Personality Disorders in Later Life

The Wiley-Blackwell Handbook of Adulthood and Aging

Volumn , Issue , 2012, Pages 312-330

  Segal, Daniel L ^a   Zweig, Richard ^b   Molinari, Victor ^c  

^a UNIVERSITY OF COLORADO   (United States)

^b YESHIVA UNIVERSITY   (United States)

^c UNIVERSITY OF SOUTH FLORIDA   (United States)

Author keywords

Baltes' SOC and PDs; DSM Theoretical model and PD Criteria; NEO PI, testing Five Factor model (FFM); PD assessment instruments; PDs and personality; Person environment interactions; Personality disorders (PDs); Personality disorders, in later life; Personality pathology diagnosis; Reporting bias, disclosure avoidance

Indexed keywords

EID: 84886548772     PISSN: None     EISSN: None     Source Type: Book    
DOI: 10.1002/9781118392966.ch16     Document Type: Chapter

References (80)

1. Abrams, R. C., & Bromberg, C. E. (2006). Personality disorders in the elderly: A flagging field of inquiry. International Journal of Geriatric Psychiatry, 21, 1013-1017.
2. Abrams, R. C., & Horowitz, S. V. (1996). Personality disorders after age 50: A meta analysis. Journal of Personality Disorders, 10, 271-281.
3. Abrams, R. C.,&Horowitz, S. V. (1999). Personality disorders after age 50: A meta-analytic review of the literature. In E. Rosowsky, R. C. Abrams, & R. A. Zweig (Eds.), Personality disorders in older adults: Emerging issues in diagnosis and treatment (pp. 55-68). Mahwah, NJ: Erlbaum.
4. Agronin, M., & Maletta, G. (2000). Personality disorders in late life: Understanding and overcoming the gap in research. American Journal of Geriatric Psychiatry, 8, 4-18.
5. American Psychiatric Association, (1968). Diagnostic and statistical manual of mental disorders (2nd ed.). Washington, DC: Author.
6. American Psychiatric Association, (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.
7. American Psychiatric Association, (2000). Diagnostic and statistical manual of mental disorders (4th edition, text revision.). Washington, DC: Author.
8. Ames, A., & Molinari, V. (1994). Prevalence of personality disorders in community-living elderly. Journal of Geriatric Psychiatry and Neurology, 7, 189-194.
9. Balsis, S., Carpenter, B., & Storandt, M. (2005). Personality change precedes clinical diagnosis of dementia of the Alzheimer type. Journals of Gerontology: Psychological Sciences, 60B, P98-P101.
10. Balsis, S., Gleason, M. E. J., Woods, C. M., & Oltmanns, T. F. (2007). An item response theory analysis of DSM-IV personality disorder criteria across younger and older age groups. Psychology and Aging, 22, 171-185.
11. Balsis, S., Segal, D. L., & Donahue, C. (2009). Revising the personality disorder diagnostic criteria for the Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM-V): Consider the later life context. American Journal of Orthopsychiatry, 79, 452-460.
12. Balsis, S., Woods, C. M., Gleason, M. E. J., & Oltmanns, T. F. (2007). Overdiagnosis and underdiagnosis of personality disorders in older adults. American Journal of Geriatric Psychiatry, 15, 742-753.
13. Baltes, P. B. (1997). On the incomplete architecture of human ontogeny: Selection, optimization, and compensation as foundation for developmental theory. American Psychologist, 52, 366-380.
14. Baltes, P. B., & Baltes, M. M. (1990). Psychological perspectives on successful aging: The model of selective optimization with compensation. In P. B. Baltes &M.M. Baltes (Eds.), Successful aging: Perspectives from the behavioral sciences (pp. 1-34). Cambridge, UK: Cambridge University Press.
15. Black, D. W., Baumgard, C. H., & Bell, S. E. (1995). A 16- to 45-year follow-up of 71 men with antisocial personality disorder. Comprehensive Psychiatry, 36, 130-140.
16. Clark, L. A. (2005). Stability and change in personality pathology: Revelations of three longitudinal studies. Journal of Personality Disorders, 19, 524-532.
17. Clark, L. A., Simms, L. J., Wu, K. D., & Casillas, A.(in press). Schedule for Nonadaptive and Adaptive Personality (SNAP-2). Manual for administration, scoring, and interpretation. Minneapolis: University of Minnesota Press.
18. Cohen, B. J., Nestadt, G., Samuels, J. F., Romanoski, A. J., McHugh, P. R.,&Rabins, P. V. (1994). Personality disorder in later life: A community study. British Journal of Psychiatry, 165, 493-499.
19. Coolidge, F. L. (2000). Coolidge Axis II Inventory: Manual. Colorado Springs, CO: Author.
20. Coolidge, F. L., Burns, E. M., Nathan, J. H., & Mull C. E. (1992). Personality disorders in the elderly. Clinical Gerontologist, 12, 41-55.
21. Coolidge, F. L. & Segal, D. L. (1998). Evolution of the personality disorder diagnosis in the Diagnostic and statistical manual of mental disorders. Clinical Psychology Review, 18, 585-599.
22. Coolidge, F. L., Segal, D. L., Pointer, J. C., Knaus, E. A., Yamazaki, T. G., & Silberman, C. S. (2000). Personality disorders in older adult inpatients with chronic mental illness. Journal of Clinical Geropsychology, 6, 63-72.
23. Costa, P. T., & McCrae, R. R. (1988). Personality in adulthood: A six-year longitudinal study of self-reports and spouse ratings on the NEO Personality Inventory. Journal of Personality and Social Psychology, 54, 853-863.
24. Costa P. T.,&McCrae, R. R. (1994). Set like plaster? Evidence for the stability of adult personality. In T. F. Heatherton&J. L. Weinberger (Eds.), Can personality change? (pp. 21-40). Washington, DC: American Psychological Association.
25. Costa, P. T., Jr., & McCrae, R. R. (2002). Looking backward: Changes in the mean levels of personality traits from 80 to 12. In D. Cervone & W. Mischel (Eds.), Advances in personality science (pp. 219-237). New York: Guilford Press.
26. Eysenck, H. J., & Eysenck S. B. G. (1964). Manual of the Eysenck Personality Inventory. London: University of London Press.
27. First, M. B., Gibbon, M., Spitzer, R. L., Williams, J. B. W., & Benjamin, L. S. (1997). Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II). Washington, DC: American Psychiatric Press.
28. Haddy, C., Strack, S., & Choca, J. P. (2005). Linking personality disorders and clinical syndromes on the MCMI-III. Journal of Personality Assessment, 84, 193-204.
29. Hooker, K., & McAdams, D. P. (2003) Personality reconsidered: A new agenda for aging research. Journal of Gerontology: Psychological Sciences, 58B, 296-304.
30. Hyer, L.,&Intrieri, R. C. (2006). Introduction. In L. Hyer& R. C. Intrieri (Eds.), Geropsychological interventions in long-term care (pp. xix-xxv). New York: Springer.
31. Hyler, S. E. (1994). Personality Diagnostic Questionnaire, 4th edition, PDQ-4+. New York: New York State Psychiatric Institute.
32. Isaacowitz, D. M., Charles, S. T.,&Carstensen, L. L. (2000). Emotion and cognition. In F. Craik& T. A. Salthouse (Eds.), Handbook of aging and cognition (2nd ed., pp. 593-631). Mahwah, NJ: Erlbaum.
33. Johnson, J. G., First, M. B., Cohen, P., Skodol, A. E., Kasen, S., & Brook, J. S. (2005). Adverse outcomes associated with personality disorder not otherwise specified in a community sample. American Journal of Psychiatry, 162, 1926-1932.
34. Kenan, M. M., Kendjelic, E. M., Molinari, V. A., Williams, W., Norris, M., & Kunik, M. E. (2000). Age-related differences in the frequency of personality disorders among inpatient veterans. International Journal of Geriatric Psychiatry, 15, 831-837.
35. Kunik, M. E., Mulsant, B. H., Rifai, A. H., Sweet, R. A., Pasternak, R., Rosen, J.,&Zubenko, G. S. (1993). Personality disorders in elderly inpatients with major depression. American Journal of Geriatric Psychiatry, 1, 38-45.
36. Kunik, M. E., Mulsant, B. H., Rifai, A. H., Sweet, R. A., Pasternak, R. & Zubenko, G. S. (1994). Diagnostic rate of comorbid personality disorder in elderly psychiatric inpatients. American Journal of Psychiatry, 151, 603-605.
37. Labouvie-Vief, G., DeVoe, M., & Bulka, D. (1989). Speaking about feelings: Conceptions of emotion across the life span. Psychology and Aging, 4, 425-437.
38. Lahey, B. B. (2009). Public health significance of neuroticism. American Psychologist, 64, 241-256.
39. Livesley, W. J. (2003). Practical management of personality disorder. New York: Guilford Press.
40. Loranger, A. W. (1999). International Personality Disorder Examination. DSM-IV and ICD-10 Interviews. Odessa, FL: Psychological Assessment Resources.
41. Magai, C., & Passman, V. (1997). The interpersonal basis of emotional behavior and emotion regulation in adulthood. Annual Review of Geriatrics and Gerontology, 17, 104-137.
42. Margo, J. L., Robinson, J. R.,&Corea, S. (1980). Referrals to a psychiatric service from old people's homes. British Journal of Psychiatry, 136, 396-401.
43. McGlashan, T. H. (1986). The Chestnut Lodge follow-up study III: Long-term outcome of borderline personalities. Archives of General Psychiatry, 43, 20-30.
44. Millon, T., Davis, R., & Millon, C. (1997). MCMI-III manual (2nd ed.). Minneapolis, MN: National Computer Systems.
45. Molinari, V., Ames, A., & Essa, M. (1994). Prevalence of personality disorders in two geropsychiatric inpatient units. Journal of Geriatric Psychiatry and Neurology, 7, 209-215.
46. Molinari, V., Kier, F. J., & Rosowsky, E. (2006). SOC, personality, and long term care. In L. Hyer & R. C. Intrieri (Eds.), Geropsychological interventions in long-term care (pp. 139-155). New York: Springer.
47. Molinari, V, Kunik, M. E., Mulsant, B., & Rifai, A. H. (1998). The relationship between patient, informant, social worker, and consensus diagnoses of personality disorder in elderly depressed inpatients. American Journal of Geriatric Psychiatry, 6, 136-144.
48. Molinari, V., Kunik, M. E., Snow-Turek, A. L., Deleon, H., & Williams, W. (1999). Age-related personality differences in inpatients with personality disorder: A cross-sectional study. Journal of Clinical Geropsychology, 5, 191-202.
49. Molinari, V., & Marmion, J. (1993). Personality disorders in geropsychiatric outpatients. Psychological Reports, 73, 256-258.
50. Molinari, V., &Marmion, J. (1995). Relationship between affective disorders and Axis II diagnoses in geropsychiatric patients. Journal of Geriatric Psychiatry and Neurology, 8, 61-64.
51. Mroczek, D. K., Hurt, S. W., & Berman, W. H. (1999). Conceptual and methodological issues in the assessment of personality disorders in older adults. In E. Rosowsky, R. C. Abrams, & R. A. Zweig (Eds.), Personality disorders in older adults: Emerging issues in diagnosis and treatment (pp. 135-150). Mahwah, NJ: Erlbaum.
52. Mroczek, D. K., Spiro, A., & Griffin, P. W. (2006). Personality and aging. In J. E. Birren, & K.W. Schaie (Eds.), Handbook of the psychology of aging (6th ed., pp. 363-377). San Diego, CA: Academic Press.
53. Perry, J. C. (1992). Problems and considerations in the valid assessment of personality disorders. American Journal of Psychiatry, 149, 1645-1653.
54. Pfohl, B., Blum, N., & Zimmerman, M. (1997). Structured Interview for DSM-IV Personality (SIDP-IV). Arlington, VA: American Psychiatric Publishing.
55. Roberts, B. W., & Mroczek, D. (2008). Personality trait change in adulthood. Current Directions in Psychological Science, 17, 31-35.
56. Roberts, B. W., Walton, K. E., & Viechtbauer, W. (2006a). Patterns in mean-level change in personality traits across the life course: A meta-analysis of longitudinal studies. Psychological Bulletin, 132, 1-25.
57. Roberts, B. W., Walton, K. E.,& Viechtbauer, W. (2006b). Personality traits change in adulthood: Reply to Costa and McCrae (2006). Psychological Bulletin, 132, 29-32.
58. Robins, L., & Regier, D. (1991). Psychiatric disorders in America: The epidemiologic catchment area study. New York: Free Press.
59. Rosowsky, E.,&Gurian, B. (1992). Impact of borderline personality disorder in late life on systems of care. Hospital and Community Psychiatry, 43, 386-389.
60. Sadavoy, J., & Fogel, B. (1992). Personality disorders in old age. In J. E. Birren, R. B. Sloane, & G. D. Cohen (Eds.), Handbook of mental health and aging (2nd ed., pp. 433-462). San Diego, CA: Academic Press.
61. Segal, D. L., Coolidge, F. L., & Rosowsky, E. (2006). Personality disorders and older adults: Diagnosis, assessment, and treatment. Hoboken, NJ: Wiley.
62. Segal, D. L., Hersen, M., Kabacoff, R. I., Falk, S. B., Van Hasselt, V. B., & Dorfman, K. (1998). Personality disorders and depression in community-dwelling older adults. Journal of Mental Health and Aging, 4, 171-182.
63. Segal, D. L., Hersen, M., Van Hasselt, V. B., Silberman, C. S., & Roth, L. (1996). Diagnosis and assessment of personality disorders in older adults: A critical review. Journal of Personality Disorders, 10, 384-399.
64. Segal, D. L., Hook, J. N., & Coolidge, F. L. (2001). Personality dysfunction, coping styles, and clinical symptoms in younger and older adults. Journal of Clinical Geropsychology, 7, 201-212.
65. Smith, T. L., Klein, M. H., & Benjamin, L. S. (2003). Validation of the Wisconsin Personality Disorders Inventory IV with the SCID II. Journal of Personality Disorders, 17, 173-187.
66. Tackett, J. L., Balsis, S., Oltmanns, T. F., & Krueger, R. F. (2009). A unifying perspective on personality pathology across the lifespan: Developmental considerations for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders. Development and Psychopathology, 21, 687-713.
67. Teeter, R. B., Garetz, F. K., Miller, W. R., & Heiland, W. F. (1976). Psychiatric disturbances of aged patients in skilled nursing homes. American Journal of Psychiatry, 133, 1430-1434.
68. Terracciano, A., McCrae, R. R., Brant, L. J., & Costa, P. T. J. (2005). Hierarchical linear modeling analyses of the NEO-PI-R Scales in the Baltimore Longitudinal Study of Aging. Psychology and Aging, 20, 493-506.
69. Thompson, L. W., Gallagher, D., & Czirr, R. (1988). Personality disorder and outcome in the treatment of late-life depression. Journal of Geriatric Psychiatry, 21, 133-146.
70. Tyrer, P., & Seivewright, H. (2000). Studies of outcome. In P. Tyrer (Ed.), Personality disorders: Diagnosis, management, and course (2nd ed., pp. 119-136). Oxford: Butterworth Heinemann.
71. Vaillant, G. E. (2002). Aging well. Boston: Little, Brown.
72. Van Alphen, S. P. J., Engelen, G. J. J. A., Kuin, Y., Hoijtink, H. J. A., & Derksen, J. J. L. (2006). A preliminary study of the diagnostic accuracy of the Gerontological Personality disorders Scale (GPS). International Journal of Geriatric Psychiatry, 21, 862-868.
73. Widiger, T. A., Mangine, S., Corbitt, E. M., Ellis, C. G., & Thomas, G. V. (1995). Personality Disorder Interview-IV. A semistructured interview for the assessment of personality disorders. Professional manual. Odessa, FL: Psychological Assessment Resources.
74. Widiger, T. A., & Trull, T. J. (2007). Plate tectonics in the classification of personality disorder: Shifting to a dimensional model. American Psychologist, 62, 71-83.
75. Zanarini, M. C., Frankenburg, F. R., Hennen, J., Reich, D. B., & Silk, K. R. (2006). Prediction of the 10-year course of borderline personality disorder. American Journal of Psychiatry, 163, 827-832.
76. Zanarini, M. C., Frankenburg, F. R., Reich, D. B., Silk, K. R., Hudson, J. I., & McSweeney, L. B. (2007). The subsyndromal phenomenology of borderline personality disorder: A 10-year followup study. American Journal of Psychiatry, 164, 929-935.
77. Zanarini, M. C., Frankenburg, F. R., Sickel, A. E., & Yong, L. (1996). The Diagnostic Interview for DSM-IV Personality Disorders (DIPD-IV). Belmont, MA: McLean Hospital.
78. Zweig, R. A. (2008). Personality disorder in older adults: Assessment challenges and strategies. Professional Psychology: Research and Practice, 39, 298-305.
79. Zweig, R. A., & Agronin, M. E. (2006). Personality disorders in late life. In M. E. Agronin & G. J. Maletta (Eds.), Principles and practice of geriatric psychiatry (pp. 449-469). Philadelphia: Lippincott, Williams, & Wilkins.
80. Zweig, R. A., & Hillman J. (1999). Personality disorders in adults: A review. In E. Rosowsky, R. C. Abrams, & R. A. Zweig, (Eds.), Personality disorders in older adults: Emerging issues in diagnosis and treatment (pp. 31-53). Mahwah, NJ: Erlbaum.