Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-28T02:00:56.897Z Has data issue: false hasContentIssue false

Dysthymia and personality

Published online by Cambridge University Press:  16 April 2020

J Angst*
Affiliation:
Zurich University Psychiatric Hospital, PO Box 68, Lenggstr 31, CH-8029, Zurich, Switzerland
Get access

Summary

Data on dysthymia and personality presented here are derived from the Zurich cohort study, which followed 591 subjects from the ages of 20 to 35. From childhood on, dysthymics experienced themselves as far more anxious and less self-confident than did major depressives or controls. They manifested more behavioural problems and high neuroticism and introversion scores. Dysthymics scored low in terms of quality of life, self-esteem and mastery, whereas they scored high in avoiding/denying behaviours. The hypothesis is advanced that behavioural problems, anxiety, high levels of neuroticism and personality disorders constitute risk factors for chronic depression. Evidence is presented of the existence of bipolar dysthymia.

Type
Research Article
Copyright
Copyright © Elsevier, Paris 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Akiskal, HSDysthymic disorder: Psychopathology of proposed chronic depressive subtypes. Am J Psychiatry 1983; 140: 1120Google ScholarPubMed
Akiskal, HSTowards a definition of dysthymia: boundaries with personality and mood disorders. In: Burton, SW, Akiskal, HS eds. Dysthymic disorder. London: Gaskell-Royal College of Psychiatrists; 1990; 112Google Scholar
Akiskal, HS, Bitar, AH, Puzantian, VR, Rosenthal, TL, Walker, PWThe nosological status of neurotic depression. A prospective three-to four-year follow-up examination in light of the primary-secondary and unipolar-bipolar dichotomies. Arch Gen Psychiatry 1978; 35: 756766CrossRefGoogle ScholarPubMed
Allilaire, JFLes dysthymies: un modèle d'étude des liens entre trait et état psychopathologique?. Encéphale 1994; 20: 563569Google Scholar
Alnaes, R, Torgerson, SPersonality and personality disorders among patients with major depression in combination with dysthymic or cyclothymic disorders. Acta Psychiatr Scand 1989; 79: 363369CrossRefGoogle ScholarPubMed
Angst, JEpidémiologie du spectre bipolaire. In: Akiskal, H, Darcourt, G, Hantouche, E, Fraud, JP eds. Mieux identifier les troubles bipolaires. Encéphale 1995; 6 3742Google Scholar
Angst, JDépression brèves récurrentes. In: Olié, JO, Poirier, MF, Lôo, H eds. Les maladies dépressives. Paris: Médecine Sciences Flammarion; 1995; 223233Google Scholar
Angst, JNosologische Konzepte in der Psychiatrie. In: Gaebel, W, Falkai, P, Lehmann, E eds. Psychiatrie heute, gestern und morgen. Paderborn: Ferdinand Schöningh Verlag; 1997; 5164Google Scholar
Angst, J, Clayton, PJPremorbid personality of depressive, bipolar, and schizophrenic patients with special reference to suicidal issues. Compr Psychiatry 1986; 27: 511532CrossRefGoogle ScholarPubMed
Angst, J, Ernst, CPrämorbide und postmorbide Persönlichkeit bei affektiv Erkrankten. In: Gross, G, Huber, G, Morgner, J eds. Persönlichkeit — Persönlichkeitsstörung — Psychose. 10. Weissenauer Schizophrenie Symposion Dresden 1994. Stuttgart, New York: Schattauer; 1996; 119132Google Scholar
Angst, J, Wicki, WThe Zurich Study XI. Is dysthymia a separate form of depression. Results of the Zurich cohort study. Eur Arch Psychiatry Clin Neurosci 1991; 240: 349354CrossRefGoogle ScholarPubMed
Bech, P, Angst, JQuality of life in anxiety and social phobia. Int Clin Psychopharmacol 1996 11 suppl 397100CrossRefGoogle ScholarPubMed
Cassano, GB, Maggini, S, Akiskal, HSShort-term, subchronic, and chronic sequelae of affective disorders. Psychiatr Clin North Am 1983; 6: 5567CrossRefGoogle ScholarPubMed
Cassano, GB, Musetti, L, Perugi, G, et al.A proposed new approach to the clinical subclassification of depressive illness Pharmacopsychiatry 1988 21 1923CrossRefGoogle ScholarPubMed
Clayton, PJ, Ernst, C, Angst, Jpremorbid personality traits of men who develop unipolar or bipolar disorders. Eur Arch Psychiatry Clin Neurosci 1994; 243: 340346CrossRefGoogle ScholarPubMed
Depue, RA, Krauss, S, Spoont, MR, Arbisi, PGeneral Behaviour Inventory identification of unipolar and bipolar affective conditions in a nonclinical university population. J Abnorm Psychol 1989; 98: 117126CrossRefGoogle Scholar
Derogatis, LRSCL-90. Administration, scoring and procedures manual-I for the R (revised) version and other instruments of the Psychopathology Rating Scales Series. Chicago: Johns Hopkins University School of Medicine; 1977Google Scholar
Drouet, A, Hardy, P, Feline, ADysthymie et personalité dépressive. Ann Méd-Psychol 1994; 152: 114118Google Scholar
Duggan, C, Sham, P, Lee, A, Minne, C, Murray, RNeuroticism: a vulnerability marker for depression evidence from a family study. J Affect Disord 1995; 35: 139143CrossRefGoogle ScholarPubMed
Emst, C, Angst, JThe Zurich Study XXIV. Structural and emotional aspects of childhood and later psychopathology. Eur Arch Psychiatry Clin Neurosci 1997; 247: 8186Google Scholar
Fine, S, Moretti, M, Haley, G, Marriage, KDepressive disorder in children and adolescents: dysthymic disorder and the use of self-rating scales in assessment. Child Psychiatry Hum Development 1984; 14: 223229CrossRefGoogle ScholarPubMed
Fine, S, Moretti, M, Haley, G, Marriage, KAffective disorders in children and adolescents: the dysthymic disorder dilemma. Can J Psychiatry 1985; 30: 173177CrossRefGoogle ScholarPubMed
Garrison, CZ, Addy, CL, Jackson, KL, McKeown, RE, Waller, JLMajor depressive disorder and dysthymia in young adolescents. Am J Epidemiol 1992; 135: 792802CrossRefGoogle ScholarPubMed
Hirschfeld, RMAPersonality and dysthymiaBurton, SW, Akiskal, HSDysthymic disorder. London: Gaskell-Royal College of Psychiatrists; 1990; 6977Google Scholar
Hirschfeld, RMA, Klerman, GL, Clayton, PJ, Keller, MB, McDonald-Scott, P, Larkin, BHAssessing personality: effects of the depressive state on trait measurement. Am J Psychiatry 1983; 140: 695699Google ScholarPubMed
Kessler, RCThe US National Comorbidity Survey: onset, chronicity and comorbidity patterns of mood disorders in the general population. Int Acad Biomed Drug Res 1994; 9: 154157Google Scholar
Klauer, T, Filipp, S-H, Ferring, DDer Fragebogen zur Erfassung von Formen der Krankheitsbewältigung (FEKB): Skalenkon-struktion und erste Befunde zur Reliabilität, Validität und Stabilität. Diagnostica 1989; 35: 316335Google Scholar
Klein, DN, Kelly, HSDiagnosis and classification of dysthymia. Psychiatr Annals 1993; 23: 609616CrossRefGoogle Scholar
Klein, DN, Miller, GADepressive personality in nonclinical subjects. Am J Psychiatry 1993; 150: 17181724Google ScholarPubMed
Klein, DN, Riso, LP, Anderson, RLDSM-III dysthymia: antecedents and underlying assumptions. Prog Exp Personality Psychopathol Res 1993; 16: 222253Google ScholarPubMed
Klein, DN, Riso, LP, Donaldson, SK, et al.Family study of early onset dysthymia. Mood and personality disorders in relatives of outpatients with dysthymia and episodic major depression and normal controls. Arch Gen Psychiatry 1995; 52: 487496CrossRefGoogle ScholarPubMed
Klerman, GL, Endicott, J, Spitzer, R, Hirschfeld, RMANeurotic depressions: a systematic analysis of multiple criteria and meanings. Am J Psychiatry 1979; 136: 5761Google ScholarPubMed
Kocsis, JH, Frances, AJA critical discussion of DSM-III dysthymic disorder. Am J Psychiatry 1987; 144: 15341542Google ScholarPubMed
Kovacs, M, Gastsonis, CStability and change in childhood — Onset of depressive disorder: longitudinal course as a diagnostic validatorRobins, LN, Barrett, JEThe validity of psychiatric diagnosis. New York: Raven Press; 1989; 5773Google Scholar
Kovacs, M, Feinberg, TL, Cruse-Novak, MA, Paulauskas, SL, Pollock, M, Finkelstein, RDepressive disorders in childhood. II. A longitudinal study of the risk for a subsequent major depression. Arch Gen Psychiatry 1984; 41: 643649CrossRefGoogle Scholar
Kovacs, M, Feinberg, TL, Crouse-Novak, MA, Paulauskas, SL, Finkelstein, RDepressive disorders in childhood. I. A longitudinal prospective study of characteristics and recovery. Arch Gen Psychiatry 1984; 41: 229237CrossRefGoogle ScholarPubMed
Kraepelin, ELa folie maniaque-dépressive. Rev Sci Psychopathol 1913; 3: 221Google Scholar
Leon, SO, Garcia, FDistimia y otros trastornos depresivos: estudio de personalidad. Actas Lusos-Esp Neurol Psiquiatr 1995; 23: 2528Google Scholar
Lewinsohn, PM, Ronde, P, Seeley, JR, Hops, HComorbidity of unipolar depression. I. Major depression with dysthymia. J Abnorm Psychol 1991; 100: 205213CrossRefGoogle ScholarPubMed
Maier, W, Lichtermann, D, Minges, J, Heun, RPersonality traits in subjects at risk for unipolar major depression: a family study perspective. J Affect Disord 1992; 24: 153164CrossRefGoogle ScholarPubMed
Markowicz, JC, Moran, ME, Kocsis, JH, Frances, AJPrevalence and co-morbidity of dysthymic disorder among psychiatric outpatients. J Affect Disord 1992; 24: 6371CrossRefGoogle Scholar
Moore, JTDysthymia in the elderly. J Affect Disord 1985 9 suppl 1 S15S21CrossRefGoogle Scholar
Pahkala, K, Kesti, E, Köngäs-Saviaro, P, Laippala, P, Kivelä, SLPrevalence of depression in an aged population in Finland. Soc Psychiatry Psychiatr Epidemiol 1995; 30: 99106CrossRefGoogle Scholar
Pearlin, LI, Schooler, CThe structure of coping. J Health Soc Behav 1978; 19: 2CrossRefGoogle ScholarPubMed
Pepper, CM, Klein, DN, Anderson, RL, Riso, LP, Ouimette, PC, Lizardi, HDSM-III-R axis II comorbidity in dysthymia and major depression. Am J Psychiatry 1995; 152: 239247Google ScholarPubMed
Phillips, KA, Gunderson, JG, Hirschfeld, RMA, Smith, LEA review of the depressive personality. Am J Psychiatry 1990; 147: 830837Google ScholarPubMed
Phillips, KA, Hirschfeld, RMA, Shea, TM, Gunderson, JDepressive personality disorderWidiger, TA, Frances, TA, Pincus, HA, Ross, R, First, MB, Davis, WWDSM-IV Sourcebook. Washington: American Psychiatric Association; 1996; 799811Google Scholar
Reich, J, Noyes, R jr, Hirschfeld, RMA, Coryell, W, O'Gorman, TState and personality in depressed and panic patients. Am J Psychiatry 1987; 144: 181187Google ScholarPubMed
Roy, A, Sutton, M, Pickar, DNeuroendocrine and personality variables in dysthymic disorder. Am J Psychiatry 1985; 142: 9497Google ScholarPubMed
Scheidegger, PReproduzierbarkeit von Strukturen in empirischen Daten Zürich: Diss phil I; 1992Google Scholar
Tellenbach, HMelancholie. Berlin, New York: Springer; 1983CrossRefGoogle Scholar
Vollrath, M, Angst, JCoping and illness behaviour among young adults with panic. J Nerv Ment Dis 1993; 181: 303308CrossRefGoogle ScholarPubMed
von Zerssen, DPersönlichkeitszüge als Vulnerabilitätsindikatoren — Probleme ihrer Erfassung. Fortschr Neurol Psychiatr 1994; 62: 113CrossRefGoogle Scholar
Weissman, MM, Klerman, GLThe chronic depressive in the community: unrecognized and poorly treated. Compr Psychiatry 1977; 18: 523532CrossRefGoogle ScholarPubMed
Weissman, MM, Prusoff, BA, Klerman, GLPersonality and the prediction of long-term outcome of depression. Am J Psychiatry 1978; 135: 797800Google ScholarPubMed
Weissman, MM, Leaf, PJ, Bruce, ML, Florio, LThe epidemiology of dysthymia in five communities: rates, risks, comorbidity, and treatment. Am J Psychiatry 1988; 145: 815819Google ScholarPubMed
Weissman, MM, Bruce, LM, Leaf, PJ, Florio, LP, Holzer, CAffective disordersRobins, LN, Regier, DAPsychiatric disorders in America The Epidemiologic Catchment Area Study. New York: The Free Press; 1991; 5380Google Scholar
Submit a response

Comments

No Comments have been published for this article.