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Related Experiment Videos

Reliability and validity of depressive personality disorder

K A Phillips1, J G Gunderson, J Triebwasser

  • 1Personality and Psychosocial Research Program, McLean Hospital, Belmont, Mass, USA.

The American Journal of Psychiatry
|August 12, 1998
PubMed
Summary

Depressive personality disorder is a stable condition with limited overlap with major depression or dysthymia. Further research is needed to understand its treatment response and relationship to mood disorders.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Mental Health Research

Background:

  • Depressive personality disorder (DPD) was controversial upon its introduction into DSM-IV's appendix.
  • Existing data suggest DPD may be a reliable and valid diagnostic construct.

Purpose of the Study:

  • To investigate the relationship between depressive personality disorder and major depression, dysthymic disorder, and other personality disorders.
  • To characterize subjects with DPD based on axis I and axis II disorders, family history, and treatment history.

Main Methods:

  • 54 subjects with early-onset, long-standing mild depressive features were assessed for DPD, axis I and II disorders, and family/treatment history.
  • Subjects were followed up for 1 year to assess diagnostic stability.
  • Comparison was made between subjects with (N=30) and without (N=24) DPD.

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Main Results:

  • 63% of subjects with DPD did not have dysthymia, and 60% did not have current major depression, indicating incomplete overlap with mood disorders.
  • While subjects with DPD were more likely to have another personality disorder, 40% did not.
  • Family history of mood disorders did not differ between groups; however, subjects with DPD had longer psychotherapy duration.

Conclusions:

  • Depressive personality disorder appears to be a relatively stable diagnosis.
  • DPD shows incomplete diagnostic overlap with axis I mood disorders and other personality disorders.
  • Further research is required to elucidate DPD's treatment response and its precise relationship with axis I mood disorders.