PMID- 15997609
OWN - NLM
STAT- MEDLINE
DCOM- 20051020
LR  - 20190827
IS  - 0033-2917 (Print)
IS  - 0033-2917 (Linking)
VI  - 35
IP  - 6
DP  - 2005 Jun
TI  - The longitudinal relationship between personality disorder dimensions and global 
      functioning in a community-residing population.
PG  - 891-5
AB  - BACKGROUND: Little is known about the long-term outcome of personality disorder 
      traits. The purpose of this study was to investigate, in a community-residing 
      population, the longitudinal relationship between psychiatrist-assessed 
      personality disorder scores and global functioning 13-18 years later. METHOD: A 
      stratified random sample of residents of east Baltimore were examined by 
      psychiatrists in 1981 and asssessed for DSM-III personality disorders using a 
      semi-structured instrument, the Standardized Psychiatric Examination. A total of 
      292 persons were re-examined by different psychiatrists during 1994-1999 using 
      the Schedules for the Assessment of Neuropsychiatry (SCAN). After completion of 
      the SCAN, the subjects' functional status was evaluated using the Global 
      Assessment of Functioning (GAF). The relationships between personality dimensions 
      and follow-up GAF scores were evaluated using linear regression models. RESULTS: 
      All of the personality disorder scales measured in 1981 were inversely related to 
      functioning 13-18 years later, with the exception of narcissistic and compulsive 
      scales. After controlling for Axis I disorders diagnosed contemporaneously with 
      GAF assessment, schizoid, antisocial, borderline, histrionic, and avoidant 
      personality disorder scores significantly predicted GAF scores. CONCLUSIONS: Most 
      dimensions of DSM-III personality disorder traits were significantly associated 
      with global functioning after an interval of 15 years. However, only schizoid, 
      antisocial, borderline, histrionic, and avoidant personality disorder traits had 
      long-term effects on functioning when Axis I disorders at follow-up were 
      controlled. This suggests that the functional effect of the other personality 
      disorder traits may be mediated through their relationship with Axis I disorders. 
      Future research is needed using more specific and sensitive outcome measures.
FAU - Hong, Jin Pyo
AU  - Hong JP
AD  - Department of Psychiatry, Asian Medical Center, School of Medicine, Ulsan 
      University, Seoul, Korea.
FAU - Samuels, Jack
AU  - Samuels J
FAU - Bienvenu, O Joseph
AU  - Bienvenu OJ
FAU - Hsu, Fang-Chi
AU  - Hsu FC
FAU - Eaton, William W
AU  - Eaton WW
FAU - Costa, Paul T Jr
AU  - Costa PT Jr
FAU - Nestadt, Gerald
AU  - Nestadt G
LA  - eng
GR  - MH47447/MH/NIMH NIH HHS/United States
GR  - MH50616/MH/NIMH NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - England
TA  - Psychol Med
JT  - Psychological medicine
JID - 1254142
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Diagnostic and Statistical Manual of Mental Disorders
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Personality Disorders/classification/*diagnosis/*epidemiology
MH  - Residence Characteristics
MH  - Severity of Illness Index
MH  - *Social Behavior
MH  - *Socialization
EDAT- 2005/07/07 09:00
MHDA- 2005/10/21 09:00
CRDT- 2005/07/07 09:00
PHST- 2005/07/07 09:00 [pubmed]
PHST- 2005/10/21 09:00 [medline]
PHST- 2005/07/07 09:00 [entrez]
AID - 10.1017/s0033291704003174 [doi]
PST - ppublish
SO  - Psychol Med. 2005 Jun;35(6):891-5. doi: 10.1017/s0033291704003174.