PMID- 9500682
OWN - NLM
STAT- MEDLINE
DCOM- 19980521
LR  - 20180213
IS  - 0254-4962 (Print)
IS  - 0254-4962 (Linking)
VI  - 31
IP  - 1
DP  - 1998
TI  - Personality patterns and outcome in depressive and bipolar disorders.
PG  - 15-22
AB  - Personality traits and disorders have a strong influence on the course and 
      outcome of depressive and bipolar disorders. Studies of the influence of 
      personality disorders (PD) and some PD clusters on outcome of mood disorders are 
      controversial and suggest that more specific assessment of underlying traits or 
      dimensions is needed. Utilizing the Munich Personality test (MP-T) scales of von 
      Zerssen, this study tries to identify specific personality traits that may 
      influence the outcome and clinical course of unipolar endogenous depression and 
      bipolar disorder. Six unipolar depressives and 6 bipolar patients, according to 
      DSM III-R and ICD 10 criteria, were assessed with the MP-T self- and 
      family-reporting scales. Three years later, their outcome scores were correlated 
      with the corresponding premorbid personality profile. Preliminary results show 
      that introversion has a negative effect on outcome of unipolar melancholic 
      depression, while extraversion, esoteric tendencies and rigidity have a positive 
      influence. Neuroticism has a negative influence on outcome of bipolar disorder, 
      but not on unipolar endogenous depression. Data from the literature suggest that 
      neuroticism, hostility and social dysfunction seem to have a negative prognostic 
      value only for nonendogenous depressives and bipolar disorder, thus supporting 
      the notion that the diagnostic distinction between bipolar disorder, endogenous 
      and nonendogenous depression is relevant to prognostic discussions. These 
      observations help to understand the differences between depressive syndromes and 
      their relationship to prognosis, but also to comprehend the role of personality 
      in clinical and theoretical research of mood disorders.
FAU - Heerlein, A
AU  - Heerlein A
AD  - Department of Psychiatry, Universidad de Chile, Santiago.
FAU - Richter, P
AU  - Richter P
FAU - Gonzalez, M
AU  - Gonzalez M
FAU - Santander, J
AU  - Santander J
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - Switzerland
TA  - Psychopathology
JT  - Psychopathology
JID - 8401537
SB  - IM
MH  - Adult
MH  - Bipolar Disorder/complications/*diagnosis/psychology
MH  - Depressive Disorder/complications/*diagnosis/psychology
MH  - Disease Progression
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Personality Disorders/complications/*diagnosis/psychology
MH  - Personality Inventory
MH  - Psychiatric Status Rating Scales
EDAT- 1998/03/21 03:16
MHDA- 2000/10/06 11:01
CRDT- 1998/03/21 03:16
PHST- 1998/03/21 03:16 [pubmed]
PHST- 2000/10/06 11:01 [medline]
PHST- 1998/03/21 03:16 [entrez]
AID - psp31015 [pii]
AID - 10.1159/000029019 [doi]
PST - ppublish
SO  - Psychopathology. 1998;31(1):15-22. doi: 10.1159/000029019.