Personality disorders in adolescents: prevalence, burden, assessment, and treatment
2006
textabstractIn adults, personality disorders are among the most common mental disorders in
the general population (Torgersen, Kringlen, & Cramer, 2001) and patient samples
(Zimmerman, Rothschild, & Chelminski, 2005). Prevalence rates vary from 13.4%
in the general population, to 56.5% in treated addicted patients, and 60.4% in
psychiatric outpatients (Verheul & van den Brink, 1999). Furthermore, among
adults seeking specialized treatment, personality disorders are associated with low
quality of life (Soeteman, Verheul, & Busschbach, 2008) and high societal costs
(Soeteman, Hakkaart-van Roijen, Verheul, & Busschbach, 2008). Since the
inclusion of personality disorders in the DSM-III in 1980, much research has been
conducted investigating the effectiveness of treatments for these patients. Based
on this literature, psychotherapy is generally considered the treatment of choice for
adult patients with personality disorders (Landelijke Stuurgroep
Richtlijnontwikkeling in de GGZ, 2008). Much less is known about personality
disorders in adolescents. To the best of our knowledge, the study of Grilo and
colleagues (1998) is the only published prevalence study among adolescent
patients. Most research on personality disorders in adolescents is derived from the
Children in the Community study (CIC; see for example Chen, Cohen, Kasen, &
Johnson, 2006; Johnson et al., 2000; Johnson, Chen, & Cohen, 2004; Kasen et
al., 2007), which was carried out in the general population. Valuable information to
yield arguments in favor of reimbursing treatments for this particular patient group,
like the burden of disease or costs, is virtually non-existing. Furthermore, there are
almost no outcome studies available in this particular group of patients. This thesis
aims to address these above mentioned issues, thereby filling in the existing gap.
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