The influence of comorbid personality disorders on recovery from depression

Tinakon Wongpakaran, Nahathai Wongpakaran, Vudhichai Boonyanaruthee, Manee Pinyopornpanish, Suthi Intaprasert Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand Purpose: The impact of personality disorders on the treatment of and recovery from depression is...

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Autores principales:	Wongpakaran T, Wongpakaran N, Boonyanaruthee V, Pinyopornpanish M, Intaprasert S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/3f552304b3524beebc11e560598f79ef
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spelling	oai:doaj.org-article:3f552304b3524beebc11e560598f79ef2021-12-02T00:43:05ZThe influence of comorbid personality disorders on recovery from depression1178-2021https://doaj.org/article/3f552304b3524beebc11e560598f79ef2015-03-01T00:00:00Zhttp://www.dovepress.com/the-influence-of-comorbid-personality-disorders-on-recovery-from-depre-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021 Tinakon Wongpakaran, Nahathai Wongpakaran, Vudhichai Boonyanaruthee, Manee Pinyopornpanish, Suthi Intaprasert Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand Purpose: The impact of personality disorders on the treatment of and recovery from depression is still a controversial topic. The aim of this paper is to provide more information on what has led to this disagreement.Materials and methods: Clinician-rated Hamilton Depression Rating Scale (HAMD) scores were assessed among 82 depressed outpatients who were receiving a routine treatment combination of antidepressant medication and psychosocial intervention. The participants were followed up over five visits at 3-month intervals: at the baseline, at 3, 6, 9 and 12 months. Personality disorders were assessed after the last visit in accordance with Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. These repeated measures were used to explore the impact of personality disorders on HAMD scores by using a linear mixed model.Results: Among the four personality clusters that were used (A, B, C, and mixed), only those in cluster B and in the mixed cluster were found to take significantly longer than those without personality disorders, for reduction in HAMD scores over the course of treatment.Conclusion: In this study, the impact of personality disorders on treatment outcomes varied with the way that the personality disorder variables were described and used as independent predictors. This is because the outcomes were influenced by the impact weight of each personality disorder, even within the same cluster. Keywords: depressive disorder, mixed linear model, impact, multilevel analysisWongpakaran TWongpakaran NBoonyanaruthee VPinyopornpanish MIntaprasert SDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2015, Iss default, Pp 725-732 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Wongpakaran T Wongpakaran N Boonyanaruthee V Pinyopornpanish M Intaprasert S The influence of comorbid personality disorders on recovery from depression
description	Tinakon Wongpakaran, Nahathai Wongpakaran, Vudhichai Boonyanaruthee, Manee Pinyopornpanish, Suthi Intaprasert Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand Purpose: The impact of personality disorders on the treatment of and recovery from depression is still a controversial topic. The aim of this paper is to provide more information on what has led to this disagreement.Materials and methods: Clinician-rated Hamilton Depression Rating Scale (HAMD) scores were assessed among 82 depressed outpatients who were receiving a routine treatment combination of antidepressant medication and psychosocial intervention. The participants were followed up over five visits at 3-month intervals: at the baseline, at 3, 6, 9 and 12 months. Personality disorders were assessed after the last visit in accordance with Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. These repeated measures were used to explore the impact of personality disorders on HAMD scores by using a linear mixed model.Results: Among the four personality clusters that were used (A, B, C, and mixed), only those in cluster B and in the mixed cluster were found to take significantly longer than those without personality disorders, for reduction in HAMD scores over the course of treatment.Conclusion: In this study, the impact of personality disorders on treatment outcomes varied with the way that the personality disorder variables were described and used as independent predictors. This is because the outcomes were influenced by the impact weight of each personality disorder, even within the same cluster. Keywords: depressive disorder, mixed linear model, impact, multilevel analysis
format	article
author	Wongpakaran T Wongpakaran N Boonyanaruthee V Pinyopornpanish M Intaprasert S
author_facet	Wongpakaran T Wongpakaran N Boonyanaruthee V Pinyopornpanish M Intaprasert S
author_sort	Wongpakaran T
title	The influence of comorbid personality disorders on recovery from depression
title_short	The influence of comorbid personality disorders on recovery from depression
title_full	The influence of comorbid personality disorders on recovery from depression
title_fullStr	The influence of comorbid personality disorders on recovery from depression
title_full_unstemmed	The influence of comorbid personality disorders on recovery from depression
title_sort	influence of comorbid personality disorders on recovery from depression
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/3f552304b3524beebc11e560598f79ef
work_keys_str_mv	AT wongpakarant theinfluenceofcomorbidpersonalitydisordersonrecoveryfromdepression AT wongpakarann theinfluenceofcomorbidpersonalitydisordersonrecoveryfromdepression AT boonyanarutheev theinfluenceofcomorbidpersonalitydisordersonrecoveryfromdepression AT pinyopornpanishm theinfluenceofcomorbidpersonalitydisordersonrecoveryfromdepression AT intapraserts theinfluenceofcomorbidpersonalitydisordersonrecoveryfromdepression AT wongpakarant influenceofcomorbidpersonalitydisordersonrecoveryfromdepression AT wongpakarann influenceofcomorbidpersonalitydisordersonrecoveryfromdepression AT boonyanarutheev influenceofcomorbidpersonalitydisordersonrecoveryfromdepression AT pinyopornpanishm influenceofcomorbidpersonalitydisordersonrecoveryfromdepression AT intapraserts influenceofcomorbidpersonalitydisordersonrecoveryfromdepression
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The influence of comorbid personality disorders on recovery from depression

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