Redefining personality disorder: a Jamaican perspective Redefinición del trastorno de la personalidad desde una perspectiva de Jamaica
OBJECTIVE: To characterize and assess the factor structure of phenomenological features of DSM-IV personality disorder diagnosis in Jamaican patients and determine any similarities with those of traditional criteria, associations with disorder severity, and/or significant relationships between varia...
Main Authors: | , |
---|---|
Format: | Article in Journal/Newspaper |
Language: | English Spanish Portuguese |
Published: |
Pan American Health Organization
2011
|
Subjects: | |
Online Access: | https://doaj.org/article/03c5c168c1784928acafcf9276d5c86d |
id |
ftdoajarticles:oai:doaj.org/article:03c5c168c1784928acafcf9276d5c86d |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:03c5c168c1784928acafcf9276d5c86d 2023-05-15T15:14:43+02:00 Redefining personality disorder: a Jamaican perspective Redefinición del trastorno de la personalidad desde una perspectiva de Jamaica Frederick W Hickling Vanessa Paisley 2011-09-01T00:00:00Z https://doaj.org/article/03c5c168c1784928acafcf9276d5c86d EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892011000900010 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/03c5c168c1784928acafcf9276d5c86d Revista Panamericana de Salud Pública, Vol 30, Iss 3, Pp 255-261 (2011) Trastornos de la personalidad Jamaica Personality disorders Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2011 ftdoajarticles 2022-12-31T15:58:49Z OBJECTIVE: To characterize and assess the factor structure of phenomenological features of DSM-IV personality disorder diagnosis in Jamaican patients and determine any similarities with those of traditional criteria, associations with disorder severity, and/or significant relationships between variables to inform the current debate on the relevance of established personality disorder diagnostics. METHODS: This was a case-control study. All the patients included were seen by one private psychiatric practice from 1974 to 2007. The study sample group (n = 351) were patients diag nosed as having a personality disorder (DSM-IV Axis II). The control group was composed of patients with DSM-IV Axis I clinical disorders, who had not been diagnosed with a personality disorder, and matched exactly on gender, and closely on age, as well as socioeconomic variables. RESULTS: Of the 351 individuals in the study sample group, 166 (47.3%) were male and 185 (53.7%) were female; 50 (14.2%) were white and 301 (85.8%) were black; 293 (83.5%) were born and raised in Jamaica; and 202 (57.6%) were from socioeconomic classes I and II. Mean age was 33.92 (standard deviation 10.236). Disaggregating the phenomenology, the conventional DSM-IV personality disorder diagnoses disappeared. Factor analysis of 38 clinical phenomena identified five components: psychosis, major depression, power management problems, psychosexual issues, and physiological dependency. Independent t-tests revealed patients without personality disorder had significantly higher mean scores for psychosis; both groups scored equally for depression; and those with personality disorder had significantly higher mean scores on the remaining factors. Analysis of variance indicated these factors differed significantly for three levels of severity (mild, moderate, and severe). CONCLUSIONS: The phenomenology clustering into three major groups suggested an Axis I (clinical) diagnostic disorder of impulse control and authority and conflict management. OBJETIVO: Caracterizar y ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Trastornos de la personalidad Jamaica Personality disorders Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Trastornos de la personalidad Jamaica Personality disorders Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Frederick W Hickling Vanessa Paisley Redefining personality disorder: a Jamaican perspective Redefinición del trastorno de la personalidad desde una perspectiva de Jamaica |
topic_facet |
Trastornos de la personalidad Jamaica Personality disorders Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVE: To characterize and assess the factor structure of phenomenological features of DSM-IV personality disorder diagnosis in Jamaican patients and determine any similarities with those of traditional criteria, associations with disorder severity, and/or significant relationships between variables to inform the current debate on the relevance of established personality disorder diagnostics. METHODS: This was a case-control study. All the patients included were seen by one private psychiatric practice from 1974 to 2007. The study sample group (n = 351) were patients diag nosed as having a personality disorder (DSM-IV Axis II). The control group was composed of patients with DSM-IV Axis I clinical disorders, who had not been diagnosed with a personality disorder, and matched exactly on gender, and closely on age, as well as socioeconomic variables. RESULTS: Of the 351 individuals in the study sample group, 166 (47.3%) were male and 185 (53.7%) were female; 50 (14.2%) were white and 301 (85.8%) were black; 293 (83.5%) were born and raised in Jamaica; and 202 (57.6%) were from socioeconomic classes I and II. Mean age was 33.92 (standard deviation 10.236). Disaggregating the phenomenology, the conventional DSM-IV personality disorder diagnoses disappeared. Factor analysis of 38 clinical phenomena identified five components: psychosis, major depression, power management problems, psychosexual issues, and physiological dependency. Independent t-tests revealed patients without personality disorder had significantly higher mean scores for psychosis; both groups scored equally for depression; and those with personality disorder had significantly higher mean scores on the remaining factors. Analysis of variance indicated these factors differed significantly for three levels of severity (mild, moderate, and severe). CONCLUSIONS: The phenomenology clustering into three major groups suggested an Axis I (clinical) diagnostic disorder of impulse control and authority and conflict management. OBJETIVO: Caracterizar y ... |
format |
Article in Journal/Newspaper |
author |
Frederick W Hickling Vanessa Paisley |
author_facet |
Frederick W Hickling Vanessa Paisley |
author_sort |
Frederick W Hickling |
title |
Redefining personality disorder: a Jamaican perspective Redefinición del trastorno de la personalidad desde una perspectiva de Jamaica |
title_short |
Redefining personality disorder: a Jamaican perspective Redefinición del trastorno de la personalidad desde una perspectiva de Jamaica |
title_full |
Redefining personality disorder: a Jamaican perspective Redefinición del trastorno de la personalidad desde una perspectiva de Jamaica |
title_fullStr |
Redefining personality disorder: a Jamaican perspective Redefinición del trastorno de la personalidad desde una perspectiva de Jamaica |
title_full_unstemmed |
Redefining personality disorder: a Jamaican perspective Redefinición del trastorno de la personalidad desde una perspectiva de Jamaica |
title_sort |
redefining personality disorder: a jamaican perspective redefinición del trastorno de la personalidad desde una perspectiva de jamaica |
publisher |
Pan American Health Organization |
publishDate |
2011 |
url |
https://doaj.org/article/03c5c168c1784928acafcf9276d5c86d |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 30, Iss 3, Pp 255-261 (2011) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892011000900010 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/03c5c168c1784928acafcf9276d5c86d |
_version_ |
1766345146554646528 |