Elsevier

Comprehensive Psychiatry

Volume 39, Issue 5, September–October 1998, Pages 296-302
Comprehensive Psychiatry

Axis II comorbidity of borderline personality disorder

https://doi.org/10.1016/S0010-440X(98)90038-4Get rights and content

Abstract

The purpose of this study was to assess the prevalence of a full range of DSM-III-R axis II disorders in a sample of criteria-defined borderline patients and axis II controls. The axis II comorbidity of 504 personality-disordered inpatients was assessed blind to clinical diagnosis using a semistructured research interview. Odd, anxious, and dramatic cluster disorders were each common among borderline patients. However, only odd and anxious cluster disorders were significantly more common among borderline patients (N = 379) than axis II controls (N = 125). Paranoid, avoidant, and dependent personality disorders were the most highly discriminating disorders between borderline patients and controls. In addition, male and female borderline patients exhibited somewhat different patterns of comorbidity. Although the rates of avoidant and dependent personality disorders were similar, male borderlines were significantly more likely than female borderlines to meet DSM-III-R criteria for paranoid, passive-aggressive, narcissistic, sadistic, and antisocial personality disorders. These results suggest that there is a particularly strong relationship between anxious cluster disorders and borderline personality disorder (BPD). They also suggest that gender plays an important role in the expression of axis II comorbidity, particularly with respect to dramatic cluster disorders.

References (34)

  • T.A Widiger et al.

    Diagnostic efficiency and DSM-III

    Arch Gen Psychiatry

    (1984)
  • T.A Widiger et al.

    A multidimensional scaling of the DSM-III personality disorders

    Arch Gen Psychiatry

    (1987)
  • J.C Perry

    Problems and considerations in the valid assessment of personality disorders

    Am J Psychiatry

    (1992)
  • J.M Oldham et al.

    Diagnosis of DSM-III-R personality disorders by two structured interviews: Patterns of comorbidity

    Am J Psychiatry

    (1992)
  • T.A Widiger et al.

    Comorbidity among axis 11 disorders

  • J.W Coid

    An affective syndrome in psychopaths with borderline personality disorder?

    Br J Psychiatry

    (1993)
  • A.A Dahl

    Some aspects of the DSM-III personality disorders illustrated by a consecutive sample of hospitalized patients

    Acta Psychiatr Scand (Suppl)

    (1986)
  • Cited by (0)

    Supported in part by NIMH grant MH47588.

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