Personality disorders

Question 1

Percentage of the population with at least one personality disorder

Answer 1

4.4%

Question 2

Most prevalent personality disorder in psychiatric settings

Answer 2

EUPD - borderline type

Question 3

Most prevalent personality disorder in prison settings

Answer 3

Antisocial PD

Question 4

Prevalence of any PD in male prisoners on remand

Answer 4

78%

Question 5

Prevalence of any PD in male sentenced prisoners

Answer 5

64%

Question 6

Prevalence of any PD in female prisoners

Answer 6

50%

Question 7

Prevalence of antisocial PD in male prisoners on remand

Answer 7

63%

Question 8

Prevalence of antisocial PD in male sentenced prisoners

Answer 8

49%

Question 9

Prevalence of antisocial PD in female prisoners

Answer 9

31%

Question 10

Prevalence of antisocial PD in the general population

Answer 10

0.6%

Question 11

Prevalence of antisocial PD in the general male population

Answer 11

1%

Question 12

Prevalence of antisocial PD in the general female population

Answer 12

0.2%

Question 13

Prevalence of EUPD in the general population

Answer 13

2%

Question 14

Prevalence of EUPD in the psychiatry outpatient population

Answer 14

10%

Question 15

Prevalence of EUPD in the psychiatry inpatient population

Answer 15

15-20%

Question 16

Male:female ratio of EUPD

Answer 16

1:3

Question 17

Most stable traits of EUPD

Answer 17

Depression
Anger
Loneliness/emptiness

Question 18

Traits of EUPD most likely to decrease with time

Answer 18

Quasi-psychotic thoughts
Self harm
Help-seeking suicide attempts
Treatment regressions
Counter transference issues

Question 19

PD clusters where symptoms usually increase with age

Answer 19

A
C

Question 20

PD cluster where symptoms usually decrease with age

Answer 20

B

Question 21

Cluster A personality disorders

Answer 21

Paranoid
Schizoid
Schizotypal

Question 22

PD which is found in the schizophrenia umbrella in ICD 10 and 11

Answer 22

Schizotypal

Question 23

Features of paranoid PD

Answer 23

Suspicious of others
Hold longstanding grudges
Believe others are not trustworthy
Emotionally detached
Feel others are deceiving or making plans against them

Question 24

Features of schizoid PD

Answer 24

Difficulty in expressing warm emotions
Aloof or remote
Prefer to be alone
Difficulty making and maintaining relationships
Unaware of social trends
Unresponsive to praise or criticism

Question 25

Features of schizotypal PD

Answer 25

Odd or eccentric Magical thinking Obsessions (which are not distressing) May be members of fringe cultural groups May believe in ESP, clairvoyance etc. Transient psychotic features Paranoia

Question 26

Cluster B personality disorders

Answer 26

Antisocial BPD/EUPD Histrionic Narcissistic

Question 27

Features of antisocial PD

Answer 27

Lack of regard for others Lack of remorse for actions which harm others Ignore law or social norms Make and break relationships easily May be psychopathic

Question 28

Features of BPD/EUPD

Answer 28

Poor self image Unstable relationships Impulsive behaviours Self harm and suicidal behaviours Quasi-psychotic symptoms Feelings of chronic emptiness Mood instability

Question 29

Features of histrionic PD

Answer 29

Extreme and dramatic behaviour Form relationships quickly Shallow emotions Attention seeking behaviour Appear self centred Sexually provocative behaviour

Question 30

Features of narcissistic PD

Answer 30

Exaggerated sense of self importance Self centred Intolerant of others Cravings for attention and admiration Grandiose plans and ideas

Question 31

Cluster C personality disorders

Answer 31

Avoidant Dependent Obsessive compulsive/anankastic

Question 32

Features of avoidant PD

Answer 32

Fears of being judged Discomfort in group or social settings Socially withdrawn Low self esteem Fears of being rejected but craves affection

Question 33

Features of dependent PD

Answer 33

Passive Allows others to take responsibility for their daily life Low self confidence Unable to function independently Lack of regard for own needs

Question 34

Features of obsessive compulsive/anankastic PD

Answer 34

Perfectionist Difficulty expressing emotions Unable to see other points of view Rigid attention to detail that means tasks are not completed May be frugal with money Unable to delegate tasks

Question 35

NICE guidelines for pharmacological management of PDs

Answer 35

Not recommended unless for comorbid illness e.g. depression

Question 36

Trait domains for personality disorders in ICD 11

Answer 36

Negative affect Detachment Dissociality Disinhibition Anankastia Borderline pattern (a combination of the above)

Question 37

PD cluster most often seen in psychiatric outpatient settings

Answer 37

Cluster C

Question 38

Lifetime prevalence of obsessive compulsive personality disorder

Answer 38

2-3%

Question 39

Medication associated with increased impulsivity in patients with borderline personality disorder

Answer 39

Benzodiazepines

Question 40

Most common personality disorder in the general population

Answer 40

Anankastic/obsessive compulsive

Question 41

Most common personality disorder in primary care/GP services

Answer 41

Anankastic/obsessive compulsive

Question 42

Medication class which reduces aggressive and impulsive behaviour in patients with borderline and aggressive personality disorders

Answer 42

SSRIs

Question 43

Medications which may improve affective dysregulation in patients with cluster B personality disorders

Answer 43

Lithium Anticonvulsants

Question 44

Medication class which may be beneficial in low doses for patients with borderline or schizotypal personality disorders

Answer 44

Antipsychotics

Question 45

Psychological therapy suggested for women with EUPD and self harm

Answer 45

Dialectical behavioural therapy

Question 46

Therapy recommended by NICE for treatment of antisocial personality disorder

Answer 46

Group based cognitive interventions

Question 47

Most common psychiatric comorbidity seen in BPD

Answer 47

Depression

Question 48

Cut off for psychopathy on the PCL-R

Answer 48

30/40

Question 49

Percentage of people who meet criteria for psychopathy

Answer 49

<1%

Question 50

Percentage of patients with EUPD who have been sexually abused

Answer 50

40-71%

Question 51

Personality disorder which cannot be diagnosed under the age of 18 as per DSM V

Answer 51

Antisocial personality disorder

Question 52

Psychodynamic intervention not recommended for patients with BDP

Answer 52

Brief psychotherapeutic interventions