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A preliminary investigation of self-reported personality disorders in late life: Prevalence, predictors of depressive severity, and clinical correlates

A preliminary investigation of self-reported personality disorders in late life: Prevalence, predictors of depressive severity, and clinical correlates
A preliminary investigation of self-reported personality disorders in late life: Prevalence, predictors of depressive severity, and clinical correlates
Previous research suggests that personality disorders, particularly in clusters A and C, persist into late life, are particularly prevalent in late-life depressed samples, and negatively impact treatment of late-life depression. The present study examined the self-reported personality disorder traits of a sample of 65 depressed elders using the Wisconsin Personality Disorder Inventory IV (WISPI IV). As expected, clusters A and C were most prevalent and the presence of a personality disorder predicted the maintenance or re-emergence of depressive symptoms, as did hopelessness and ambivalence regarding emotional expression. No specific personality disorder traits were associated with clinical features of late-life depression (age of onset, number of previous episodes) while some personality disorder traits were associated with psychological correlates of depression (hopelessness, ambivalence regarding emotional expression, thought suppression). A theoretical explanation for the cluster prevalence based on self-verification is discussed along with a profile of elderly patients who may have poor depression treatment course if they exhibit personality disorder traits, particularly interpersonal rigidity or avoidance, chronic hopelessness, and emotional inhibition.

1360-7863
307-315
Morse, J.Q.
6e9fd706-c8e6-4302-9828-ab38db4d782a
Lynch, T.R.
29e90123-0aef-46c8-b320-1617fb48bb20
Morse, J.Q.
6e9fd706-c8e6-4302-9828-ab38db4d782a
Lynch, T.R.
29e90123-0aef-46c8-b320-1617fb48bb20

Morse, J.Q. and Lynch, T.R. (2004) A preliminary investigation of self-reported personality disorders in late life: Prevalence, predictors of depressive severity, and clinical correlates. Aging & Mental Health, 8 (4), 307-315. (PMID:15370047)

Record type: Article

Abstract

Previous research suggests that personality disorders, particularly in clusters A and C, persist into late life, are particularly prevalent in late-life depressed samples, and negatively impact treatment of late-life depression. The present study examined the self-reported personality disorder traits of a sample of 65 depressed elders using the Wisconsin Personality Disorder Inventory IV (WISPI IV). As expected, clusters A and C were most prevalent and the presence of a personality disorder predicted the maintenance or re-emergence of depressive symptoms, as did hopelessness and ambivalence regarding emotional expression. No specific personality disorder traits were associated with clinical features of late-life depression (age of onset, number of previous episodes) while some personality disorder traits were associated with psychological correlates of depression (hopelessness, ambivalence regarding emotional expression, thought suppression). A theoretical explanation for the cluster prevalence based on self-verification is discussed along with a profile of elderly patients who may have poor depression treatment course if they exhibit personality disorder traits, particularly interpersonal rigidity or avoidance, chronic hopelessness, and emotional inhibition.

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Published date: 2004

Identifiers

Local EPrints ID: 194335
URI: http://eprints.soton.ac.uk/id/eprint/194335
ISSN: 1360-7863
PURE UUID: 99ee12d0-198d-49bb-a73a-660b31536754
ORCID for T.R. Lynch: ORCID iD orcid.org/0000-0003-1270-6097

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Date deposited: 27 Jul 2011 10:06
Last modified: 08 Jan 2022 03:08

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Contributors

Author: J.Q. Morse
Author: T.R. Lynch ORCID iD

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