The epidemiology of personality disorders in the Sao Paulo Megacity general population.
Most studies on the epidemiology of personality disorders (PDs) have been conducted in high-income countries and may not represent what happens in most part of the world. In the last decades, population growth has been concentrated in low- and middle-income countries, with rapid urbanization, increa...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2018-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC5978986?pdf=render |
| _version_ | 1818108842568843264 |
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| author | Geilson Lima Santana Bruno Mendonca Coelho Yuan-Pang Wang Alexandre Dias Porto Chiavegatto Filho Maria Carmen Viana Laura Helena Andrade |
| author_facet | Geilson Lima Santana Bruno Mendonca Coelho Yuan-Pang Wang Alexandre Dias Porto Chiavegatto Filho Maria Carmen Viana Laura Helena Andrade |
| author_sort | Geilson Lima Santana |
| collection | DOAJ |
| description | Most studies on the epidemiology of personality disorders (PDs) have been conducted in high-income countries and may not represent what happens in most part of the world. In the last decades, population growth has been concentrated in low- and middle-income countries, with rapid urbanization, increasing inequalities and escalation of violence. Our aim is to estimate the prevalence of PDs in the Sao Paulo Metropolitan Area, one of the largest megacities of the world. We examined sociodemographic correlates, the influence of urban stressors, the comorbidity with other mental disorders, functional impairment and treatment.A representative household sample of 2,942 adults was interviewed using the WHO-Composite International Diagnostic Interview and the International Personality Disorder Examination-Screening Questionnaire. Diagnoses were multiply imputed, and analyses used multivariable regression.Prevalence estimates were 4.3% (Cluster A), 2.7% (Cluster B), 4.6% (Cluster C) and 6.8% (any PD). Cumulative exposure to violence was associated with all PDs except Cluster A, although urbanicity, migration and neighborhood social deprivation were not significant predictors. Comorbidity was the rule, and all clusters were associated with other mental disorders. Lack of treatment is a reality in Greater Sao Paulo, and this is especially true for PDs. With the exception of Cluster C, non-comorbid PDs remained largely untreated in spite of functional impairment independent of other mental disorders.Personality disorders are prevalent, clinically significant and undertreated, and public health strategies must address the unmet needs of these subjects. Our results may reflect what happens in other developing world megacities, and future studies are expected in other low- and middle-income countries. |
| first_indexed | 2024-12-11T02:21:47Z |
| format | Article |
| id | doaj.art-2e933f2d939c48088fae43cdc2fee280 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-11T02:21:47Z |
| publishDate | 2018-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-2e933f2d939c48088fae43cdc2fee2802022-12-22T01:24:02ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01134e019558110.1371/journal.pone.0195581The epidemiology of personality disorders in the Sao Paulo Megacity general population.Geilson Lima SantanaBruno Mendonca CoelhoYuan-Pang WangAlexandre Dias Porto Chiavegatto FilhoMaria Carmen VianaLaura Helena AndradeMost studies on the epidemiology of personality disorders (PDs) have been conducted in high-income countries and may not represent what happens in most part of the world. In the last decades, population growth has been concentrated in low- and middle-income countries, with rapid urbanization, increasing inequalities and escalation of violence. Our aim is to estimate the prevalence of PDs in the Sao Paulo Metropolitan Area, one of the largest megacities of the world. We examined sociodemographic correlates, the influence of urban stressors, the comorbidity with other mental disorders, functional impairment and treatment.A representative household sample of 2,942 adults was interviewed using the WHO-Composite International Diagnostic Interview and the International Personality Disorder Examination-Screening Questionnaire. Diagnoses were multiply imputed, and analyses used multivariable regression.Prevalence estimates were 4.3% (Cluster A), 2.7% (Cluster B), 4.6% (Cluster C) and 6.8% (any PD). Cumulative exposure to violence was associated with all PDs except Cluster A, although urbanicity, migration and neighborhood social deprivation were not significant predictors. Comorbidity was the rule, and all clusters were associated with other mental disorders. Lack of treatment is a reality in Greater Sao Paulo, and this is especially true for PDs. With the exception of Cluster C, non-comorbid PDs remained largely untreated in spite of functional impairment independent of other mental disorders.Personality disorders are prevalent, clinically significant and undertreated, and public health strategies must address the unmet needs of these subjects. Our results may reflect what happens in other developing world megacities, and future studies are expected in other low- and middle-income countries.http://europepmc.org/articles/PMC5978986?pdf=render |
| spellingShingle | Geilson Lima Santana Bruno Mendonca Coelho Yuan-Pang Wang Alexandre Dias Porto Chiavegatto Filho Maria Carmen Viana Laura Helena Andrade The epidemiology of personality disorders in the Sao Paulo Megacity general population. PLoS ONE |
| title | The epidemiology of personality disorders in the Sao Paulo Megacity general population. |
| title_full | The epidemiology of personality disorders in the Sao Paulo Megacity general population. |
| title_fullStr | The epidemiology of personality disorders in the Sao Paulo Megacity general population. |
| title_full_unstemmed | The epidemiology of personality disorders in the Sao Paulo Megacity general population. |
| title_short | The epidemiology of personality disorders in the Sao Paulo Megacity general population. |
| title_sort | epidemiology of personality disorders in the sao paulo megacity general population |
| url | http://europepmc.org/articles/PMC5978986?pdf=render |
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