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Personality Disorders and Outcome of Inpatient Treatment for Depression: A 1-Year Prospective Follow-Up Study
- Source :
- Journal of Personality Disorders. 27:636-651
- Publication Year :
- 2013
- Publisher :
- Guilford Publications, 2013.
-
Abstract
- This study examines the relationship of personality disorders (PDs) with the outcome of an inpatient treatment for depression. One hundred sixty-eight inpatients with unipolar depression (41% with PD according to SCID-II) were assessed at admission, discharge, and 1-year follow-up. Patients without as well as with PD showed a significant and comparable intake-to-discharge symptom reduction in all inventories. At posttreatment, patients with PD scored higher in self-report measures of symptom severity (Brief Symptom Inventory, Beck Depression Inventory) than patients without PD, due to their higher symptom levels at intake. However, there was no difference in clinician-rated therapy outcome (Hamilton Rating Scale for Depression [17-item version], Global Assessment of Functioning Scale, Clinical Global Impression Scale) between both patient groups at discharge. At 1-year follow-up, patients without PD maintained their treatment outcome, whereas patients with PD showed a slight increase in symptom severity, compared to discharge. The results suggest that a difference in acute treatment outcome between depressed patients with and without PD may be found using self-ratings but not expert ratings of symptom severity. Furthermore, the importance of subsequent outpatient treatment that takes into account the special needs of depressed patients with comorbid PD is highlighted.
- Subjects :
- Adult
Male
medicine.medical_specialty
Personality Inventory
Global Assessment of Functioning
Personality Disorders
Internal medicine
medicine
Humans
Prospective Studies
Psychiatry
Depression (differential diagnoses)
Aged
Psychiatric Status Rating Scales
Therapy Outcome
Depressive Disorder, Major
Follow up studies
Beck Depression Inventory
Hamilton Rating Scale for Depression
Middle Aged
medicine.disease
Personality disorders
Hospitalization
Psychiatry and Mental health
Clinical Psychology
Treatment Outcome
Clinical Global Impression
Female
Psychology
Follow-Up Studies
Subjects
Details
- ISSN :
- 0885579X
- Volume :
- 27
- Database :
- OpenAIRE
- Journal :
- Journal of Personality Disorders
- Accession number :
- edsair.doi.dedup.....23a3b837325721d85b675f912930afbd