Prognostic Significance of Personality Disorders in Patients with Major Depressive Disorder
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Personality Disorders (M Zimmerman, Section Editor)
Prognostic Significance of Personality Disorders in Patients with Major Depressive Disorder Michael Young, MD Address Sheppard Pratt Health System, 6501 North Charles St, Towson, MD, USA Email: [email protected]
* Springer Nature Switzerland AG 2020
This article is part of the Topical Collection on Personality Disorder Keywords Treatment-resistant depression I Major depressive disorder I Personality disorder I Borderline personality disorder
Abstract Purpose of Review Update the evidence regarding how co-occurring personality disorders influence treatment outcomes for major depressive disorder and update the evidence regarding treatment options for personality disorders that are co-occurring with major depressive disorder. Recent Findings There is evidence that personality disorders can be effectively treated through a variety of psychotherapeutic modalities. Given the substantial evidence that cooccurring personality disorders impede the recovery from major depressive disorder, comprehensively addressing any co-occurring personality disorders is an essential part of an effective treatment plan for patients with major depressive disorder. Personality disorders such as borderline personality disorder, which is commonly co-occurring with major depressive disorder, have several validated treatment options. Summary Since publication of past reviews on the topic, there have been multiple additional studies published to advance the discussion of the impact of personality disorders on treatment outcomes in major depression. There is now substantial evidence that personality disorders can negatively affect treatment outcomes in the setting of major depression, which is consistent with the clinical observation that co-occurring personality disorders need to be comprehensively addressed to achieve optimal outcomes for the individual. There also now exists substantial evidence that personality disorders can be effectively treated using several validated psychotherapeutic modalities. It is recommended that a comprehensive assessment, including assessment for co-occurring personality disorders, is implemented in all cases of major depressive disorder that have not been successfully treated. In those cases where a co-occurring personality disorder is identified, specific treatment for the personality disorder should be recommended.
Personality Disorders (M Zimmerman, Section Editor)
Introduction Major depressive disorder (MDD) is widely acknowledged as a burdensome and expensive public health problem. According to the Global Burden of Diseases, Injury, and Risk Factors Study 2016 (GBD 2016), MDD was among the five leading causes of years lived with disability (YLD) in 2016, contributing to over 34 million total years lived with disability [1]. In acknowledgement of this overwhelming and persistent worldwide disease burden, it is essential to understand the factors that affect prognosis and course of MDD so that comprehensive and effective treatment plans can be de
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