TY - JOUR
T1 - Personality disorders and physical comorbidities
T2 - A complex relationship
AU - Dokucu, Mehmet E.
AU - Cloninger, C. Robert
N1 - Funding Information:
The work was supported by the Zell Family Foundation Scholar Award to MED.
Publisher Copyright:
© 2019 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2019/9/1
Y1 - 2019/9/1
N2 - Purpose of reviewIt is not uncommon for clinicians to label patients' complaints as 'psychogenic' when they present with symptoms that are difficult to understand. This article reviews recent reports about the comorbidity of personality disorders and nonpsychiatric medical problems, which call into question the adequacy of the mind-body dichotomy in medicine.Recent findingsThe strong association of any personality disorders with poor health in cross-sectional and community-based studies is now confirmed by personality disorder predicting future deterioration in longitudinal studies. Borderline personality disorder has been studied most frequently, but recent data suggest that severity of any personality disorder is associated with poor and worsening health.SummaryPersonality disorder is associated with the full range of physical, mental, and social disorders. Greater attention to the common features of personality disorders, which are crucial for the self-regulation of behavior, would facilitate more effective health promotion and disease prevention across all medical specialties, thereby helping to relieve the burdens of chronic common diseases.
AB - Purpose of reviewIt is not uncommon for clinicians to label patients' complaints as 'psychogenic' when they present with symptoms that are difficult to understand. This article reviews recent reports about the comorbidity of personality disorders and nonpsychiatric medical problems, which call into question the adequacy of the mind-body dichotomy in medicine.Recent findingsThe strong association of any personality disorders with poor health in cross-sectional and community-based studies is now confirmed by personality disorder predicting future deterioration in longitudinal studies. Borderline personality disorder has been studied most frequently, but recent data suggest that severity of any personality disorder is associated with poor and worsening health.SummaryPersonality disorder is associated with the full range of physical, mental, and social disorders. Greater attention to the common features of personality disorders, which are crucial for the self-regulation of behavior, would facilitate more effective health promotion and disease prevention across all medical specialties, thereby helping to relieve the burdens of chronic common diseases.
KW - antisocial personality disorder
KW - borderline personality disorder
KW - comorbidity
KW - diabetes mellitus
KW - eating disorder
KW - iatrogenic disease
KW - multimorbidity
KW - obesity
KW - personality disorder
KW - polymorbidity
UR - http://www.scopus.com/inward/record.url?scp=85071065544&partnerID=8YFLogxK
U2 - 10.1097/YCO.0000000000000536
DO - 10.1097/YCO.0000000000000536
M3 - Review article
C2 - 31219842
AN - SCOPUS:85071065544
VL - 32
SP - 435
EP - 441
JO - Current Opinion in Psychiatry
JF - Current Opinion in Psychiatry
SN - 0951-7367
IS - 5
ER -