Personality disorder, depression and functioning: results from the ODIN study

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Title: Personality disorder, depression and functioning: results from the ODIN study
Authors: Casey, Patricia R.Birbeck, GailMcDonagh, Catherineet al.
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Date: 15-Oct-2004
Online since: 2014-07-30T08:08:45Z
Abstract: Background: There is little information of the prevalence of personality disorder (PD) in those with depressive disorder in community samples; neither is there any data on the impact of PD on service utilisation or outcome in this setting. Methods: A two stage screening study to identify cases of depressive disorder using SCAN in five European countries. Personality assessed 6 months after the diagnostic interview. Follow-up for 1 year using symptom and social function measures. Results: Personality disorder is present in 22% of a community sample with depressive disorders but the range varied from 13.7% to 33.3% across countries. Cluster C formed 43% of the total. Long-term psychotropic drug use was more common in the PD group even after depression was controlled. Those with PD had higher symptom scores at the outset and, although the PD group was more likely to be cases at follow-up, this disappeared when the depression score was co-varied. Only initial social function predicted outcome at 6 and 12 months. Limitations: The use of a non-treatment seeking population may limit the application of the findings to clinical populations. Conclusions: PD is common even in a non-treatment seeking population with depressive disorder. It impacts upon outcome at 6 and 12 months but this is related to the initial severity of depressed mood. Social function is the only independent predictor of outcome and should be assessed separately.
Funding Details: European Commission
metadata.dc.description.othersponsorship: English National Health Service Executive North West Research and Development Office
Welsh Office of Research and Development
Norwegian Research Council, Council for Mental Health and Department of Health and Social Welfare
Finnish Pensions Institute of Agricultural Entrepreneurs
University Central Hospital of Turku
Type of material: Journal Article
Publisher: Elsevier
Journal: Journal of Affective Disorders
Volume: 82
Issue: 2
Start page: 277
End page: 283
Copyright (published version): 2003 Elsevier
Keywords: Personality disorderSocial functionDepressive disordersCommunityOutcome
DOI: 10.1016/j.jad.2003.11.009
Language: en
Status of Item: Peer reviewed
Appears in Collections:Medicine Research Collection

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