Interpersonal Problems, Dependency, and Self‐Criticism in Major Depressive Disorder

Dinger, Ulrike; Barrett, Marna S.; Zimmermann, Johannes; Schauenburg, Henning; Wright, Aidan G.C.; Renner, Fritz; Zilcha‐Mano, Sigal; Barber, Jacques P.

doi:10.1002/jclp.22120

Cited by 46 publications

(37 citation statements)

References 26 publications

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“…Previous studies have found that generalized anxiety disorder, on average, has an exploitable interpersonal style (Przeworski et al, 2011; Salzer et al, 2011, 2008); our results may differ due to our diagnostic approach. Our results for major depression are consistent with sample averages from previous studies (Barrett and Barber, 2007; Dinger et al, 2015; Grosse Holtforth et al, 2014; Locke et al, 2016; Quilty et al, 2013; Stangier et al, 2006). …”

Section: Discussionsupporting

confidence: 92%

“…Due to methodological and reporting limitations of many of these studies, conclusions regarding profile descriptors are difficult to draw. In general, these studies suggest that major depressive disorder has a nonassertive and socially avoidant style (Barrett and Barber, 2007; Dinger et al, 2015; Grosse Holtforth et al, 2014; Locke et al, 2016; Quilty et al, 2013; Stangier et al, 2006), social phobia has a nonassertive style (Cain et al, 2010; Kachin et al, 2001; Stangier et al, 2006), and generalized anxiety disorder has an exploitable style (Przeworski et al, 2011; Salzer et al, 2008, 2011). These disorders also seem to have marked elevation.…”

Section: Introductionmentioning

confidence: 99%

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Interpersonal problems across levels of the psychopathology hierarchy

Girard

Wright

Beeney

et al. 2017

Comprehensive Psychiatry

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We examined the relationship between psychopathology and interpersonal problems in a sample of 825 clinical and community participants. Sixteen psychiatric diagnoses and five transdiagnostic dimensions were examined in relation to self-reported interpersonal problems. The structural summary method was used with the Inventory of Interpersonal Problems Circumplex Scales to examine interpersonal problem profiles for each diagnosis and dimension. We built a structural model of mental disorders including factors corresponding to detachment (avoidant personality, social phobia, major depression), internalizing (dependent personality, borderline personality, panic disorder, posttraumatic stress, major depression), disinhibition (antisocial personality, drug dependence, alcohol dependence, borderline personality), dominance (histrionic personality, narcissistic personality, paranoid personality), and compulsivity (obsessive-compulsive personality). All dimensions showed good interpersonal prototypicality (e.g., detachment was defined by a socially avoidant/nonassertive interpersonal profile) except for internalizing, which was diffusely associated with elevated interpersonal distress. The findings for individual disorders were largely consistent with the dimension that each disorder loaded on, with the exception of the internalizing and dominance disorders, which were interpersonally heterogeneous. These results replicate previous findings and provide novel insights into social dysfunction in psychopathology by wedding the power of hierarchical (i.e., dimensional) modeling and interpersonal circumplex assessment.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Interpersonal problems across levels of the psychopathology hierarchy

Girard

Wright

Beeney

et al. 2017

Comprehensive Psychiatry

View full text Add to dashboard Cite

show abstract

“…Previous studies have found that generalized anxiety disorder, on average, has an exploitable interpersonal style (Przeworski et al, 2011;Salzer et al, 2011Salzer et al, , 2008; our results may differ due to our diagnostic approach. Our results for major depression are consistent with sample averages from previous studies (Barrett and Barber, 2007;Dinger et al, 2015;Grosse Holtforth et al, 2014;Locke et al, 2016;Quilty et al, 2013;Stangier et al, 2006).…”

Section: Psychopathology and Interpersonal Problemssupporting

confidence: 91%

“…Due to methodological and reporting limitations of many of these studies, conclusions regarding profile descriptors are difficult to draw. In general, these studies suggest that major depressive disorder has a nonassertive and socially avoidant style (Barrett and Barber, 2007;Dinger et al, 2015;Grosse Holtforth et al, 2014;Locke et al, 2016;Quilty et al, 2013;Stangier et al, 2006), social phobia has a nonassertive style (Cain et al, 2010;Kachin et al, 2001;Stangier et al, 2006), and generalized anxiety disorder has an exploitable style (Przeworski et al, 2011;Salzer et al, 2008Salzer et al, , 2011. These disorders also seem to have marked elevation.…”

Section: Introductionmentioning

confidence: 94%

Interpersonal Problems Across Levels of the Psychopathology Hierarchy

Girard¹,

Wright²,

Beeney³

et al. 2017

Preprint

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We examined the relationship between psychopathology and interpersonal problems in a sample of 825 clinical and community participants. Sixteen psychiatric diagnoses and five transdiagnostic dimensions were examined in relation to self-reported interpersonal problems. The structural summary method was used with the Inventory of Interpersonal Problems Circumplex Scales to examine interpersonal problem profiles for each diagnosis and dimension. We built a structural model of mental disorders including factors corresponding to detachment (avoidant personality, social phobia, major depression), internalizing (dependent personality, borderline personality, panic disorder, posttraumatic stress, major depression), disinhibition (antisocial personality, drug dependence, alcohol dependence, borderline personality), dominance (histrionic personality, narcissistic personality, paranoid personality), and compulsivity (obsessivecompulsive personality). All dimensions showed good interpersonal prototypicality (e.g., detachment was defined by a socially avoidant/nonassertive interpersonal profile) except for internalizing, which was diffusely associated with elevated interpersonal distress. The findings for individual disorders were largely consistent with the dimension that each disorder loaded on, with the exception of the internalizing and dominance disorders, which were interpersonally heterogeneous. These results replicate previous findings and provide novel insights into social dysfunction in psychopathology by wedding the power of hierarchical (i.e., dimensional) modeling and interpersonal circumplex assessment.

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“…In past investigations that explored the relation between the DEQ Dependent (Anaclitic) and Self‐Critical (Introjective) scales with the IPC, researchers have found in non‐clinical, inpatient and outpatient populations that the Dependent factor of the DEQ is associated with difficulties related to high Affiliation and low Dominance (Alden & Bieling, ; Desmet, Vanheule, Meganck, Verhaeghe, & Bogaerts, ; Dinger et al , ; Gonzalez & Jenkins, ; Wiseman, Raz, & Sharabany, ) and the Self‐Critical factor is associated with difficulties related to low Affiliation (Alden & Bieling; Desmet et al ; Dinger et al ; Wiseman et al ).…”

mentioning

confidence: 99%

Assessing Anaclitic and Introjective Characteristics Using the SWAP‐200 Q‐Sort: Concurrent Validity with the Inventory of Interpersonal Problems Circumplex Scales

Miller

Hilsenroth

2016

Clin Psychology and Psychoth

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Clinicians can utilize the Anaclitic and Introjective Depression Assessment (AIDA; Rost, Fonagy, & Luyten, 2014), derived from Shedler-Westen Assessment Procedure (SWAP) items, to assess if their patients possess Anaclitic or Introjective characteristics. This measure can also be used to assess if the Anaclitic and Introjective characteristics are of a more primitive or mature nature. Clinicians should be aware that individuals with more primitive levels of Anaclitic and Introjective characteristics experience more difficulties involving Affiliation and Dominance than individuals with more mature levels of personality development. Specifically, the more primitive Introjective individual will likely encounter difficulties involving high Dominance and low Affiliation. The more adaptive Introjective individual will likely not demonstrate difficulties in these areas. The more primitive Anaclitic individual will likely encounter more difficulties related to high Affiliation, as well as problems related to low Dominance. The more adaptive Anaclitic individual also likely will encounter difficulties involving high Affiliation.

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Interpersonal Problems, Dependency, and Self‐Criticism in Major Depressive Disorder

Abstract: The findings support the interpersonal nature of Blatt's dimensions of depressive experiences. Self-criticism is associated with being too distant or cold toward others as well as greater depression severity, but is not related to the dimension of dominance.

Cited by 46 publications

References 26 publications

Interpersonal problems across levels of the psychopathology hierarchy

Interpersonal problems across levels of the psychopathology hierarchy

Interpersonal Problems Across Levels of the Psychopathology Hierarchy

Assessing Anaclitic and Introjective Characteristics Using the SWAP‐200 Q‐Sort: Concurrent Validity with the Inventory of Interpersonal Problems Circumplex Scales

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