The epidemiology of personality disorders in the Sao Paulo Megacity general population

Santana, Geilson Lima; Coêlho, Bruno Mendonça; Wang, Yuan‐Pang; Filho, Alexandre Dias Porto Chiavegatto; Viana, María Carmen; Andrade, Laura Helena

doi:10.1371/journal.pone.0195581

Cited by 27 publications

(22 citation statements)

References 56 publications

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“…Although personality disorder prevalence rates are lower in LMICs, they are still considerable. 87 As personality disorders are common across many areas of the world, they should be recognised as an important contributor to population mental health and disease burden. 2,4 Personality pathology continues to be overlooked in clinical practice, 94 particularly in LMICs where resources are limited, 95 and personality disorders tend to be a lower priority.…”

Section: Discussionmentioning

confidence: 99%

“…42,86 Fourth, because of the limited number of studies, we had to construct relatively crude categories for some moderators. For example, 'LMICs' covered a wide variety of countries (both low-middle and high-middle countries) and included megacities 87 and rural areas, 69 all of which might vary in prevalence rates. Fifth, the inclusion of longitudinal cohorts could have led to an underestimation of personality disorder prevalence because disadvantaged or mentally ill participants are more likely to drop out of studies.…”

Section: Methodological Considerations and Limitationsmentioning

confidence: 99%

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The prevalence of personality disorders in the community: a global systematic review and meta-analysis

et al. 2019

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BackgroundPersonality disorders are now internationally recognised as a mental health priority. Nevertheless, there are no systematic reviews examining the global prevalence of personality disorders.AimsTo calculate the worldwide prevalence of personality disorders and examine whether rates vary between high-income countries and low- and middle-income countries (LMICs).MethodWe systematically searched PsycINFO, MEDLINE, EMBASE and PubMed from January 1980 to May 2018 to identify articles reporting personality disorder prevalence rates in community populations (PROSPERO registration number: CRD42017065094).ResultsA total of 46 studies (from 21 different countries spanning 6 continents) satisfied inclusion criteria. The worldwide pooled prevalence of any personality disorder was 7.8% (95% CI 6.1–9.5). Rates were greater in high-income countries (9.6%, 95% CI 7.9–11.3%) compared with LMICs (4.3%, 95% CI 2.6–6.1%). In univariate meta-regressions, significant heterogeneity was partly attributable to study design (two-stage v. one-stage assessment), county income (high-income countries v. LMICs) and interview administration (clinician v. trained graduate). In multiple meta-regression analysis, study design remained a significant predictor of heterogeneity. Global rates of cluster A, B and C personality disorders were 3.8% (95% CI 3.2, 4.4%), 2.8% (1.6, 3.7%) and 5.0% (4.2, 5.9%).ConclusionsPersonality disorders are prevalent globally. Nevertheless, pooled prevalence rates should be interpreted with caution due to high levels of heterogeneity. More large-scale studies with standardised methodologies are now needed to increase our understanding of population needs and regional variations.

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Section: Discussionmentioning

confidence: 99%

Section: Methodological Considerations and Limitationsmentioning

confidence: 99%

The prevalence of personality disorders in the community: a global systematic review and meta-analysis

et al. 2019

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“…The expectation for HPD occurrence in community samples is about 1.8% (APA, 2013). In an epidemiological study in Brazil, in the São Paulo Metropolitan Area, a frequency of 2.7% of cases of PDs from Cluster B was observed (Santana et al, 2018). Therefore, for the present study, people with elevations in the typical traits of HPD were expected, although there should only be a small number of people with a HPD diagnosis.…”

Section: -Verifi Cation Of the Psychometric Properties Of The Idcp-hpmentioning

confidence: 63%

“…The expectation for HPD occurrence in community samples is about 1.8% (APA, 2013). In an epidemiologic study in Brazil, in the São Paulo Metropolitan Area, a frequency of 2.7% of cases of Cluster B PDs was observed (Santana et al, 2018).…”

Section: Theoretical Backgroundmentioning

confidence: 99%

Development of a Scale to Measure Histrionic Traits According to the Hierarchical Taxonomy of Psychopathology

2019

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The aim of this study was to develop a version of the Dimensional Clinical Personality Inventory 2 (IDCP-2) focusing on the Histrionic Personality Disorder (HPD) traits according to the Hierarchical Taxonomy of Psychopathology (HiTOP) model, and to verify its psychometric properties. The method was divided into two stages. The fi rst was related to the revision procedures of the IDCP-2 based on the HiTOP, focusing on the assessment of features typical of HPD. The second aimed to verify the psychometric properties of the new version of the IDCP-2 (i.e., IDCP-HPD) in a convenience sample (N=208), mainly composed of women, with data collection carried out online. The IDCP-HPD was administered with the Personality Inventory for DSM-5 (PID-5) and Five-Factor Histrionic Inventory (FFHI) factors. Of the 16 initial traits provided by the HiTOP, 8 were selected as relevant for the HPD and 17 items were selected to compose the new factors. The 4 factor solution found through exploratory structural equation modeling, the correlations with the external measures and the eff ects found in the between-group comparisons suggest the psychometric adequacy of the IDCP-HPD. The fi ndings of this study should be interpreted as initial evidence for the IDCP-HPD, indicating the practicality of the test.

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“…The expectation for BPD occurrence in community samples is from 1.6% to 5.9% [8]. In an epidemiologic study in the São Paulo Metropolitan Area, Brazil, 2.7% cases of PD from Cluster B were observed [34]. According to this, we expected to see elevation in typical traits of the BPD in the present sample, as well as a small number of people with a BPD diagnosis.…”

Section: Step 2: Participantsmentioning

confidence: 71%

Assessing borderline personality disorder based on the Hierarchical Taxonomy of Psychopathology (HiTOP): Dimensional Clinical Personality Inventory 2 – BPD

Carvalho¹,

Pianowski²,

Bacciotti³

et al. 2018

Arch Psych Psych

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A new approach to mental disorder taxonomy was recently proposed, the Hierarchical Taxonomy of Psychopathology (HiTOP). The aim of this study was to develop a specific version of the Dimensional Clinical Personality Inventory 2 (IDCP-2), a self-reported measure developed in Brazil for use in pathological personality traits assessment, focused on the assessment of traits related to BPD in accordance with the HiTOP model. In step 1 we developed new factors to cover all traits of BPD according to HiTOP. In step 2, data were collected from 207 adults from the community (N = 207; M age = 35.9). Participants completed the developed measure (IDCP Borderline Personality Disorder Scale; IDCP-BPD), and selected factors from IDCP-2, PID-5, FFBI and FFHI. Exploratory structural equation modeling (E-SEM) suggested a 3-factors solution for the grouping of the fifteen factors of the IDCP-BPD.Factors and total score reliability was good. Correlations between IDCP-BPD factors and external measures were coherent, corroborating our expectations. The bootstrap two-sample t-test comparing the healthy and pathological groups suggested good discrimination capacity of the IDCP-BPD factors, mainly the Fragility and Impotence feelings factors. Favorable evidence was found for the use of IDCP-BPD to BPD traits measurement. The new factors extend the coverage of IDCP-2 in measuring BPD symptoms. Correlations suggest that IDCP-BPD factors measure the traits considered as relevant according to HiTOP. Discriminant capacity of the factors also supports the use of the measure, although future studies must replicate this in samples composed of BPD patients. personality disorders, differential diagnosis, emotional instability, psychological assessment

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The epidemiology of personality disorders in the Sao Paulo Megacity general population

Cited by 27 publications

References 56 publications

The prevalence of personality disorders in the community: a global systematic review and meta-analysis

The prevalence of personality disorders in the community: a global systematic review and meta-analysis

Development of a Scale to Measure Histrionic Traits According to the Hierarchical Taxonomy of Psychopathology

Assessing borderline personality disorder based on the Hierarchical Taxonomy of Psychopathology (HiTOP): Dimensional Clinical Personality Inventory 2 – BPD

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