Under recognition of personality disorders among psychiatric inpatients in a Romanian sample
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Claudiu-Ionut Vasile 1 2 , Emmanuel Chimdiebere Ogamdi 1 2 * , Simona-Dana Mitincu-Caramfil 2 3 , Mihaela-Camelia Vasile 2 4 , Alina Craciun 5 , Ileana Marinescu 6 7 , Anca Ana Chendea 8 9
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1 Department of General Psychiatry I, Elisabeta Doamna Clinical Psychiatry Hospital, Galați, ROMANIA2 Department of Clinical Medicine, Faculty of Medicine and Pharmacy, “Dunărea de Jos” University, Galați, ROMANIA3 Department of Clinical Psychology, Elisabeta Doamna Clinical Psychiatry Hospital, Galați, ROMANIA4 Department of Infectious Diseases II, Clinic Hospital for Infectious Diseases, Galați, ROMANIA5 ESTUAR Foundation, Bucharest, ROMANIA6 Faculty of Medicine, University of Medicine and Pharmacy in Craiova, Craiova, ROMANIA7 Department of General Psychiatry, Craiova Clinical Hospital for Neuropsychiatry, Craiova, ROMANIA8 Department of General Psychiatry, Alexandru Obregia Clinical Psychiatry Hospital, Bucharest, ROMANIA9 Faculty of Medicine, University of Medicine and Pharmacy “Carol Davila” Bucharest, Bucharest, ROMANIA* Corresponding Author

Abstract

Personality disorders (PDs) are common in psychiatric populations but often remain underrecognized in routine practice, which can affect treatment and outcomes. This study examined the gap between screening results and documented diagnoses among psychiatric inpatients in Romania and explored their links with rehospitalization. Ninety-four patients completed the structured clinical interview for diagnostic and statistical manual of mental disorders, fifth edition screening personality questionnaire (SCID-5-SPQ), and existing diagnoses were extracted from hospital records. More than half of participants (59.6%) screened positive, yet only one patient (1.1%) had a recorded diagnosis, indicating very low concordance (1.8%). Patients screening positive seemed to have higher mean rehospitalization rates, although this difference was not statistically significant (p = .160). Dimensional scores showed modest but significant correlations with hospitalization frequency (ρ = .25-.29, p < .05) but were not significant predictors in regression analyses. These findings suggest a substantial gap in recognition of PDs in clinical settings and indicate the utility of brief screening tools in improving detection and guiding psychiatric care.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Original Article

ELECTRON J GEN MED, Volume 23, Issue 4, August 2026, Article No: em747

https://doi.org/10.29333/ejgm/19037

Publication date: 30 Jul 2026

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