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Personality disorders in veterans with posttraumatic stress disorder and depression
Abstract
Little is known about the frequency of the full‐range of personality disorders in outpatients with concurrent posttraumatic stress disorder (PTSD) and depression, a common and oftentimes treatment‐resistant combination in clinical practice. In a group therapy outcome study, Axis I and II diagnoses were assessed with the Structured Clinical Interview for DSM‐IV and the Clinician‐Administered PTSD Scale to select 115 male combat veterans with FTSD and depressive disorder. Within this sample, 52 (45.2%) had one or more personality disorders—most commonly paranoid (17.4%), obsessive‐compulsive (16.5%), avoidant (12.2%), and borderline (8.7%)—and 19 (16.5%) had two or more. Documenting a substantial frequency of personality disorders is a first step in devising appropriate interventions for this treatment‐resistant combination of disorders.
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“With the comprehensiveness and precision afforded by these assessment guides, it has become increasingly possible for clinicians (and researchers) to identify the symptoms of cPTSD and distinguish them for purposes of differential diagnosis from symptoms of BPD [34].”
From Complex PTSD and borderline personality disorder (2021) · cites this paper as [34]
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Metadata
- Authors
- Dunn, N. J., Yanasak, E., Schillaci, J., Simotas, S., Rehm, L. P., Souchek, J., Menke, T., Ashton, C., & Hamilton, J. D.
- Affiliations
- Baylor College of Medicine (US)
- University of Houston (US)
- Veterans Health Administration (US)
- Corresponding author
- Dunn, Nancy Jo
- Venue
- Journal of Traumatic Stress
- Publisher
- Wiley
- Published
- 2004-02
- Volume
- 17
- Issue
- 1
- Pages
- 75-82
- ISSN
- 0894-9867 (ISSN-L)
- 1573-6598
- OpenAlex
- W1980451873
- Cited by
- 61
- References
- 33
- Citations by year
- 2026: 4 · 2025: 1 · 2022: 2 · 2021: 3 · 2019: 2 · 2018: 2 · 2017: 4 · 2016: 1 · 2015: 5 · 2014: 5 · 2013: 6 · 2012: 3
- FWCI
- 2.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Traumatic Stress (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Veterans Affairs
- Health Services Research and Development
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Keywords
- personality disorders, post-traumatic stress disorder, depression, combat veterans, paranoid personality disorder, obsessive-compulsive personality disorder, avoidant personality disorder, borderline personality disorder, comorbidities, treatment-resistant depression, group therapy
- MeSH terms
- Major Depressive Disorder, Humans, Male, Middle Aged, Personality Disorders, Stress Disorders, Post-Traumatic, Veterans, Comorbidity, Prevalence, Diagnostic and Statistical Manual of Mental Disorders
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