Personality disorders in veterans with posttraumatic stress disorder and depression

Authors

  • Nancy Jo Dunn,

    Corresponding author
    1. Houston Veterans Affairs Medical Center, Houston, Texas
    2. Houston Center for Quality of Care and Utilization Studies, Health Services Research and Development Service, Department of Veterans Affairs Medical Center, Houston, Texas
    3. Veterans Affairs South Central Mental Illness Research, Education, and Clinical Center, Houston, Texas
    4. Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas
    • Mental Health Care Line (116MHCL), Houston VA Medical Center, 2002 Holcombe Boulevard, Houston, Texas 77030
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  • Elisia Yanasak,

    1. University of Houston, Houston, Texas
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  • Jeanne Schillaci,

    1. Houston Veterans Affairs Medical Center, Houston, Texas
    2. Houston Center for Quality of Care and Utilization Studies, Health Services Research and Development Service, Department of Veterans Affairs Medical Center, Houston, Texas
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  • Sofia Simotas,

    1. Houston Veterans Affairs Medical Center, Houston, Texas
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  • Lynn P. Rehm,

    1. University of Houston, Houston, Texas
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  • Julianne Souchek,

    1. Houston Veterans Affairs Medical Center, Houston, Texas
    2. Houston Center for Quality of Care and Utilization Studies, Health Services Research and Development Service, Department of Veterans Affairs Medical Center, Houston, Texas
    3. Department of Medicine, Baylor College of Medicine, Houston, Texas
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  • Terri Menke,

    1. Houston Veterans Affairs Medical Center, Houston, Texas
    2. Houston Center for Quality of Care and Utilization Studies, Health Services Research and Development Service, Department of Veterans Affairs Medical Center, Houston, Texas
    3. Department of Medicine, Baylor College of Medicine, Houston, Texas
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  • Carol Ashton,

    1. Houston Veterans Affairs Medical Center, Houston, Texas
    2. Houston Center for Quality of Care and Utilization Studies, Health Services Research and Development Service, Department of Veterans Affairs Medical Center, Houston, Texas
    3. Department of Medicine, Baylor College of Medicine, Houston, Texas
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  • Joseph D. Hamilton

    1. Houston Veterans Affairs Medical Center, Houston, Texas
    2. Veterans Affairs South Central Mental Illness Research, Education, and Clinical Center, Houston, Texas
    3. Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas
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Abstract

Little is known about the frequency of the full-range of personality disorders in outpatients with concurrent posttraumatic stress disorder (PTSD) and depression, a common and oftentimes treatment-resistant combination in clinical practice. In a group therapy outcome study, Axis I and II diagnoses were assessed with the Structured Clinical Interview for DSM-IV and the Clinician-Administered PTSD Scale to select 115 male combat veterans with FTSD and depressive disorder. Within this sample, 52 (45.2%) had one or more personality disorders—most commonly paranoid (17.4%), obsessive-compulsive (16.5%), avoidant (12.2%), and borderline (8.7%)—and 19 (16.5%) had two or more. Documenting a substantial frequency of personality disorders is a first step in devising appropriate interventions for this treatment-resistant combination of disorders.

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