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Cumulative prevalence of personality disorders between adolescence and adulthood

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Johnson JG, Cohen P, Kasen S, Skodol AE, Oldham JM. Cumulative prevalence of personality disorders between adolescence and adulthood. Objective: 

To investigate the cumulative prevalence of personality disorder (PD) among adults in the community, based on prospective longitudinal data from a series of psychiatric interviews. Method: 

Psychiatric interviews were administered to a regionally representative community-based sample of 568 individuals in 1983 (mean age = 14), 1985–1986 (mean age = 16), 1991–1993 (mean age = 22), and 2001–2004 (mean age 33). Results: 

The point prevalence of any current DSM-IV PD, including depressive PD and passive-aggressive PD, varied between 12.7% and 14.6% across the four diagnostic assessments. The cumulative prevalence of PD increased at each of the follow-up assessments. At mean age 33, the estimated lifetime prevalence of PD was 28.2%. Conclusion: 

The cumulative prevalence of PD, based on a series of interviews conducted during adolescence and adulthood, may be substantially higher than the point prevalence of current PD based on a single assessment interview.

Keywords: personality disorder; prevalence

Document Type: Research Article


Affiliations: 1: Columbia University and the New York State Psychiatric Institute, New York, NY, USA 2: Institute for Mental Health Research, Phoenix, AZ, USA 3: The Menninger Clinic, Houston, TX, USA

Publication date: November 1, 2008


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