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The Impact Of Personality Disorder In UK Primary Care: A 1-year Follow-up Of Attenders

P. Moran, A. Rendu, R. Jenkins, A. Tylee, A. Mann
Published 2001 · Medicine, Psychology

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Background. The usefulness of the concept of personality disorder has not been properly tested outside psychiatric services. We set out to examine this in primary care, by examining the ability of the diagnosis to predict health status and patterns of service use. Method. A cohort of consecutive attenders, who had previously been rated for the presence of personality disorder using a standardized assessment, was followed-up at 1 year. The participating general practitioners also rated the personalities of, and their attitudes towards, a proportion of this sample of attenders. Results. After adjusting for the effects of all covariates, a rating of personality disorder (generated by the standardized assessment) was associated with frequent attendance to general practice and fewer referrals to secondary care. A GP rating of personality disorder was associated with the prescription of psychotropic medication. The level of agreement between a GP rating of personality disorder and the standardized assessment was poor. GPs rated personality disorder more frequently in participants who were perceived to be less compliant, less likeable and more stressful to deal with. Participants with a psychiatric rating of personality disorder did not attract these negative perceptions. Conclusions. Personality disorder, as rated by a research interview, is a predictor of health service usage. There is a significant disparity between a research rating of personality disorder and the diagnostic ratings made by GPs. The GP ratings of personality disorder were strongly associated with adverse perceptions of the patient's consulting behaviour.
This paper references
The detection of psychiatric illness by questionnaire
R. Lévy (1973)
Assessment of client/patient satisfaction: development of a general scale.
D. Larsen (1979)
Personality disorder: the patients psychiatrists dislike.
G. Lewis (1988)
The List of Threatening Experiences: the reliability and validity of a brief life events questionnaire
T. S. Brugha (1990)
Personality disorder and psychiatric illness in general practice.
P. Casey (1990)
Morbidity Statistics from General Practice : Fourth National Study
Opcs Rcgp (1991)
Validating the SF-36.
P. Gompertz (1992)
Validating the SF-36 health survey questionnaire: new outcome measure for primary care.
J. Brazier (1992)
Inter-rater and temporal reliability of the Standardized Assessment of Personality and the influence of informant characteristics.
J. Pilgrim (1993)
Quality of Life Measurement in Health Care. A Review of Measures and Population Norms for the UK SF-36
C Jenkinson (1993)
The Edinburgh Primary Care Depression Study: personality disorder and outcome.
D. Patience (1995)
Morbidity Statistics from General Practice : Fourth National Study , 1991 – 1992
O. Saarento (1995)
Validation of the 12-item General Health Questionnaire in British general practice
K. Bashir (1996)
Utilization of psychiatric in‐patient care among new patients in a comprehensive community‐care system: a 3‐year follow‐up study
O. Saarento (1997)
Frequent consulters in general practice: a systematic review of studies of prevalence, associations and outcome.
D. Gill (1999)
An assessment of the Standardized Assessment of Personality as a screening instrument for the International Personality Disorder Examination: a comparison of informant and patient assessment for personality disorder.
A. Mann (1999)
The prevalence of personality disorder among UK primary care attenders
P. Moran (2000)

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