Concept: Personality Disorders - Measuring Prevalence

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Concept Description

Last Updated: 2020-06-30

Introduction
    This concept defines personality disorders and describes how this medical condition has been defined in MCHP research. This includes a list of databases where this information resides, the ICD diagnosis codes that are used to define it, and a list of MCHP research that has investigated personality disorders, with links to the research results and findings in this research.

    Personality disorders are a class of mental illnesses characterized by chronic behavioral and relationship patterns that often cause serious personal and social difficulties, as well as a general impairment of functioning (Doupe et al.; 2008).
Technical Definition of Personality Disorders
    The technical definition of personality disorders using administrative data includes:
    • Data Sources:

    • Code Values and Conditions: - defined as Manitoba residents with:

      • one or more hospitalization with a diagnosis for personality disorders:

        • ICD-9-CM code: 301; OR
        • ICD-10-CA codes: F21, F34.0, F60, F61, F62, F68.1, F68.8 or F69; OR

      • one or more physician visits with a diagnosis for personality disorders using ICD-9-CM code 301.

      NOTE: In most MCHP research, the definition is generally restricted to those aged 10 and older. In Chartier et al. (2015), the definition is restricted to those aged 18 and older.
MCHP Research Investigating Personality Disorders
    The following sections describe how personality disorders are investigated in several MCHP deliverables and provides links to specific information in each report.
1. Martens et al. (2004)
2. Doupe et al. (2008)
3. Fransoo et al. (2009)
4. Martens et al. (2010)
5. Martens et al. (2010)
    In the Health Inequities in Manitoba: Is the Socioeconomic Gap in Health Widening or Narrowing Over Time? deliverable by Martens et al. (2010) they investigated personality disorders as one of five conditions belonging to a condition termed "cumulative mental health illness". The time frame for this study covered 1984/85 to 2008/09 and includes five different 5-year periods. For more information, see:

6. Chartier et al. (2012)
    In the Health and Healthcare Utilization of Francophones in Manitoba deliverable by Chartier et al. (2012) they compared the prevalence of personality disorders between a Francophone cohort and a group of Other Manitobans for 2004/05 - 2008/09, separately and as one of five cumulative mental health disorders. Rate ratios are used to compare the two groups. For more information, see:

7. Chartier et al. (2015)
8. Chartier et al. (2018)
    In this reseach, the findings are illustrated and discussed by Health Region, Health Region District, Winnipeg Neighbourhood Cluster, Age and Sex, and Income Quintile. For more information, see the section titled Personality Disorders in the online deliverable.

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References 

  • Brownell M, Chartier M, Au W, Schultz J, Stevenson D, Mayer T, Young V, Thomson T, Towns D, Hong S, McCulloch S, Burchill S, Jarmasz J. The PAX Program in Manitoba: A Population-Based Analysis of Children's Outcomes. Winnipeg, MB: Manitoba Centre for Health Policy, 2018. [Summary] [Full Report] [Data extras] (View)
  • Chartier M, Dart A, Tangri N, Komenda P, Walld R, Bogdanovic B, Burchill C, Koseva I, McGowan K-L, Rajotte L. Care of Manitobans Living with Chronic Kidney Disease. Winnipeg, MB: Manitoba Centre for Health Policy, 2015. [Summary] [Full Report] [Errata] (View)
  • Chartier M, Finlayson G, Prior H, McGowan K, Chen H, de Rocquigny J, Walld R, Gousseau M. Health and Healthcare Utilization of Francophones in Manitoba. Winnipeg, MB: Manitoba Centre for Health Policy, 2012. [Summary] [Full Report] (View)
  • Chartier M, Bolton J, Mota N, MacWilliam L, Ekuma O, Nie Y, McDougall C, Srisakuldee W, McCulloch S. Mental Illness Among Adult Manitobans. Winnipeg, MB: Manitoba Centre for Health Policy, 2018. [Summary] [Full Report] (View)
  • Doupe M, Kozyrskyj A, Soodeen R, Derksen S, Burchill C, Huq S. An Initial Analysis of Emergency Departments and Urgent Care in Winnipeg. Winnipeg, MB: Manitoba Centre for Health Policy, 2008. [Summary] [Full Report] [Data extras] (View)
  • Fransoo R, Martens P, Burland E, The Need to Know Team, Prior H, Burchill C. Manitoba RHA Indicators Atlas 2009. Winnipeg, MB: Manitoba Centre for Health Policy, 2009. [Summary] [Full Report] [Data extras] (View)
  • Martens P, Brownell M, Au W, MacWiliam L, Prior H, Schultz J, Guenette W, Elliott L, Buchan S, Anderson M, Caetano P, Metge C, Santos R, Serwonka K. Health Inequities in Manitoba: Is the Socioeconomic Gap in Health Widening or Narrowing Over Time? Winnipeg, MB: Manitoba Centre for Health Policy, 2010. [Summary] [Full Report] [Data extras] [Errata] (View)
  • Martens PJ, Fransoo R, McKeen N, The Need to Know Team, Burland E, Jebamani L, Burchill C, De Coster C, Ekuma O, Prior H, Chateau D, Robinson R, Metge C. Patterns of Regional Mental Illness Disorder Diagnoses and Service Use in Manitoba: A Population-Based Study. Winnipeg, MB: Manitoba Centre for Health Policy, 2004. [Summary] [Full Report] [Data extras] (View)
  • Martens PJ, Bartlett J, Burland E, Prior H, Burchill C, Huq S, Romphf L, Sanguins J, Carter S, Bailly A. Profile of Metis Health Status and Healthcare Utilization in Manitoba: A Population-Based Study. Winnipeg, MB: Manitoba Centre for Health Policy, 2010. [Summary] [Full Report] [Data extras] [Errata] (View)