A systematic assessment of the comorbidity of DSM-III-R personality disorders in alcoholic outpatients

Compr Psychiatry. 1993 Nov-Dec;34(6):447-54. doi: 10.1016/0010-440x(93)90073-d.

Abstract

To our knowledge, this is the first study to examine the systematic comorbidity of DSM-III-R personality disorders (PDs) in a sample of alcoholic outpatients. The extent and direction of overlap can provide a measure of heterogeneity and descriptive validity. Fifty sober alcoholic outpatients enrolled in a treatment program were assessed by Structured Clinical Interview for DSM-III (SCID) instruments for the presence of axis I and axis II disorders; 80% had either a coexistent axis I or II disorder, with 66% having an axis I disorder, 64% an axis II disorder, and 50% both axis I and II disorders. There were 84 PD diagnoses among the 32 PD patients (2.6/patient), with multiple diagnoses in 20 (62%). The most prevalent PD diagnoses were paranoid (44%), antisocial (20%), avoidant (20%), passive-aggressive (18%), and borderline (16%). Overlap was extensive and not confined to any one of the three designated axis II clusters. Poorer outcome was associated with the presence of PD. Personality variables may offer a means of further characterizing the heterogeneity observed in axis I disorders. Further refinement of the current system of PD classification and investigation into alternate models is needed.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Alcoholism / complications*
  • Alcoholism / diagnosis
  • Female
  • Humans
  • Male
  • Middle Aged
  • Personality Disorders / complications*
  • Personality Disorders / diagnosis*
  • Prevalence
  • Psychiatric Status Rating Scales*
  • Surveys and Questionnaires