Abstract：
PURPOSE:Excessive mortality has been seen in patients with personality disorder (PD), but it has not been well-studied when patients also have other psychiatric comorbidities. This study investigated the mortality rates and causes of death in an Asian cohort with PD. METHOD:We enrolled patients ≥ 18 years of age with PD as defined by DSM-IV criteria (N = 1172), who had been admitted to a psychiatric service center in northern Taiwan between 1985 and 2008. By linking with the national mortality database (1985-2008), cases of mortality (n = 156, 13.3%) were obtained. We calculated the standardized mortality ratios (SMRs) to estimate the mortality gap between patients with PD and the general population. Stratified analyses of mortality rates by Axis I psychiatric comorbidity and sex were performed. RESULTS:Borderline PD (n = 391, 33.4%) was the dominant disorder among the subjects. The SMRs for all-cause mortality of PD alone, PD comorbid with non-substance use disorder(non-SUD), and PD comorbid with SUD were 4.46 (95% CI 1.94-6.98), 7.42 (5.99-8.85), and 15.96 (11.07-20.85), respectively. Among the causes of death, the SMR for suicide was the highest (46.92, 95% CI 34.29-59.56). The SMR for suicide in PD patients with comorbid SUD was unusually high (74.23, 95% CI 33.88-114.58). Women had a significant increase in suicide with an SMR of 59.00 (95% CI 37.89-80.11). Men had significant increase in SMRs for cardiovascular disease and gastrointestinal disease. CONCLUSIONS:We found significant synergistic effects of PD and SUD on mortality risk. A personality assessment should be mandatory in all clinical settings to prevent premature death and detect SUD early.
journal_name
Soc Psychiatry Psychiatr Epidemioljournal_title
Social psychiatry and psychiatric epidemiologyauthors
Kuo CJ,Chen WY,Tsai SY,Chen PH,Ko KT,Chen CCdoi
10.1007/s00127-018-1587-xsubject
Has Abstractpub_date
2019-01-01 00:00:00pages
121-130issue
1eissn
0933-7954issn
1433-9285pii
10.1007/s00127-018-1587-xjournal_volume
54pub_type
杂志文章abstract：BACKGROUND:Our aim was to examine whether variations in the prevalence of neurosis and psychosis between ethnic minorities throughout Great Britain are explained by social disadvantage. METHOD:A total of 10,108 adult householders throughout Great Britain were assessed in a two-stage survey with the Revised Clinical In...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-004-0830-9
更新日期：2004-12-01 00:00:00
abstract：BACKGROUND:The aim of the study was to examine the differences between former involuntary and voluntary patients with a schizophrenic disorder with regard to time to and frequency of rehospitalization. METHODS:In this prospective observational study, 374 patients with a diagnosis of schizophrenia or schizoaffective di...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-014-0892-2
更新日期：2014-11-01 00:00:00
abstract：BACKGROUND:The relationship between employment and improved mental health is well documented. However, no research has examined whether this relationship applies to poor single mothers. Given recent changes in the labor market where poor women are disproportionately employed in unstable jobs, the competing demands of w...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-009-0044-2
更新日期：2010-01-01 00:00:00
abstract：BACKGROUND:Depression and depressive symptoms have been repeatedly linked to elevated levels of C-reactive protein (CRP) but questions remain as to the statistical robustness of the association and particularly whether the association between depression and CRP reflects the presence of a chronic disease. METHODS:A ran...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-008-0422-1
更新日期：2009-03-01 00:00:00
abstract：INTRODUCTION:Since late 1980s, 1,001,726 immigrants arrived in Israel from the former Soviet Union (FSU). A review of community studies on the mental health of these immigrants is presented. METHOD:Israeli studies from the past two decades were reviewed. Presented are findings on the prevalence of psychological distre...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章,评审
doi：10.1007/s00127-008-0430-1
更新日期：2009-03-01 00:00:00
abstract：BACKGROUND:The paper investigates social and lifestyle determinants of depression, anxiety, sleeping disorders and self-evaluated low quality of life in a population sample from the northwest of Russia. METHODS:Altogether 1968 men and 1737 women aged 18-90 years participated in a population-based study in Arkhangelsk,...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-005-0918-x
更新日期：2005-07-01 00:00:00
abstract：:The purpose of this study was to investigate the factors predicting readmission and the interval between readmissions to psychiatric hospital during the early 1990s in Finland. Data were retrieved using the national register of all discharges from psychiatric hospitals during the early 1990s. Frequently admitted patie...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章,多中心研究
doi：10.1007/s001270050090
更新日期：1998-11-01 00:00:00
abstract：PURPOSE:Overview of geographically explicit momentary assessment research, applied to the study of mental health and well-being, which allows for cross-validation, extension, and enrichment of research on place and health. METHODS:Building on the historical foundations of both ecological momentary assessment and geogr...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章,评审
doi：10.1007/s00127-016-1277-5
更新日期：2016-09-01 00:00:00
abstract：PURPOSE:Many older adults in the USA live in public housing facilities and have characteristics that may place them at risk for cognitive impairment. Cognitive impairment has been largely unexamined in this socioeconomically disadvantaged population, however. We therefore aim to characterize its prevalence and correlat...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-013-0712-0
更新日期：2014-03-01 00:00:00
abstract：:This overview sketches briefly the development of social psychiatry and its clinical application in institutions in modern times. The second and longest part addresses the family as the important social context for everybody throughout life. A systems view of family tasks and functioning is offered. In the third part,...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章,评审
doi：10.1007/BF00789070
更新日期：1990-01-01 00:00:00
abstract：:We present a structural equation model of the way in which personality factors may modify the response to changes in life situation, based on two-wave panel data from a random sample of 296 Dutch adults. Three definitions of vulnerability were studied: high neuroticism (N), low self-esteem (SE), and an external locus ...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/BF02351820
更新日期：1989-07-01 00:00:00
abstract：PURPOSE:The purpose of this study was to identify posttraumatic stress disorder (PTSD) symptom groups and assess their longitudinal progression during their first year of reintegration among United States (US) National Guard (NG) service members. METHODS:A cohort of NG service members (n = 886) completed surveys at 6 ...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-018-1542-x
更新日期：2018-09-01 00:00:00
abstract：BACKGROUND:Public-health psychiatry is concerned, on the one hand, to ensure access to mental health services for all persons in need and, on the other hand, to advance knowledge of the social and environmental risk factors of mental disorders, and to establish a basis for preventive action. It is unclear how far curre...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 历史文章,杂志文章
doi：10.1007/s001270170060
更新日期：2001-04-01 00:00:00
abstract：OBJECTIVE:To estimate the excess costs associated with bipolar disorders in Australia, based on prevalence (using the Mood Disorder Questionnaire (MDQ)) and associated excess burden-of-illness costs. METHODS:Using data from the 2004 South Australian Health Omnibus Survey (HOS), a weighted cross-sectional survey of 3,0...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-006-0133-4
更新日期：2007-02-01 00:00:00
abstract：:The seasonality of birth in 142 schizophrenics from Barcelona (Spain) has been studied, showing a pattern similar to that described by other authors, with a maximum in winter. If sample is compared with the local general population there are significant differences, but these disappear when the comparison is made with...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/BF01788969
更新日期：1989-09-01 00:00:00
abstract：:In a recent survey of depressive symptoms among former prisoners of war, longitudinal data were used to estimate nonresponse bias. A predictive model was fitted to the data of current respondents and then was used to predict the scores of nonrespondents who had earlier provided similar convariate data. This analysis s...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/BF00782951
更新日期：1991-05-01 00:00:00
abstract：PURPOSE:To determine the prevalence of depression and anxiety and associated factors among returning workers with different epidemic experience in East China. METHODS:A cross-sectional study was conducted among 2435 employees from the enterprises located in Deqing (low-risk epidemic area) and Taizhou (high-risk epidem...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-020-01983-w
更新日期：2020-11-24 00:00:00
abstract：:This paper reports on an epidemiological study of common mental health and substance abuse problems in a historically disadvantaged urban and rural community in South Africa. In the rural Limpopo Province of South Africa, and in a peri-urban township near Cape Town, self-report instruments were used in two random popu...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-007-0294-9
更新日期：2008-03-01 00:00:00
abstract：PURPOSE:Food insecurity has been linked with maternal depression in low-income settings. Few studies have looked at factors associated with both food insecurity and maternal depression as outcomes. This study aimed to assess factors associated with food insecurity and depression in a sample of pregnant South African wo...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-018-1497-y
更新日期：2018-04-01 00:00:00
abstract：BACKGROUND:In many developing countries, a large proportion of people work without the social and legislative protection accorded to those in the "formal" labour market. Formal and informal work are very distinct labour market destinations for those leaving unemployment. From a policy perspective, the value of encourag...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-003-0658-8
更新日期：2003-09-01 00:00:00
abstract：PURPOSE:To screen and clinically interview European adolescents reporting current suicidality (suicidal ideation and suicide attempt) and investigate attendance at the clinical interview. METHODS:The Saving and Empowering Young Lives in Europe (SEYLE) Project was carried out in 11 European countries. A baseline questi...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-015-1016-3
更新日期：2015-06-01 00:00:00
abstract：:The impact of psychosocial adversity on the onset and course of bipolar disorder has been assessed in studies that have relied on methods of eliciting life event histories and evaluating family atmosphere. The results of life event studies have been inconsistent, perhaps because the relationship between bipolar disord...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章,评审
doi：10.1007/BF00790652
更新日期：1995-07-01 00:00:00
abstract：BACKGROUND:This study focuses on sex differences in depression of the widowed. Previous research showed different results in sex differences and in depression after bereavement. We assessed the effects of widowhood on depressive symptoms for men and women and examined whether environmental strain like social support, f...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s001270050160
更新日期：1999-07-01 00:00:00
abstract：BACKGROUND:Despite much interest in the development of liaison psychiatry in general practice there is no clear evidence that any form of intervention is effective. We carried out a pilot randomised controlled trial, the first we believe into this type of care, of one such model; enhanced liaison with individual patien...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1007/s00127-002-0550-y
更新日期：2002-06-01 00:00:00
abstract：PURPOSE:The EGOS study (Epidemiology and Genetics of Obsessive-compulsive disorder and chronic tic disorders in Sweden) is a large-scale, epidemiological, prospective cohort that is used to identify genetic and environmental risk factors in the etiology of obsessive-compulsive disorder (OCD) and chronic tic disorders (...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-019-01822-7
更新日期：2020-10-01 00:00:00
abstract：PURPOSE:European studies about ethnic inequalities in depressive symptoms are scarce, show inconclusive results and are complicated by the discussion of what constitute (im)migrant and ethnic minority groups. Moreover, comparisons across countries are hampered by a lack of comparable measures of depressive symptoms. Th...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-010-0321-0
更新日期：2012-01-01 00:00:00
abstract：:Suicidal feelings, attempted suicide and aspects of work environment and well-being in Swedish psychiatric nursing personnel were studied using a questionnaire. The questionnaire, containing 190 questions, was mailed to all 242 nurses and attendants working in psychiatric care at the department of psychiatry at Karoli...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/BF00788179
更新日期：1997-10-01 00:00:00
abstract：OBJECTIVE:Better understanding of the relationship between pain and depression in older adults in the community is of particular importance considering the high prevalence of both conditions in these adults. In the present study, the longitudinal relationship between pain and depression in older adults was examined, th...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s127-002-8210-2
更新日期：2002-01-01 00:00:00
abstract：:It has been suggested that the short-term clinical outcome of schizophrenia may be better in developing than in industrialised countries. Little is known of the social outcome of the disorder in the medium term in developing societies. In a study of 120 clinically stable outpatients in a clinic in Nigeria, we examined...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 临床试验,杂志文章
doi：10.1007/s001270050126
更新日期：1999-03-01 00:00:00
abstract：BACKGROUND:Structured diagnostic inter- views include items that evaluate physical etiologies for mood and anxiety disorders. The objective of this article was to assess the impact of such items. METHOD:A mental health survey in Canada collected data from n = 36,984 household residents. The lifetime prevalence of mood...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-007-0195-y
更新日期：2007-06-01 00:00:00
