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The Collaborative Longitudinal Personality Disorders Study: baseline axis I/II and II/II diagnostic co-occurrence

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McGlashan, Thomas H., Grilo, Carlos M., Skodol, Andrew E., Gunderson, John G., Shea, M. Tracie, Morey, Leslie C., Zanarini, Mary C., Stout, Robert L.·2000·Acta Psychiatrica Scandinavica

Abstract

Objective: To describe baseline diagnostic co‐occurrence in the Collaborative Longitudinal Personality Disorders Study. Method: Six hundred and sixty‐eight patients were reliably assessed with diagnostic interviews for DSM‐IV Axis I and II disorders to create five groups: Schizotypal (STPD), Borderline (BPD), Avoidant (AVPD), Obsessive‐Compulsive (OCPD) and Major Depressive Disorder (MDD) without personality disorder (PD). Results: Mean number of Axis I lifetime diagnoses was 3.4; STPD and BPD groups had more diagnoses than AVPD, OCPD, and MDD groups. Significant Axis I co‐occurrences emerged for Social Phobia/AVPD, PTSD/BPD and Substance Use/BPD. Mean number of co‐occurring PDs was 1.4; STPD had more than BPD group which had more than AVPD and OCPD groups. Significant PD co‐occurrence emerged for: STPD/ Paranoid and Schizoid PDs, BPD with Antisocial and Dependent PDs, and lower frequency for OCPD/Antisocial PD. Conclusion: Diagnostic co‐occurrences generally followed base rates, while significant departures resemble those of controlled literature.

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Authors
McGlashan, T. H., Grilo, C. M., Skodol, A. E., Gunderson, J. G., Shea, M. T., Morey, L. C., Zanarini, M. C., & Stout, R. L.
Affiliations
  • Yale University (US)
  • New York State Psychiatric Institute (US)
  • Harvard University (US)
  • Brown University (US)
  • Vanderbilt University (US)
Corresponding author
McGlashan, Thomas H.
Venue
Acta Psychiatrica Scandinavica
Publisher
Wiley
Published
2000-10
Volume
102
Issue
4
Pages
256-264
ISSN
  • 0001-690X (ISSN-L)
  • 1600-0447
OpenAlex
W2061987281
Cited by
542
References
0
Citations by year
2026: 5 · 2025: 10 · 2024: 14 · 2023: 13 · 2022: 21 · 2021: 23 · 2020: 16 · 2019: 25 · 2018: 19 · 2017: 23 · 2016: 18 · 2015: 27 · 2014: 35 · 2013: 26 · 2012: 28
FWCI
16.51
Type
journal article
Language
en
Open access
Locations
  • Acta Psychiatrica Scandinavica (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health (50850, R10 MH50837, MH-50837, R10 MH 50838, 50838, R10MH050837, 50840, R10MH050838, R10MH050839, R10 MH50839, 50839, 50837)
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 › Bipolar Disorder and Treatment
Keywords
personality disorders, Axis I disorders, Axis II personality disorders, schizotypal personality disorder, borderline personality disorder, avoidant personality disorder, obsessive-compulsive personality disorder, major depressive disorder, social anxiety disorder, post-traumatic stress disorder, substance use disorders, paranoid personality disorder, antisocial personality disorder, dependent personality disorder
MeSH terms
Mental Disorders, Follow-Up Studies, Humans, Personality Disorders, Psychiatric Status Rating Scales, Severity of Illness Index, Reproducibility of Results

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