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Differentiating avoidant and depressive personality disorders.

Steven K Huprich1

  • 1Department of Psychology, Eastern Michigan University, Ypsilanti, MI 48197, USA. shuprich@emich.edu

Journal of Personality Disorders
|March 24, 2006
PubMed
Summary
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Avoidant personality disorder (APD) is linked to anxiety, while depressive personality disorder (DPD) is associated with hostility. Hostility is key for differentiating DPD from APD in clinical settings.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Personality Disorders

Background:

  • Differentiating between Avoidant Personality Disorder (APD) and Depressive Personality Disorder (DPD) is crucial for accurate diagnosis and treatment.
  • Previous research suggests overlapping symptoms, necessitating clearer diagnostic criteria.

Purpose of the Study:

  • To test predictions differentiating APD from DPD in a clinical patient population.
  • To identify key symptomatic differences between APD and DPD.

Main Methods:

  • Psychiatric outpatients were assessed using two DPD measures and the SCID-II for DSM-IV Axis II personality disorders.
  • Criterion measures were used to differentiate between APD and DPD.

Main Results:

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  • APD strongly correlated with anxiety (state and trait).
  • DPD strongly correlated with hostility (state and trait).
  • DPD measures also correlated with anxiety, and APD with depressive symptoms; some DPD groups showed higher anxiety than APD groups.

    • Conclusions:

    • Hostility is a significant symptom for differentiating DPD from APD.
    • Reconsidering DPD criterion #4 (brooding and worrying) may be warranted.
    • The SCID-II interview may offer better differentiation between DPD and APD compared to self-report measures.