Personality disorders in former child psychiatric patients |
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Authors: | Ramklint Mia von Knorring Anne-Liis von Knorring Lars Ekselius Lisa |
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Institution: | (1) Dept. of Neuroscience, Psychiatry, University Hospital, 75185 Uppsala, Sweden. Lisa.Ekselius@UASPsyk.uu.se, SE;(2) Dept. of Neuroscience, Child and Adolescent Psychiatry, University Hospital, SE |
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Abstract: | The present case-control study was undertaken in order to investigate the long-term outcome with respect to personality disorder
(PD) symptomatology in former child psychiatric in-patients as compared to matched controls from the general population. Altogether
359 former patients and 359 controls were invited to participate in the study. Of these, 164 (46 %) former patients and 193
(54 %) controls approved participation. From these, 137 age and sex-matched pairs with a mean age of 30.7 (SD = 6.8) years
were constructed. Adult PD symptomatology was assessed by means of the DSM-IV and ICD-10 Personality Questionnaire (DIP-Q).
There were 52 former patients (38 %) and 15 controls (10.9 %) who fulfilled criteria for at least one DSM-IV self-reported
PD. There was a significantly higher prevalence for all specific self-reported PDs in former patients compared to controls.
The mean number of disorders was 1.7 (SD = 2.6) in former patients and 0.3 (SD = 0.8) in controls. Moreover, former patients
fulfilled more PD criteria than controls (23 vs. 11; median numbers). The former patients had significantly lower global functioning
and more psychosocial problems than the controls. These problems were related to personality pathology. The results of this
study indicate that child psychiatric morbidity seems to increase the risk for adult PD symptomatology. However, the results
may be biased by the low participation rate.
Accepted: 11 September 2002
Correspondence to Lisa Ekselius, MD, PhD |
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Keywords: | personality disorders – adolescent psychiatry – follow-up studies – self assessment |
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