PMID- 24120406
OWN - NLM
STAT- MEDLINE
DCOM- 20140630
LR  - 20220311
IS  - 1573-2517 (Electronic)
IS  - 0165-0327 (Linking)
VI  - 152-154
DP  - 2014 Jan
TI  - Comorbidity of personality disorders in mood disorders: a meta-analytic review of 
      122 studies from 1988 to 2010.
PG  - 1-11
LID - S0165-0327(13)00657-5 [pii]
LID - 10.1016/j.jad.2013.08.023 [doi]
AB  - BACKGROUND: A meta-analysis was conducted to identify the proportions of comorbid 
      personality disorders (PD) in mood disorders. METHODS: We found 122 empirical 
      papers published in the period 1980-2010 on participants having mood disorders in 
      addition to a comorbid PD. Mood disorders were classified as bipolar disorders 
      (BD), major depressive disorders (MDD) and dysthymic disorders (DYS). Several 
      moderators were coded as well. RESULTS: The risk of having at least one comorbid 
      PD (any PD) was high across all three mood disorders (BD=.42, MDD=.45), but 
      highest in DYS (.60). Cluster B and C PDs were most frequent in BD, while cluster 
      C PDs dominated in MDD and DYS. Among the specific PDs, the paranoid (.11 versus 
      .07/.05), borderline (.16 versus .14/.13), histrionic (.10 versus .06/.06) and 
      obsessive-compulsive (.18 versus .09/.12) PDs occurred more frequently in BD 
      versus MDD/DYS, whereas the avoidant PD (.22 versus .12/.16) was most frequent in 
      DYS versus BD/MDD. Moderator analyses showed higher comorbidity when diagnoses 
      were based on questionnaires versus clinical interviews, DSM-III-R versus DSM-IV, 
      more women were included or the duration of the disorder was longer. Age of onset 
      yielded mixed results. LIMITATIONS: Blind rating of diagnoses was recorded, but 
      was employed in too few studies to be usable as an indication of diagnostic 
      validity. CONCLUSIONS: Personality disorders are common in mood disorders. 
      Implications of the identified moderators as well as the new DSM-5 diagnostic 
      system are considered.
CI  - (c) 2013 Elsevier B.V. All rights reserved.
FAU - Friborg, Oddgeir
AU  - Friborg O
AD  - Department of Psychology, Faculty of Health Sciences, University of Tromso, 
      N-9037 Tromso, Norway; Department of Psychiatric Research, University Hospital of 
      North Norway, Tromso, Norway. Electronic address: oddgeir.friborg@uit.no.
FAU - Martinsen, Egil W
AU  - Martinsen EW
FAU - Martinussen, Monica
AU  - Martinussen M
FAU - Kaiser, Sabine
AU  - Kaiser S
FAU - Overgard, Karl Tore
AU  - Overgard KT
FAU - Rosenvinge, Jan H
AU  - Rosenvinge JH
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Research Support, Non-U.S. Gov't
DEP - 20130902
PL  - Netherlands
TA  - J Affect Disord
JT  - Journal of affective disorders
JID - 7906073
SB  - IM
MH  - Age of Onset
MH  - Aged
MH  - Bipolar Disorder/epidemiology
MH  - Borderline Personality Disorder/epidemiology
MH  - Comorbidity
MH  - Depressive Disorder, Major/epidemiology
MH  - Dysthymic Disorder/epidemiology
MH  - Female
MH  - Histrionic Personality Disorder/epidemiology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mood Disorders/*epidemiology
MH  - Obsessive-Compulsive Disorder/epidemiology
MH  - Paranoid Personality Disorder/epidemiology
MH  - Personality Disorders/*epidemiology
MH  - Risk Factors
MH  - Sex Factors
OTO - NOTNLM
OT  - Bipolar disorder
OT  - Comorbidity
OT  - Dysthymic disorders
OT  - Meta-analysis
OT  - Personality disorders
OT  - Unipolar depressive disorders
EDAT- 2013/10/15 06:00
MHDA- 2014/07/01 06:00
CRDT- 2013/10/15 06:00
PHST- 2013/05/13 00:00 [received]
PHST- 2013/08/19 00:00 [revised]
PHST- 2013/08/20 00:00 [accepted]
PHST- 2013/10/15 06:00 [entrez]
PHST- 2013/10/15 06:00 [pubmed]
PHST- 2014/07/01 06:00 [medline]
AID - S0165-0327(13)00657-5 [pii]
AID - 10.1016/j.jad.2013.08.023 [doi]
PST - ppublish
SO  - J Affect Disord. 2014 Jan;152-154:1-11. doi: 10.1016/j.jad.2013.08.023. Epub 2013 
      Sep 2.