A study was conducted to investigate the extent to which adolescents diagnosed with one or more personality disorders on a self-report instrument are at an elevated risk for psychiatric symptomatology and psychoactive substance abuse. A modified version of the Personality Diagnostic Questionnaire-Revised (PDQ-R), the Revised Hopkins Symptom Checklist (SCL-90-R), and a standard retrospective substance use diary were administered to 441 undergraduate students, 181 and 166 of whom participated in 1- and 2-month follow-up sessions at which the SCL-90-R and the substance use diary were read ministered. Results were that (a) personality disorder prevalence estimates produced by the modified PDQ-R approximated those obtained by previous researchers who have administered structured clinical interviews to general community samples; and (b) individuals diagnosed with one or more personality disorders by the modified PDQ-R manifested higher levels of psychiatric symptomatology and substance use at both baseline and follow-up than did nondiagnosed subjects.
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References
1.
Alnaes, R. , & Torgerson, S. (1988). The relationship between DSM-Ill symptom disorders (Axis I) and personality disorders (Axis II) in an outpatient population. Acta Psychiatrica Scandanavica, 78, 485-492.
2.
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.
3.
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.
4.
Andreoli, A. , Gressot, G., Aapro, N., Tricot, L., & Gognalons, M. Y (1989). Personality disorders as a predictor of outcome. Journal of Personality Disorders, 3, 307-320.
5.
Bornstein, R. F. (1993). The dependent personality. New York: Guilford.
6.
Brooner, R. K. , Schmidt, C. W., Felch, L. J., & Bigelow, G. E. (1992). Antisocial behavior of intravenous drug abusers: Implications for diagnosis of antisocial personality disorder. American Journal of Psychiatry, 149, 482-487.
7.
Bukstein, O. G. , Brent, D., & Kaminer, Y (1989). Comorbidity of substance abuse and other psychiatric disorders in adolescents. American Journal of Psychiatry, 146, 1131-1141.
8.
Coryell, W. H. , & Zimmerman, M. (1989). Personality disorder in the families of depressed, schizophrenic, and never-ill probands. American Journal of Psychiatry, 146, 496-502.
9.
Derogatis, L. R. (1983). SCL-90-R Administration, scoring & procedures manual-II. Towson, MD: Clinical Psychometric Research.
10.
Drake, R. E. , & Vaillant, G. E. (1988). Introduction: Longitudinal views of personality disorder. Journal of Personality Disorders, 2, 44-48.
11.
Dulit, R. A. , Fyer, M. R., Haas, G. L., Sullivan, T., & Frances, A. J. (1990). Substance use in borderline personality disorder. American Journal of Psychiatry, 147, 1002-1007.
12.
First, M. B. , Spitzer, R. L., Gibbon, M., & Williams, J.B.W. (1993). The Structured Clinical Interview for DSM-III-R Personality Disorders (SCID-II), Part I. Description. Manuscript submitted for publication.
13.
Frances, A. J. (1980). The DSM-Ill personality disorders section: A commentary. American. Journal of Psychiatry, 137, 1050-1054.
14.
Gunderson, J. G. , & Zanarini, M. (1987). Current overview of the borderline diagnosis. Journal of Clinical Psychiatry, 48(Suppl.), 5-11.
15.
Hunt, C. , & Andrews, G. (1992). Measuring personality disorder: The use of self-report questionnaires. Journal of Personality Disorders, 6, 125-133.
16.
Hyler, S. E. , & Rieder, R. O. (1987). PDQ-R: Personality Diagnostic Questionnaire-Revised. New York: New York State Psychiatric Institute.
17.
Hyler, S. E. , Skodol, A. E., Kellman, H. D., Oldham, J. M., & Rosnick, L. (1990). Validity of the Personality Diagnostic Questionnaire-Revised: Comparison with two structured interviews. American Journal of Psychiatry, 147, 1043-1048.
18.
Hyler, S. E. , Skodol, A. E., Oldham, J. M., Kellman, H. D., & Doidge, N. (1992). Validity of the Personality Diagnostic Questionnaire-Revised: A replication in an outpatient sample. Comprehensive Psychiatry, 33, 73-77.
19.
Johnson, J. G. (1993). Relationships between psychosocial development and personality disorder symptomatology in late adolescents. Journal of Youth and Adolescence, 22, 33-42.
20.
Johnson, J. G. , & Bornstein, R. F. (1991). Personality Diagnostic Questionnaire-Revised (PDQ-R) personality disorder scores and negative life events independently predict changes in Hopkins Symptom Checklist (SCL-90) psychopathology scores. Journal of Psychopathology and Behavioral Assessment, 13, 61-72.
21.
Johnson, J. G. , & Bornstein, R. F. (1992). Utility of the Personality Diagnostic Questionnaire-Revised in a nonclinical population. Journal of Personality Disorders, 6, 444-451.
22.
Johnson, J. G. , Bornstein, R. F., & Krukonis, A. B. (1992). Defense styles as predictors of personality disorder symptomatology. Journal of Personality Disorders, 6, 408-416.
23.
Johnson, J. G. , Hyler, S. E., & Skodol, A. E. (1993). Development of a modified scoring algorithm for the PDQ-R: Improving personality disorder diagnosis with a self-report instrument. Unpublished manuscript.
24.
Khantzian, E. J. , & Treece, C. (1985). DSM-III psychiatric diagnosis of narcotic addicts. Archives of General Psychiatry, 42, 1067-1071.
25.
Koenigsberg, H. W. , Kaplan, R. D., Gilmore, M. M., & Cooper, A. M. (1985). The relationship between syndrome and personality disorder in DSM-III: Experience with 2,462 patients. American Journal of Psychiatry, 142, 207-212.
26.
Loranger, A. W. (1992). Are current self-report and interview measures adequate for epidemiological studies of personality disorders? Journal of Personality Disorders, 6, 313-325.
27.
Loranger, A. W. , Susman, V. L., Oldham, J. M., & Russakoff, L. M. (1985). Personality Disorder Examination: A structured interview for DSM-III-R personality disorders. White Plains: New York Hospital-Cornell Medical Center, Westchester Division.
28.
Loranger, A. W. , Susman, V. L., Oldham, J. M., & Russakoff, L. M. (1987). The Personality Disorder Examination: A preliminary report. Journal of Personality Disorders, 1, 1-13.
29.
Maier, W. , Lichtennann, D., Klingler, T., Heun, R., & Hallmayer, J. (1992). Prevalences of personality disorders (DSM-III-R) in the community. Journal of Personality Disorders, 6, 187-196.
30.
Merikangas, K. R. , & Weissman, M. M. (1986). Epidemiology of DSM-III Axis II personality disorders. In A. J. Frances & R. E. Hales (Eds.), Psychiatric update (Vol. 5). Washington, DC: American Psychiatric Press.
31.
Nace, E. P. , Davis, C. W., & Gaspari, J. P. (1991). Axis II comorbidity in substance abusers. American Journal of Psychiatry, 148, 118-120.
32.
O'Hare, T. (1991). Measuring alcohol consumption: A comparison of the retrospective diary and the quantity-frequency methods in a college drinking survey. Journal of Studies on Alcohol, 52, 500-502.
33.
Overholser, J. C. (1992). Aggregation of personality measures: Implications for personality disorder research. Journal of Personality Disorders, 6, 267-277.
34.
Perry, J. C. (1988). A prospective study of life stress, defenses, psychotic symptoms, and depression in borderline and antisocial personality disorders and bipolar Type II affective disorder. Journal of Personality Disorders, 2, 49-59.
35.
Perry, J. C. (1992). Problems and considerations in the valid assessment of personality disorders. American Journal of Psychiatry, 149, 1645-1653.
36.
Pfohl, B. , Coryell, W., Zimmerman, M., & Stangl, D. (1987). Prognostic validity of self-report and interview measures of personality disorder in depressed inpatients. Journal of Clinical Psychiatry, 48, 468-472.
37.
Regier, D. A. , Farmer, M. E., Rae, D. S., Locke, B. Z., Keith, S. J., Judd, L. L., & Goodwin, F. K. (1990). Comorbidity of mental disorders with alcohol and other drug abuse: Results from the Epidemiological Catchment Area (ECA) study. Journal of the American Medical Association, 264, 2511-2518.
38.
Robins, L. N. , & Regier, D. A. (1991). Psychiatric disorders in America. New York: Free Press.
39.
Rosenthal, R. , & Rosnow, R. L. (1991). Essentials of behavioral research: Methods and data analysis. New York: McGraw-Hill.
40.
Spitzer, R. L. , Williams, J.B.W., & Gibbon, M. (1987). Structured Clinical Interview for the DSM-III-R Personality Disorders (SCIDII). Washington, DC: American Psychiatric Association.
41.
Stangl, D. , Pfohl, B., Zimmerman, M., Bowers, W., & Corenthal, C. (1985). A structured interview for the DSM-III personality disorders. Archives of General Psychiatry, 42, 591.
42.
Swartz, M. , Blazer, D., George, L., & Winfield, I. (1990). Estimating the prevalence of borderline personality disorder in the community. Journal of Personality Disorders, 4, 257-272.
43.
Tyrer, P. , & Alexander, J. (1979). Classification of personality disorder. British Journal of Psychiatry, 135, 163-167.
44.
Zimmerman, M. , & Coryell, W. (1989). DSM-Ill personality disorder diagnoses in a nonpatient sample. Archives of General Psychiatry, 46, 682-689.
45.
Zimmerman, M. , & Coryell, W. (1990). Diagnosing personality disorders in the community: A comparison of self-report and interview measures. Archives of General Psychiatry, 47, 527-531.
