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Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment 2/2008

01-06-2008

Comorbidity of Personality Disorders and Somatization Disorder: A Meta-analytic Review

Auteurs: Robert F. Bornstein, Stephanie H. Gold

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 2/2008

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Abstract

Meta-analysis of studies assessing the comorbidity of somatization disorder (SD) with one or more personality disorders (PDs) revealed that-contrary to the assertions of the Diagnostic and Statistical Manual of Mental Disorders (4th edition, text revision)-SD co-occurs with the majority of Axis II PDs. Although comorbidity effect sizes (rs) linking SD with paranoid PD and obsessive-compulsive PD were small, effect sizes for antisocial, borderline, narcissistic, histrionic, avoidant, and dependent PD yielded rs about or above 0.20. Comorbidity information in future versions of the DSM should be revised to reflect the greater number of PDs empirically linked with SD.
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Voetnoten
1
Other categories of Somatoform Disorder in the DSM-IV-TR are Conversion Disorder, Pain Disorder, Hypochondriasis, Undifferentiated Somatoform Disorder, Body Dysmorphic Disorder, and Somatoform Disorder Not Otherwise Specified.
 
2
The same is true for SD Axis I comorbidity information, which has undergone only minor changes since 1980. In the DSM-III (American Psychiatric Association (APA) 1980) and DSM-III-R (American Psychiatric Association (APA) 1987) SD was presumed to be comorbid with anxiety and depressed mood; in the DSM-IV (American Psychiatric Association (APA) 1994) and DSM-IV-TR (American Psychiatric Association (APA) 2000) SD was hypothesized to be comorbid with Major Depressive Disorder, Panic Disorder, and Substance Use Disorders.
 
3
The search terms dependency, dependent, and oral were included because the initial goal of this analysis was to assess the link between dependent PD and SD. After the initial search of the literature was complete it became clear that a broad array of PDs were, to varying degrees, comorbid with SD, so the analysis was broadened to include all DSM-IV PDs.
 
4
Only two studies (Stern et al. 1993; Lilienfeld et al. 1986) used non-DSM criteria to diagnose PDs (Lilienfeld et al. 1986, used a combination of DSM and ICD criteria). Exclusion of these studies from the analysis did not change appreciably any obtained SD-PD comorbidity effect sizes.
 
5
Of the six studies that produced more than one effect size per PD, three contributed two effect sizes, and three contributed four effect sizes.
 
6
Other researchers have suggested that childhood abuse may represent a common factor underlying SD and various PDs (see Smith 1991).
 
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Metagegevens
Titel
Comorbidity of Personality Disorders and Somatization Disorder: A Meta-analytic Review
Auteurs
Robert F. Bornstein
Stephanie H. Gold
Publicatiedatum
01-06-2008
Uitgeverij
Springer US
Gepubliceerd in
Journal of Psychopathology and Behavioral Assessment / Uitgave 2/2008
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI
https://doi.org/10.1007/s10862-007-9052-2

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