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Personality Disorders Accompanying Schizophrenia: Analysis of a series consisting 75 patients.

Ersin Hatice Karslıoğlu, Semra Ulusoy Kaymak, Haldun Soygür, Burcu Manisalı Erkek, Sibel Koçbıyık, Cengiz Han Açıkel, Elvan Özalp, Eylem Şahin Cankurtaran.

Introduction: Accompanying personality disorders can frequently be encountered in schizophrenic patients, and they may change the expressions of symptoms and the course of the disease.
Objective: It is aimed to investigate the frequency and distribution of personality disorders and their relationship with some socio-demographic and clinical variables in a population composed of schizophrenic patients. Possible effects of the personality disorders on the diagnosis, course, follow-up, and treatment planning of the schizophrenia are also discussed.
Method: Study group is composed of 37 female and 38 male (total 75) who are being followed up by the diagnosis of schizophrenia. A data set including some demographic - social variables, and the status of symptoms evaluated by some clinical tests as well as accompanying personality pathologies was obtained.
Results: It is found that approximately 70% of schizophrenic patients have one or more types of accompanying personality disorders. The most frequently seen types were were avoidant, paranoid and obsessive-compulsive personality disorders. The types and frequencies of the personality disorders showed differences between the patient groups formed by various criteria.
Discussion: Knowing the distribution and frequency of personality disorders in schizophrenic patients may provide helpful data to the clinician in both the diagnosis / follow up, and the planning of the pharmacological treatment of the disease. It is possible that the personality disorders may negatively affect the course of the disease either by interfering the compliance of the patients or by some pathogenetical mechanisms which are not fully understood yet.

Key words: Personality disorder, schizophrenia, psychosis

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