Comorbidity With Other Personality Disorders
Sadistic Personality Disorder is often found to occur in unison with other personality disorders. In fact, studies have found that sadistic personality disorder is the personality disorder with the highest level of comorbidity to other types of psychopathologic disorders. However, sadism has also been found in patients who do not display other forms of psychopathic disorders. One personality disorder that is oftentimes found to occur alongside sadistic personality disorder is conduct disorder. In addition, anti-social and narcissistic personality disorders are sometimes found in individuals diagnosed with sadistic personality disorder. Other disorders that are also often found to exist with sadistic personality disorder include bipolar disorder, panic disorders, depression, borderline personality disorder, histrionic personality disorder, obsessive compulsive disorder, self-defeating personality disorder and passive-aggressive personality disorder. Studies have found other types of illnesses, such as alcoholism, to have a high rate of comorbidity with sadistic personality disorder.
Because of its high level of comorbidity with other disorders, researches have had some level of difficulty distinguishing sadistic personality disorder from other forms of personality disorder. While sadistic personality disorder itself is no longer included in the DSM, partially for this reason, other types of disorders involving sadism, such as sexual sadism, are still found in the DSM.
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