Personality disorders and the trimensional personality questionnaire factors in major depressive disorder

J Nerv Ment Dis. 2005 Nov;193(11):747-50. doi: 10.1097/01.nmd.0000185873.36662.76.

Abstract

We assessed the potential relationship between personality disorder (PD) clusters, as assessed by the SCID-II, and temperamental traits assessed by the Tridimensional Personality Questionnaire (TPQ) among a well-characterized, unmedicated cohort of outpatients with major depressive disorder (MDD). The TPQ and SCID-II were administered to 263 depressed outpatients (mean age = 39.9 +/- 10.5 years; women = 139, 53%; initial 17-item Hamilton Rating Scale for Depression = 19.6 +/- 3.4) who currently met criteria for MDD and who were enrolled in an 8-week treatment trial. The multiple linear regression method was used to evaluate the relationship between TPQ factors and personality disorder clusters, controlling for age, gender, and initial 17-item Hamilton Rating Scale for Depression score as necessary. Among outpatients with MDD, meeting criteria for a Cluster A PD diagnosis was related to high harm avoidance (HA) scores, as well as low reward dependence and novelty seeking (NS) scores. Additionally, high HA scores were associated with meeting criteria for a Cluster C PD diagnosis, while high NS scores were associated with meeting criteria for a Cluster B PD diagnosis. Certain temperament traits, especially HA and NS, appear to be associated with specific patterns of personality clusters among depressed patients.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Age Factors
  • Ambulatory Care
  • Cohort Studies
  • Comorbidity
  • Depressive Disorder, Major / diagnosis*
  • Depressive Disorder, Major / epidemiology
  • Exploratory Behavior
  • Factor Analysis, Statistical
  • Female
  • Humans
  • Male
  • Personality Disorders / classification
  • Personality Disorders / diagnosis*
  • Personality Disorders / epidemiology
  • Personality Inventory / statistics & numerical data*
  • Psychiatric Status Rating Scales / statistics & numerical data
  • Regression Analysis
  • Sex Factors
  • Surveys and Questionnaires / standards