Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-25T07:21:00.908Z Has data issue: false hasContentIssue false
  • English
  • Français

Effects of dysthymia on personality assessment

Published online by Cambridge University Press:  16 April 2020

D Lecic-Tosevski  and
M Divac-Jovanovic
D Lecic-Tosevski
Affiliation:
Institute for Mental Health, School of Medicine, University of Belgrade, Palmoticeva 37, 11000 Belgrade, Yugoslavia
M Divac-Jovanovic
Affiliation:
Institute of Psychiatry, Belgrade, Yugoslavia
Get access

Summary

Twenty-eight dysthymic patients (82.1% with personality disorders) were investigated with questionnaires for personality and depression before and after treatment. When in asymptomatic state, defined by clinical criteria and HAM-D score 6 or lower, the personality profile of 15 patients (group I) was significantly changed from the one before treatment (avoidant, passive-aggressive, borderline and schizotypal dimensions were lower, and narcissistic dimension higher [P < 0.01]). Thirteen patients (group II) had an unchanged profile. The first group showed significant state-trait dependence, especially of the borderline personality dimension. The second group manifested a permanent characterological affective syndrome, or a core borderline personality disorder. The limitations of personality assessment during affective episodes are discussed as well as the borderline level of functioning related to it.

Keywords

dysthymiapersonalityborderline personality disorderassessment
Type
Original article
Information
European Psychiatry , Volume 11 , Issue 5 , 1996 , pp. 244 - 248
Copyright
Copyright © Elsevier, Paris 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Akiskal, HSHirschfeld, RMAYerevanian, BIThe relationship of personality to affective disorders Arch Gen Psychiatry 1983; 40: 801–810CrossRefGoogle ScholarPubMed
American Psychiatric Association (APA) 3rd ed Diagnostic and Statistical Manual of Mental Disorders Washington DC: APA, 1980Google Scholar
Boyce, PHadzi-Pavlovic, DParker, G, et al.Depressive type and state effects on personality measures Acta Psychiatr Scand 1989 81 197–200CrossRefGoogle Scholar
Divac-Jovanovic, MSvrakic, DLecic-Tosevski, DPersonality disorders: model for conceptual approach, classifi-cation. I. General model Am J Psychother 1993 474 558–571CrossRefGoogle Scholar
Endicott, JSpitzer, RLA diagnostic interview: the schedule for affective disorders and schizophrenia Arch Gen Psychiatry 1978; 35: 37–44CrossRefGoogle Scholar
Gunderson, JKolb, JAustin, VThe diagnostic interview for borderline patients Am J Psychiatry 1981; 142: 277–288Google Scholar
Gunderson, JPhillips, KAA current view of the interface between borderline personality disorder and depression Am J Psychiatry 14881991 967–975Google ScholarPubMed
Hamilton, MA rating scale for depression J Neurol Neurosurg Psychiatry 1960; 23: 56–62CrossRefGoogle ScholarPubMed
Hartocollis, PAffects in borderline disorders In: Hartocollis, P eds. Borderline Disorders — the Concept, the Syndrome, the Patient New York: Int Universities Inc, 1977; 497–507Google Scholar
Hirschfeld, RMAKlerman, GLPersonality attributes in affective disorders Am J Psychiatry 1979; 136: 67–70Google ScholarPubMed
Hirschfeld, RMAKlerman, GLClayton, PYAssessing personality: Effects of depressive state of trait measurement Am J Psychiatry 1983 1406 695–699Google ScholarPubMed
Joffe, TRRegan, JJPersonality and depression J Psychiatr Res 1988 224 279–286CrossRefGoogle ScholarPubMed
Kontaxakis, VPChristodoulou, GNMarkianos, MStefanis, CPharmacotherapeutic response of DST-positive borderline patients Eur Psychiatr 1995; 10: 159–160CrossRefGoogle ScholarPubMed
Lecic-Tosevski, DDivac-Jovanovic, MBorderline personality disorder and depression Psychiatriki 1995 62 154–160Google Scholar
Millon, T3rded Millon Clinical Multiaxial Inventory Minneapolis, MN: National Computer System, 1983Google Scholar
Perry, CJDepression in borderline personality disorder: life time prevalence at interview and longitudinal course of symptoms Am J Psychiatry 1985 142(1) 15–21Google Scholar
Pfohl, BStangl, DZimmerman, MThe Structured Interview for DSM-III Personality Disorders Iowa City: University of Iowa, 1982Google Scholar
Spitzer, RLEndicott, JRobins, EResearch diagnostic criteria: rationale for reliability Arch Gen Psychiatry 1978; 36: 773–782CrossRefGoogle Scholar
Reich, JNoyes, RHirschfeld, RCoryell, WO’Gorman, TState and personality in depressed and panic patients Am J Psychiatry 1987 1442 181–187Google ScholarPubMed
Widiger, TAThe categorical distinction between personality and affective disorders J Pers Dis 1989; 3: 77–91CrossRefGoogle Scholar
Zanarini, MGunderson, JFrankenburg, FThe revised diagnostic interview for borderline: Discriminating BPD from other axis II disorders J Pers Dis 1989; 3: 10–18CrossRefGoogle Scholar
Submit a response

Comments

No Comments have been published for this article.