PMID- 18815908
OWN - NLM
STAT- MEDLINE
DCOM- 20090114
LR  - 20181201
IS  - 1139-9287 (Print)
IS  - 1139-9287 (Linking)
VI  - 36
IP  - 6
DP  - 2008 Nov-Dec
TI  - Study of personality disorders and the use of services in the clinical population 
      attended in the mental health network of a community area.
PG  - 331-6
AB  - INTRODUCTION: Personality disorders (PD) are a growing clinical and health care 
      problem. In Spain, the studies of PD and utilization of the Mental Health 
      Services (MHS) in the clinical population are scant. However, these data are 
      necessary in the planning of MHS for PD. METHOD: We studied all the patients 
      attended throughout one year in all the psychiatric departments (n=2701), and 
      separately in the inpatient (n=193) and outpatient (n=2649) psychiatric services. 
      All the patients diagnosed with PD by clinical interview (DSM-IV-TR criteria) 
      were included. Demographic and clinical variables as well as use of MHS were 
      studied. RESULTS: The proportion of PD in the population attended was 11% (95% 
      CI: 9.8%-12.2%) and in the inpatient and outpatient psychiatric services 17.6% 
      (95% CI: 12.9%- 23.6%) and 10.3% (95% CI: 9.2%-11.5%), respectively. The most 
      representative PD were borderline (25.7%), histrionic (24%) and 
      obsessive-compulsive (6.4%) and 19.6% were not otherwise specified PD. PD 
      accounted for an extensive use of mental health resources (inpatient, outpatient 
      and emergency units). The most comorbid conditions in axis I were affective, 
      anxiety and substance-related disorders. CONCLUSIONS: The study of PD attended in 
      the MHS in a community area by means of clinical evaluation is an economical 
      instrument, which is easily applied and replicated in planning of MHS for PD.
FAU - Lana, F
AU  - Lana F
AD  - Centros Asistenciales Dr. Emilio Mira y Lopez, Campus Torribera, Diputacion de 
      Barcelona, Santa Coloma de Gramanet, Barcelona, Spain. lanamf@diba.es
FAU - Fernandez San Martin, M I
AU  - Fernandez San Martin MI
FAU - Sanchez Gil, C
AU  - Sanchez Gil C
FAU - Bonet, E
AU  - Bonet E
LA  - eng
PT  - Journal Article
PL  - Spain
TA  - Actas Esp Psiquiatr
JT  - Actas espanolas de psiquiatria
JID - 100886502
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Community Mental Health Services/*statistics & numerical data
MH  - Diagnostic and Statistical Manual of Mental Disorders
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Personality Disorders/diagnosis/epidemiology/therapy
MH  - Young Adult
EDAT- 2008/09/26 09:00
MHDA- 2009/01/15 09:00
CRDT- 2008/09/26 09:00
PHST- 2008/09/26 09:00 [pubmed]
PHST- 2009/01/15 09:00 [medline]
PHST- 2008/09/26 09:00 [entrez]
AID - 200811101107 [pii]
PST - ppublish
SO  - Actas Esp Psiquiatr. 2008 Nov-Dec;36(6):331-6.