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'''For patient information click [[Schizotypal personality disorder (patient information)|here]]''' | '''For patient information click [[Schizotypal personality disorder (patient information)|here]]''' | ||
{{SI}} | {{SI}} | ||
{{CMG}}; {{AE}}{{JH}} | {{CMG}}; {{AE}} {{JH}} | ||
{{SK}} | {{SK}} Eccentric attitude; odd behavior; odd belief; schizotypal disorder | ||
==Overview== | ==Overview== | ||
Schizotypal personality disorder is a [[personality disorder]] that is characterized by a need for [[social isolation]], odd behaviour and thinking, and often unconventional beliefs such as being convinced of having extra-sensory perception. There is a high rate of [[comorbidity]] with other personality disorders. McGlashan et al. (2000) stated that this may be due to overlapping criteria with other personality disorders, such as [[avoidant personality disorder]] and [[paranoid personality disorder]]<ref>McGlashan, T.H., Grilo, C.M., Skodol, A.E., Gunderson, J.G., Shea, M.T., Morey, L.C., et al. (2000). The collaborative longitudinal personality disorders study: Baseline axis I/II and II/II diagnostic co-occurrence. ''Acta Psychiatrica Scandinavica, 102'', 256-264.</ref>. | |||
There is a high rate of [[comorbidity]] with other personality disorders. | ==Differential Diagnosis== | ||
*[[Schizophrenia]] | |||
*[[Delusional disorder]] | |||
*[[Hallucination]]s | |||
*Communication disorders | |||
*Medical condition that affects the [[central nervous system]] | |||
*[[Avoidant personality disorder]]<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref> | |||
==Epidemiology and Demographics== | |||
===Prevalence=== | |||
The prevalence of schizotypal personality disorder is 600 to 4,600 per 100,000 (0.6% to 4.6%) of the overall population.<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref> | |||
==Risk Factors== | |||
*First degree relatives with [[schizophrenia]] | |||
*Solitariness | |||
*Poor peer relationships | |||
*[[Social anxiety]]<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref> | |||
==Natural History, Prognosis and Complications== | |||
There is a high rate of [[comorbidity]] with other personality disorders. Poor prognostic factors include: | |||
*First degree relatives with [[schizophrenia]] | |||
*Odd way of thinking | |||
*Eccentric attitude | |||
*Solitariness<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref> | |||
==Diagnostic Criteria== | |||
===DSM-V Diagnostic Criteria for Schizotypal Personality Disorder<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>=== | |||
{{cquote| | |||
* A. A pervasive pattern of social and interpersonal deficits marked by acute discomfort with, and reduced capacity for, close relationships as well as by cognitive or perceptual distortions and eccentricities of behavior, beginning by early [[adulthood]] and present in a variety of contexts, as indicated by five (or more) of the following: | |||
# Ideas of reference (excluding [[delusions]] of reference). | |||
# Odd beliefs or magical thinking that influences behavior and is inconsistent with subcultural norms (e.g., [[superstitiousness]], belief in clairvoyance, telepathy, or “sixth sense”: in children and adolescents, bizarre fantasies or preoccupations. | |||
# Unusual perceptual experiences, including bodily illusions. | |||
# Odd thinking and speech (e.g., vague, circumstantial, metaphorical, overelaborate, or stereotyped). | |||
# Suspiciousness or paranoid ideation. | |||
# Inappropriate or constricted affect. | |||
# Behavior or appearance that is odd, eccentric, or peculiar. | |||
# Lack of close friends or confidants other than first-degree relatives. | |||
# Excessive social anxiety that does not diminish with familiarity and tends to be associated with paranoid fears rather than negative judgments about self. | |||
'''''AND''''' | |||
* B. Does not occur exclusively during the course of schizophrenia, a [[bipolar disorder]] or [[depressive disorder]] with psychotic features, another psychotic disorder, or [[autism spectrum disorder]]. | |||
<SMALL>Note: If criteria are met prior to the onset of schizophrenia, add “premorbid,”e.g., “schizotypal personality disorder (premorbid).”</SMALL> | |||
}} | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | {{WikiDoc Sources}} | ||
Latest revision as of 22:12, 13 November 2014
For patient information click here
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2]
Synonyms and keywords: Eccentric attitude; odd behavior; odd belief; schizotypal disorder
Overview
Schizotypal personality disorder is a personality disorder that is characterized by a need for social isolation, odd behaviour and thinking, and often unconventional beliefs such as being convinced of having extra-sensory perception. There is a high rate of comorbidity with other personality disorders. McGlashan et al. (2000) stated that this may be due to overlapping criteria with other personality disorders, such as avoidant personality disorder and paranoid personality disorder[1].
Differential Diagnosis
- Schizophrenia
- Delusional disorder
- Hallucinations
- Communication disorders
- Medical condition that affects the central nervous system
- Avoidant personality disorder[2]
Epidemiology and Demographics
Prevalence
The prevalence of schizotypal personality disorder is 600 to 4,600 per 100,000 (0.6% to 4.6%) of the overall population.[2]
Risk Factors
- First degree relatives with schizophrenia
- Solitariness
- Poor peer relationships
- Social anxiety[2]
Natural History, Prognosis and Complications
There is a high rate of comorbidity with other personality disorders. Poor prognostic factors include:
- First degree relatives with schizophrenia
- Odd way of thinking
- Eccentric attitude
- Solitariness[2]
Diagnostic Criteria
DSM-V Diagnostic Criteria for Schizotypal Personality Disorder[2]
| “ |
AND
Note: If criteria are met prior to the onset of schizophrenia, add “premorbid,”e.g., “schizotypal personality disorder (premorbid).” |
” |
References
- ↑ McGlashan, T.H., Grilo, C.M., Skodol, A.E., Gunderson, J.G., Shea, M.T., Morey, L.C., et al. (2000). The collaborative longitudinal personality disorders study: Baseline axis I/II and II/II diagnostic co-occurrence. Acta Psychiatrica Scandinavica, 102, 256-264.
- ↑ 2.0 2.1 2.2 2.3 2.4 Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.