@article{ref1,
title="Personality disorders and posttraumatic stress disorder in motor vehicle accident survivors",
journal="Journal of nervous and mental disease",
year="2002",
author="Malta, Loretta S. and Blanchard, Edward B. and Taylor, Ann E. and Hickling, Edward J. and Freidenberg, Brian M.",
volume="190",
number="11",
pages="767-774",
abstract="This study examined the impact of a co-occurring personality disorder on the development and remission of posttraumatic stress disorder (PTSD) in 158 motor vehicle accident (MVA) survivors followed prospectively for 1 year. Participants were assessed 1 to 4 months after trauma and at 6-month and 1-year follow-up evaluations during 1991 through 1993. These archival data were analyzed in the present study. The prevalence of at least one personality disorder was 13.3%, with the majority (52.4%) presenting with obsessive-compulsive personality disorder. Persons with a personality disorder were significantly more likely to be diagnosed with PTSD at 1-year follow-up evaluation. For persons diagnosed with PTSD at the initial assessment, those with a personality disorder were significantly less likely to remit by 1 year. The presence of a preexisting personality disorder may increase the risk of chronic PTSD and impede remission.<p /><p>Language: en</p>",
language="en",
issn="0022-3018",
doi="10.1097/01.NMD.0000038172.34797.E9",
url="http://dx.doi.org/10.1097/01.NMD.0000038172.34797.E9"
}