Gender differences in personality disorders

  • Golomb M
  • Fava M
  • Abraham M
 et al. 
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Abstract

OBJECTIVE: The aim of this study was to assess gender differences in personality disorders. Since heterogeneity of axis I diagnoses could introduce variability in the assessment of axis II diagnoses, the authors studied a group of patients with a primary diagnosis of major depression. METHOD: A total of 316 patients were evaluated with the Personality Diagnostic Questionnaire--Revised, a self-rating measure, or the Structured Clinical Interview for DSM-III-R Personality Disorders (SCID-II), a clinician-rated instrument, or both. Axis II disorders were assessed with the Personality Diagnostic Questionnaire--Revised for 288 patients with major depression. The SCID-II was administered to 117 subjects, with an additional 95 subjects receiving the SCID-II for cluster B diagnoses only. RESULTS: The mean 17-item Hamilton Depression Rating Scale scores for 108 men (mean age = 39.28 years) and 208 women (mean age = 39.11) were 19.0 (SD = 3.8) and 19.6 (SD = 6.9), respectively. Men were significantly more likely than women to meet criteria for narcissistic, antisocial, and obsessive-compulsive personality disorders as measured by the Personality Diagnostic Questionnaire--Revised and for narcissistic and obsessive-compulsive personality disorders as measured by the SCID-II. CONCLUSIONS: These findings are consistent with those of previous studies showing a greater prevalence of antisocial and narcissistic personality disorders in men. In contrast with other investigations, however, neither the Personality Diagnostic Questionnaire--Revised nor the SCID-II revealed a higher prevalence of any personality disorder in women.

Author-supplied keywords

  • Adult
  • Ambulatory Care
  • Antisocial Personality Disorder/diagnosis/epidemio
  • Comorbidity
  • Compulsive Personality Disorder/diagnosis/epidemio
  • Depressive Disorder/diagnosis/epidemiology
  • Female
  • Humans
  • Male
  • Narcissism
  • Personality Disorders/diagnosis/ epidemiology
  • Personality Inventory/statistics & numerical data
  • Prevalence
  • Psychiatric Status Rating Scales/statistics & nume
  • Sex Factors

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Authors

  • M Golomb

  • M Fava

  • M Abraham

  • J F Rosenbaum

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