Patterns of anxiety and personality disorder comorbidity

Andrew E. Skodol, John M. Oldham, Steven E. Hyler, Dan J. Stein, Eric Hollander, Peggy E. Gallaher, Anne E. Lopez

Research output: Contribution to journalArticlepeer-review

91 Scopus citations


The purpose of this study was to examine patterns of comorbidity of DSM-III-R anxiety disorders and personality disorders (PD). Two-hundred subjects were independently interviewed with the Structured Clinical Interview for DSM-III-R (SCID) and the Personality Disorder Examination (PDE) face-to-face by two experienced clinicians. One-hundred and forty-six also completed the Personality Diagnostic Questionnaire-Revised (PDQ-R). Rates of personality disorder among patients with and without anxiety disorders were determined by each of the three instruments. Comorbidity between panic disorder, social phobia, obsessive-compulsive disorder, and simple phobia and a conservative estimate of individual Axis II disorders was examined. Results indicate that panic disorder, either current or lifetime, is associated with borderline, avoidant, and dependent personality disorders; social phobia is associated with avoidant personality disorder; and obsessive-compulsive disorder is associated with obsessive-compulsive and avoidant personality disorders. Anxiety disorders with personality disorders are characterized by chronicity and lower levels of functioning compared with anxiety disorders without personality disorders.

Original languageEnglish (US)
Pages (from-to)361-374
Number of pages14
JournalJournal of Psychiatric Research
Issue number5
StatePublished - 1995
Externally publishedYes

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry


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