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Cited by 33Personality Disorders and PsychopathologyPersonality Traits and PsychologyPsychopathy, Forensic Psychiatry, Sexual Offending

Social Functioning of Patients With Personality Disorder in Secondary Care

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Newton-Howes, Giles, Tyrer, Peter, Weaver, Tim·2008·Psychiatric Services
DOI 10.1176/ps.2008.59.9.1033
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Abstract

OBJECTIVE: Patients with personality disorder are often viewed as falling outside the primary therapeutic role of specialist care. This focus on axis I disorders can lead to overlooking patients' personality function. This study explored the social dysfunction associated with personality function and its severity within secondary care. METHODS: A cross-sectional survey using census data, face-to-face interviews, and audit of case notes was used to collect information from secondary care populations in four urban settings in the United Kingdom. The Quick Personality Assessment Schedule, the Comprehensive Psychopathology Rating Scale, and operational criteria for diagnosis were used to confirm axis I and axis II disorders. Social functioning was assessed with the Camberwell Assessment of Need and the Social Functioning Questionnaire. Because this was a secondary analysis, a priori hypotheses were tested to the p=.01 level to minimize the possibility of type I error. RESULTS: A total of 2,528 key workers completed questionnaires (99%), and 282 randomly selected patients were interviewed (71%). Severity of personality disorder accounted for 14% of the variance in objective measure of social dysfunction and for 19% of the variance in subjective measure of social dysfunction. Of other mental disorders, only depression interacted significantly with either measure, according to multiple stepwise linear regression. CONCLUSIONS: Personality disturbance led to social dysfunction to a greater extent than most other pathology. In order to address the issue of social dysfunction, a variety of approaches are needed to turnattention toward personality pathology.

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  • Cross-sectional data suggest personality disorder, particularly its severity, is associated with higher social needs and greater social dysfunction in secondary care patients in England.

    “Cross-sectional data has also suggested per sonality disorder, particularly its severity, to be associated with both higher social needs and greater social dysfunction in patients in a secondary care setting in England”

    From Personality disorder: a new global perspective (2010) · cites this paper as [19]

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Research works printed but not linked: 2

  1. Bradshaw J: A taxonomy of social need, in Problems and Progress in Medical Care, 7th series. Edited by McLachlan O. Lon- don, Oxford University Press, 1987
  2. Newton-Howes G, Tyrer P, Johnson T: Per- sonality disorder and the outcome of de- pression: a meta-analysis of published stud- ies. British Journal of Psychiatry 188:13-20, 2006

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Authors
Newton-Howes, G., Tyrer, P., & Weaver, T.
ORCID
Venue
Psychiatric Services
Publisher
American Psychiatric Association Publishing
Published
2008-09
Volume
59
Issue
9
Pages
1033-1037
ISSN
  • 0022-1597 (ISSN-L)
  • 1075-2730
  • 1557-9700
DOI
10.1176/ps.2008.59.9.1033
OpenAlex
W2100941990
Cited by
33
References
31
Citations by year
2026: 1 · 2025: 1 · 2024: 2 · 2023: 1 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 3 · 2016: 2 · 2015: 1 · 2014: 2 · 2013: 3 · 2012: 4
FWCI
2.59
Type
journal article
Language
en
Open access
Locations
  • Psychiatric Services (publishedVersion)
  • PubMed (publishedVersion)
  • Middlesex University Research Repository (Middlesex University Of London) (submittedVersion)
Funders
National Institute for Health and Care Research (1217194)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
  • Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
Keywords
personality disorders, social functioning, social dysfunction, secondary care, personality functions, depression, psychiatric inpatients, Axis II personality disorders
MeSH terms
Adult, Alcoholism, Mental Disorders, Cross-Sectional Studies, Depressive Disorder, England, Female, Humans, Male, Middle Aged, Personality Disorders, Social Adjustment, Social Behavior Disorders, Comorbidity, Substance-Related Disorders

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