Personality disorders in dysthymia and major depression

Autor: A Sotiropoulou, A. Adamopoulou, A. Karastergiou, John Giouzepas, G. Garyfallos, Stamatis Donias, A Paraschos, Maki Voikli
Rok vydání: 2007
Předmět:
Zdroj: Acta Psychiatrica Scandinavica. 99:332-340
ISSN: 1600-0447
0001-690X
DOI: 10.1111/j.1600-0447.1999.tb07238.x
Popis: Objective: The purpose of the present study was to investigate the comorbidity of personality disorders in patients with primary dysthymia compared to those with episodic major depression. Method: A total of 177 out-patients with primary dysthymia and 187 outpatients with episodic major depression were administered a structured diagnostic interview for DSM-III-R Axis II disorders. In addition, all of these patients completed the BDI, and those with the appropriate level of education also completed the Minnesota Multiphasic Personality Inventory (MMPI). Results: A significantly higher proportion of dysthymic patients than patients with major depression met the criteria for a personality disorder, for borderline, histrionic, avoidant, dependent, self-defeating types and for personality disorders of clusters B and C. Further analysis revealed that the above differences were mainly due to the subgroup of patients with ‘early-onset dysthymia’. Finally, patients with a personality disorder, both dysthymics and those with major depression, had significantly higher scores on the RDI and on the majority of the MMPI scales compared to those without a personality disorder. Conclusion: The data indicated that (i) dysthymia—mainly that of early onset—is associated with significantly higher personality disorder comorbidity than episodic major depression, and (ii) the presence of a personality disorder is related to more severe overall psychopathology.
Databáze: OpenAIRE