Revised NESARC Personality Disorder Diagnoses: Gender, Prevalence, and Comorbidity with Substance Dependence Disorders

Abstract

We applied different diagnostic rules for diagnosing personality disorders to the NESARC epidemiological study of over 40,000 individuals. Specifically, unlike previous NESARC publications, we required that each personality disorder criterion be associated with significant distress or impairment in order to be counted toward a personality disorder (PD) diagnosis. Results demonstrated significant reductions in prevalence rates for PDs (9.1% versus 21.5% using original NESARC algorithms), and these revised prevalence rates were much more consistent with recent epidemiological studies in the U.S. and Great Britain. We also found gender differences in the prevalence rate for most PDs. Comorbidity analyses revealed strong associations between PDs and alcohol dependence, drug dependence, and tobacco dependence. PD diagnoses were also associated with scores on dysfunction and impairment, perceived stress and less social support, lifetime history of suicide attempts, interpersonal difficulties, and problems with legal authorities.

Borderline Personality Disorder in Adolescence

“…13 These data are comparable to adult prevalence data of 0.7% to 2.7%. 15,16 BPD is a common and important disorder in adolescent mental health settings, with an estimated prevalence of 11% in psychiatric outpatients 17 and up to 50% in inpatient settings. 18 Although the female-to-male ratio in clinical settings is usually reported to be at least 3:1, population-based studies do not show substantial gender differences in the prevalence of BPD in adults 19,20 or children.…”

Intact implicit statistical learning in borderline personality disorder

“…Borderline personality disorder (BPD) is present in approximately 0.7-2.7% of the general population, about 6% in primary care settings, about 10% among individuals seen in outpatient mental health clinics, and about 20% among psychiatric inpatients (APA, 2013;Coid et al, 2006;Grant et al, 2008;Trull et al, 2010). BPD compared to other personality disorders is characterized by the enduring patterns of more dysphoric and less positive cognitive and affective states (Reed et al, 2012a(Reed et al, , 2012b.…”

Borderline Personality Pathology, Polysomnography, and Self-Reported Sleep Problems: A Review

“…These maladaptive personality traits are relatively stable across the lifespan, occur in about 2.9 % of the population [2], and interfere with social, occupational, cognitive, and relational functioning [3][4][5]. Individuals with BPD focus on negative stimuli and have more pessimistic beliefs about themselves and about the world [3].…”