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Am J Psychiatry 1988; 145:435-441
Copyright © 1988 by American Psychiatric Association
Personality pathology in recurrent depression: nature, prevalence, and relationship to treatment response
PA Pilkonis and E Frank
Department of Psychiatry, University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic, PA 15213.
Personality assessments of 119 treatment-responsive patients with recurrent
unipolar depression revealed that nearly half of the patients (48%) showed
some personality disturbance. The most common personality features were
avoidant (30.4%), compulsive (18.6%), and dependent (15.7%). Factor
analyses of personality data in this homogeneous population yielded results
that were consistent with previous factor analytic studies of personality
features and clinical descriptions of depressed patients. Most notably, a
discriminant function analysis using personality variables alone was able
to distinguish (with 65% accuracy) between patients who responded normally
to treatment and those who responded more slowly.
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