PMID- 17127039
OWN - NLM
STAT- MEDLINE
DCOM- 20070801
LR  - 20200109
IS  - 0924-9338 (Print)
IS  - 0924-9338 (Linking)
VI  - 22
IP  - 3
DP  - 2007 Apr
TI  - The role of personality disorder in 'difficult to reach' patients with 
      depression: findings from the ODIN study.
PG  - 153-9
AB  - Individuals with personality disorders (especially paranoid personality disorder) 
      tend to be reluctant to engage in treatment. This paper aimed to elucidate the 
      role of personality disorder in predicting engagement with psychological 
      treatment for depression. The Outcomes of Depression International Network (ODIN) 
      involves six urban and three rural study sites throughout Europe at which cases 
      of depression were identified through a two-stage community survey. One patient 
      in seven who was offered psychological treatment for depression had a comorbid 
      diagnosis of personality disorder (most commonly paranoid personality disorder). 
      Forty-five percent of patients who were offered psychological treatment for 
      depression did not complete treatment. The odds of completion were higher for 
      patients with a comorbid diagnosis of personality disorder, especially paranoid, 
      anxious or dependent personality disorder. The relatively low number of cases 
      with some specific personality disorders (e.g. schizoid personality disorder) 
      limited the study's power to reach conclusions about these specific disorders. 
      This study focused on a community-based sample which may lead to apparently lower 
      rates of engagement when compared to studies based on treatment-seeking 
      populations. Episodes of depression in the context of personality disorder may 
      represent a valuable opportunity to engage with patients who might otherwise 
      resist engagement.
FAU - Kelly, Brendan D
AU  - Kelly BD
AD  - Department of Adult, Psychiatry, University College Dublin, Mater Misericordiae 
      University Hospital, 62/63 Eccles Street, Dublin 7, Ireland. 
      brendankelly35@gmail.com
FAU - Casey, Patricia
AU  - Casey P
FAU - Dunn, Graham
AU  - Dunn G
FAU - Ayuso-Mateos, Jose Luis
AU  - Ayuso-Mateos JL
FAU - Dowrick, Christopher
AU  - Dowrick C
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20061128
PL  - England
TA  - Eur Psychiatry
JT  - European psychiatry : the journal of the Association of European Psychiatrists
JID - 9111820
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Comorbidity
MH  - Depressive Disorder/*epidemiology/therapy
MH  - Europe
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Outcome Assessment, Health Care/statistics & numerical data
MH  - Paranoid Personality Disorder/epidemiology/therapy
MH  - Patient Acceptance of Health Care/*statistics & numerical data
MH  - Patient Dropouts/psychology/statistics & numerical data
MH  - Personality Disorders/*epidemiology/therapy
MH  - Personality Inventory
MH  - *Psychotherapy
MH  - Treatment Refusal/statistics & numerical data
EDAT- 2006/11/28 09:00
MHDA- 2007/08/02 09:00
CRDT- 2006/11/28 09:00
PHST- 2006/01/26 00:00 [received]
PHST- 2006/07/03 00:00 [revised]
PHST- 2006/07/05 00:00 [accepted]
PHST- 2006/11/28 09:00 [pubmed]
PHST- 2007/08/02 09:00 [medline]
PHST- 2006/11/28 09:00 [entrez]
AID - S0924-9338(06)00129-5 [pii]
AID - 10.1016/j.eurpsy.2006.07.003 [doi]
PST - ppublish
SO  - Eur Psychiatry. 2007 Apr;22(3):153-9. doi: 10.1016/j.eurpsy.2006.07.003. Epub 
      2006 Nov 28.