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Monk-Cunliffe, Jonathan, Kadra-Scalzo, Giouliana, Finamore, Chloe, Dale, Oliver, Khondoker, Mizanur 
ORCID: https://orcid.org/0000-0002-1801-1635, Barrett, Barbara, Shetty, Hitesh, Hayes, Richard D. and Moran, Paul
(2023)
Defining severity of personality disorder using electronic health records: short report.
BJPsych Open, 9 (5).
ISSN 2056-4724
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Abstract
Severity of personality disorder is an important determinant of future health. However, this key prognostic variable is not captured in routine clinical practice. Using a large clinical data-set, we explored the predictive validity of items from the Health of Nation Outcome Scales (HoNOS) as potential indicators of personality disorder severity. For 6912 patients with a personality disorder diagnosis, we examined associations between HoNOS items relating to core personality disorder symptoms (self-harm, difficulty in interpersonal relationships, performance of occupational and social roles, and agitation and aggression) and future health service use. Compared with those with no self-harm problem, the total healthcare cost was 2.74 times higher (95% CI 1.66–4.52; P < 0.001) for individuals with severe to very severe self-harm problems. Other HoNOS items did not demonstrate clear patterns of association with service costs. Self-harm may be a robust indicator of the severity of personality disorder, but further replication work is required.
| Item Type: | Article |
|---|---|
| Additional Information: | Funding Information: This paper represents independent research part funded by the NIHR Maudsley Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King's College London. J.M.-C. is part funded by the University of Bristol. C.F. was part funded by the Robert Luff Foundation. R.D.H., G.K.-S. and H.S. receive salary support from the NIHR Biomedical Research Centre at SLaM and King's College London. P.M. is part-funded by the NIHR Biomedical Research Centre at University Hospitals Bristol and Weston NHS Foundation Trust and the University of Bristol and by the NIHR Applied Research Collaboration (ARC) West. The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. |
| Uncontrolled Keywords: | economics,epidemiology,personality disorders,physical health,rating scales,psychiatry and mental health ,/dk/atira/pure/subjectarea/asjc/2700/2738 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| UEA Research Groups: | Faculty of Science > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023) Faculty of Medicine and Health Sciences > Research Centres > Population Health |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 02 Aug 2023 08:11 |
| Last Modified: | 19 Oct 2023 03:37 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/92757 |
| DOI: | 10.1192/bjo.2023.509 |
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