TY - JOUR
T1 - Personality Disorders in Older Adults
T2 - a Review of Epidemiology, Assessment, and Treatment
AU - Penders, Krystle A. P.
AU - Peeters, Inge G. P.
AU - Metsemakers, Job F. M.
AU - Van Alphen, Sebastiaan P. J.
N1 - Funding Information:
This work was supported by the National Care for the Elderly Program from the Netherlands Organization for Health Research and Development (ZonMw) under Grant No. 311070201.
Publisher Copyright:
© 2020, The Author(s).
PY - 2020/2/6
Y1 - 2020/2/6
N2 - Purpose of Review The aim of the paper is reviewing recent literature on the epidemiology, assessment, and treatment of personality disorders (PDs) among older adults (>= 60 years). Recent Findings Since 2015, 12 primary empirical studies have been published addressing PDs in older adults; 3 addressing epidemiological aspects, 6 on assessment, 2 exploring both epidemiology and assessment, and 1 examining treatment. PD research in older adults is steadily growing and is predominantly focused on assessment. The studies showed that PDs were rather prevalent ranging from 10.6-14.5% in community-dwelling older adults, to 57.8% in nursing home-residing older adults. The Severity Indices of Personality Problems-Short Form, Gerontological Personality disorders Scale, and Assessment of DSM-IV Personality Disorders turned out to be promising instruments for assessing PDs in later life. Furthermore, schema therapy seems to be a feasible and effective intervention. Despite promising findings, there is an urgent need for studies addressing PDs in older adults, especially studies investigating epidemiological aspects and treatment options. Furthermore, new areas of interest arise such as PDs in other settings, and behavioral counseling.
AB - Purpose of Review The aim of the paper is reviewing recent literature on the epidemiology, assessment, and treatment of personality disorders (PDs) among older adults (>= 60 years). Recent Findings Since 2015, 12 primary empirical studies have been published addressing PDs in older adults; 3 addressing epidemiological aspects, 6 on assessment, 2 exploring both epidemiology and assessment, and 1 examining treatment. PD research in older adults is steadily growing and is predominantly focused on assessment. The studies showed that PDs were rather prevalent ranging from 10.6-14.5% in community-dwelling older adults, to 57.8% in nursing home-residing older adults. The Severity Indices of Personality Problems-Short Form, Gerontological Personality disorders Scale, and Assessment of DSM-IV Personality Disorders turned out to be promising instruments for assessing PDs in later life. Furthermore, schema therapy seems to be a feasible and effective intervention. Despite promising findings, there is an urgent need for studies addressing PDs in older adults, especially studies investigating epidemiological aspects and treatment options. Furthermore, new areas of interest arise such as PDs in other settings, and behavioral counseling.
KW - Personality disorder(s)
KW - Older adults
KW - Elderly
KW - Epidemiology
KW - Assessment
KW - Treatment
KW - SELF-REPORT
KW - DIAGNOSTIC-ACCURACY
KW - CONSTRUCT-VALIDITY
KW - SEVERITY INDEXES
KW - AGE-NEUTRALITY
KW - THERAPY
KW - QUESTIONNAIRE
KW - PREVALENCE
KW - DEPRESSION
KW - MIDLIFE
U2 - 10.1007/s11920-020-1133-x
DO - 10.1007/s11920-020-1133-x
M3 - (Systematic) Review article
C2 - 32025914
SN - 1523-3812
VL - 22
JO - Current Psychiatry Reports
JF - Current Psychiatry Reports
IS - 3
M1 - 14
ER -