Predictors of stable personality disorder diagnoses in outpatients with remitted depression

J Nerv Ment Dis. 2002 Apr;190(4):248-56. doi: 10.1097/00005053-200204000-00006.

Abstract

This study examined the stability of comorbid personality disorder diagnoses once an outpatient's depression remitted. The sample consisted of 75 outpatients who responded to treatment in an 8-week acute treatment phase for depression, who met criteria for remission throughout a 26-week continuation phase, and who completed a personality assessment (Structured Clinical Interview for DSM-III-R-axis II Disorders) at the beginning and at the end of each treatment phase. The authors found that after a major depressive disorder is successfully treated, personality disorder diagnoses remain stable across time during continuation treatment. Gender was the only potential predictor variable that was significant: the proportion of men who had a stable personality disorder diagnosis in cluster A or cluster B was significantly greater than the proportion of women who had a stable personality disorder diagnosis in these two clusters. Among women, those with any stable personality disorder had a significantly longer duration of the current major depressive disorder compared with those who never met criteria for any personality disorder; this was also true for women with a cluster C personality disorder diagnosis.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Cluster Analysis
  • Depression / psychology*
  • Depression / therapy*
  • Depressive Disorder, Major / psychology
  • Depressive Disorder, Major / therapy
  • Female
  • Forecasting
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Personality Disorders / complications*
  • Personality Disorders / epidemiology
  • Remission Induction
  • Sex Distribution