The aim of the present study is to establish the prevalence of personality disorders (PDs) in a healthy (nonclinical) Polish population, to examine sex difference in PDs, and to show the structure of clusters which PDs form with regard to men and women. A large sample of 1460 individuals of age between 18 and 65 years was examined. The Structured Clinical Interview for Axis II was used to obtain information on PDs, the Mini International Neuropsychiatric Interview to obtain information on other disorders, and an interview to record demographic data. Results show that approximately 9% of the sample had at least one PD (the overall rate is 8.9%) and rates on sex differences in PDs are similar to other European and North American countries. The most prevalent PDs are obsessive-compulsive (9.6%), narcissistic (7%), and borderline (7%). Results show the considerable comorbidity of PDs which means that about 9% of the adult population have at least one PD and in fact they display features of many specific PDs. A factor analysis revealed that 12 PDs form different clusters in men and women.
AlarconR. (1996) Personality disorders and culture in DSM-IV: A critique. Journal of Personality Disorder10: 260–270.
2.
American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders (DSM-4th ed.), Washington, DC: American Psychiatric Press.
3.
American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders -5th edition, Washington, DC: Author.
4.
Ben-ZurH.ZeidnerM. (1988) Sex differences in anxiety, curiosity, and anger: A cross-cultural study. Sex Roles19: 335–347.
5.
BernsteinD. P.IscanC.MaserJ. (2007) Opinions of personality disorder experts regarding the DSM-IV personality d disorders classification. Journal of Personality Disorders21: 536–551.
6.
BhugraD.BhuiK. (2001) Cross-cultural psychiatry: A practical guide, London, England: Arnold.
7.
BodlundO.EkseliusL.LindströmE. (1993) Personality traits and disorders among psychiatric outpatients and normal subjects on the basis of the SCID screen questionnaire. Nordic Journal of Psychiatry47: 425–433.
8.
BussD. M. (2009) How can evolutionary psychology successfully explain personality and individual differences. Perspectives on Psychological Science4(4): 359–366.
9.
CalliessI. T.SiebererM.MachleidtW.ZiegenbeinM. (2008) Personality disorders in a cross-cultural perspective: Impact of culture and migration on diagnosis and etiological aspects. Current Psychiatry Reviews4: 39–47.
10.
CanliT.DesmondJ. E.ZhaoZ.GabrieliJ. D. E. (2002) Sex differences in the neural basis of emotional memories. Proceeding of the Nation Academy Science of the USA6(99): 10789–10794.
11.
CastanedaR.FrancoH. (1985) Sex and ethnic distribution of borderline personality disorder in an inpatient sample. American Journal of Psychiatry142: 1202–1203.
12.
ChangS. C. (1995) The cultural context of Japanese psychiatry and psychotherapy. American Journal of Psychotherapy19: 593–606.
13.
ChiesaM.FonagyP.HolmesJ.DrahoradC.Harrison-HallA. (2002) Health service use costs by personality disorders following specialist and nonspecialist treatment: A comparative study. Journal of Personality Disorders1692: 160–173.
14.
CoidJ.YangM.TyrerP.RobertsA.UlrichS. (2006) Prevalence and correlates of personality disorder among adults aged 16 to 74 in Great Britain. British Journal of Psychiatry188: 423–431.
15.
CookeD. J.MichieC. (1999) Psychopathy across cultures: North America and Scotland compared. Journal of Abnormal Psychology108: 58–68.
16.
CorbittE. M.WidigerT. A. (1995) Sex differences among the personality disorders: An exploration of the data. Clinical Psychology: Science and Practise2: 225–238.
17.
CrawfordT. N.CohenP.JohnsonJ. G.KasenS.FirstM. B.GordonK.BrookJ. S. (2005) Self-reported personality disorder in the children in the community sample: Convergent and prospective validity in late adolescence and adulthood. Journal of Personality Disorders19: 30–52.
18.
de GirolamoG.DottoP. (2000) Epidemiology of personality disorders. In: GelderM. G.Lopez-IborJ. J.AndreasenN. C. (eds) New oxford textbook of psychiatry, New York, NY: Oxford University Press, pp. 959–964.
19.
FigueredoA. J.HammondK. R.McKiernanE. C. (2006) A Brunswikian evolutionary developmental theory of preparedness and plasticity. Intelligence34: 211–227.
20.
FirstM. B.GibbonM.SpitzerR. L.WilliamsJ. B. W.BenjaminL. S. (1997) Structured clinical interview for DSM-IV Axis II personality disorders (SCID- II), Washington, DC: American Psychiatric Publishing.
21.
FirstM. B.GibbonM.SpitzerR. L.WilliamsJ. B. W.BenjaminL. S.ZawadzkiB.PraglowskaE. (2010) Ustrukturalizowany Wywiad Kliniczny do Badania Zaburzeń Osobowości z osi II DSM-IV [Structured Clinical Interview for DSM-IV Axis II Personality Disorders - SCID- II], Warszawa, Poland: PTP.
22.
FowlerK. A.O'DonohueW. T.LilenfeldS. O. (2007) Personality disorders in perspectives. In: O'DonohueW. T.FowlerK. A.LilenfeldS. O. (eds) Personality disorders. Toward the DSM-V, Los Angeles, CA: Sage, pp. 1–20.
23.
FujitaF.DienerE.SandvikE. (1991) Gender differences in negative affect and well-being. The case of emotional intensity. Journal of Personality and Social Psychology61: 427–434.
24.
GrantB. F.ChouS. P.GoldsteinR. B.HuangB.StinsonF. S.SahaT. D.RuanW. J. (2008) Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: Results from the Wave 2 National Epidemiologic Survey on alcohol and related conditions. Journal of Clinical Psychiatry69(4): 533–545.
25.
GrantB. F.HasinD. S.StinsonF. S.DawsonD. A.ChouS. P.RuanW. J.PickeringR. P. (2004) Prevalence, correlates, and disability of personality disorders in the United States: Results from the national epidemiologic survey on alcohol and related conditions. Journal of Clinical Psychiatry65(7): 948–958.
26.
HuangB.GrantB. F.DawsonD. A.StinsonF. S.ChouS. P.SahaT. D.RuanW. J. (2006) Race-ethnicity and the prevalence and co-occurrence of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, alcohol and drug use disorders and Axis I and II disorders: United States, 2001 to 2002. Comprehensive Psychiatry47(4): 252–257.
27.
ICD-10 (1992) International Statistical Classification of Diseases and Related Health Problem, Geneva, Switzerland: WHO.
28.
JaneJ. S.OltmannsT. F.SouthS. C.TurkheimerE. (2007) Gender bias in diagnostic criteria for personality disorders: An item response theory analysis. Journal of Abnormal Psychology116(1): 166–175.
29.
JohnsonS. L.LeedomL. J.MuhtadieL. (2012) The dominance behavioral system and psychopathology: Evidence from self-report, observational and biological studies. Psychological Bulletin138(4): 692–743.
30.
KesslerR. C.McGonagleK. A.ZhaoS.NelsonC. B.HughesM.EshlemanS. (1993) Lifetime and 12-month prevalence of DSM-II-R psychiatric disorders in the United States: Results from National Comorbidity survey. Archives of General Psychiatry51: 8–19.
31.
KlonskyE. D.JaneJ. S.TurkheimerE.OltmannsT. F. (2002) Gender role and personality disorders. Journal of Personality Disorders16(5): 464–476.
32.
LeedomL. J. (2014) Human social behavioural systems: Ethological framework for a unified theory. Human Ethology Bulletin29(1): 39–65.
33.
LenzenwegerM. F. (2008) Epidemiology of personality disorders. Psychiatric Clinics of North America31: 395–403. .
34.
LenzenwegerM. F.LorangerA. W.KorfineI.NeffC. (1997) Detecting personality disorders in a nonclinical population. Application of a 2-stage procedure for case identification. Archives of General Psychiatry54: 345–351.
35.
LorangerA. W.JancaA.SartoriusN. (1997) Assessment and diagnosis of personality disorders: The ICD-10 international personality disorder examination (IPDE), Cambridge, England: Cambridge University Press.
36.
LorangerA. W.SartoriusN.AndreoliA.BergerP.BuchheimP.ChannabasavannaS. M.RegierD. A. (1994) The international personality disorder examination (IPDE). The WHO/ADAMHA international pilot study of personality disorders. Archives of General Psychiatry51: 215–224.
37.
MacDonaldP. (2014) Narcissism in the modern world. Psychodynamic Practice20(2): 144–153.
38.
MaierW.LichtermannD.KlinglerT.HeunR.HallmeyerJ. (1992) Prevalence of personality disorders (DSM-III-R) in the community. Journal of Personality Disorders6: 187–196.
39.
McGillowayA.HallR.LeeT.BhuiK. (2010) A systematic review of personality disorder, race and ethnicity: Prevalence, etiology and treatment. BMC Psychiatry10: 33, doi:10.1186/1471-244X-10-33.
40.
MolinaJ. D.Lόpez-MunozF.SteinD. J.Martin-VásquezM. J.AlamoC.Lerma-CarrilloI.Calle-RealM. (2009) Borderline personality disorder: A review and reformulation from evolutionary theory. Medical Hypotheses73: 382–386.
41.
MoranP.RooneyK.TyrerP.CoidJ. (2016) Personality disorders. In: McManusS.BebbingtonP.JenkinsR.BrughaT. (eds) Mental health and wellbeing in England: Adult Psychiatric Morbidity Survey, Leeds, England: NHS Digital.
42.
MoranP.RenduA.JenkinsR.TyleeA.MannA. (2001) The impact of personality disorder in UK primary care: A 1-year follow- up of attenders. Psychological Medicine31(8): 1447–1454.
43.
MulderR. T. (2002) Personality pathology and treatment outcome in major depression: A review. American Journal of Psychiatry159(3): 359–371.
44.
NesseR. (1998) Emotional disorders in evolutionary perspective. British Journal of Medical Psychology71: 397–415.
45.
ParisJ. (2004) Gender differences in personality traits and disorders. Current Psychiatry Reports6(1): 71–74.
46.
PulayA. J.StinsonF. S.DawsonD. A.GoldsteinR. B.ChouS. P.HuangB.GrantB. F. (2009) Prevalence, correlates, disability, and comorbidity of DSM-IV schizotypal personality disorder: Results from the Wave II national epidemiologic survey on alcohol and related conditions. Primary Care Companion Journal of Clinical Psychiatry11(2): 53–67.
47.
RobichaudM.DugasM. J. (2002) Gender differences in worry and associated cognitive-behavioural variables. Journal of Anxiety Disorders17: 501–516.
48.
SamuelsJ.EatonW. W.BienvenuO. J.IIIBrownC. H.CostaP. T.Jr.NestadtG. (2002) Prevalence and correlates of personality disorders in a community sample. British Journal of Psychiatry180: 536–542.
49.
SeidlitzL.DienerE. (1998) Sex differences in the recall of affective experience. Journal of Personality and Social Psychology74: 262–271.
50.
SheehanD. V.LecrubierI.SheehanK. H.AmorimP.JanavsJ.WeillerE.DunbarG. C. (1998) The Mini-International Neuropsychiatric Interview (M.I.N.I.). The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry59: 22–33.
51.
SheehanD. V.LecrubierI.SheehanK. H.JanavsJ.WeillerE.KeskinerJ.DunbarG. C. (1997) The validity of the Mini International Neuropsychiatric Interview (MINI) according to the SCID-P and its reliability. European Psychiatrist12(5): 232–241.
52.
TangS. W.HuangY. (1995) Diagnosing personality disorders in China. International Medical Journal2: 291–297.
53.
TorgersenS.KringlenE.CramerV. (2001) The prevalence of personality disorders in a community sample. Archives of General Psychiatry58(6): 590–596.
54.
TwengeJ. M.CampbellW. K. (2009) The narcissism epidemic: Living in the age of entitlement, New York, NY: Free Press.
55.
TyrerP.MulderR.CrawfordM.Newton-HowesG.SimonsenE.NdeteiD. (2010) Personality disorder: A new global perspective. World Psychiatry9: 56–60.
56.
YangJ.McCreaR. R.CostaP. T. (2000) The cross-cultural generalizability of Axis-II construct: An evaluation of two personality disorder assessment instruments in the People's Republic of China. Journal of Personality Disorders14: 249–263.
57.
ZimmermanM.RothschildL.ChelminskiI. (2005) The prevalence of DSM-IV personality disorders in psychiatric outpatients. American Journal of Psychiatry162: 1911–1918.
58.
ZondagH. J.Van HalenC.WojtkowiakJ. (2009) Overt and covert narcissism in Poland and The Netherland. Psychological Reports104(3): 833–843.
