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Cited by 89Personality Disorders and PsychopathologySubstance Abuse Treatment and OutcomesPersonality Traits and Psychology

Prevalence of personality disorder in alcohol and drug services and associated comorbidity

Bowden‐Jones, Owen, Iqbal, Muhammad Z., Tyrer, Peter, Seivewright, Nicholas, Cooper, Sylvia, Judd, Ali, Weaver, Tim, the COSMIC study team·2004·Addiction
DOI 10.1111/j.1360-0443.2004.00813.x
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Abstract

Aims To compare the prevalence of personality disorder in alcohol and drug populations with special attention to its impact on psychopathology and service characteristics. Design Cross‐sectional survey. Setting Three alcohol and four drug services in four urban UK centres. Participants Two hundred and sixteen drug and 64 alcohol service patients randomly sampled from current treatment populations. Measurements A treatment population census recorded demographic and diagnostic data. Patient interviews assessed the presence, cluster type and severity of personality disorder using the Quick Personality Assessment Schedule (PAS‐Q). Other psychopathology was measured using the Comprehensive Psychopathological Rating Scale (CPRS). A case‐note audit recorded psychotic psychopathology using the OPCRIT schedule and data regarding social morbidity. Findings The overall prevalence of personality disorder was 37% in the drug service sample and 53% in the alcohol service sample. The distribution of severity and clusters differed markedly between the two samples. There was a significant association between the severity of personality disorder and psychopathology in both samples. Levels of morbidity associated with clusters B and C were similar. Clinical diagnosis of personality disorder showed high specificity but low sensitivity when compared to PAS‐Q. Conclusions In both alcohol and drug service populations, personality disorder is associated with significantly increased rates of psychopathology and social morbidity that worsens with increasing severity of the disorder. Despite this, personality disorder is poorly identified by clinical staff. The PAS‐Q may be useful as a clinical assessment tool in the substance misuse population for the early identification and management of patients with personality disorder.

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  • The existing classification generates frequent comorbidity of several personality disorders across different clusters.

    “it generates the frequent comorbidity of several person ality disorders across different clusters”

    From Personality disorder: a new global perspective (2010) · cites this paper as [41]

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Authors
Bowden‐Jones, O., Iqbal, M. Z., Tyrer, P., Seivewright, N., Cooper, S., Judd, A., Weaver, T., & the COSMIC study team
Affiliations
  • Imperial College London (GB)
  • Nottinghamshire Healthcare NHS Foundation Trust (GB)
Corresponding author
Bowden‐Jones, Owen
ORCID
Venue
Addiction
Publisher
Wiley
Published
2004-07-20
Volume
99
Issue
10
Pages
1306-1314
ISSN
  • 0965-2140 (ISSN-L)
  • 1360-0443
DOI
10.1111/j.1360-0443.2004.00813.x
OpenAlex
W1983670536
Cited by
89
References
38
Citations by year
2025: 2 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 3 · 2017: 8 · 2016: 2 · 2015: 3 · 2014: 3 · 2013: 7 · 2012: 6
FWCI
10.13
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Addiction (publishedVersion)
  • PubMed (publishedVersion)
  • Middlesex University Research Repository (Middlesex University Of London) (submittedVersion)
  • UCL Discovery (University College London) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
Keywords
personality disorders, prevalence, alcohol services, drug services, comorbidities, psychopathology, personality disorder severity, personality disorder clusters, sensitivity and specificity, addiction treatment, early detection
MeSH terms
Cross-Sectional Studies, Data Collection, United Kingdom, Humans, Patient Compliance, Personality Disorders, Psychiatric Status Rating Scales, Comorbidity, Prevalence, Substance-Related Disorders

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