Personality disorder increases risk of low quality of life among women with mental state disorders

Bianca E Kavanagh; Amanda L Stuart; Michael Berk; Alyna Turner; Olivia M Dean; Julie A Pasco; Henry J Jackson; Heli Koivumaa-Honkanen; Andrew M Chanen; Lana J Williams

doi:10.1016/j.comppsych.2020.152193

Personality disorder increases risk of low quality of life among women with mental state disorders

Compr Psychiatry. 2020 Oct:102:152193. doi: 10.1016/j.comppsych.2020.152193. Epub 2020 Jul 12.

Authors

Affiliations

¹ Deakin University, Institute for Physical and Mental Health and Clinical Translation School of Medicine, Barwon Health, Geelong, Victoria, Australia.. Electronic address: bianca.kavanagh@deakin.edu.au.
² Deakin University, Institute for Physical and Mental Health and Clinical Translation School of Medicine, Barwon Health, Geelong, Victoria, Australia.. Electronic address: a.stuart@deakin.edu.au.
³ Deakin University, Institute for Physical and Mental Health and Clinical Translation School of Medicine, Barwon Health, Geelong, Victoria, Australia.; Florey Institute for Neuroscience and Mental Health, the University of Melbourne, Parkville, Victoria, Australia; The University of Melbourne, Department of Psychiatry, Royal Melbourne Hospital, Parkville, Victoria, Australia; Orygen, Melbourne, Victoria, Australia; Centre for Youth Mental Health, the University of Melbourne, Parkville, Victoria, Australia; Barwon Health, Geelong, Victoria, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia. Electronic address: michael.berk@deakin.edu.au.
⁴ Deakin University, Institute for Physical and Mental Health and Clinical Translation School of Medicine, Barwon Health, Geelong, Victoria, Australia.; School of Medicine and Public Health, Faculty of Health and Medicine, the University of Newcastle, Callaghan, New South Wales, Australia. Electronic address: a.turner@deakin.edu.au.
⁵ Deakin University, Institute for Physical and Mental Health and Clinical Translation School of Medicine, Barwon Health, Geelong, Victoria, Australia.; Florey Institute for Neuroscience and Mental Health, the University of Melbourne, Parkville, Victoria, Australia. Electronic address: o.dean@deakin.edu.au.
⁶ Deakin University, Institute for Physical and Mental Health and Clinical Translation School of Medicine, Barwon Health, Geelong, Victoria, Australia.; Barwon Health, Geelong, Victoria, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia; Department of Medicine - Western Health, the University of Melbourne, St Albans, Victoria, Australia. Electronic address: julie.pasco@deakin.edu.au.
⁷ The University of Melbourne, Melbourne School of Psychological Sciences, Parkville, Victoria, Australia. Electronic address: henryjj@unimelb.edu.au.
⁸ Institute of Clinical Medicine (Psychiatry), University of Eastern Finland, Kuopio, Finland; Departments of Psychiatry: Kuopio University Hospital, Kuopio; South-Savonia Hospital District, Mikkeli; Siunsote, Joensuu; Ylä-Savon SOTE, Iisalmi, Finland; Department of Psychiatry, Oulu University Hospital, Finland. Electronic address: heli.koivumaa@kuh.fi.
⁹ Orygen, Melbourne, Victoria, Australia; Centre for Youth Mental Health, the University of Melbourne, Parkville, Victoria, Australia. Electronic address: andrew.chanen@orygen.org.au.
¹⁰ Deakin University, Institute for Physical and Mental Health and Clinical Translation School of Medicine, Barwon Health, Geelong, Victoria, Australia.. Electronic address: l.williams@deakin.edu.au.

PMID: 32730960
DOI: 10.1016/j.comppsych.2020.152193

Abstract

Background: Limited data are available examining the relationship between mental state disorders (mood, anxiety, substance use, eating disorders), their co-occurrence with personality disorder (PD), and quality of life among women. We aimed to investigate these relationships in a sample of women from the community.

Method: Women from the Geelong Osteoporosis Study (n = 717) were administered the Structured Clinical Interview for DSM-IV (SCID-I/NP and SCID-II) and the World Health Organisation Quality of Life scale (WHOQOL-BREF). Weight and height were measured and lifestyle and demographic factors were self-reported. Logistic regression models (odds ratios with 95% confidence intervals) were undertaken to investigate associations among groups (mental state disorders, co-occurring mental state disorders with PD, and controls) and the WHOQOL-BREF domains (physical, psychological, social, and environmental health) while testing for potential confounding.

Results: Results indicated that mental state disorders were associated with increased risk of low quality of life in physical, psychological, social, but not environmental domains, compared to controls. This risk was increased among women with co-occurring PD across all domains compared to both controls and those with mental state disorders.

Conclusion: These findings add evidence suggesting poor quality of life is experienced by those with mental state disorders, and that this is worsened by the experience of co-occurring PD.

Keywords: Epidemiology; Mental state disorders; Personality disorders; Quality of life; Women.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Anxiety
Diagnostic and Statistical Manual of Mental Disorders
Female
Humans
Mental Disorders*
Personality Disorders / diagnosis
Personality Disorders / epidemiology
Quality of Life*
Surveys and Questionnaires