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Personality Disorder and Physical Health Comorbidities: A Link With Bone Health?

Williams, Lana J., Quirk, Shae E., Koivumaa-Honkanen, Heli, Honkanen, Risto, Pasco, Julie A., Stuart, Amanda L., Kavanagh, Bianca E., Heikkinen, Jeremi and Berk, Michael 2020, Personality Disorder and Physical Health Comorbidities: A Link With Bone Health?, Frontiers in Psychiatry, vol. 11, pp. 1-6, doi: 10.3389/fpsyt.2020.602342.

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Title Personality Disorder and Physical Health Comorbidities: A Link With Bone Health?
Author(s) Williams, Lana J.ORCID iD for Williams, Lana J. orcid.org/0000-0002-1377-1272
Quirk, Shae E.
Koivumaa-Honkanen, Heli
Honkanen, Risto
Pasco, Julie A.ORCID iD for Pasco, Julie A. orcid.org/0000-0002-8968-4714
Stuart, Amanda L.ORCID iD for Stuart, Amanda L. orcid.org/0000-0001-8770-9511
Kavanagh, Bianca E.ORCID iD for Kavanagh, Bianca E. orcid.org/0000-0002-1656-2775
Heikkinen, Jeremi
Berk, MichaelORCID iD for Berk, Michael orcid.org/0000-0002-5554-6946
Journal name Frontiers in Psychiatry
Volume number 11
Article ID 602342
Start page 1
End page 6
Total pages 6
Publisher Frontiers Media
Place of publication Lausanne, Switzerland
Publication date 2020-12-08
ISSN 1664-0640
1664-0640
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Psychiatry
comorbidity
personality disorder
physical health
medical condition
bone
CHRONIC MEDICAL ILLNESSES
LIFE-STYLE CHOICES
MINERAL DENSITY
WOMEN
CARE
PREVALENCE
TURNOVER
Summary We examined whether personality disorders (PDs) (any, cluster A/B/C) were associated with bone mineral density (BMD) in a population-based sample of Australian women (n = 696). Personality and mood disorders were assessed using semi-structured diagnostic interviews. BMD was measured at the spine, hip, and total body using dual-energy x-ray absorptiometry (GE-Lunar Prodigy). Anthropometrics, medication use, physical conditions, and lifestyle factors were documented. The association between PDs (any, cluster A/B/C) and BMD (spine/hip/total body) was examined with multiple linear regression models. The best models were identified by backward elimination including age, weight, physical activity, smoking status, alcohol consumption, dietary calcium intake, mood disorders, physical multimorbidity, socioeconomic status, and medications affecting bone. The variables were retained in the model if p < 0.05. All potential interactions in final models were tested. Those with cluster A PD, compared to those without, had 6.7% lower hip BMD [age, weight adjusted mean 0.853 (95% CI 0.803–0.903) vs. 0.910 (95% CI 0.901–0.919) g/cm2, p = 0.027] and 3.4% lower total body BMD [age, weight, smoking, alcohol, calcium adjusted mean 1.102 (95% CI 1.064–1.140) vs. 1.139 (95% CI 1.128–1.150) g/cm2, p = 0.056]. No associations were observed between cluster B/C PDs and hip/total body BMD or between any of the PD clusters and spine BMD. To our knowledge, this study is the first to investigate the bone health of women with PD in a population-based sample. Given the paucity of literature, replication and longitudinal research including the examination of underlying mechanisms and sex differences are warranted.
Language eng
DOI 10.3389/fpsyt.2020.602342
Indigenous content off
Field of Research 1103 Clinical Sciences
1117 Public Health and Health Services
1701 Psychology
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2020, Williams, Quirk, Koivumaa-Honkanen, Honkanen, Pasco, Stuart, Kavanagh, Heikkinen and Berk
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30146369

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.