Table : TABLE 13.19 • Avoidant Personality Disorder Facts at a Glance
Prevalence
  • Approximately 2.5% of the American population has avoidant personality disorder (Grant, Hasin, et al., 2004).
  • Up to 10% of those seen in outpatient clinics have this disorder.
  • Comorbidity
  • Because the diagnostic criteria overlap with those of social phobia, comorbidity between the two disorders is very high (Shea et al., 2004; Skodol, 2005; Skodol et al., 1995); in one study, 43% of people diagnosed with social phobia were also diagnosed with avoidant personality disorder (Faravelli et al., 2000).
  • Common comorbid personality disorders are dependent personality disorder (because patients are dependent on the few friends they have), borderline personality disorder, and the Cluster A (odd/eccentric) personality disorders.
  • Common comorbid psychological disorders are mood disorders and anxiety disorders.
  • Onset
  • Based on the diagnostic criteria, symptoms such as shyness or a fear of strangers or new situations must emerge by early adulthood.
  • Course
  • Two years after diagnosis, approximately 50% of people with avoidant personality disorder improve enough with treatment that their symptoms no longer meet the criteria (Grilo et al., 2004).
  • Gender Differences
  • Men and women do not consistently differ in their prevalence rates for avoidant personality disorder (Torgersen, 2005).
  • Source: Unless specifically noted, citations are to American Psychiatric Association, 2000, 2013.