The Symptoms of Personality Disorders in Pakistani Society and Prevalence Estimates for Non Clinical Population of Lahore

Author: Afshi Yahya Khan

Supervisor: Dr. Saima Dawood

Degree: MS

Year: 2008-2010

University: Centre for Clinical Psychology, Punjab University, Lahore, Pakistan


The aim of the present study was to explore the symptoms through which Personality Disorders are manifested in Pakistani culture and also to estimate prevalence of Personality Disorders in non-clinical population of Lahore. Combined method of study was followed in the research which was carried out in two phases. The main focus of phase-I was to identify culture specific symptoms related to Personality Disorders. In the first phase Focused Group Discussion was used as a tool for data collection and 5 Clinical Psychologists holding Post Master’s Diploma in Clinical Psychology (ADCP) with at least 5 years of work experience were the participants’ of FGD. The main inquiry question was “How does the Symptoms of each Personality Disorder manifest in Pakistan?” A list of questions regarding Personality Disorders was developed after doing interpretation while transcribing the data of FGD. The diagnostic criteria based on DSM-IV-TR for Personality Disorders were also translated to use in the present research. The list of items generated through FGD was then incorporated in translated criteria of DSM- IV-TR and the tool was finalized. Three doctoral level judges then evaluated each item of the translated diagnostic criteria alongwith items developed through FGD on 1-10 scale, items with a mean rating of 7 or more were retained. The tool (Comprehensive .Diagnostic Instrument for Personality Disorders CDIP) consisted of one Screening Questionnaire and 12 subscales. The second phase was related to see the prevalence of Personality Disorders. For this purpose written permission was taken from the town office to collect data from Data Ganj Buksh Town. In Phase-II a survey was done to explore prevalence of Personality Disorders in Lahore. Data was collected from Data Ganj Buksh Town (N=1000; 500 men, 500 women). Proportionate Stratified Random Sampling was employed to select Union Councils (UCs) of lower, middle and upper socioeconomic status. Later, Purposive sampling was used to collect data from each selected UC Data was collected through Demographic questionnaire and CDIP. Response rate was 51. The results showed that the overall prevalence of Personality Disorders was 21 3 with Borderline Personality Disorder as the most prevalent (4.2) and Schizotypal as the least prevalent (.7) .No diagnosis was made for Antisocial Personality Disorder Further analyses according to demographic characteristics revealed that Personality Disorders were more prevalent in men,; lower and middle socioeconomic status and divorcees or separated individuals. The age group which Personality Disorders were more reported was 25-35.

Keywords: : Personality Disorders, Prevalence, Symptoms, Culture-Specific.

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