Research view
Title: | A study of personality disorders among patients with somatization disorder |
Author: | Hiam F. Elsaied, Rania A. Hamed and Yared Belay |
Abstract: |
Background
The fact that there is a high association between personality disorders (PDs) and
somatization disorder (SD) is widely accepted, to the extent that many expert
clinicians find themselves compelled to manage personality traits in patients with
SD to obtain good treatment outcomes.
This study was conducted to identify the distribution of all Diagnostic and Statistical
Manual of Mental Disorders, 4th ed., text revision (DSM-IV-TR) PDs among
patients with SD who were referred from primary care settings.
Patients and methods
This case–control study was conducted from September 2014 to April 2015 and
was approved by the Ethics Committee at Al Amal Psychiatric Hospital, in Almadina
Almonawara, KSA. Demographic data including sex, age, marital status, and
education level of the cases and controls were collected. SD was diagnosed
according to the DSM-IV-TR, whereas PDs were measured using the
Diagnostic Checklist for Personality Disorders.
Results
The ages of cases ranged from 32 to 50 years (mean: 39.21±6.45 years); 55.8% of
the group was male and 67.3% was married; 924.2% of the participants were
educated. There was no significant difference in sociodemographic characteristics.
The incidence of PDs in SD patients was 63.3%, compared with 10% in controls
[odds ratio (OR)=18.5294; 95% confidence interval (95% CI)=5.6686–60.5687].
The highest OR for PDs in patients with SD, compared with that in controls, was for
paranoid personality (OR=18.2063; 95% CI=4.9595–66.8357), followed by
obsessive personality (OR=16.5000; 95% CI=5.8373–46.6399), and histrionic
personality (OR=9.0444; 95% CI=2.4677–33.1489).
Conclusion
PDs in Saudi SD patients is very high. The results were comparable to that found in
British and American studies, supporting the theory of Lillienfield that SD should be
grouped under Axis II disorders of the DSM system and not under Axis I. Paranoid,
obsessive, and histrionic personalities were the most common PD subtypes in SD
patients as regards ORs.
Keywords:
Diagnostic and Statistical Manual of Mental Disorders, 3rd ed, revision, somatization
disorders, personality disorder schedule, personality disorders
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Journal: | Egypt J Psychiatr 38:138–142. 2017 |
Text: | |
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