30-Month Stability of Personality Disorder Diagnoses in Depressed Outpatients

Tova Ferro · Daniel N. Klein · Joseph E. Schwartz · Karen L. Kasch · Julie B. Leader

63 citations0/0 files storedAmerican Journal of Psychiatry

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Personality Disorders and Psychopathology Personality Traits and Psychology Mental Health Research Topics

Abstract

OBJECTIVE: This study examined the 30-month stability of axis II conditions. METHOD: One hundred eight depressed outpatients received comprehensive, semistructured personality disorder assessments at baseline and at follow-up. RESULTS: The diagnostic stability of personality disorders ranged from low to moderate at the categorical level and was generally moderate at the dimensional level. Most disorders exhibited good discriminant validity, in that the association between a disorder at baseline and at follow-up was greater than the associations between that disorder at baseline and the other 11 axis 11 disorders at follow-up. Two variables, sex and lifetime history of substance abuse or dependence, were significantly related to change in level of personality disorder features over time. CONCLUSIONS: Personality disorders have low to moderate stability over a 30-month period in depressed outpatients.

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References

1979Intraclass correlations: Uses in assessing rater reliability.1978A Diagnostic Interview 1957Two Factor Index of Social Position 1985A revised version of the psychoticism scale 1987The Longitudinal Interval Follow-up Evaluation 1994The International Personality Disorder Examination 1994Diagnosing Personality Disorders 1985The modified Hamilton rating scale for depression: Reliability and validity

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2004Personality disorders in veterans with posttraumatic stress disorder and depression 1999Defense mechanisms and personality in depression 1999Stability and course of personality disorders 2001Stability and change of DSM-III-R personality disorder dimensions in adolescents followed up 2 years after psychiatric hospitalization

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