Fast Five Quiz: Antisocial Personality Disorder (Sociopathy)

Stephen Soreff, MD

Disclosures

November 11, 2021

In patients with a personality disorder, risk for death is usually related to conditions or behaviors resulting from the disorder. Consequently, death may result from suicide, substance abuse, trauma from motor vehicle accidents, or injuries from fighting.

Patients with personality disorders are at higher risk than the general population for many (axis I) psychiatric disorders. Mood disorders are a particular risk across all personality diagnoses. Some comorbidities are more specific to particular personality disorders and clusters.

Cluster A disorders and their morbidities include:

  • Paranoid personality disorder: May appear as a prodrome to delusional disorder or frank schizophrenia; associated with a risk for agoraphobia, major depression, obsessive-compulsive disorder, and substance abuse

  • Schizoid personality disorder: Associated with a risk for major depression

  • Schizotypal personality disorder: Associated with a risk for brief psychotic disorder, schizophreniform disorder, delusional disorder, and depression

Cluster B disorders and their morbidities include:

  • Antisocial personality disorder: Associated with a risk for anxiety disorders, substance abuse, somatization disorder, and pathologic gambling

  • Borderline personality disorder: Associated with a risk for substance abuse, eating disorders (particularly bulimia), posttraumatic stress disorder, and suicide

  • Histrionic personality disorder: Associated with a risk for somatoform disorders

  • Narcissistic personality disorder: Associated with a risk for anorexia nervosa and substance abuse, as well as depression

Cluster C disorders and their morbidities include:

  • Avoidant personality disorder: Associated with a risk for anxiety disorders (especially social phobia)

  • Dependent personality disorder: Associated with a risk for anxiety disorders and adjustment disorder

  • Obsessive-compulsive personality disorder: Associated with a risk for anxiety disorders and myocardial infarction (due to common type A lifestyles)

Read more on the prognosis of antisocial personality disorder.

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