Personality functioning in anxiety disorders

BMC Psychiatry

Martin Aigner¹  Karoline Parth²  Victor Blüml²  Antonia Wininger²  Stephan Doering²  Karin Feichtinger²  Marion Freidl³  Maria Gruber³  Hemma Rössler-Schülein⁴ 

[1] Department of Psychiatry, University Hospital Tulln;Department of Psychoanalysis and Psychotherapy, Medical University of Vienna;Department of Social Psychiatry, Medical University of Vienna;Vienna Psychoanalytic Society;

关键词: Personality functioning;    Generalized anxiety disorder;    Panic disorder;    Phobia;    Personality disorder;   

DOI  :  10.1186/s12888-018-1870-0

来源: DOAJ

【 摘 要 】

Abstract Background The Alternative DSM-5 Model for Personality Disorders as well as the upcoming IDC-11 have established a new focus on diagnosing personality disorders (PD): personality functioning. An impairment of self and interpersonal functioning in these models represents a general diagnostic criterion for a personality disorder. Little is known so far about the impairment of personality functioning in patients with other mental disorders than PD. This study aims to assess personality functioning in patients with anxiety disorders. Methods Ninety-seven patients with the diagnosis of generalized anxiety disorder, panic disorder, or phobia, and 16 healthy control persons were diagnosed using the Structured Clinical Interview for DSM-IV (SCID-I and -II) and were assessed by means of the Structured Interview for Personality Organization (STIPO) to determine the level of personality functioning. Results While all three patient groups showed significant impairment in personality functioning compared to the control group, no significant differences were observed between the different patient groups. In all three groups of anxiety disorders patients with comorbid PD showed significantly worse personality functioning than patients without. Patients without comorbid PD also yielded a significant impairment in their personality functioning when compared to the control group. Conclusions Anxiety disorders are associated with a significant impairment in personality functioning, which is significantly increased by comorbid PD. There are no differences in terms of personality functioning between patients with different anxiety disorders.

【 授权许可】

Unknown