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Effects of dysthymia on personality assessment

Published online by Cambridge University Press:  16 April 2020

D Lecic-Tosevski  and
M Divac-Jovanovic
D Lecic-Tosevski
Affiliation:
Institute for Mental Health, School of Medicine, University of Belgrade, Palmoticeva 37, 11000 Belgrade, Yugoslavia
M Divac-Jovanovic
Affiliation:
Institute of Psychiatry, Belgrade, Yugoslavia
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Summary

Twenty-eight dysthymic patients (82.1% with personality disorders) were investigated with questionnaires for personality and depression before and after treatment. When in asymptomatic state, defined by clinical criteria and HAM-D score 6 or lower, the personality profile of 15 patients (group I) was significantly changed from the one before treatment (avoidant, passive-aggressive, borderline and schizotypal dimensions were lower, and narcissistic dimension higher [P < 0.01]). Thirteen patients (group II) had an unchanged profile. The first group showed significant state-trait dependence, especially of the borderline personality dimension. The second group manifested a permanent characterological affective syndrome, or a core borderline personality disorder. The limitations of personality assessment during affective episodes are discussed as well as the borderline level of functioning related to it.

Keywords

dysthymiapersonalityborderline personality disorderassessment
Type
Original article
Information
European Psychiatry , Volume 11 , Issue 5 , 1996 , pp. 244 - 248
Copyright
Copyright © Elsevier, Paris 1996

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