Abstract and Keywords
The purpose of this review is (a) to study and systematically review the recent literature examining the co-occurrence and relationships between Axis I psychiatric disorders and Axis II personality disorders (PDs), specifically the five originally proposed for DSM- 5, and (b) to consider the clinical utility of the current Axis I and II approach in DSM-IV-TR. Community surveys or prospective cohort studies were reviewed as a priority. Our review indicates that the associations between clinical disorders and PDs clearly varied within each disorder and across the five PDs. Our understanding has advanced, particularly related to the clinical utility of comorbidity; however, it seems premature to conclude that comorbidity is best conceptualized by having all disorders in a single category or by deleting disorders so that comorbidity no longer occurs. Our review suggests some priorities for future research into comorbidity such as including PDs in future multivariate comorbidity models.
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