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Personality and cognitive vulnerability in remitted recurrently depressed patients
- Source :
- Journal of Affective Disorders, 173, 97. Elsevier, Journal of affective disorders, 173, 97-104. Elsevier, Journal of Affective Disorders, 173, 97-104. ELSEVIER SCIENCE BV
- Publication Year :
- 2015
- Publisher :
- ELSEVIER SCIENCE BV, 2015.
-
Abstract
- INTRODUCTION: Personality disorders (PDs) have been associated with a poor prognosis of Major Depressive Disorder (MDD). The aim of the current study was to examine cognitive vulnerability (i.e., dysfunctional beliefs, extremity of beliefs, cognitive reactivity, and rumination) that might contribute to this poor prognosis of patients with PD comorbidity.METHODS: 309 outpatients with remitted recurrent MDD (SCID-I; HAM-D17≤10) were included within two comparable RCTs and were assessed at baseline with the Personality Diagnostic Questionnaire-4(+) (PDQ-4(+)), the Dysfunctional Attitude Scale Version-A (DAS-A), the Leiden Index of Depression Sensitivity (LEIDS), the Ruminative Response Scale (RRS), and the Inventory of Depressive Symptomatology-Self Report (IDS-SR).RESULTS: We found an indication that the PD prevalence was 49.5% in this remitted recurrently depressed sample. Having a PD (and higher levels of personality pathology) was associated with dysfunctional beliefs, cognitive reactivity, and rumination. Extreme 'black and white thinking' on the DAS was not associated with personality pathology. Brooding was only associated with a Cluster C classification (t(308)=4.03, pLIMITATIONS: PDs were assessed by questionnaire and the analyses were cross-sectional in nature.CONCLUSION: Being the first study to examine cognitive reactivity and rumination in patients with PD and remitted MDD, we demonstrated that even after controlling for depressive symptomatology, dysfunctional beliefs, cognitive reactivity, and rumination were associated with personality pathology. Rumination might be a pathway to relapse for patients with avoidant PD. Replication of our findings concerning cognitive vulnerability and specific PDs is necessary.
- Subjects :
- Male
medicine.medical_specialty
recurrence
Personality Inventory
media_common.quotation_subject
Culture
Dysfunctional family
Netherlands/epidemiology
Depressive Disorder, Major/epidemiology
Comorbidity
Treatment response
Personality Disorders
Personality Disorders/epidemiology
COGNITIVE REACTIVITY
Cognition
medicine
Prevalence
Personality
Humans
RECURRENT DEPRESSION
Psychiatry
COMORBID DEPRESSION
RUMINATION
media_common
Netherlands
Cognitive vulnerability
Depressive Disorder, Major
Personality disorder
Major/epidemiology
Personality pathology
COMORBID CONDITIONS
Middle Aged
medicine.disease
cognitive model
Personality disorders
Psychiatry and Mental health
Clinical Psychology
Cross-Sectional Studies
Attitude
Rumination
DEPRESSIVE DISORDER
Major depressive disorder
Dysfunctional Beliefs
Female
medicine.symptom
PERSONALITY DIMENSIONS
Psychology
Clinical psychology
Subjects
Details
- Language :
- English
- ISSN :
- 15732517 and 01650327
- Volume :
- 173
- Database :
- OpenAIRE
- Journal :
- Journal of Affective Disorders
- Accession number :
- edsair.doi.dedup.....a3a34d143db8c448e959b2f32bc7fd53