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Titolo:
SOCIAL PHOBIA, AVOIDANT PERSONALITY-DISORDER AND ATYPICAL DEPRESSION - COOCCURRENCE AND CLINICAL IMPLICATIONS
Autore:
ALPERT JE; UEBELACKER LA; MCLEAN NE; NIERENBERG AA; PAVA JA; WORTHINGTON JJ; TEDLOW JR; ROSENBAUM JF; FAVA M;
Indirizzi:
MASSACHUSETTS GEN HOSP,CLIN PSYCHOPHARMACOL UNIT,DEPRESS CLIN & RES PROGRAM,WACC 815 BOSTON MA 02114
Titolo Testata:
Psychological medicine
fascicolo: 3, volume: 27, anno: 1997,
pagine: 627 - 633
SICI:
0033-2917(1997)27:3<627:SPAPAA>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
MAJOR DEPRESSION; ANXIETY DISORDERS; COMORBIDITY; PREVALENCE; DYSTHYMIA; SUBTYPES; OUTPATIENTS; VALIDITY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
32
Recensione:
Indirizzi per estratti:
Citazione:
J.E. Alpert et al., "SOCIAL PHOBIA, AVOIDANT PERSONALITY-DISORDER AND ATYPICAL DEPRESSION - COOCCURRENCE AND CLINICAL IMPLICATIONS", Psychological medicine, 27(3), 1997, pp. 627-633

Abstract

Background. Increasing attention has been directed in recent years tothe detection and treatment of psychiatric co-morbidity among depressed individuals. The overlap of social phobia (SP) and avoidant personality disorder (APD) has been well recognized and a relationship between these disorders and depression has been suggested. Methods. The pattern and clinical implications of co-morbidity of SP and APD with majordepressive disorder (MDD), diagnosed by DSM-III-R criteria, were studied among 243 out-patients presenting with depression. Results. Overall, 26.7% of adults in our sample with MDD met criteria for SP and 28.4% for APD. Almost two-thirds of depressed adults meeting criteria for social phobia or avoidant personality disorder met criteria for both (SP+APD). Depressed adults who met criteria for both SP+APD exhibited asignificantly higher proportion of atypical depression (54.8%) compared with those with neither SP nor APD (31.1%). Among depressed patients, the co-occurrence of SP with APD was also associated with an earlier age of onset of MDD, a greater number of comorbid Axis I diagnoses, and greater impairment of social adjustment and assertiveness. Conclusions. Results confirm the overlap of SP and APD in a depressed population and the high prevalence of these disorders in MDD. They suggest that depressed individuals with both SP and APD but not SP alone are at particularly high risk for atypical depression and for social dysfunction in excess of that caused by a current major depression.

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Documento generato il 22/09/20 alle ore 14:26:23