Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-18T04:25:13.370Z Has data issue: false hasContentIssue false

Use of the ICD-10 version of the Standardized Assessment of Personality to determine the prevalence of personality disorder in psychiatric in-patients

Published online by Cambridge University Press:  09 July 2009

John Pilgrim*
Affiliation:
Academic Department of Psychiatry, Royal Free Hospital, London
Anthony Mann
Affiliation:
Academic Department of Psychiatry, Royal Free Hospital, London
*
1Address for correspondence: Dr J. A. Pilgrim, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF.

Synopsis

The Standardized Assessment of Personality (SAP) involves a short semi-structured interview with an informant. It was modified to accord with the 1987 draft of the tenth revision of the International Classification of Diseases (ICD-10) and used to assess the pre-morbid personality of first-admission patients in one London area over the period of one year. Of the 120 (84% of the total sample of first-admissions) patients included, 43 (36%) were found to satisfy the ICD-10 criteria for personality disorder and a further 17 (14%) to satisfy the criteria for personality trait accentuation.

Type
Preliminary Communication
Copyright
Copyright © Cambridge University Press 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Alarcon, R. D. (1984). Personality disorder as a pathogenic factor in bereavement. Journal of Nervous and Mental Disease 172, 4547.Google Scholar
American Psychiatric Association (1987). Diagnostic and Statistical Manual of Mental Disorders: third ed – revised. AMA: Washington, DC.Google Scholar
Ballinger, B. R. & Reid, A. H. (1987). A standardized assessment of personality disorder in mental handicap. British Journal of Psychiatry 150, 108109.Google Scholar
Casey, P. R. & Tyrer, P. J. (1986). Personality, functioning and symptomatology. Journal of Psychiatric Research 20, 363374.CrossRefGoogle ScholarPubMed
Cutting, J., Cowen, P. J., Mann, A. H. & Jenkins, R. (1986). Personality and psychosis: use of the standardized assessment of personality. Acta Psychiatrica Scandinavica 73, 8792.Google Scholar
Dahl, A. A. (1986). Some aspects of the DSM-III personality disorders illustrated by a consecutive sample of hospitalized patients. Acta Psychiatrica Scandinavica, Suppl. 328, 6167.CrossRefGoogle ScholarPubMed
Hirschfeld, R. M. A., Klerman, G. L., Clayton, P. J., Keller, M. B., McDonald-Scott, P. & Larkin, B. H. (1983). Assessing personality: effects of the depressive state on trait measurement. American Journal of Psychiatry 140, 695699.Google Scholar
Levin, P. L. & Hyler, S. E. (1986). DSM-III personality diagnosis in bulimia. Comprehensive Psychiatry 27, 4753.CrossRefGoogle ScholarPubMed
Mann, A. H., Jenkins, R., Cutting, J. C. & Cowen, P. J. (1981). The development and use of a standardized assessment of abnormal personality. Psychological Medicine 11, 839847.Google Scholar
Pfohl, B., Coryell, W., Zimmerman, M. & Stangl, D. (1986). DSM-III personality disorders: diagnostic overlap and internal consistency of individual DSM-III criteria. Comprehensive Psychiatry 27, 2134.Google Scholar
Pilkonis, A. P. & Frank, E. (1988). Personality pathology in recurrent depression: nature, prevalence and relationship to treatment response. American Journal of Psychiatry 145, 435441.Google Scholar
Pilowsky, I. (1979). Personality and depressive illness. Acta Psychiatrica Scandinavica 60, 170176.CrossRefGoogle ScholarPubMed
Reich, J. (1987). Sex distribution of DSM-3 personality disorders in psychiatric outpatients. American Journal of Psychiatry 144, 485488.Google Scholar
Reich, J., Noyes, R. Jr., Coryell, W. & O'Gorman, T. W. (1986). The effect of state anxiety on personality measurement. American Journal of Psychiatry 143, 760763.Google ScholarPubMed
Soloff, P. H., George, A., Nathan, R. S., Schulz, P. M. & Perel, J. M. (1986). Paradoxical effects of amitriptyline on borderline patients. American Journal of Psychiatry 143, 16031605.Google ScholarPubMed
Stangl, D., Pfohl, B., Zimmerman, M., Bowers, W. & Corenthal, C. (1985). A structured interview for the DSM-III personality disorders. Archives of General Psychiatry 42, 591596.Google Scholar
Tyrer, P., Alexander, M. S., Cicchetti, D., Cohen, M. S. & Remington, M. (1979). Reliability of a schedule for rating personality disorders. British Journal of Psychiatry 135, 168174.Google Scholar
Tyrer, P., Casey, P. & Gall, J. (1983). Relationship between neurosis and personality disorder. British Journal of Psychiatry 142, 404408.Google Scholar
Vaillant, G. E. (1964). Prospective predictors of schizophrenic remission. Archives of General Psychiatry 11, 509518.CrossRefGoogle Scholar
World Health Organization (1987, 1989). Tenth Revision of the International Classification of Diseases, chapter 5. Draft for field trials. WHO: Geneva.Google Scholar
Zanarini, M. C., Frankenburg, F. R., Chauncey, D. L. & Gunderson, J. G. (1987). The diagnostic interview for personality disorders: interrater and test-retest reliability. Comprehensive Psychiatry 28, 467480.CrossRefGoogle ScholarPubMed
Zimmerman, M., Coryell, W., Pfohl, B., Corenthal, C. & Stangl, D. (1986). ECT response in depressed patients with and without a DSM-III personality disorder. American Journal of Psychiatry 143, 10301032.Google Scholar