Interpersonal functioning deficits in association with DSM-IV personality disorder dimensions
Open accessAbstract
Purpose According to DSM, interpersonal functioning deficits are a main criterion for the general definition of personality disorders (PDs), but some PD diagnoses do not appear to be related to impaired interpersonal functioning. Social deficits have rarely been studied in all PD dimensions to date. Methods We analyzed 511 adults aged 20-41 years from the general population of the canton of Zurich, Switzerland, using data from the Epidemiology Survey of the Zurich Programme for Sustainable Development of Mental Health Services (ZInEP). PD dimensions were measured with a questionnaire and indicators of interpersonal functioning with a semi-structured interview. Associations were analyzed with generalized linear models. Results All PD dimensions were significantly associated with various indicators of interpersonal functioning deficits, such as distress and conflicts in friendships and partnership, feeling lonely, few close friends, and reduced social support. Schizotypal and borderline PD were relatively strongly associated with distress in friendships when compared with other PD dimensions. Furthermore, both dimensions were significantly related to all indicators of interpersonal functioning deficits. Conclusions Subjects scoring high on any PD dimension reported considerable deficits in interpersonal functioning as characterized by a solitary lifestyle, conflictual and distressful social relations, and lack of social support. All DSM-IV PDs are associated with poor interpers…
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Personality disorders involving interpersonal functioning deficits are frequently comorbid with GAD.
“Moreover, personality disorders, involving interpersonal functioning deficits (Hengartner, Muller, Rodgers, Rossler, & Ajdacic-Gross, 2013), are frequently comorbid with GAD (Grant et al., 2005).”
From Interpersonal Problems, Mindfulness, and Therapy Outcome in an Acceptance-Based Behavior Therapy for Generalized Anxiety Disorder (2015) · cites this paper as Hengartner, Muller, Rodgers, Rossler, & Ajdacic-Gross, 2013
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SKODOL, A. E., PAGANO, M. E., BENDER, D. S., TRACIE SHEA, M., GUNDERSON, J. G., YEN, S., STOUT, R. L., MOREY, L. C., SANISLOW, C. A., GRILO, C. M., et al. (2005) · Psychological Medicine · doi:10.1017/s003329170400354x · Cited by 316 · see citing works
Prevalence of mental disorders in the Zurich Cohort Study: a twenty year prospective study.
Angst, J., Gamma, A., Neuenschwander, M., Ajdacic-Gross, V., Eich, D., Rössler, W., & Merikangas, K. R. (2005) · Epidemiologia e Psichiatria Sociale · doi:10.1017/s1121189x00006278 · Cited by 122 · see citing works
Self-citationHengartner, M. P., Ajdacic-Gross, V., Rodgers, S., Müller, M., & Rössler, W. (2013) · European Psychiatry · doi:10.1016/j.eurpsy.2013.04.004 · Cited by 90 · see citing works
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Occupational functioning and work impairment in association with personality disorder trait-scores
Hengartner, M. P., Müller, M., Rodgers, S., Rössler, W., & Ajdacic-Gross, V. (2014) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-013-0739-2 · Cited by 60 · see citing works
Self-citationMillstein, D. J., Orsillo, S. M., Hayes-Skelton, S. A., & Roemer, L. (2015) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2015.1060255 · Cited by 31 · see citing works
Narcissism and Quality of Life: The Mediating Role of Relationship Patterns
Ellison, W. D., Acuff, M. C., Kealy, D., Joyce, A. S., & Ogrodniczuk, J. S. (2020) · Journal of Nervous & Mental Disease · doi:10.1097/nmd.0000000000001170 · Cited by 12 · see citing works
- Authors
- Hengartner, M. P., Müller, M., Rodgers, S., Rössler, W., & Ajdacic-Gross, V.
- Affiliations
- University Hospital Zurich (CH)
- Corresponding author
- Hengartner, Michael P.
- Venue
- Social Psychiatry and Psychiatric Epidemiology
- Published
- 2013-05-15
- Volume
- 49
- Issue
- 2
- Pages
- 317-325
- ISSN
- 0933-7954 (ISSN-L)
- 1433-9285
- OpenAlex
- W2021936266
- Cited by
- 56
- References
- 3
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 9 · 2023: 2 · 2022: 3 · 2021: 3 · 2020: 5 · 2019: 2 · 2018: 5 · 2017: 4 · 2016: 3 · 2015: 8 · 2014: 3 · 2013: 4
- FWCI
- 6.10
- Type
- journal article
- Language
- en
- Open access
- green
- www.zora.uzh.ch
- Licence
- other-oa
- www.springer.com/tdm (tdm)
- Locations
- Social Psychiatry and Psychiatric Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, other-oa)
- reroDoc Digital Library (submittedVersion)
- Repository for Publications and Research Data (ETH Zurich) (submittedVersion, other-oa)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion, other-oa)
- ETH Zürich Research Collection
- Zurich Open Repository and Archive (University of Zurich)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- personality disorders, interpersonal functioning, social dysfunction, loneliness, social support, relationship conflict, schizotypal personality disorder, borderline personality disorder, young adults
- MeSH terms
- Adult, Female, Humans, Interpersonal Relations, Male, Personality Disorders, Quality of Life, Surveys and Questionnaires, Social Behavior, Social Support, Switzerland, Linear Models, Diagnostic and Statistical Manual of Mental Disorders
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