Personality Pathology Factors Predict Recurrent Major Depressive Disorder in Emerging Adults. Issue 6 (12th July 2013)

• Record Type: Journal Article
• Authors: Sheets, Erin S.; Duncan, Laramie E.; Bjornsson, Andri S.; Craighead, Linda W.; Craighead, W. Edward
• Is Part Of: Journal of clinical psychology. Volume 70:Issue 6(2014:Jun.)
• Page Start: 536
• Page End: 545
• Publication Date: 2013-07-12
• Subjects: Psychology -- Periodicals; 616.89
• DOI: 10.1002/jclp.22028
• Languages: English
• ISSNs: 0021-9762

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="jclp22028-sec-0010" sec-type="section"> <title>Objective</title> <p>Prior investigations consistently indicate that personality pathology is a risk factor for recurrence of major depressive disorder (MDD). Lack of emipircal support, however, for the Diagnostic and Statistical Manual of Mental Disorders (DSM) Fourth Edition organization of Axis II disorders supports the investigation of empirically derived factors of personality pathology as predictors of recurrence.</p> </sec> <sec id="jclp22028-sec-0020" sec-type="section"> <title>Method</title> <p>A sample of 130 previously depressed emerging adults (80% female; aged 18 to 21 years) were assessed for personality disorder symptoms at baseline. Participants were then followed for 18 months to identify MDD recurrence during the first 2 years of college.</p> </sec> <sec id="jclp22028-sec-0030" sec-type="section"> <title>Results</title> <p>Based on a previous factor analysis of DSM personality disorder criteria, eight personality pathology factors were examined as predictors of MDD recurrence. Survival analysis indicated that factors of interpersonal hypersensitivity, antisocial conduct, and social anxiety were associated with increased risk of MDD recurrence.</p> </sec> <sec id="jclp22028-sec-0040" sec-type="section"> <title>Conclusions</title> <p>These findings suggest that an empirically based approach to personality pathology organization may yield useful predictors of MDD recurrence during emerging adulthood.</p> </sec> </abstract>