The impact of personality and personality disorders on the treatment of depression

Gabbard, Glen O.; Simonsen, Erik

doi:10.1002/pmh.21

Cited by 9 publications

(4 citation statements)

References 45 publications

(36 reference statements)

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“…From a clinical perspective, it is relevant to achieve knowledge both of the vulnerabilities that underlies symptomatology (in this case, personality functioning) and of the risk factors, especially the ACE. This, in order to be able to make an approach that not only addresses the current symptomatic manifestation of the patient, but also takes a complete look at its complexity and heterogeneity, including interventions that are conducive to the patient's profile, enriching an idiosyncratic and patient-centered treatment (Van Praag, 1989;Gabbard and Simonsen, 2007;Dagnino et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Adult Depression: Adverse Childhood Experiences and Personality Functioning

et al. 2020

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Background: Depressive disorder is one of the main health problems worldwide. Many risk factors have been associated with this pathology. However, while the association between risks factors and adult depression is well established, the mechanisms behind its impact remains poorly understood. A possible, yet untested explanation is the mediating impact of levels of personality functioning, i.e., impairments with regard to self and interpersonal.Method: Around 162 patients were assessed at the beginning of their therapy, with regard to risk factors, such as sociodemographic, physical, hereditary (Information Form), and adverse childhood experiences (ACE; CTQ). Depressive symptoms (Beck Depression Inventory, BDI) and personality functioning (OPD-SQ) were also measured. Associations between the related variables as well as other possible covariates were examined by means of zero-order correlations and bootstrapping-based mediation analysis.Results: Of all the risk factors taken into account, level of education and physical illness were associated with depression. On the other hand, the most significant predictor of depressive symptomatology was ACE, and this relationship was mediated by personality functioning. This indicates that patients presenting adverse childhood experiences are more likely to develop deficiencies in personality functioning, which in turn increases their likelihood of developing depressive symptomatology.Conclusion: These results reaffirm the importance of incorporating risk and vulnerability factors such as personality functioning in understanding depression.

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Section: Discussionmentioning

confidence: 99%

Risk Factors for Adult Depression: Adverse Childhood Experiences and Personality Functioning

et al. 2020

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“…Depressions differ depending on the patient's personality, among other factors (Gabbard & Simonsen, 2007), so that the interrelationship between depressive symptoms and personality have important implications for treatment. Empirical studies have shown the magnitude of treatment effects are moderated by a variety of primary manifestations of personality organization -including pre-treatment levels of personality pathology (Koelen et al, 2012); attachment style (Diener & Monroe, 2011); degree of object relations (Piper, McCallum, Joyce, Rosie, & Ogrodniczuk, 2001); alexithymia (Ogrodniczuk, Piper, & Joyce, 2011); and selfcriticism (Blatt, Zuroff, Hawley, & Auerbach, 2010).…”

Section: Personalitymentioning

confidence: 99%

The anger-depression mechanism in dynamic therapy: Experiencing previously avoided anger positively predicts reduction in depression via working alliance and insight.

Town¹,

Falkenström²,

Abbass³

et al. 2022

Journal of Counseling Psychology

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“…(Luyten & Blatt, 2013, p. 175) Empirical studies have demonstrated distinct patterns of change in anaclitic and introjective patients (Blatt, 1995;Blatt & Ford, 1994;Blatt, Ford, Berman, Cook, & Meyer, 1988;Blatt, Sanislow, Zuroff, & Pilkonis 1996;Blatt & Shahar, 2004;Blatt, Zuroff, Bondi, Sanislow, & Pilkonis, 1998;Gabbard & Simonsen, 2007;Vermote et al, 2009Vermote et al, , 2011. However, no previous study has explored the change in degree of anaclitic -introjective organisation over treatment (Blatt, personal communication, 2 May 2013).…”

mentioning

confidence: 96%

Changes in anaclitic–introjective personality dimensions, outcomes and psychoanalytic technique: a multi-case study

Werbart¹,

Forsström²

2014

Psychoanalytic Psychotherapy

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This study investigates changes in latent mental structures along the anaclitic and introjective dimensions in relation to outcomes in 14 cases of publicly financed psychoanalysis. The method of prototype matching was adapted for personality assessment, and multiple outcome measures were applied. For the anaclitic cases, symptom reduction was accompanied by more mature integration of anaclitic and introjective personality dimensions, while the introjective cases showed symptom reduction without such improvement. This could indicate that sustainable change in latent mental structures is more difficult to achieve in introjective than in anaclitic patients. Further research is needed to validate these preliminary results.

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The impact of personality and personality disorders on the treatment of depression

Abstract: It is well known that the presence of personality disorder presents special challenges in the treatment

Cited by 9 publications

References 45 publications

Risk Factors for Adult Depression: Adverse Childhood Experiences and Personality Functioning

Risk Factors for Adult Depression: Adverse Childhood Experiences and Personality Functioning

The anger-depression mechanism in dynamic therapy: Experiencing previously avoided anger positively predicts reduction in depression via working alliance and insight.

Changes in anaclitic–introjective personality dimensions, outcomes and psychoanalytic technique: a multi-case study

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