Major Depressive Disorder: Part-I: Personality and Phenomenology.
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Date
2010-10
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Abstract
Objectives: To study the phenomenological variations in context of personality
psychopathology in Major Depressive Disorder patients. Methods:36 indoor patients of
psychiatry ward of tertiary level service out of total 168 admitted patients from Ist
January 2008 to 31st Dec. 2008 diagnosed as Major Depressive Disorder (as per DSMIV
TR) . Socio-demographic data on a self-designed Performa, Montgomery Asberg’s
Depression Rating Scale (MADRS), Hamilton Anxiety rating scale (HARS)and Presumptive
Stressful Life Event Scale(PSLE) were applied to these patients and they were observed
every alternate day till discharge. International Personality Disorder Examination (IPDE)
was applied on their third follow-up visit, which ranged from 6 to8 weeks. Results:
Sociodemographic variables by enlarge didn’t make a difference in MADRS score. MADRS
score was significantly higher with increasing episodes of illness. Personality disorder
patients had significantly higher MADRS score than Double traits (t=3.47, df=27, p<0.01)
and Single trait (t=4.056, df=23, p<0.001) personality psychopathology. Higher level of
depression in Personality disorder patients in all components of depression like sadness,
reduced sleep pessimistic and suicidal thought etc were reported. Presence of stress with
personality psychopathology added greater severity to depression. Conclusion: Our study
brings out constitutional vulnerability with adverse environmental conditions were
associated with higher level of psychopathology.
Description
Keywords
Major Depressive Disorder, Phenomenology, Personality, Psychopathology
Citation
Gocher Suresh, Gupta L N, Singhal A K, Verma K K, Gupta Prerana, Prasad Shiv, Agrawal P P, Yadav S P, Gupta Prachi. Major Depressive Disorder: Part-I: Personality and Phenomenology. Delhi Psychiatry journal. 2010 Oct; 13 (2): 275-281.