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Relative impact of young adult personality disorders on subsequent quality of life: findings of a community-based longitudinal study.
J Pers Disord. 2006 Oct; 20(5):510-23.JP

Abstract

Little is known about long-term prognostic implications of personality disorder (PD) for quality of life (QOL) in the young adult population not selected for psychiatric treatment. The purpose of this study was to determine the association of PDs with QOL assessed after an 11-year interval. PDs were assessed in 1991-1994 at mean age 22, and indicators of QOL were assessed in 2001-2004 at mean age 33 based on a community sample of 588 young adults. Findings indicated that any PD, or a cluster A, B, or C PD each were independently associated with elevated impairment in overall QOL after adjusting for demographic variables, co-occurring Axis I disorder, and physical illness, and PDs in other clusters. Cluster B PD had a greatest adverse impact on QOL. Symptoms of antisocial, borderline, and schizotypal PD symptoms were independently associated with significant reductions in QOL; avoidant, paranoid, and dependent PD symptoms were associated with smaller reductions, not reaching statistical significance. Symptoms of other individual PDs were not associated with reduced QOL. PDs in young adults in the community have an enduring and adverse impact on subsequent QOL that cannot be attributed to physical illness or Axis I psychiatric disorder.

Authors+Show Affiliations

Chen H
New York State Psychiatric Institute, New York 10032, USA. chenhen@pi.cpmc.columbia.edu
Cohen P
No affiliation info available
Crawford TN
No affiliation info available
Kasen S
No affiliation info available
Johnson JG
No affiliation info available
Berenson K
No affiliation info available

MeSH

AdultAge FactorsCluster AnalysisCohort StudiesFemaleFollow-Up StudiesHumansInterview, PsychologicalLongitudinal StudiesMental HealthMiddle AgedMood DisordersObsessive-Compulsive DisorderPersonality DisordersQuality of LifeRetrospective StudiesSchizophreniaSeverity of Illness IndexSocial AdjustmentTreatment Outcome

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

17032162

Citation

Chen, Henian, et al. "Relative Impact of Young Adult Personality Disorders On Subsequent Quality of Life: Findings of a Community-based Longitudinal Study." Journal of Personality Disorders, vol. 20, no. 5, 2006, pp. 510-23.
Chen H, Cohen P, Crawford TN, et al. Relative impact of young adult personality disorders on subsequent quality of life: findings of a community-based longitudinal study. J Pers Disord. 2006;20(5):510-23.
Chen, H., Cohen, P., Crawford, T. N., Kasen, S., Johnson, J. G., & Berenson, K. (2006). Relative impact of young adult personality disorders on subsequent quality of life: findings of a community-based longitudinal study. Journal of Personality Disorders, 20(5), 510-23.
Chen H, et al. Relative Impact of Young Adult Personality Disorders On Subsequent Quality of Life: Findings of a Community-based Longitudinal Study. J Pers Disord. 2006;20(5):510-23. PubMed PMID: 17032162.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Relative impact of young adult personality disorders on subsequent quality of life: findings of a community-based longitudinal study. AU - Chen,Henian, AU - Cohen,Patricia, AU - Crawford,Thomas N, AU - Kasen,Stephanie, AU - Johnson,Jeffrey G, AU - Berenson,Kathy, PY - 2006/10/13/pubmed PY - 2007/1/12/medline PY - 2006/10/13/entrez SP - 510 EP - 23 JF - Journal of personality disorders JO - J Pers Disord VL - 20 IS - 5 N2 - Little is known about long-term prognostic implications of personality disorder (PD) for quality of life (QOL) in the young adult population not selected for psychiatric treatment. The purpose of this study was to determine the association of PDs with QOL assessed after an 11-year interval. PDs were assessed in 1991-1994 at mean age 22, and indicators of QOL were assessed in 2001-2004 at mean age 33 based on a community sample of 588 young adults. Findings indicated that any PD, or a cluster A, B, or C PD each were independently associated with elevated impairment in overall QOL after adjusting for demographic variables, co-occurring Axis I disorder, and physical illness, and PDs in other clusters. Cluster B PD had a greatest adverse impact on QOL. Symptoms of antisocial, borderline, and schizotypal PD symptoms were independently associated with significant reductions in QOL; avoidant, paranoid, and dependent PD symptoms were associated with smaller reductions, not reaching statistical significance. Symptoms of other individual PDs were not associated with reduced QOL. PDs in young adults in the community have an enduring and adverse impact on subsequent QOL that cannot be attributed to physical illness or Axis I psychiatric disorder. SN - 0885-579X UR - https://www.unboundmedicine.com/medline/citation/17032162/Relative_impact_of_young_adult_personality_disorders_on_subsequent_quality_of_life:_findings_of_a_community_based_longitudinal_study_ DB - PRIME DP - Unbound Medicine ER -