Personality disorders in euthymic bipolar patients: a systematic review

Objective:To identify, by means of a systematic review, the frequency with which comorbid personality disorders (PDs) have been assessed in studies of euthymic bipolar patients.Methods:PubMed, ciELO and PsychINFO databases were searched for eligible articles published between 1997 and 2013. After sc...

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Main Authors: Severino Bezerra-Filho, Amanda Galvão-de Almeida, Paula Studart, Marlos V. Rocha, Frederico L. Lopes, Ângela Miranda-Scippa
Format: Article
Language:English
Published: Associação Brasileira de Psiquiatria (ABP) 2015-06-01
Series:Brazilian Journal of Psychiatry
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462015000200162&lng=en&tlng=en
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author Severino Bezerra-Filho
Amanda Galvão-de Almeida
Paula Studart
Marlos V. Rocha
Frederico L. Lopes
Ângela Miranda-Scippa
author_facet Severino Bezerra-Filho
Amanda Galvão-de Almeida
Paula Studart
Marlos V. Rocha
Frederico L. Lopes
Ângela Miranda-Scippa
author_sort Severino Bezerra-Filho
collection DOAJ
description Objective:To identify, by means of a systematic review, the frequency with which comorbid personality disorders (PDs) have been assessed in studies of euthymic bipolar patients.Methods:PubMed, ciELO and PsychINFO databases were searched for eligible articles published between 1997 and 2013. After screening 1,249 empirical papers, two independent reviewers identified three articles evaluating the frequency of PDs in patients with bipolar disorders assessed in a state of euthymia.Results:The total sample comprised 376 euthymic bipolar patients, of whom 155 (41.2%) had at least one comorbid PD. Among them, we found 87 (23.1%) in cluster B, 55 (14.6%) in cluster C, and 25 (6.6%) in cluster A. The frequencies of PD subtypes were: borderline, 38 (10.1%); histrionic, 29 (7.7%); obsessive-compulsive, 28 (7.4%); dependent, 19 (5%); narcissistic, 17 (4.5%); schizoid, schizotypal, and avoidant, 11 patients each (2.95%); paranoid, five (1.3%); and antisocial, three (0.79%).Conclusion:The frequency of comorbid PD was high across the spectrum of euthymic bipolar patients. In this population, the most common PDs were those in cluster B, and the most frequent PD subtype was borderline, followed by histrionic and obsessive-compulsive.
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spelling doaj.art-b1ff2f66796b47e4969631d6df45d9512022-12-22T01:05:34ZengAssociação Brasileira de Psiquiatria (ABP)Brazilian Journal of Psychiatry1809-452X2015-06-0137216216710.1590/1516-4446-2014-1459S1516-44462015000200162Personality disorders in euthymic bipolar patients: a systematic reviewSeverino Bezerra-FilhoAmanda Galvão-de AlmeidaPaula StudartMarlos V. RochaFrederico L. LopesÂngela Miranda-ScippaObjective:To identify, by means of a systematic review, the frequency with which comorbid personality disorders (PDs) have been assessed in studies of euthymic bipolar patients.Methods:PubMed, ciELO and PsychINFO databases were searched for eligible articles published between 1997 and 2013. After screening 1,249 empirical papers, two independent reviewers identified three articles evaluating the frequency of PDs in patients with bipolar disorders assessed in a state of euthymia.Results:The total sample comprised 376 euthymic bipolar patients, of whom 155 (41.2%) had at least one comorbid PD. Among them, we found 87 (23.1%) in cluster B, 55 (14.6%) in cluster C, and 25 (6.6%) in cluster A. The frequencies of PD subtypes were: borderline, 38 (10.1%); histrionic, 29 (7.7%); obsessive-compulsive, 28 (7.4%); dependent, 19 (5%); narcissistic, 17 (4.5%); schizoid, schizotypal, and avoidant, 11 patients each (2.95%); paranoid, five (1.3%); and antisocial, three (0.79%).Conclusion:The frequency of comorbid PD was high across the spectrum of euthymic bipolar patients. In this population, the most common PDs were those in cluster B, and the most frequent PD subtype was borderline, followed by histrionic and obsessive-compulsive.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462015000200162&lng=en&tlng=enBipolar disorderaffective disordermood disorderpersonality disorderscomorbidity
spellingShingle Severino Bezerra-Filho
Amanda Galvão-de Almeida
Paula Studart
Marlos V. Rocha
Frederico L. Lopes
Ângela Miranda-Scippa
Personality disorders in euthymic bipolar patients: a systematic review
Brazilian Journal of Psychiatry
Bipolar disorder
affective disorder
mood disorder
personality disorders
comorbidity
title Personality disorders in euthymic bipolar patients: a systematic review
title_full Personality disorders in euthymic bipolar patients: a systematic review
title_fullStr Personality disorders in euthymic bipolar patients: a systematic review
title_full_unstemmed Personality disorders in euthymic bipolar patients: a systematic review
title_short Personality disorders in euthymic bipolar patients: a systematic review
title_sort personality disorders in euthymic bipolar patients a systematic review
topic Bipolar disorder
affective disorder
mood disorder
personality disorders
comorbidity
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462015000200162&lng=en&tlng=en
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