - American Journal of Psychiatry
IS - 9
ER -