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Related Experiment Videos

Personality dysfunction in depressed adolescents.

P Marton1, M Korenblum, S Kutcher

  • 1C.M. Hincks Treatment Centre, Toronto, Ontario.

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
|November 1, 1989
PubMed
Summary
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Depressed adolescents often have personality disorders, particularly borderline personality disorder. Comprehensive personality assessment is crucial for effective treatment and addressing suicide risk in these teens.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Adolescent Mental Health

Background:

  • Depressive disorders are prevalent in adolescents.
  • Comorbid personality disorders can complicate depressive disorder presentation and treatment.
  • Understanding personality traits in depressed youth is essential for comprehensive care.

Purpose of the Study:

  • To investigate the prevalence and characteristics of personality disorders in adolescents with depressive disorder.
  • To identify specific personality traits associated with comorbid personality disorders in this population.
  • To inform clinical practice regarding assessment and treatment strategies.

Main Methods:

  • Assessment of 35 adolescents meeting DSM-III criteria for current depressive disorder.

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  • Utilized independent structured interviews and paper-and-pencil measures for personality assessment.
  • Diagnoses included Axis I (depressive disorder) and Axis II (personality disorder) assessments.

    • Main Results:

    • 65% of depressed adolescents met criteria for an Axis II personality disorder.
    • Borderline personality disorder was the most common diagnosis (30%).
    • Adolescents with comorbid personality disorders exhibited lower self-confidence, higher neuroticism, emotional reliance, and cognitive distortion.

    Conclusions:

    • Depressed adolescents warrant comprehensive personality assessments.
    • Comorbid personality disorders are linked to specific attitudes and interpersonal issues requiring therapeutic attention.
    • Clinicians should consider increased suicide attempt risk in depressed adolescents with personality disorders.