Population Prevalence of Personality Disorder and Associations with Physical Health Comorbidities and Health Care Service Utilization: A Review

Shae E. Quirk, Michael Berk, Andrew M. Chanen, Heli Koivumaa-Honkanen, Sharon L. Brennan-Olsen, Julie A. Pasco, Lana J. Williams

    Research output: Contribution to journalReview ArticleResearchpeer-review

    42 Citations (Scopus)


    Personality disorder (PD), outcomes of diverse comorbid physical health conditions, and the associated burden on health service resources have seldom been studied at a population level. Consequently, there is limited evidence that might inform a public health approach to managing PD and associated mental and physical disability. A review was conducted of population-based studies examining the prevalence of PD and associations between physical comorbidities and service utilization. The prevalence of any PDs were common (4.4% = 21.5%) among populations spanning England, Wales, Scotland, Western Europe, Norway, Australia, and the United States. Preliminary evidence supports associations between PDs from Clusters A and B and physical comorbidities, namely cardiovascular diseases and arthritis. PD appears to increase health care utilization, particularly in primary care. In order to facilitate rational population health planning, further population studies are required.

    Original languageEnglish
    Pages (from-to)136-146
    Number of pages11
    JournalPersonality Disorders: Theory, Research, and Treatment
    Issue number2
    Publication statusPublished - 1 Apr 2016


    • epidemiology
    • healthcare service utilization
    • personality disorder
    • physical health comorbidity
    • psychiatry

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