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Personality Disorder Assessments in Acute Depressive Episodes
- Source :
- The Journal of Nervous and Mental Disease. 200:526-530
- Publication Year :
- 2012
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2012.
-
Abstract
- Assessment of personality disorders during the acute phase of major depression may be invalidated by the potential distortion of personality traits in depressed mood states. However, few studies have tested this assumption. We examined the stability of personality disorder diagnoses during and then after a major depressive episode (MDE). Subjects with major depression (N = 82) completed the 17-item Hamilton Depression Scale (HAM-17) and the Structured Clinical Interview for Axis II both at baseline during an MDE and at 3-month follow-up. We compared subjects who continued to meet DSM-IV criteria for the same Axis II diagnoses with patients whose diagnosis changed and patients with no DSM-IV personality disorder to determine the relationship to major depression and its severity. Sixty-six percent of subjects met DSM-IV criteria for at least one Axis II diagnosis at baseline and 80% had the same personality disorder diagnoses at follow-up. Thirty-four percent had a full remission of MDE at 3-month follow-up. Instability of Axis II diagnosis was associated with number of Axis II diagnoses at baseline (p = .036) and Hispanic ethnicity (p = .013). HAM-17 score change was unrelated to differences in the number of symptoms of personality disorders from baseline to follow-up, nor was remission from MDE on follow-up. Axis II diagnoses in acutely depressed patients reassessed after 3 months are often stable and not associated with remission of or improvement in major depression.
- Subjects :
- Adult
Male
medicine.medical_specialty
Hamilton depression scale
Psychometrics
media_common.quotation_subject
Comorbidity
Personality Assessment
Personality Disorders
Article
Internal medicine
medicine
Humans
Personality
Big Five personality traits
Medical diagnosis
Major depressive episode
Depression (differential diagnoses)
media_common
Depressive Disorder, Major
Reproducibility of Results
Middle Aged
medicine.disease
Personality disorders
Psychiatry and Mental health
Female
medicine.symptom
Depressed mood
Psychology
Follow-Up Studies
Clinical psychology
Subjects
Details
- ISSN :
- 00223018
- Volume :
- 200
- Database :
- OpenAIRE
- Journal :
- The Journal of Nervous and Mental Disease
- Accession number :
- edsair.doi.dedup.....ab70835ae1fba4d812cbd71058339841