Comorbilidad depresiva en los trastornos de la personalidad
Abstract
Introduction We aimed to investigate the nature of the associations between PD clusters and MDs, functionality and mental health services use.Methods This is a case register study of all cases with a diagnosis of PD detected clinically in a well-defined area in the province of Barcelona covered by 7 Community Mental Health Teams. DSM-IV diagnoses were established by fully trained psychiatrists. Data was also gathered on socio-demographic variables; functional status (GAF) and data on use of health resources, using a systematic computerized method. We performed a non-parametric univariate statistical analysis.Results We found a higher percentage of major depressive disorder (MDD) among cluster C patients (17%), followed by cluster A (10%) and cluster B (9, 8%). As for the comorbidity between PD clusters and dysthymic disorder, we found that the prevalence was higher among cluster B patients (23,7%) than cluster C (20,2%) or cluster A (7,1%). When considering both MDs together, we found the highest prevalence among cluster C patients (36,87%), followed by cluster B (33,5%) and cluster A (17,1%). Cluster A patients showed worse functioning and visited hospitals most.Conclusions A high comorbidity between all MDs analyzed and personality disorders was found, being particularly prominent among cluster C PDs.
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Adjusting for mood and anxiety disorders may be overly conservative because personality disorder symptoms overlap with anxiety and depression, potentially underestimating the true effects of personality disorders.
“The symptoms might therefore work as mediators instead of confounders, making the adjustments overly conservative and underestimating the true effects of PDs.”
From Personality disorders are important risk factors for disability pensioning (2014) · cites this paper as [38]
Personality disorders are highly co-morbid with anxiety and depression, and these disorders are known to be associated with increased risk of disability pensioning.
“PDs are highly co-morbid with anxiety and depression [35–38], and these disorders are known to be associated with an increased risk of disability pensioning [3–6].”
From Personality disorders are important risk factors for disability pensioning (2014) · cites this paper as [38]
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Personality disorders are important risk factors for disability pensioning
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“PDs are highly co-morbid with anxiety and depression [35–38], and these disorders are known to be associated with an increased risk of disability pensioning [3–6].”
_entürk (2021) · doi:10.1530/alphapsychiatry.2021.21242
- Authors
- Vilaplana, M., Mckenney, K., Riesco, M. D., Autonell, J., & Cervilla, J. A.
- Affiliations
- Centro de Investigación Biomédica en Red de Salud Mental (ES)
- Corresponding author
- Cervilla, Jorge A.
- ORCID
- Cervilla, Jorge A.
- Venue
- Revista de Psiquiatría y Salud Mental
- Publisher
- Elsevier BV
- Published
- 2010-01
- Volume
- 3
- Issue
- 1
- Pages
- 4-12
- ISSN
- 1888-9891 (ISSN-L)
- OpenAlex
- W2153099372
- Cited by
- 5
- References
- 81
- Citations by year
- 2017: 1 · 2016: 1 · 2015: 1 · 2014: 1 · 2013: 1
- FWCI
- 0.35
- Type
- journal article
- Language
- es
- Open access
- closed
- Locations
- Revista de Psiquiatría y Salud Mental (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Keywords
- personality disorders, depressive disorders, comorbidities, major depressive disorder, dysthymia, mood disorders, personality disorder clusters, functional status, health care utilization, hospitalization, community mental health teams, Barcelona province, DSM-IV diagnosis, psychiatric epidemiology, mental health service utilization
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