Longitudinal outcome in patients with bipolar disorder assessed by life-charting is influenced by DSM-IV personality disorder symptoms
OBJECTIVES: Few studies have examined the question of how personality features impact outcome in bipolar disorder (BD), though results from extant work and studies in major depressive disorder suggest that personality features are important in predicting outcome. The primary purpose of this paper was to examine the impact of DSM-IV personality disorder symptoms on long-term clinical outcome in BD.
METHODS: The study used a 'life-charting' approach in which 87 BD patients were followed regularly and treated according to published guidelines. Outcome was determined by examining symptoms over the most recent year of follow-up and personality symptoms were assessed with the Structured Clinical Interview for DSM-IV (SCID-II) instrument at entry into the life-charting study.
RESULTS: Patients with better outcomes had fewer personality disorder symptoms in seven out of 10 disorder categories and Cluster A personality disorder symptoms best distinguished euthymic and symptomatic patients.
CONCLUSIONS: These results raise important questions about the mechanisms linking personality pathology and outcome in BD, and argue that conceptual models concerning personality pathology and BD need to be further developed. Treatment implications of our results, such as need for psychosocial interventions and treatment algorithms, are also described.
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2003 |
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| Erschienen: |
2003 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:5 |
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| Enthalten in: |
Bipolar disorders - 5(2003), 1 vom: 01. Feb., Seite 14-21 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Bieling, Peter J [VerfasserIn] |
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| Themen: |
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| Anmerkungen: |
Date Completed 08.07.2003 Date Revised 06.11.2019 published: Print Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM124302998 |
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| 100 | 1 | |a Bieling, Peter J |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Longitudinal outcome in patients with bipolar disorder assessed by life-charting is influenced by DSM-IV personality disorder symptoms |
| 264 | 1 | |c 2003 | |
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| 500 | |a Date Completed 08.07.2003 | ||
| 500 | |a Date Revised 06.11.2019 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVES: Few studies have examined the question of how personality features impact outcome in bipolar disorder (BD), though results from extant work and studies in major depressive disorder suggest that personality features are important in predicting outcome. The primary purpose of this paper was to examine the impact of DSM-IV personality disorder symptoms on long-term clinical outcome in BD | ||
| 520 | |a METHODS: The study used a 'life-charting' approach in which 87 BD patients were followed regularly and treated according to published guidelines. Outcome was determined by examining symptoms over the most recent year of follow-up and personality symptoms were assessed with the Structured Clinical Interview for DSM-IV (SCID-II) instrument at entry into the life-charting study | ||
| 520 | |a RESULTS: Patients with better outcomes had fewer personality disorder symptoms in seven out of 10 disorder categories and Cluster A personality disorder symptoms best distinguished euthymic and symptomatic patients | ||
| 520 | |a CONCLUSIONS: These results raise important questions about the mechanisms linking personality pathology and outcome in BD, and argue that conceptual models concerning personality pathology and BD need to be further developed. Treatment implications of our results, such as need for psychosocial interventions and treatment algorithms, are also described | ||
| 650 | 4 | |a Journal Article | |
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| 700 | 1 | |a Marriot, Michael J |e verfasserin |4 aut | |
| 700 | 1 | |a Robb, Janine C |e verfasserin |4 aut | |
| 700 | 1 | |a Begin, Helen |e verfasserin |4 aut | |
| 700 | 1 | |a Joffe, Russell T |e verfasserin |4 aut | |
| 700 | 1 | |a Young, L Trevor |e verfasserin |4 aut | |
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