Personality disorders in older adults: emerging research issues

S. P. J. van Alphen*, S. D. M. van Dijk, A. C. Videler, G. Rossi, E. Dierckx, F. Bouckaert, R. C. Oude Voshaar

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

35 Citations (Scopus)

Abstract

Empirical research focusing on personality disorders (PDs) among older adults is mainly limited to studies on psychometric properties of age-specific personality tests, the age neutrality of specific items/scales, and validation of personality inventories for older adults. We identified only two treatment studies-one on dialectical behavior therapy and one on schema therapy-both with promising results among older patients despite small and heterogeneous populations. More rigorous studies incorporating age-specific adaptations are needed. Furthermore, in contrast to increasing numbers of psychometric studies, the Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 pays little attention to the characteristics of older adults with PDs. Moreover, the constructs "personality change due to another medical condition" and "late-onset personality disorder" warrant further research among older adults. These needs will become even more pressing given the aging society worldwide.

Original languageEnglish
Article number538
Number of pages7
JournalCurrent Psychiatry Reports
Volume17
Issue number1
DOIs
Publication statusPublished - Jan-2015

Keywords

  • Older adults
  • DSM-5
  • Personality disorders
  • Late-onset personality disorder
  • Personality change due to another medical condition
  • Prevalence
  • Course
  • Assessment
  • Treatment
  • Psychotherapy
  • DIALECTICAL BEHAVIOR-THERAPY
  • LATE-LIFE
  • DSM-IV
  • DEPRESSION
  • CLASSIFICATION
  • MODEL
  • METAANALYSIS
  • PSYCHIATRY
  • SCHEMAS
  • ANXIETY

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