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

Comprehensive Psychiatry (Oct 2020)

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

Affiliations

Bianca E. Kavanagh: Deakin University, Institute for Physical and Mental Health and Clinical Translation School of Medicine, Barwon Health, Geelong, Victoria, Australia.; Corresponding author at: IMPACT - The Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Deakin University, PO Box 281, Geelong, Victoria 3320, Australia.
Amanda L. Stuart: Deakin University, Institute for Physical and Mental Health and Clinical Translation School of Medicine, Barwon Health, Geelong, Victoria, Australia.
Michael Berk: 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
Alyna Turner: 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
Olivia M. Dean: 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
Julie A. Pasco: 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
Henry J. Jackson: The University of Melbourne, Melbourne School of Psychological Sciences, Parkville, Victoria, Australia
Heli Koivumaa-Honkanen: 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
Andrew M. Chanen: Orygen, Melbourne, Victoria, Australia; Centre for Youth Mental Health, the University of Melbourne, Parkville, Victoria, Australia
Lana J. Williams: Deakin University, Institute for Physical and Mental Health and Clinical Translation School of Medicine, Barwon Health, Geelong, Victoria, Australia.

Journal volume & issue: Vol. 102
p. 152193

Abstract

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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.

Published in Comprehensive Psychiatry

ISSN: 0010-440X (Print); 1532-8384 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Neurosciences. Biological psychiatry. Neuropsychiatry: Neurology. Diseases of the nervous system: Psychiatry
Website: https://www.journals.elsevier.com/comprehensive-psychiatry

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