Online citations, reference lists, and bibliographies.
← Back to Search

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

Save to my Library
Download PDF
Analyze on Scholarcy Visualize in Litmaps
Share
Reduce the time it takes to create your bibliography by a factor of 10 by using the world’s favourite reference manager
Time to take this seriously.
Get Citationsy
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
10.1016/0022-3999(73)90039-1
The detection of psychiatric illness by questionnaire
R. Lévy (1973)
10.1016/0149-7189(79)90094-6
Assessment of client/patient satisfaction: development of a general scale.
D. Larsen (1979)
10.1192/BJP.153.1.44
Personality disorder: the patients psychiatrists dislike.
G. Lewis (1988)
10.1111/j.1600-0447.1990.tb01360.x
The List of Threatening Experiences: the reliability and validity of a brief life events questionnaire
T. S. Brugha (1990)
10.1192/BJP.156.2.261
Personality disorder and psychiatric illness in general practice.
P. Casey (1990)
Morbidity Statistics from General Practice : Fourth National Study
Opcs Rcgp (1991)
10.1136/bmj.305.6854.645-c
Validating the SF-36.
P. Gompertz (1992)
10.1136/bmj.305.6846.160
Validating the SF-36 health survey questionnaire: new outcome measure for primary care.
J. Brazier (1992)
10.1017/S0033291700025551
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)
10.1192/BJP.167.3.324
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)
10.1111/j.1600-0447.1997.tb00386.x
Utilization of psychiatric in‐patient care among new patients in a comprehensive community‐care system: a 3‐year follow‐up study
O. Saarento (1997)
10.1016/S0022-3999(98)00118-4
Frequent consulters in general practice: a systematic review of studies of prevalence, associations and outcome.
D. Gill (1999)
10.1017/S0033291798007545
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)
10.1034/j.1600-0447.2000.102001052.x
The prevalence of personality disorder among UK primary care attenders
P. Moran (2000)



This paper is referenced by
10.1038/s41380-021-01062-9
Genetic and clinical characteristics of treatment-resistant depression using primary care records in two UK cohorts
C. Fabbri (2021)
10.1016/j.copsyc.2020.12.005
Five failures and five challenges for prevention and early intervention for personality disorder.
A. Chanen (2021)
10.1192/bja.2019.76
Borderline personality disorder: part 1 – assessment and diagnosis
Jacqueline Garland (2020)
10.1101/2020.08.24.20178715
Genetic and clinical characteristics of treatment-resistant depression using primary care records in two UK cohorts
C. Fabbri (2020)
10.1002/pmh.1438
The concurrent validity of a Web-based self-report assessment for personality disorders.
F. Chakhssi (2019)
10.1136/practneurol-2019-002292
Borderline personality disorder: an update for neurologists
K. Hall (2019)
10.1016/j.comppsych.2018.01.010
Dysfunctional personality disorder beliefs and lifetime suicide attempts among psychiatrically hospitalized military personnel.
M. Ghahramanlou-Holloway (2018)
10.5114/CIPP.2018.80200
Cross-cultural studies on the prevalence of personality disorders
B. Gawda (2018)
10.1177/0033294117692807
Prevalence of Personality Disorders in a General Population Among Men and Women
B. Gawda (2017)
10.15171/jarcm.2017.008
Reliability and validity of the Farsi version of the standardized assessment of personality-abbreviated scale
Maryam Sepehri (2017)
10.1186/s12888-017-1460-6
Developing a decision tool to identify patients with personality disorders in need of highly specialized care
M. Goorden (2017)
10.1177/2150131917714929
Personality Disorders in Primary Care: Impact on Depression Outcomes Within Collaborative Care
K. Angstman (2017)
10.1007/s10880-017-9525-8
Personality Pathology in Primary Care: Ongoing Needs for Detection and Intervention
S. Huprich (2017)
Personalidad y Malestar Psicológico: Aplicación de un Modelo de Redes Neuronales
A. F. Hernández (2016)
10.1186/s12875-016-0479-y
Suicide risk in primary care patients diagnosed with a personality disorder: a nested case control study
M. Doyle (2016)
10.1002/pmh.1307
Validation of the standardised assessment of personality – abbreviated scale in a general population sample
M. Fok (2015)
The role of positive and negative childhood events in the risk of developing personality disorders
M. Chua (2015)
10.1521/pedi_2013_27_119
Personality disorder and self-rated health: a population-based cross-sectional survey.
M. Fok (2014)
Personality disorder & serious further offending
Laura West (2014)
10.1136/bmj.f5276
Personality disorder
L. Gask (2013)
10.1159/000337970
Diagnostic Efficiency of the German Version of the Self-Rated Standardized Assessment of Personality – Abbreviated Scale
Anja Söchtig (2012)
10.1017/S0033291712000906
Personality disorders, common mental disorders and receipt of disability benefits: evidence from the British National Survey of Psychiatric Morbidity
A. Knudsen (2012)
10.1080/14789949.2010.481720
An idiographic examination of patient progress in the treatment of dangerous and severe personality disorder: a reliable change index approach
S. Draycott (2012)
10.1186/1471-244X-12-94
Screening for personality disorder in incarcerated adolescent boys: preliminary validation of an adolescent version of the standardised assessment of personality – abbreviated scale (SAPAS-AV)
M. Kongerslev (2012)
10.1080/14789949.2012.655763
A comparison of the standardised assessment of personality – abbreviated scale and the offender assessment system personality disorder screen in a probation community sample
Jake Shaw (2012)
Personality disorders: review and clinical application in daily practice.
K. Angstman (2011)
Personality disorders in ADHD Part 2: The effect of symptoms of personality disorder on response to treatment with OROS methylphenidate in adults with ADHD.
R. Robison (2010)
10.1093/INNOVAIT/INP238
AiT: Current Issues in Psychiatry
Matthew Rowett (2010)
10.1016/j.jad.2010.05.023
Clinical utility of Standardised Assessment of Personality - Abbreviated Scale (SAPAS) among patients with first episode depression.
J. Bukh (2010)
10.1007/978-1-59745-387-5
Handbook of Clinical Rating Scales and Assessment in Psychiatry and Mental Health
L. Baer (2010)
Evaluation and development of new intervention services for people with borderline personality disorder
Dan Webb (2009)
Cribado de trastornos de la personalidad: un metaanálisis
M. Gárriz (2009)
See more
Semantic Scholar Logo Some data provided by SemanticScholar