Diagnostic Stability of Comorbid Personality Disorders Among Patients Fully or Partially Remitted From First-Episode Depression: A 5-Year Follow-Up Study.
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| Title: | Diagnostic Stability of Comorbid Personality Disorders Among Patients Fully or Partially Remitted From First-Episode Depression: A 5-Year Follow-Up Study. |
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| Authors: | Bukh, Jens Drachmann1, Bech, Per2, Kessing, Lars Vedel1 |
| Source: | Journal of Personality Disorders. Apr2017, Vol. 31 Issue 2, p208-220. 13p. |
| Subject Terms: | *Mental depression, *Longitudinal method, *Psychological tests, Personality disorder diagnosis, Classification of mental disorders, Research funding, Statistics, Comorbidity |
| Abstract: | The diagnostic stability of comorbid personality disorders among patients with depression remains unclear. A total of 262 patients suffering from first-episode depression were assessed using the Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II) and reassessed after 5 years. A total of 87 patients (33%) were diagnosed with a personality disorder at baseline, and 63 of them (72%) maintained a personality disorder diagnosis at follow-up (kappa coefficient 0.71). At cluster level, 63% maintained a diagnosis within cluster B and 48% maintained a cluster C disorder across the follow-up period (kappa coefficients of 0.54 and 0.64, respectively). Hence, comorbid personality disorders cannot be taken just as artifacts of the depressive mood that will remit spontaneously or with further treatment of the primary depression. Furthermore, the stability of personality disorders diagnoses was not predicted by clinical characteristics of the depression, nor of the course of the affective disorder during follow-up. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Personality Disorders is the property of Guilford Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
| FullText | Text: Availability: 0 |
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| Header | DbId: ehh DbLabel: Education Research Complete An: 122455742 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Diagnostic Stability of Comorbid Personality Disorders Among Patients Fully or Partially Remitted From First-Episode Depression: A 5-Year Follow-Up Study. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Bukh%2C+Jens+Drachmann%22">Bukh, Jens Drachmann</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Bech%2C+Per%22">Bech, Per</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Kessing%2C+Lars+Vedel%22">Kessing, Lars Vedel</searchLink><relatesTo>1</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Personality+Disorders%22">Journal of Personality Disorders</searchLink>. Apr2017, Vol. 31 Issue 2, p208-220. 13p. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br />*<searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br />*<searchLink fieldCode="DE" term="%22Psychological+tests%22">Psychological tests</searchLink><br /><searchLink fieldCode="DE" term="%22Personality+disorder+diagnosis%22">Personality disorder diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Classification+of+mental+disorders%22">Classification of mental disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: The diagnostic stability of comorbid personality disorders among patients with depression remains unclear. A total of 262 patients suffering from first-episode depression were assessed using the Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II) and reassessed after 5 years. A total of 87 patients (33%) were diagnosed with a personality disorder at baseline, and 63 of them (72%) maintained a personality disorder diagnosis at follow-up (kappa coefficient 0.71). At cluster level, 63% maintained a diagnosis within cluster B and 48% maintained a cluster C disorder across the follow-up period (kappa coefficients of 0.54 and 0.64, respectively). Hence, comorbid personality disorders cannot be taken just as artifacts of the depressive mood that will remit spontaneously or with further treatment of the primary depression. Furthermore, the stability of personality disorders diagnoses was not predicted by clinical characteristics of the depression, nor of the course of the affective disorder during follow-up. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Journal of Personality Disorders is the property of Guilford Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1521/pedi_2016_30_253 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 13 StartPage: 208 Subjects: – SubjectFull: Mental depression Type: general – SubjectFull: Longitudinal method Type: general – SubjectFull: Psychological tests Type: general – SubjectFull: Personality disorder diagnosis Type: general – SubjectFull: Classification of mental disorders Type: general – SubjectFull: Research funding Type: general – SubjectFull: Statistics Type: general – SubjectFull: Comorbidity Type: general Titles: – TitleFull: Diagnostic Stability of Comorbid Personality Disorders Among Patients Fully or Partially Remitted From First-Episode Depression: A 5-Year Follow-Up Study. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Bukh, Jens Drachmann – PersonEntity: Name: NameFull: Bech, Per – PersonEntity: Name: NameFull: Kessing, Lars Vedel IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 04 Text: Apr2017 Type: published Y: 2017 Identifiers: – Type: issn-print Value: 0885579X Numbering: – Type: volume Value: 31 – Type: issue Value: 2 Titles: – TitleFull: Journal of Personality Disorders Type: main |
| ResultId | 1 |