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International Journal of Offender Therapy and Comparative Criminology
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The Prevalence and Comorbidity of Axis I and Axis II Pathology in a Group of Forensic Patients

Irma G. H. Timmerman

Forensic Psychiatric Center Veldzicht, P.O. Box 20, 7707 ZG Balkbrug, The Netherlands

Paul M. G. Emmelkamp

University of Amsterdam, Roetersstraat 15 108WB Amsterdam, The Netherlands

In this study, the prevalence of a broad range of Diagnostic and Statistical Manual of Mental Disorders, third edition, revised (DSM-III-R) Axis I disorders (Composite International Disorder Interview) and all Axis II disorders (International Personality Disorder Examination) is determined with standardized, semistructured interviews of a group of 39 male forensic inpatients. Substance abuse (75.7%) and mood (51.3%) and anxiety (40.3%) disorders were the most prevalent Axis I disorders. Of Axis II disorders, 86.8% evinced a personality disorder most often from the B cluster. A high percentage of the participants received the diagnosis "personality disorder not otherwise specified" (42.1%). There was a high level of comorbidity of mood and anxiety disorders with personality (61%) and substance abuse (47%) disorders. Compared with the general population, the prevalence rates of the separate disorders found among these forensic participants are much higher. The results of this study emphasize the importance of the use of standardized diagnostic instruments and the assessment of a broad range of disorders.

International Journal of Offender Therapy and Comparative Criminology, Vol. 45, No. 2, 198-213 (2001)
DOI: 10.1177/0306624X01452006
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