Socioeconomic-status and mental health in a personality disorder sample: the importance of neighborhood factors.

Zach Walsh, M. Tracie Shea, Shirley Yen, Emily B. Ansell, Carlos M. Grilo, Thomas H. McGlashan, Robert L. Stout, Donna S. Bender, Andrew E. Skodol, Charles A. Sanislow, Lesley C. Morey, John G. Gunderson

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


This cross-sectional study examined the associations between neighborhood-level socioeconomic-status (NSES), and psychosocial functioning and personality pathology among 335 adults drawn from the Collaborative Longitudinal Personality Disorders Study. Participants belonged to four personality disorder (PD) diagnostic groups: Avoidant, Borderline, Schizotypal, and Obsessive Compulsive. Global functioning, social adjustment, and PD symptoms were assessed following a minimum two-year period of residential stability. Residence in higherrisk neighborhoods was associated with more PD symptoms and lower levels of functioning and social adjustment. These relationships were consistent after controlling for individual-level socioeconomic-status and ethnicity; however, the positive association between neighborhood-level socio-economic risk and PD symptoms was evident only at higher levels of individual-level socio-economic risk. Our findings identify NSES as a candidate for explaining some of the variability in symptoms and functioning among PD individuals.

Original languageEnglish (US)
Pages (from-to)820-831
Number of pages12
JournalJournal of personality disorders
Issue number6
StatePublished - Dec 2013
Externally publishedYes

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health


Dive into the research topics of 'Socioeconomic-status and mental health in a personality disorder sample: the importance of neighborhood factors.'. Together they form a unique fingerprint.

Cite this