Personality functioning in anxiety disorders.

BMC Psychiatry 2018 09 14;18(1):294. Epub 2018 Sep 14.

Department of Psychoanalysis and Psychotherapy, Medical University of Vienna, Währinger Gürtel 18-20, A-1090, Wien, Austria.

Background: The Alternative DSM-5 Model for Personality Disorders as well as the upcoming IDC-11 have established a new focus on diagnosing personality disorders (PD): personality functioning. An impairment of self and interpersonal functioning in these models represents a general diagnostic criterion for a personality disorder. Little is known so far about the impairment of personality functioning in patients with other mental disorders than PD. This study aims to assess personality functioning in patients with anxiety disorders.

Methods: Ninety-seven patients with the diagnosis of generalized anxiety disorder, panic disorder, or phobia, and 16 healthy control persons were diagnosed using the Structured Clinical Interview for DSM-IV (SCID-I and -II) and were assessed by means of the Structured Interview for Personality Organization (STIPO) to determine the level of personality functioning.

Results: While all three patient groups showed significant impairment in personality functioning compared to the control group, no significant differences were observed between the different patient groups. In all three groups of anxiety disorders patients with comorbid PD showed significantly worse personality functioning than patients without. Patients without comorbid PD also yielded a significant impairment in their personality functioning when compared to the control group.

Conclusions: Anxiety disorders are associated with a significant impairment in personality functioning, which is significantly increased by comorbid PD. There are no differences in terms of personality functioning between patients with different anxiety disorders.

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Source
http://dx.doi.org/10.1186/s12888-018-1870-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6142416PMC
September 2018
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References

(Supplied by CrossRef)

American Psychiatric Association et al.
2013

GM Reed et al.
World Psychiatry 2018

S Freud et al.
1900

S Freud et al.
1923

H Hartmann et al.
Int Z Psychoanal Imago 1939

OF Kernberg et al.
1975

OF Kernberg et al.
1984

OF Kernberg et al.
Psychiatr Clin North Am 1981

JF Clarkin et al.
2003

BL Stern et al.
J Pers Assess 2010

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