Patterns of personality disorder comorbidity in early-onset versus late- onset major depression

Maurizio Fava, Jonathan E. Alpert, Joseph S. Borus, Andrew A. Nierenberg, Joel A. Pava, Jerrold F. Rosenbaum

Research output: Contribution to journalArticle

112 Citations (Scopus)

Abstract

Objective: This study tested the hypothesis that in a population of adult outpatients with major depression, those with an early onset of depression would have a greater prevalence of personality disorders than those with a late onset of depression. Method: The 404 subjects were patients participating in depression treatment studies at the Massachusetts General Hospital. They were administered the Structured Clinical Interview for DSM- III-R-Patient Version to assess the current presence of major depression and the age at onset of the initial depression episode. The subjects were then divided into two groups: those with early onset (before 18 years of age) and those with late onset (at age 18 or later). The prevalence of personality disorders was determined through use of the physician-rated Structured Clinical Interview for DSM-III-R Personality Disorders (SCID-II) and the patient-rated Personality Diagnostic Questionnaire-Revised (PDQ-R). Results: The patients with early onset of major depression had a significantly higher prevalence of avoidant, histrionic, narcissistic, and borderline personality disorders according to the SCID-II. The PDQ-R scores indicated that avoidant, dependent, passive-aggressive, narcissistic, borderline, and antisocial personality disorders were significantly more prevalent among the patients with early onset of major depression. Conclusions: Overall, the results are consistent with the view that early-onset depressive illness is distinguished from late-onset depression by more frequent association with persistent disturbances in behaviors and attitudes.

Original languageEnglish (US)
Pages (from-to)1308-1312
Number of pages5
JournalAmerican Journal of Psychiatry
Volume153
Issue number10
StatePublished - Oct 1996
Externally publishedYes

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Personality Disorders
Comorbidity
Depression
Diagnostic and Statistical Manual of Mental Disorders
Borderline Personality Disorder
Interviews
Age of Onset
Passive-Aggressive Personality Disorder
Personality
Histrionic Personality Disorder
Antisocial Personality Disorder
General Hospitals
Outpatients
Physicians

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Fava, M., Alpert, J. E., Borus, J. S., Nierenberg, A. A., Pava, J. A., & Rosenbaum, J. F. (1996). Patterns of personality disorder comorbidity in early-onset versus late- onset major depression. American Journal of Psychiatry, 153(10), 1308-1312.

Patterns of personality disorder comorbidity in early-onset versus late- onset major depression. / Fava, Maurizio; Alpert, Jonathan E.; Borus, Joseph S.; Nierenberg, Andrew A.; Pava, Joel A.; Rosenbaum, Jerrold F.

In: American Journal of Psychiatry, Vol. 153, No. 10, 10.1996, p. 1308-1312.

Research output: Contribution to journalArticle

Fava, M, Alpert, JE, Borus, JS, Nierenberg, AA, Pava, JA & Rosenbaum, JF 1996, 'Patterns of personality disorder comorbidity in early-onset versus late- onset major depression', American Journal of Psychiatry, vol. 153, no. 10, pp. 1308-1312.
Fava, Maurizio ; Alpert, Jonathan E. ; Borus, Joseph S. ; Nierenberg, Andrew A. ; Pava, Joel A. ; Rosenbaum, Jerrold F. / Patterns of personality disorder comorbidity in early-onset versus late- onset major depression. In: American Journal of Psychiatry. 1996 ; Vol. 153, No. 10. pp. 1308-1312.
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