Skip to main content Accessibility help
×
Home

Personality disorders in later life: epidemiology, presentation and management

  • Ayesha Bangash (a1)

Summary

Despite the enormous amount of literature on medical care of older people, personality disorders in late life have been given little attention. Clinicians tend not to assign this diagnosis to older adults in view of limited research into, and therefore limited awareness of, this topic. This article aims to promote better understanding of this subject in view of the growing population of older people and hence an expected increase in the number of personality disorder cases.

Copyright

Corresponding author

Correspondence Ayesha Bangash. Email: 520ayesha@gmail.com

Footnotes

Hide All

DECLARATION OF INTEREST: None.

An ICMJE form is in the supplementary material, available online at https://doi.org/10.1192/bja.20.16.

Footnotes

References

Hide All
Abrams, RC, Horowitz, SV (1996) Personality disorders after age 50: a meta-analysis. Journal of Personality Disorders, 10: 271–81.
Abrams, RC, Bromberg, CE (2007) Personality disorders in the elderly. Psychiatric Annals, 37: 123–7.
Agronin, ME (1994) Personality disorders in the elderly: an overview. International Journal of Geriatric Psychiatry, 27: 151–91.
Agronin, M (1999) Pharmacological treatment of personality disorders in late life. In Personality Disorders in Older Adults: Emerging Issues in Diagnosis and Treatment (eds Rosowsky, E, Abrams, RC, Zweig, RA): 229–54. Lawrence Erlbaum Associates.
Agronin, ME, Maletta, G (2000) Personality disorders in late life: understanding and overcoming the gap in research. American Journal of Geriatric Psychiatry, 8: 418.
American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM-IV). APA.
American Psychiatric Association (2013) Diagnostic and Statistical Manual of Mental Disorders (5th edn) (DSM-5). American Psychiatric Publishing.
Bach, B, First, MB (2018) Application of the ICD-11 classification of personality disorders. BMC Psychiatry, 18: 114.
Balsis, S, Zweig, RA, Molinari, V (2015) Personality disorders in later life. In APA Handbook of Clinical Geropsychology. Vol. 2: Assessment, Treatment and Issues of Later Life (eds Lichtenberg, PA, Mast, BT): 7994. American Psychological Association.
Beatson, JA, Broadbear, JA, Sivakumaran, H, et al. (2016) Missed diagnosis: the emerging crisis of borderline personality disorder in older people. Australian & New Zealand Journal of Psychiatry, 50: 17.
Black, DW, Baumgard, CH, Bell, SE (1995) A 16- to 45-year follow-up of 71 men with antisocial personality disorder. Comprehensive Psychiatry, 36: 130–40.
Coolidge, FL, Burns, EM, Nathan, JH, et al. (1992) Personality disorders in the elderly. Clinical Gerontologist, 12: 4155.
Coolidge, FL, Segal, DL, Hook, JN, et al. (2000) Personality disorders and coping among anxious older adults. Journal of Anxiety Disorders, 14: 157–72.
Courtois, R, Enfoux, A, Coutard, A, et al. (2014) Exploratory study toward development of the French version of the Questionnaire on Personality Traits (QPT/VKP-4) in an elderly population in comparison to young adults. Psychological Reports: Measures & Statistics, 115: 115–32.
Gleason, MEJ, Weinstein, Y, Balsis, S, et al. (2014) The enduring impact of maladaptive personality traits on relationship quality and health in later life. Journal of Personality, 82: 493501.
Khasho, DA, van Alphen, SPJ, Heijnen-Kohl, SMJ, et al. (2019) The effectiveness of individual schema therapy in older adults with borderline personality disorder: protocol of a multiple-baseline study. Contemporary Clinical Trials, 14: 16.
Mattar, S, Khan, F (2017) Personality disorders in older adults: diagnosis and management. Progress in Neurology and Psychiatry, 21: 22–7.
McGlashan, TH, Grilo, CM, Skodol, AE, et al. (2000) The collaborative longitudinal personality disorders study: baseline Axis I/II and II/II diagnostic co-occurrence. Acta Psychiatrica Scandinavica, 102: 256–64.
Miner, JH (1999) Neuropsychological contributions to differential diagnosis of personality disorder in old age. In Personality Disorders in Older Adults: Emerging Issues in Diagnosis and Treatment (eds Rosowsky, E, Abrams, RC, Zweig, RA): 189204. Lawrence Erlbaum Associates.
Mordekar, A, Spence, SA (2008) Personality disorder in older people: how common is it and what can be done? Advances in Psychiatric Treatment, 14: 71–7.
Morse, JQ, Lynch, TR (2004) A preliminary investigation of self-reported personality disorders in late life: prevalence, predictors of depressive severity, and clinical correlates. Aging & Mental Health, 8(4): 307–15.
Oltmanns, TF, Balsis, S (2011) Personality disorders in later life: questions about the measurement, course, and impact of disorders. Annual Review of Clinical Psychology, 27: 321–49.
Oltmanns, JR, Widiger, TA (2018) A self-report measure for the ICD-11 dimensional trait model proposal: the Personality Inventory for ICD-11. Psychological Assessment, 30: 154–69.
Oltmanns, JR, Widiger, TA (2019) Evaluating the assessment of the ICD-11 personality disorder diagnostic system. Psychological Assessment, 31: 674–84.
Paris, J, Brown, R, Nowlis, D (1987) Long-term follow-up of borderline patients in a general hospital. Comprehensive Psychiatry, 28: 530–5.
Plakun, EM (1989) Narcissistic personality disorder: a validity study and comparison to borderline personality disorder. Psychiatric Clinics of North America, 125: 603–20.
Reed, JM, First, MB, Kogan, CS, et al. (2019) Innovations and changes in the ICD-11 classification of mental, behavioural and neurodevelopmental disorders. World Psychiatry, 18: 319.
Rosowsky, E, Lodish, E, Ellison, JM, et al. (2019) A Delphi study of late-onset personality disorders. International Psychogeriatrics [Epub ahead of print] 21 Feb. Available from: https://doi.org/10.1017/S1041610218001473.
Segal, DL, Coolidge, FL, Rosowsky, E (2006a) The odd and eccentric (cluster A) personality disorders and aging. In Personality Disorders and Older Adults: Diagnosis, Assessment, and Treatment: 2354. John Wiley & Sons.
Segal, DL, Coolidge, FL, Rosowsky, E (2006b) The dramatic, emotional and erratic (cluster B) personality disorders and aging. In Personality Disorders and Older Adults: Diagnosis, Assessment, and Treatment: 55102. John Wiley & Sons.
Segal, DL, Coolidge, FL, Rosowsky, E (2006c) The fearful or anxious (cluster C) personality disorders and aging. In Personality Disorders and Older Adults: Diagnosis, Assessment, and Treatment: 103–36. John Wiley & Sons.
Segal, DL, Coolidge, FL, Rosowsky, E (2006d) Epidemiology and comorbidity. In Personality Disorders and Older Adults: Diagnosis, Assessment, and Treatment: 159–84. John Wiley & Sons.
Segal, DL, Coolidge, FL, Rosowsky, E (2006e) Assessment. In Personality Disorders and Older Adults: Diagnosis, Assessment, and Treatment: 229–64. John Wiley & Sons.
Siever, LJ, Davis, KL (1991) A psychobiological perspective on the personality disorders. American Journal of Psychiatry, 148: 1647–58.
Stone, MH (2016) Long-term course of borderline personality disorder. Psychodynamic Psychiatry, 44: 449–74.
Valdivieso-Jiménez, G (2018) Borderline personality disorder in the elderly: brief review. MOJ Gerontology & Geriatrics, 3: 395–8.
van Alphen, SPJ, van Dijk, SDJ, Videlar, AC (2015) Personality disorders in older adults: emerging research issues. Current Psychiatry Reports, 17(1): 538.
Videlar, AC, Hutsebaut, J, Schulkens, JEM, et al. (2019) A life span perspective on borderline personality disorder. Current Psychiatry Reports, 21(7): 51.
World Health Organization (1992) The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. WHO.
World Health Organization (2018) ICD-11 for Mortality and Morbidity Statistics. WHO. Release version available from: https://icd.who.int/browse11/l-m/en.
Zagaria, MAE (2014) Borderline personality disorder in late life: a medication adherence variable. US Pharmacist, 11: 25–8.
Zanarini, MC, Frankenburg, FR, Hennen, J, et al. (2005) The McLean Study of Adult Development (MSAD): overview and implications of the first six years of prospective follow-up. Journal of Personality Disorders, 19: 505–23.
Zweig, RA, Hillman, J (1999) Personality disorders in adults: a review. In Personality Disorders in Older Adults: Emerging Issues in Diagnosis and Treatment (eds Rosowsky, E, Abrams, RC, Zweig, RA): 3153. Lawrence Erlbaum Associates.

Keywords

Personality disorders in later life: epidemiology, presentation and management

  • Ayesha Bangash (a1)

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed.