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Table 1 Results of the literature review

From: Developing a decision tool to identify patients with personality disorders in need of highly specialized care

Author

Type PS

Type of article

Criteria

Positive effect on

Barnicot, K. et al. (2011) [23]

BPD

Systematic review

Schizoid personality disorder

High level of impulsivity

Less pre-treatment suicidal behavior

Lack of motivation to change

Less internal, more external motivation to change

Experiencing higher stigmatization

Experiential avoidance

Higher trait anxiety

Higher anger level

Dropout

Barnow, S. et al. (2010) [26]

BPD

Review

Substance use disorders

Treatment outcome

(suicidality/remission time)

Chiesa, M. et al. (2011) [27]

PD

Observational study

Deliberate self-harm

DSM-IV- (comorbidity)

Goodman, G. et al. (1998) [28]

BPD

Observational study

Initial depression and initial psychotic symptoms

Treatment outcome

(SCID-P-comorbidity/ SCL-90R-symptom checklist)

Gunderson, J. G. et al. (2006) [22]

BPD

Observational study

Meet several criteria for obsessive-compulsive personality disorder

Number of borderline personality disorder criteria

Number of personality disorder criteria

Number of axis-I disorders

Early history of abuse and neglect

Low GAF score

Lower quality relationships

Treatment outcome (DSM-IV-Number of criteria/ lower GAF score)

McMurran, M. et al. (2010) [29]

PD

Systematic review

Lower age

Lower level of educational attainment

Lower-skilled occupation level

Unemployed

Convicted in court as an adolescent

Parental divorce before the age of 10

Emotional neglect during childhood

Less time alone

Being in a relationship for less than six months

Meet more than one PD diagnoses

Meet more PD criteria

Diagnosis of obsessive-compulsive PD, severe histrionic or antisocial PD and no specific PD

Having a dependent PD

Have a personality disorder in cluster A or B

Higher level of narcism

Higher level of impulsivity

Fewer suicide attempts

Higher trait anxiety

Still be in the pre-consideration stage of change

Less persistence

Higher levels of avoidance

Poor rational social problem-solving ability

High level of carelessness in problem-solving

High level of impulsivity in problem-solving

More social competence

Poor ego structure

Less primitive defence

Weaker adaptive defence style

A greater denial of need for closeness

Have conflicts regarding engagement and abandonment

Fear of impulsive breakthrough of negative affect

More externalizing defence

Projective identification

Lower level of general functioning

Previous substance abuse

Depressive self-image

Less depressed

No mood disorders

Problems are focussed in one area

Dropout

Ryle, A. et al. (2000) [30]

BPD

Observational study

History of self-cutting

Unemployed

Alcohol abuse

Dropout

Skodol, A. E. et al. (2002) [31]

BPD

Review

Childhood sexual abuse

Incest

Lower age at first psychiatric contact

Symptom chronicity

Affective instability

Magical thinking

Aggression in relationships

Impulsivity

Substance abuse

More Schizotypical features

More Antisocial features

More Paranoid features

Number of borderline personality disorder criteria

A greater number of axis II disorders

Comorbidity of axis I and II disorders

Treatment outcome (DSM-IV: diagnostic criteria of borderline)

Thormählen B. et al. (2003) [32]

PD

Observational Study

Have a personality disorder in cluster A or B

More distress

Focus on 1 specific interpersonal problem

Lower Age

Dropout

Yen, S. et. Al (2002) [33]

BPD, Schizotypical, Avoidant, and Obsessive Compulsive PD

Observational study

Measured number of physical attacks on another person in the past (with and without a weapon)

More exposure to various types of trauma

More lifelong PTSD

Lower age at first traumatic experience

Severity (DSM-IV: more severe: Schizotypal, BPD; other types)

Yoshida, K. et al. (2006) [34]

BPD

Observational study

Overinvolvement in family relationships

Treatment outcome (lower GAF score)