Cited by 119Personality Traits and PsychologyPersonality Disorders and PsychopathologyAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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Association of Five-Factor Model Personality Domains and Facets with Presence, Onset, and Treatment Outcomes of Major Depression in Older Adults

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Hayward, R. David, Taylor, Warren D., Smoski, Moria J., Steffens, David C., Payne, Martha E.·2013·The American Journal of Geriatric Psychiatry

DOI 10.1016/j.jagp.2012.11.012PMC PMC3382026

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Abstract

Objectives To assess the relationship of multiple domains and facets of the five-factor model of personality with presence, onset, and severity of late-life depression.Design Cross-sectional analysis of depression status, and age of onset. Retrospective analysis of baseline severity. Longitudinal analysis of severity after 3 and 12 months of psychiatric treatment.Setting Private university-affiliated medical center in the Southeastern United States.Participants One hundred twelve psychiatric patients with a current episode of unipolar major depression, and 104 nondepressed comparison subjects, age 60 and older (mean: 70, SD: 6).Measurements Revised NEO Personality Inventory, Diagnostic Interview Schedule, and Montgomery-Åsberg Depression Rating Scale.Results Binary logistic regression found that depression was related to higher neuroticism (and all its facets) and to lower extraversion (and facets of assertiveness, activity, and positive emotionality) and conscientiousness (and facets of competence, order, dutifulness, and self-discipline). Multinomial logistic regression found some of these relationships held only for depression with onset before age 50 (hostility, self-consciousness, extraversion, assertiveness, positive emotions, order, and dutifulness). Linear regression found that personality was unrelated to depression severity at the beginning of treatment, but improvement after 3 months was related to lower neuroticism (and facets depressiveness and stress-vulnerability) and higher warmth and competence. Improvement after 12 months was related to lower neuroticism, depressiveness, and stress-vulnerability.Conclusions Specific personality facets are related with depression and treatment outcomes. Screening for certain personality traits at the start of treatment may help identify patients at risk of worse response to treatment after 3 months.

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Authors: Hayward, R. D., Taylor, W. D., Smoski, M. J., Steffens, D. C., & Payne, M. E.
Affiliations: University of Michigan (US)
Duke Medical Center (US)
Corresponding author: Hayward, R. David
ORCID: Hayward, R. David
Taylor, Warren D.
Smoski, Moria J.
Steffens, David C.
Venue: The American Journal of Geriatric Psychiatry
Publisher: Elsevier BV
Published: 2013-01
Volume: 21
Issue: 1
Pages: 88-96
ISSN: 1064-7481 (ISSN-L)
DOI: 10.1016/j.jagp.2012.11.012
PMC: PMC3382026
OpenAlex: W1965180119
Cited by: 119
References: 41
Citations by year: 2026: 2 · 2025: 7 · 2024: 15 · 2023: 12 · 2022: 9 · 2021: 7 · 2020: 11 · 2019: 11 · 2018: 8 · 2017: 7 · 2016: 8 · 2015: 8 · 2014: 6 · 2013: 8
FWCI: 11.13
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: American Journal of Geriatric Psychiatry (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (MH60451, K24MH070027, MH70027, R01MH054846, MH-54846, K23MH087754, P50MH060451)
Topics: Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: Big Five personality traits, personality facets, geriatric depression, major depressive disorder, neuroticism, extraversion, conscientiousness, depression onset, depression severity, treatment response, personality screening, older adults
MeSH terms: Aged, Depressive Disorder, Major, Major Depressive Disorder, Female, Humans, Longitudinal Studies, Male, Models, Psychological, Personality, Personality Inventory, Retrospective Studies, Severity of Illness Index, Treatment Outcome, Age of Onset

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Association of Five-Factor Model Personality Domains and Facets with Presence, Onset, and Treatment Outcomes of Major Depression in Older Adults

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