personality disorder

From Aaushi
Jump to navigation Jump to search

Introduction

  • patterns of culturally abnormal traits & behaviors associated with impaired social or occupational function
  • features must be present since young adulthood to meet criteria for personality disorder (see Differential diagnosis: below)[2]

Classification

* personality changes are common at the onset of dementia[2] (see Differential diagnosis: below)

Epidemiology

Clinical manifestations

  • features must be present since young adulthood to meet criteria for personality disorder[2]
  • personality features do not become more maladaptive with age[2]

Diagnostic criteria

  • diagnostic criteria are not age-adjusted[3]
  • unclear whether diagnostic criteria applied to younger adults is applicable to elderly[3]

Complications

Differential diagnosis

Management

More general terms

More specific terms

References

  1. Saunders Manual of Medical Practice, Rakel (ed), WB Saunders, Philadelphia, 1996, pg 1101-1104
  2. 2.0 2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 Geriatric Review Syllabus, 7th edition Parada JT et al (eds) American Geriatrics Society, 2010
    Geriatric Review Syllabus, 8th edition (GRS8) Durso SC and Sullivan GN (eds) American Geriatrics Society, 2013
    Geriatric Review Syllabus, 9th edition (GRS9) Medinal-Walpole A, Pacala JT, Porter JF (eds) American Geriatrics Society, 2016
    Geriatric Review Syllabus, 11th edition (GRS11) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2022
  3. 3.0 3.1 3.2 3.3 Balsis S, Woods CM, Gleason ME, Oltmanns TF. Overdiagnosis and underdiagnosis of personality disorders in older adults. Am J Geriatr Psychiatry. 2007 Sep;15(9):742-53. PMID: https://www.ncbi.nlm.nih.gov/pubmed/17804828
  4. Ingenhoven T1, Lafay P, Rinne T, Passchier J, Duivenvoorden H. Effectiveness of pharmacotherapy for severe personality disorders: meta-analyses of randomized controlled trials. J Clin Psychiatry. 2010 Jan;71(1):14-25. PMID: https://www.ncbi.nlm.nih.gov/pubmed/19778496
  5. 5.0 5.1 Stevenson J, Datyner A, Boyce P, Brodaty H. The effect of age on prevalence, type and diagnosis of personality disorder in psychiatric inpatients. Int J Geriatr Psychiatry. 2011 Sep;26(9):981-7. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21845601
  6. Ripoll LH, Triebwasser J, Siever LJ. Evidence-based pharmacotherapy for personality disorders. Int J Neuropsychopharmacol. 2011 Oct;14(9):1257-88. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21320390
  7. Pietrzak RH, Wagner JA, Petry NM. DSM-IV personality disorders and coronary heart disease in older adults: results from The National Epidemiologic Survey on Alcohol And Related Conditions. J Gerontol B Psychol Sci Soc Sci. 2007 Sep;62(5):P295-9. PMID: https://www.ncbi.nlm.nih.gov/pubmed/17906171
  8. Lenzenweger MF, Lane MC, Loranger AW, Kessler RC. DSM-IV personality disorders in the National Comorbidity Survey Replication. Biol Psychiatry. 2007 Sep 15;62(6):553-64. Epub 2007 Jan 9. PMID: https://www.ncbi.nlm.nih.gov/pubmed/17217923
  9. Oltmanns TF, Balsis S. Personality disorders in later life: questions about the measurement, course, and impact of disorders. Annu Rev Clin Psychol. 2011;7:321-49. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21219195 Free PMC Article
  10. Schuster JP, Hoertel N, Le Strat Y, Manetti A, Limosin F. Personality disorders in older adults: findings from the National Epidemiologic Survey on Alcohol and Related Conditions. Am J Geriatr Psychiatry. 2013 Aug;21(8):757-68. PMID: https://www.ncbi.nlm.nih.gov/pubmed/23567365
  11. van Alphen SP, Derksen JJ, Sadavoy JJ, Rosowsky EE. Features and challenges of personality disorders in late life. Aging Ment Health. 2012;16(7):805-10. PMID: https://www.ncbi.nlm.nih.gov/pubmed/22417221
  12. Gleason ME, Powers AD, Oltmanns TF. The enduring impact of borderline personality pathology: risk for threatening life events in later middle-age. J Abnorm Psychol. 2012 May;121(2):447-57. PMID: https://www.ncbi.nlm.nih.gov/pubmed/22022953 Free PMC Article
  13. Medical Knowledge Self Assessment Program (MKSAP) 18, American College of Physicians, Philadelphia 2018
  14. Penders KAP, Peeters IGP, Metsemakers JFM et al. Personality disorders in older adults: a review of epidemiology, assessment, and treatment. Curr Psychiatry Rep. 2020;22(3):14. PMID: https://www.ncbi.nlm.nih.gov/pubmed/32025914 PMCID: PMC7002365 Free PMC article https://link.springer.com/article/10.1007/s11920-020-1133-x